ENDODONTİK TEDAVİLERDE MİNERAL TRİOKSİT AGREGAT KULLANIM ALANLARI

Abstract

Mineral Trioksit Agregat (MTA), Portland çimentosundan geliştirilen bir malzemedir. Alkali pH'a sahip olan antibakteriyel ve antifungal özellikler gösteren MTA, dokular tarafından iyi tolere edilir ve aynı zamanda sert doku oluşumunu tetikleyebilir. Bu çalışma, kliniğimizde MTA kullanılarak uygulanan tedavi yöntemlerini retrospektif olarak değerlendirmeyi amaçlamaktadır. Apeksifikasyon, iç rezorpsiyon, dış rezorpsiyon, iatrojenik perforasyon onarımı, vital pulpa kaplama tedavisi ve rejeneratif endodontik tedaviler gerektiren ve MTA uygulaması için gerekli endikasyonları karşılayan hastalar belirlendi. İlgili endikasyonlara uygun tedavi yöntemlerine göre dişlerin hazırlanmasının ardından, MTA kullanılarak endodontik tedaviler uygulandı. Hastalar belirli aralıklarla takip muayenelerine çağrıldı. MTA ile tedavi edilen dişler klinik ve radyolojik olarak değerlendirildi. Diş ağrısı, perküsyon hassasiyeti veya mobilite gibi herhangi bir semptom gözlenmedi ve periapikal lezyonlarda iyileşmeler kaydedildi. Radyografik inceleme, rejeneratif endodontik tedavi prosedürlerini takiben eksik kök gelişimi olan dişlerde kök uzunluğunda artış olduğunu ortaya koydu. MTA'nın, periapikal bölge ve vital diş dokularıyla temas ettiği ve aynı anda sert doku oluşumunu indüklediği vital pulpa tedavilerinde dokular tarafından iyi tolere edilen bir malzeme olduğu belirlenmiştir.

Keywords

• MTA
• Rejenerasyon
• Vital Pulpa Tedavileri
• MTA Plug
• Rezorpsiyon

Usage Areas of Mineral Trioxide Aggregate in Endodontic Treatments

Abstract

Mineral Trioxide Aggregate (MTA) is a material developed from Portland cement. MTA, possessing an alkaline pH and exhibiting antibacterial and antifungal properties, is well-tolerated by tissues and simultaneously capable of inducing hard tissue formation. This study aimed to retrospectively evaluate the treatment methods implemented using MTA in our clinic. Patients presenting at the who required apexification, internal resorption, external resorption, iatrogenic perforation repair, vital pulp capping treatment, and regenerative endodontic therapies and who met the necessary indications for MTA application, were identified. Following the preparation of teeth in accordance with the appropriate treatment modalities for the relevant indications, endodontic treatments were administered using MTA. Patients were summoned for follow-up examinations at specified intervals. Teeth treated with MTA were evaluated clinically and radiologically. No symptoms such as dental pain, percussion sensitivity, or mobility were observed, and improvements were noted in periapical lesions. Radiographic examination revealed an increase in root length in teeth with incomplete root development following regenerative endodontic treatment procedures. It has been determined that MTA is a well-tolerated material by tissues in vital pulp therapies where it comes into contact with the periapical region and vital dental tissues, and simultaneously induces hard tissue formation.

Keywords

• MTA
• MTA Plug
• Regeneration
• Vital pulp theraphy
• Resorption

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