Genç Daimi Dişlerde MTA ile Koronal Pulpotomi: Vaka Serisi

Year 2024, Issue: 3, 116 - 124, 15.10.2024

Menekşe Alim , Mehmet Bani

https://doi.org/10.51122/neudentj.2024.122

Abstract

Vital pulpa tedavisi travma, çürük veya restoratif prosedürler sebebiyle hasar alan pulpanın, canlılığını ve işlevini korumanın bir yoludur. Vital pulpa tedavisi prosedürleri; direkt kuafaj, indirekt kuafaj, hastalıklı pulpa dokusunun çıkarıldığı parsiyel ve koronal pulpotomi tedavilerini içermektedir. Yıllar boyunca vital pulpa tedavisinin odak noktası, kök oluşumunun (apeksogenez) tamamlanmasını sağlamak için gelişimini tamamlamamış daimi dişlerde radiküler pulpanın korunması olmuştur. Günümüzde ise vital pulpa tedavisinin, belirli şartlara sahip geri dönüşümsüz olarak inflame pulpaya sahip olduğu düşünülen dişler de dahil olmak üzere, kök kanal tedavisine alternatif olarak değerlendirilebileceği bildirilmiştir. Vital pulpa tedavilerinden olan koronal amputasyon tedavisi koronal pulpanın tamamen çıkarılması, biyolojik olarak kabul edilebilir bir materyalin pulpa odasına yerleştirilmesi ve restorasyonunu içerir. Kaplama materyali ise, pulpa dokusundaki inflamasyonu giderip iyileşmeyi başlatabilmeli ve yeni dentin dokusunun oluşabilmesini sağlamalıdır. Pulpotomide kullanılan en eski materyal kalsiyum hidroksittir. Daha güncel bir materyal olan mineral trioksit agregatı ise biyouyumlu ve biyoaktif özellikleri nedeniyle günümüzde sıklıkla tercih edilmektedir. Bu olgu raporunda genç daimi dişlerde mineral trioksit agregatı ile koronal pulpotomi uygulanan 4 olgunun 18 ay takipli tedavi sonuçları sunulmuştur.

Keywords

Pulpotomi, Vital pulpa tedavisi, Genç daimi diş

Total Pulpotomy with MTA in Young Permanent Teeth: Case Series

Abstract

Vital pulp therapy is a way to preserve the vitality and function of pulp damaged by trauma, caries or restorative procedures. Vital pulp therapy procedures include direct pulp capping, indirect pulp capping, partial and coronal pulpotomy treatments where diseased pulp tissue is removed. Over the years, the focus of vital pulp therapy has been on the preservation of the radicular pulp in immature permanent teeth to ensure the completion of root formation (apexogenesis). Today, it has been reported that vital pulp therapy can be considered as an alternative to root canal treatment, including in teeth with certain conditions that are considered to have irreversibly inflamed pulp. Coronal amputation therapy, a vital pulp treatment, involves complete removal of the coronal pulp, placement of a biologically acceptable material into the pulp chamber and restoration. The covering material must be able to relieve inflammation and initiate healing of the pulp tissue and allow new dentin tissue to form. The oldest material used in pulpotomy is calcium hydroxide. Mineral trioxide aggregate, which is a more recent material, is frequently preferred today due to its biocompatible and bioactive properties. In this case report, the results of 4 cases of coronal pulpotomy with mineral trioxide aggregate in young permanent teeth with a follow-up of 18 months are presented.

Keywords

Pulpotomy, Vital pulp therapy, Young permanent teeth

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