Süt Dişlerinin Kanal Tedavisinde Kullanılan Döner ve Manuel Tekniklerinin Karşılaştırılması

Year 2024, Volume: 6 Issue: 3, 336 - 343, 30.12.2024

Gizem Tıraşçı , Pelin Senem Özsunkar , Sacide Duman

Abstract

Amaç: Süt dişlerinin endodontik tedavileri sırasında birtakım anatomik ve morfolojik zorlukları mevcuttur. Son yıllarda kullanılan döner eğe sistemleri süt dişlerinin endodontik girişimlerinin mevcut zorluklarını aşmak ve tedavi süresini kısaltmak için geliştirilmiştir. Günümüzde döner eğe sistemlerinin kullanımı, geleneksel manuel tekniklere alternatif olarak giderek daha popüler hale gelmektedir. Birçok döner eğe sisteminin geliştirilmesi ve piyasaya sunulması, başarı oranlarında herhangi bir farkın olup olmadığı sorusunu da gündeme getirmektedir. Bu derlemenin amacı; döner ve manuel aletlerin kullanımını antibakteriyel aktivite, obturasyon kalitesi, kök kanal sistemini temizleme verimliliği ve enstrümantasyon süresi, klinik ve radyografik başarı, postoperatif ağrı değerlendirmesi ve kök kanal sisteminin dışına apikal debris taşması gibi alt başlıklar açısından karşılaştıran çeşitli mevcut çalışmaları analiz etmektir.
Gereç ve Yöntemler: Literatür taramasının ana odak noktasını, son beş yılın (2018-2023) yayınları oluşturmaktadır. Google Scholar ve PubMed veri tabanları, temel arama kelimeleri kullanılarak taranmıştır. Bu derlemede; süt dişlerinde manuel ve döner eğe sistemlerinin kullanımını araştıran vaka raporları, in vitro çalışmalar, randomize kontrollü çalışmalar ve sistemik derlemeler incelenmiştir.
Bulgular: Çeşitli başlıklar altında değerlendirilen döner eğe sistemi ve manuel eğe sistemlerini karşılaştıran çalışmaların sonuçlarına yer verilmiştir.
Sonuçlar: Bu derleme, diş hekimlerine, süt dişlerine uygulanan pulpektomi tedavisi sırasında ve sonrasında kullanılan farklı enstrüman sistemlerinin faydalarını ve olası nedenlerini değerlendirme konusunda çeşitli kriterler altında rehberlik sağlayacaktır.

Keywords

Pulpectomy treatment, manuel files, rotary files, primary teeth

Comparison of Rotary and Manual Techniques for Pulpectomy Treatment in Primary Teeth

Abstract

Primary teeth present anatomical and morphological challenges during endodontic procedures. Rotary file systems were recently developed to overcome these endodontic challenges with primary teeth and to reduce the treatment period. The use of rotary file systems is increasing popular as an alternative to conventional manual techniques. The introduction of several file systems raises the question of whether there are any appreciable variations in success rates. The objective of this review is to analyze multiple current studies that compare the use of rotary and manual instruments with respect to the following subtopics: antimicrobial activity, quality of obturation, cleaning efficiency and instrumentation time, clinical and radiographic success, assessment of post-operative discomfort, and extrusion of apical debris. The last five years' worth of publications (2018-) were the main focus of the literature review. The Google Scholar and PubMed databases were searched using the primary search phrases. This review examined case reports, in vitro studies, randomized controlled trials, and systematic review studies that investigated the use of manual and rotary file systems in primary teeth.

Keywords

Pulpectomy treatment, manuel files, rotary files, primary teeth

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