Kök Kanal Tedavisi Başarısızlıklarında Retreatment

Year 2006, Volume: 13 Issue: 4, 1 - 6, 29.04.2009

Bulem Üreyen Kaya , Ayşe Keçeci

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2006 Aralık; 13(4)



Kök Kanal Tedavisi Başarısızlıklarında Retreatment
Uygulamaları



Bulem Üreyen Kaya, Ayşe Diljin Keçeci



Özet



Önceki kök kanal tedavisinin başarısız olduğuna karar verildiğinde kanal dolgusunun sökülüp yeniden yapılması retreatment. veya .revizyon. olarak adlandırılır. Retreatmentın başarısında vaka seçimi, uygun teknik ve ekipmanın yanı sıra prognozunun iyi değerlendirilmesi de etkili olur. Cerrahi yöntemlere başvurmadan önce endodontik olarak yapılabilecek ortograd girişimler manuel veya rotary aletlerin, sıcak kondansatörlerin ya da bunların çeşitli çözücülerle kombine kullanımı ile gerçekleştirilebilir. Bu çalışmada Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesine başvuran 8 hastada yapılan retreatment tedavileri ve 3 -24 ay arasındaki kontrolleri sunulmuştur. Kök kanalının yetersiz doldurulması, periradiküler bölgede lezyon varlığı, alet kırılmaları ve/veya hasta şikayetlerinin bulunması gibi nedenlerle, daha önceki tedavisi başarısız kabul edilen hastalara retreatment tedavileri uygulanmıştır. Doğru endikasyon sınırları içinde uygulanan retreatment tedavilerinin başarı oranlarını arttıracağı düşünülmektedir.







Anahtar kelımeler: Kök kanalının yenilenmesi, başarısızlık, el aletleri, döner aletler.



Abstract


Retreatment of Failed Root Canal Therapy


When the initial root canal therapy is defined as failed, the reperforming therapy following removal of the root filling is called .retreatment. or .revision.. The case selection, proper technique and equipment as well as detailed assessment of case prognosis affect the success of retreatment. Before applying surgical techniques, orthograd procedures performed endodontically can be realised using manual or rotary instruments, hot condansators or their combination with various solvents. This study presents the 3-24 months follow-up ofthe retreatment cases conducted on the patients who applied to the Dentistry Faculty of Suleyman Demirel University of Isparta.



Key words: Retreatment, failure, manuel instruments, rotary instruments

Keywords

Kök kanalýnýn yenilenmesi, baþarýsýzlýk, el aletleri, döner aletler

References

• Hülsmann M, Stotz S. Efficacy, cleaning ability and safety
• of different devices for gutta-percha removal in root canal retreatment. Int Endod J. 1997; 30:227-233.
• Barrieshi-Nusair KM. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod. 2002; 28:454-6.
• Bayýrlý G. Kök kanalý tedavisinin tekrar yapýlmasý ‘retreatment’. Bayýrlý G. Endodontik Tedavi II. Ýstanbul, Ýstanbul Üniversitesi Basýmevi, 1999; 791-822.
• American Association of Endodontics. AAE glossary, contemporary terminology for Endodontics. (8. baský), Chicago, American Association of Endodontists. 1998.
• Friedman S. Endodontik revision of failures. In: Walton RE, Torabinejad M, eds. Principles And Practice of Endodontics. 2nd Ed, Saunders Company, Philedelphia, USA, 1996, 336-353.
• Allen RK, Newton CW, Brown CE Jr. A statistical analysis of surgical and nonsurgical endodontic retreatment cases. J Endod. 1989;15:261-6.
• Crump MC. Differential diagnosis in endodontic failure. Dent Clin North Am 1979; 23: 617-635.
• Stabholz A, Friedman S, Tamse A. Endodontic failures and re-treatment. In: Cohen S, Burns RC, eds. Pathways of the Pulp. (6. baský) St Louis, ABD: Mosby, 1994; 690- 727.
• Saunders WP, Saunders EM. Coronal leakage as a cause of failure in root-canal therapy: a review. Endod Dent Traumatol. 1994;10:105-8.
• Abou-Rass M. Evaluation and clinical management of previous endodontic therapy. J Prosthet Dent. 1982;47:528- 34.
• Sedgley CM, Wagner R. Orthograde retreatment and apexification after unsuccessful endodontic treatment, retreatment and apicectomy. Int Endod J. 2003 Nov;36(11):780-6.
• Ruddle CJ. Micro-endodontic nonsurgical retreatment. Dent Clin North Am. 1997; 41:429-54.
• Farge P, Nahas P, Bonin P. In vitro study of a Nd:YAG laser in endodontic retreatment. J Endod 1998;24:359-63.
• Hunter KR, Doblecki W, Pelleu GB Jr. Halothane and eucalyptol as alternatives to chloroform for softening gutta- percha. J Endod 1991; 17:310-1.
• Ladley RW, Campbell AD, Hicks ML, Li SH. Effectiveness of halothane used with ultrasonic or hand instrumentation to remove gutta-percha from the root canal. J Endod 1991; 17: 221-4.
• Stabholz A, Friedman S. Endodontic retreatment--case selection and technique. Part 2: Treatment planning for retreatment. J Endod 1988;14:607-14.
• Taintor JF, Ingle JI, Fahid A. Retreatment versus further treatment. Clin Prev Dent 1983; 5:8-14.
• Imura N, Zuolo ML, Ferreira MO, Novo NF. Effectiveness of the canal finder and hand instrumentation in removal of gutta-percha root fillings during root canal retreatment. Int Endod J 1996; 29:382- 6.
• Imura N, Kato AS, Hata GI, et al. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J 2000; 33:361- 366.
• Betti LV, Bramente CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J 2001; 34:514-9.
• Pecora JD, Spano JC, Barbin EL In vitro study on the softening of gutta-percha cones in endodontic retreatment. Braz Dent J 1993; 4:43-7.
• Barbosa SV, Burkard DH, Spangberg LS. Cytotoxic effects of gutta-percha solvents. J Endod 1994; 20:6- 8.
• Orstavik D, Kerekes K, Eriksen HM. The periapical index: a scoring system for radiographic assessment of apical periodontitis. Endod Dent Traumatol. 1986 Feb;2(1):20-34.
• Cantarini C, Massone EJ, Goldberg F, Frajlich SR, Artaza LP. Evaluacion radiografica de 600 tratamienthos endodonticos efectuados en el periodo 1983-1993. Revista de la Asociacion Odontologica Argentina. 1996; 84, 256-9.
• Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod. 1990;16:498-504.
• Lovdahl PE, Gutmann JL. Problems in nonsurgical root canal endodontic revision. In: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ. Problem Solving in Endodontics. 2nd Ed, Mosby, St Louis, USA, 1992, 157-201.
• Ingle JI, Beveridge EE, Glick DH, Weichman JA. Modern endodontic threapy. In Endodontics. Ingle JI, Bakland LK. Peters DL, Buchanan LS; Mullaney TP. (4 ed.) Baltimore., Williams ve Wilkins, 1994; 166-9.
• Fava LR. Calcium hydroxide in endodontic retreatment after two nonsurgical and two surgical failures: report of a case. Int Endod J. 2001; 341:72-80.
• Baratto Filho F, Ferreira EL, Fariniuk LF. Efficiency of the 0.04 taper ProFile during the re-treatment of gutta-percha- filled root canals. Int Endod J. 2002; 35:651-4.
• Keçeci AD, Kaya Üreyen B, Çelik Ünal G. Kök kanal dolgusunun uzaklaþtýrýlmasýnda kullanýlan farklý tekniklerin etkinliklerinin karþýlaþtýrýlmasý. Gazi Üniversitesi Diþhekimliði Fakültesi Dergisi. 2006; 23: 17-23.
• Evaluation of alternatives to chloroform in endodontic practice. Endod Dent Traumatol 1989;5:234-237.
• DJ, Campbell AD, Hicks ML, Pelleu GB Jr. Alternative solvents to chloroform for gutta-percha removal. J Endod 1990;16:224-226.
• Evaluation of Gutta-percha solvents. J Endod 1990;16:539- 540.
• Gutta-percha solvents--a comparative study. J Endod 1986;2:337-339.
• Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile .04 taper rotary instruments in endodontic retreatment. J Endod 2000; 26:100-4.
• Frajlich SR, Goldberg F, Massone EJ, Cantarýný C: Comparative study of retreatment of Thermafil and lateral condensation endodontic fillings, Int Endod J.1998; 31: 354-357.
• Endodontic revision: A rational approach to root canal reinstrumentation. J Endod 1992;18: 565-569.
• Gilbert BO, Rice RT. Re-treatment in endodontics. Oral Surg Oral Med Oral Pathol 1987;64:333-338.
• Negotiation of obstructed canals; bleaching of teeth. Br Dent J 1985;158:457-462.
• Endodontic endodontic revision--case selection and technique. 3. Endodontic revision techniques. J Endod 1990;16:543- 549.
• Peciuliene V, Reynaud A, Balciuniene I, Haapasalo M. Isolation of yeasts and enteric bacteria in root-filled teeth with chronic apical periodontitis. Int Endod J 2001: 34: 429–434.
• Friedman S Treatment outcome and prognosis of endodontic therapy. In: Orstavik D, Pitt-Ford T, eds.Essential endodontology. Blackwell Science, Oxford, 1998.
• Molander A, Reit C, Dahlen G, Kvist T. Microbiological status of root-filled teeth with apical periodontitis. Int Endod J 1998: 31: 1–7.
• Peciuliene V, Balciuniene I, Eriksen HM, Haapasalo M. Isolation of Enterococcus faecalis in previously rootfilled canals in a Lithuanian population. J Endod 2000:26: 593–595.
• Peciuliene V, Reynaud A, Balciuniene I, Haapasalo M. Isolation of yeasts and enteric bacteria in root-filled teeth with chronic apical periodontitis. Int Endod J 2001: 34: 429–434.
• Hancock HHI, Sigurdsson AD, Trope MB, Moiseiwitsch JB. Bacteria isolated after unsuccessful endodontic treatment in a North American population. Oral Surg Oral Med Oral Pathol 2001: 91: 579–586.
• Siren EK, Haapasalo MP, Ranta K, Salmi P, Kerosuo EN. Microbiological findings and clinical treatment procedures in endodontic cases selected for investigation. Int Endod J 1997: 30: 91–95. microbiological
• Sundqvist G, Figdor D, Persson S, Sjogren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg Oral Med Oral Pathol 1998: 85: 86–93.
• Molander A, Reit C, Dahlen G. The antimicrobial effect of calcium hydroxide in root canals pretreated with 5%iodine potassium iodide. Endod Dent Traumatol 1999:15: 205–209.
• Haapasalo M, Orstavik D. In vitro infection and disinfection of dentinal tubules. J Dent Res 1987: 66:1375–1379.
• Stuart CH, Schwartz SA, Beeson TJ, Owatz CB. Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment. J Endod. 2006 Feb;32(2):93-8.
• Haapasalo M, Endal U, Zandý H, Coýl J M. Eradication of endodontic infection by instrumentation and irrigation solutions. Endodontic Topics. 2005; 10: 77-102.
• Consensus report of the European Society of Endodontology on quality guidelines for endodontic treatment. Int Endod J 1994: 27: 115–124.
• Haapasalo M, Udnæs T, Endal U. Persistent, recurrent, and acquired infection of the root canal system post-treatment. Endodontic Topics 2003, 6, 29-56.