Apikalden Çıkmış Gutta-perka Parçasının Çıkarılması İçin Negatif Apikal Basınç Tekniğinin Kullanımı

Year 2021, Volume: 8 Issue: 1, 197 - 200, 30.04.2021

Hakan Arslan , Ezgi Doğanay Yıldız , Ertuğrul Karataş

https://doi.org/10.15311/selcukdentj.585714

Abstract

Bu
vaka raporunun amacı kanal yenileme işlemleri sırasında apikalden çıkmış
gutta-perka parçasının çıkarılması için negatif apikal basınç tekniği
kullanımını sunmaktır. 22 yaşında kadın hasta kliniğe #26 numaralı dişinde şiddetli
ağrı, şişlik ve perküsyon ve palpasyona hassasiyet sebebiyle kliniğe başvurdu.
Periaipkal radyograf #26 numaralı dişinde yetersiz doldurulmuş önceden yapılmış
kanal tedavisi olduğunu gösterdi. Kanal yenileme işlemleri sırasında,
gutta-perka mezial kök kanalının apikalinden çıktı. Hasta bir gün sonra tekrar
çağrıldı. İkinci seansta, şiliğin arttığı gözlendi. Kalsiyum hidroksit patını
uygulamak için kullanılan uçlarından biri dental ünitin aspiratörüne adapte
edildi. Uç kanalda mümkün olduğunca derine yerleştirildi. Birkaç denemeden
sonra, apikalden çıkmış gutta-perka çıkarıldı ve hasta bir gün sonra tekrar çağrıldı.
Parçanın çıkarılmasından bir gün sonra, şişlik azaldı. Kanallara bir hafta
süreyle kalsiyum hidroksit yerleştirildi. Dördüncü seansta, hasta
asemptomatikti ve tedavi bu seansta tamamlandı.

Anahtar Kelimeler: gutta-perka,
negatif apikal basınç, kanal yenileme

Keywords

gutta-perka, negatif apikal basınç, kanal yenileme

Supporting Institution

Yok

Project Number

YOK

Thanks

yok

Use of Negative Apical Pressure Technique for Removal of Apically Extruded Gutta-percha Fragment

Abstract

The aim of this case report was to present using
negative apical pressure technique for removal of apically extruded
gutta-percha during retreatment procedures. A 22 year-old female patient was
referred to the clinic with severe pain, swelling, and tenderness to percussion
and palpation in the tooth of #26. Periapical radiograph showed previous root
canal treatment of tooth #26 with incomplete root canal fillings. During
retreatment procedures gutta-percha apically extruded from mesial root canal. The
patient was recalled after one day. At the second session, it was observed that
the swelling was increased. One of the tips for calcium hydroxide paste
application was adjusted to suction of dental unit. Tip was placed into the
canal as deep as possible. After a few attempts, apically extruded gutta-percha
was removed and the patient was recalled after one day. At one day from the
fragment removal, the swelling was decreased. Calcium hydroxide paste was
placed into the canals for one week. At the fourth session, the patient was
asymptomatic and the treatment was completed at this session.

Keywords: gutta-percha, negative
apical pressure, retreatment

Keywords

gutta-percha, negative apical pressure, retreatment

Project Number

YOK

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