Semptomatik İrreversible Pulpitisli Daimi Dişin MTA İle Amputasyonu: Olgu Raporu

Abstract

Yıllardır "İrreversible pulpitis" teşhisi konan daimi dişlerin, tamir edilemeyecek ve kök kanal tedavisini gerektiren geri dönüşümsüz olarak hasar görmüş bir pulpaya sahip olduğu belirtilmiştir. Bu nedenle irreversible pulpitisli matür daimi dişlerin tedavisi sıklıkla kök kanal tedavisi olmuştur. Bununla birlikte, bugüne kadar, reversible veya irreversible pulpitisin teşhisi, tam olarak pulpanın inflamasyon durumunu yansıtmadan, yalnızca klinik ağrı niteliğine ve miktarına dayanmaktaydı. Bu yüzden minimal invaziv ve biyolojik temelli bir prosedür olan pulpotomi gibi daha yeni klinik yaklaşımlar, pulpitisli dişleri tedavi etmek için yeniden ortaya çıkmıştır. Vital pulpa tedavileri süt dişlerinde ve immatür daimi dişlerde kullanılmıştır fakat yeni biyoaktif materyallerin ortaya çıkmasıyla birlikte bu yaklaşım, matür daimi dişlere doğru kaymaktadır. Pulpa patolojisi olan daimi dişlerde biyoaktif materyal ile koronal pulpotominin kök kanal tedavisi kadar başarılı olduğunu bildiren birçok prospektif ve retrospektif çalışma, randomize kontrollü çalışma ve sistematik derleme vardır. Koronal pulpotomi, hem diş hekimleri hem de hastalar için uygun maliyetli, kök kanal tedavisi gibi çok teknik zahmetli olmayan ve daha az zaman alan bir yöntemdir. Bu tedavi hastaya endodontik tedaviye alternatif olarak sunulabilir. Bu olgu sunumunda amaç kliniğimize şiddetli ağrı ile başvuran hastaya MTA (mineral trioksit agregat) ile uygulanan total pulpotomi tedavisinin klinik ve radyografik sonuçlarını değerlendirmektir.

Keywords

• MTA
• İrreversible pulpitis
• Pulpotomi

MTA Amputation of a Permanent Tooth with Symptomatic Irreversible Pulpitis: A Case Report

Abstract

For years, it is described that permanent teeth, which have been examined for "irreversible pulpitis", have an irreversibly damaged pulp that cannot be repaired and requires root canal treatment. Therefore, the treatment of mature permanent teeth with irreversible pulpitis has consistently been the root canal treatment. However, to date, examination of reversible or irreversible pulpitis has been based solely on the level and amount of clinical pain, without accurately reflecting the course of pulp inflammation. Therefore, newer clinical approaches such as pulpotomy, a minimally invasive and biologically based procedure, have reemerged to treat teeth with pulpitis. Vital pulp treatments have been used in primary teeth and immature permanent teeth, but with the emergence of new bioactive samples, this approach is shifting towards mature permanent teeth. There are many prospective and retrospective studies, randomized controlled studies and systems reporting that coronal pulpotomy with bioactive material is as successful as root canal treatment in permanent teeth with pulpal pathology. Coronal pulpotomy is cost effective for both dentists and patients, a less time-consuming and technically demanding method such as root canal treatment. This treatment may be offered to the patient as an alternative to endodontic treatment. The aim of this case report is to evaluate the clinical and radiographic results of total pulpotomy treatment with MTA (mineral trioxide aggregate) in a patient who applied to our clinic with severe pain.

Keywords

• MTA
• Irreversible pulpitis
• Pulpotomy

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