Travmatik Diş Yaralanmalarında Mineral Trioksit Agregat Kullanımının Etkinliği: Açık Apeksli Üst Daimi Dişler Üzerine Bir Vaka Raporu

Abstract

Özet: Bu vaka raporu, travma sonucu açık apeksli üst daimi santral dişlerin mineral trioksit agregat (MTA) kullanarak tedavi edilmesini incelemektedir. Bir olgu iki üst santral diş üzerinden gerçekleştirilen bu rapor, travma geçirmiş dişlerde kök kanal tedavisi ve apeksifikasyon işlemleri sonrasında klinik ve radyografik iyileşmelerin gözlemlendiğini ortaya koymaktadır. Vakada, ilk olarak kök kanalları şekillendirilmiş ardından kanalların dezenfekte edilmesi amacıyla kalsiyum hidroksit tedavisi uygulanmış sonrasında MTA(mineral trioksit agregat) apikal açıklıkta tıkaç olarak kullanılmıştır. MTA’nın koronal kısmı güta perka konlarla soğuk lateral kompaksiyon yöntemiyle doldurulmuş ve devital beyazlatma işlemi uygulanmıştır. İki hafta sonra üst daimi veneer kompozit restorasyonları yapılmıştır. Tedavi sonrası hastada, dişlerde ağrı semptomlarının ve periapikaldeki lezyonların iyileşmesi gibi olumlu bulgular elde edilmiştir. Radyografik takiplerde periapikal radyolusent alanların küçüldüğü ve kemik yoğunluğunun arttığı gözlemlenmiştir. Elde edilen sonuçlar, MTA'nın travma sonrası periradiküler lezyonların tedavisinde etkili ve öngörülebilir bir seçenek olduğunu desteklemekte ve açık apeksli dişlerin apeksifikasyonunda kullanılabilirliğini vurgulamaktadır. Bu bulgular, MTA'nın üst düzey biyouyumluluğu ve hızlı iyileşme süreci ile desteklenen bir alternatif olduğunu göstermektedir.

Keywords

• Apeksifikasyon
• açık apeks
• mineral trioksit agregat (MTA)
• travmatik diş yaralanmaları

Efficacy of Mineral Trioxide Aggregate Use in Traumatic Dental Injuries: A Case Report on Open Apex Upper Permanent Teeth

Abstract

This case report presents the treatment of maxillary permanent central incisors with open apices resulting from trauma, utilizing mineral trioxide aggregate (MTA) for apexification. Based on a clinical case involving two traumatized maxillary central incisors, the report highlights the clinical and radiographic healing observed following root canal treatment and apexification procedures.Initially, the root canals were mechanically shaped and subsequently disinfected using calcium hydroxide as an intracanal medicament. MTA was then placed as an apical plug to seal the wide apical foramen. The coronal portion of the canal was obturated with gutta-percha cones using the cold lateral compaction technique. A non-vital bleaching procedure was performed thereafter. Two weeks later, composite veneer restorations were complated.Postoperative follow-ups revealed favorable clinical outcomes, including the resolution of pain symptoms and healing of periapical lesions. Radiographic examinations demonstrated a reduction in the size of periapical radiolucencies and an increase in bone density over time.These findings support the effectiveness and predictability of MTA as a treatment option for periradicular lesions following dental trauma. The results also emphasize the material’s applicability in the apexification of immature teeth with open apices. The observed outcomes are attributed to MTA’s superior biocompatibility and its capacity to promote rapid healing

Keywords

• Apexification
• mineral trioxide aggregate
• open apex
• traumatic dental injuries

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