PEDİATRİK DİŞ HEKİMLİĞİNDE LEZYON STERİLİZASYONU VE DOKU TAMİRİ

Öz

Çocuk diş hekimliğinin temel amacı, süt dişlerini eksfoliyasyon zamanına kadar sağlıklı bir şekilde ağızda tutmaktır. Süt dişleri, estetik, fonasyon, çiğneme fonksiyonlarını sağlamalarının yanı sıra dental arkta yer tutucu görevi de görmektedir. Süt dişi çürüklerinin hızlı ilerlemesi nedeniyle genellikle endodontik tedavi ya da çekim söz konusudur. Son dönemde yapılan çalışmalar, lezyon sterilizasyonu ve doku tamiri LSTR  lezyon sterilizasyonu ve doku tamiri  konsepti çerçevesinde, çeşitli antibiyotik patların kök kanal bakteri eliminasyonu sağladığını göstermiştir. Bu sayede konak bağışıklığı ile doku tamiri oluşmakta ve çekim ertelenebilmektedir. Klinik çalışmalar, LSTR tedavisinin klinik ve radyolojik olarak başarılı olduğu göstermiştir. Bu nedenle, kooperasyon güçlüğü olan hastalarda kısa sürede ve kolay uygulanabilen alternatif bir tedavi seçeneği sunmaktadır.

Anahtar Kelimeler

• Lezyon sterilizasyonu ve doku tamiri
• Metronidazol
• Minosiklin
• Siprofloksasin
• Süt azı diş

LESION STERILIZATION AND TISSUE REPAIR IN PEDIATRIC DENTISTRY

Öz

The main purpose of pediatric dentistry is to keep the primary teeth healthy until exfoliation time. In addition to providing aesthetic, phonation and chewing functions, primary teeth also can act as space maintainers in the dental arch. Due to the rapid progression of caries in primary teeth, endodontic treatment or extraction is usually required. Recent studies have shown that various antibiotic pastes provide root canal bacterial elimination within the LSTR concept namely, “lesion sterilisation and tissue repair”. In this way, tissue repair occurs with host immunity, and tooth extraction can be delayed.
Clinical studies have reported that LSTR therapy is clinically and radiologically successful. For this reason, it offers an alternative treatment option for uncooperative patients that can be applied easily in dental setting within a short time.

Anahtar Kelimeler

• lesion sterilisation and tissue repair
• ciprofloxacin
• minocycline
• metronidazole
• primary molar teeth

Kaynakça

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