EKSTERNAL SERVİKAL KÖK REZORPSİYONU: BİR OLGU SUNUMU

Öz

Servikal kök rezorpsiyonu, eksternal rezorpsiyonun tanısı en zor konulan çeşididir. Son zamanlarda eksternal servikal kök rezorpsiyonlarının doğru teşhis ve tedavi yönetiminde konik ışınlı bilgisayarlı tomografilerden (KIBT) faydalanılmaktadır. Bu olgu sunumunun amacı, KIBT ile eksternal servikal kök rezorpsiyonu tanısı konulan maksiller sol kesici dişin multidisipliner bir yaklaşımla tedavisinin anlatılmasıdır. 49 yaşında kadın hasta maksiller sol kesici dişindeki ağrı şikâyetiyle kliniğimize başvurdu. Klinik muayenede maksiller sol kesici dişin servikal marjin bölgesinde renklenme gözlendi. Periapikal radyografide ilgili dişin mine-sement birleşim hattında radyolüsent alan tespit edildi ve KIBT ile inceleme sonucunda eksternal servikal kök rezorpsiyonu tanısı doğrulandı. İlgili dişin endodontik tedavisinin tamamlanmasının ardından rezorptif defekt periodontal cerrahi ile açığa çıkarıldı. Defekt alanına MTA yerleştirildi. 12 aylık takip sonrası ilgili dişin asemptomatik olduğu görüldü. Radyografide periapikal dokular normal görüntüsünde izlendi. Eksternal servikal kök rezorpsiyonlarında erken ve doğru teşhis, tedavinin yönetiminde etkilidir. KIBT, rezorptif defektlerin değerlendirilmesinde diş hekimlerine oldukça yardımcı bir tanı aracı olarak görülmektedir.

Anahtar Kelimeler

• Endodonti
• Konik Işınlı Bilgisayarlı Tomografi
• Kök Rezorpsiyonu
• MTA

EXTERNAL CERVICAL ROOT RESORPTION: A CASE REPORT

Öz

Cervical root resorption is the most difficult type of external resorption to diagnose. Recently, cone-beam computed tomography (CBCT) has been used in the accurate diagnosis and treatment of external cervical root resorptions. This case report aims to describe the treatment of the maxillary left incisor diagnosed with external cervical root resorption by CBCT with a multidisciplinary approach. A 49-year-old female patient presented to our clinic with a complaint of pain in her maxillary left incisor. In the clinical examination, discoloration was observed in the cervical margin region of the maxillary left incisor. In the periapical radiograph, a radiolucent area was detected at the cemento-enamel junction of the relevant tooth, and the diagnosis of external cervical root resorption was confirmed as a result of the CBCT examination. After the endodontic treatment of the relevant tooth was completed, the resorptive defect was exposed by periodontal surgery. MTA was placed in the defect area. After 12 months of follow-up, the relevant tooth was found to be asymptomatic. Periapical tissues were observed in their normal appearance on the radiograph. Early and accurate diagnosis of external cervical root resorption is effective in the management of treatment. CBCT is seen as a very helpful diagnostic device for dentists in the evaluation of resorptive defects.

Anahtar Kelimeler

• Endodontics
• Cone-Beam Computed Tomography
• Root Resorption
• MTA

Kaynakça

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