Pulpa Taşının Etiyolojisi ve Klinik Önemi Üzerine Eleştirel Bir İnceleme

Öz

ÖZET Pulpa taşları, dişlerin pulpa boşluğunda, pulpanın koronal ve apikal kısımları da dahil olmak üzere oluşan ayrı nodüler, kalsifiye kitlelerdir. Pulpa taşları, sağlıklı dişler, çürük dişler ve hatta gömülü veya sürmemiş dişler dahil olmak üzere her türlü dişte oluşabilir. Çoğunlukla birkaç dişte oluşurlar veya tüm dişlerde oluşabilirler. Pulpa taşları, daimi dişlerde, süt dişlerinde hatta dermoid kistlerde bulunan diş benzeri yapılarda izlenebilirler. Pulpa taşları, konumlarına göre serbest, gömülü veya yapışık olarak sınıflandırılırlar. Serbest pulpa taşları tamamen pulpa dokusu ile çevrilidir ve pulpa odası duvarlarına bağlı değildir, bu da onları en yaygın tür yapar. Gömülü pulpa taşları tamamen tersiyer dentinin içinde, genellikle apikal kısımda bulunur. Yapışık pulpa taşları ise kısmen yumuşak dokuda kalırken kısmen dentin duvarına yapışmıştır. Gömülü ve yapışık tipleri ayırt etmenin zorluğu nedeniyle, bazı araştırmacılar bunları daha sonra pulpa dokusu içinde ayrılıp serbest hale gelebilen "bağlı" pulpa taşları olarak gruplandırır. Pulpa taşları çoğunlukla radyografide fark edilirler ve yuvarlak veya oval şekilli radyoopak yapılar olarak görünürler. Genel olarak, net bir görünüm veya şekil bakımından tekdüzelik yoktur. Yaş, cinsiyet, sistemik hastalık, çürük, restoratif ve ortodontik tedavilerle ilişkili olabilirler. Prensip olarak, pulpa taşları tedavi gerektirmez; ancak, endodontik prosedürleri engelleyebilirler ve tedaviyi önemli ölçüde etkiliyorlarsa çıkarılmaları gerekir.

Anahtar Kelimeler

• Endodontik komplikasyonlar
• Pulpa taşları
• Pulpa kalsifikasyonları
• Pulpa taşı prevalansı
• Pulpa taşı sınıflandırması.

A Critical Review of Pulp Stone Etiology and Clinical Significance

Öz

ABSTRACT Pulp stones are discrete nodular, calcified masses that form in the pulp cavity of teeth, including the apical and coronal portions of the pulp. Pulp stones can form in all kinds of teeth, including healthy teeth, diseased teeth and even in impacted or unerupted teeth. They most often form in several teeth and can even form in all the teeth of an individual. Pulp stones can be found either in permanent or deciduous teeth and even in teeth-like structures found in dermoid cysts. Pulp stones are classified by location as free, embedded, or adherent: free stones are entirely surrounded by pulp tissue and unattached to the pulp cavity walls, making them the most common type; embedded stones are fully enclosed within tertiary dentin, often in the apical pulp; and adherent stones are partially fused to the dentin wall while remaining partly in soft tissue. Due to the difficulty in distinguishing between embedded and adherent types, some researchers group them as "attached" pulp stones, which may later detach and become free within the pulp tissue .Pulp stones are mainly noticed under radiography and appear as lesions or radiopaque structures that can be round or ovoid. In general, there is no clear imaging appearance or uniformity in shape.it can be associated with age, gender, systemic disease, caries, restorative and orthodontic treatments.In principle, pulp stones do not require treatment; however, they may obstruct endodontic procedures and should be removed if they significantly interfere with treatment.

Anahtar Kelimeler

• Endodontic complications
• Pulp stones
• Pulp calcifications
• Pulp stone prevalence
• Pulp stone classification.

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