ENDODONTIC AND RESTORATIVE TREATMENT OF APICAL LESION OCCURRING DURING ORTHODONTIC TREATMENT: A CASE REPORT

Öz

There are options with and without surgery for the treatment of teeth with large periapical lesions. In this case report, only the endodontic and restorative treatments and the healing process of the tooth with a periapical lesion occurring during orthodontic treatment are shown. A 25-year-old male patient has a periapical lesion on tooth 47. Drainage was provided from the root canals of the teeth associated with the lesion and root canal preparations were completed and calcium hydroxide was applied as an intra-canal medicament. After the intra-canal medication was applied for 3 weeks, the root canals were obturated and the patient was followed up (1 year). The clinical and radiographic examination showed a complete healing of the lesions. This case report shows that teeth with large periapical lesions can be healed with endodontic treatments without the need for a surgical procedure with a correct and effective treatment approach.

Anahtar Kelimeler

• Endodontic Treatment,Periapical Healing,Orthodontic Treatment

ORTODONTİK TEDAVİ ESNASINDA GELİŞEN APİKAL LEZYONUN ENDODONTİK VE RESTORATİF TEDAVİSİ: OLGU SUNUMU

Öz

Periapikal lezyonlu dişlerin tedavilerinde cerrahili ve cerrahisiz seçenekler bulunmaktadır. Bu vaka raporunda ortodontik tedavi sırasında meydana gelen periapikal lezyonlu dişin yalnızca endodontik ve restoratif tedavileri ve iyileşme süreci gösterilmektedir. 25 yaşındaki erkek hastada 47 numaralı dişinde izlenen periapikal lezyon mevcuttur. Lezyonla ilişkili dişlerin kök kanallarından drenaj sağlanmış ve kök kanal preparasyonları tamamlanarak kanal içi medikament olarak kalsiyum hidroksit uygulanmıştır. Kanal içi ilaç 3 hafta uygulandıktan sonra kök kanalları doldurulmuş ve hasta 1 yıl sonra kontrole çağrılmıştır. Klinik ve radyografik muayenede lezyonlarda tamamen iyileşme gözlenmiştir. Bu olgu sunumu, doğru ve etkili tedavi yaklaşımı ile periapikal lezyona sahip dişlerin cerrahi bir işleme gerek kalmadan endodontik tedaviler ile iyileşebileceğini göstermektedir.

Anahtar Kelimeler

• Endodontik Tedavi,Periapikal İyileşme,Ortodontik tedavi

Kaynakça

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