Geriatrik Hastalarda Endodontik Tedavi Zorlukları

Öz

Geriatrik hastalarda sistemik hastalıklar veya hastaların kullandığı ilaçlar diş çekimini kontrendike hale getirebilir. Bu durumda endodontik tedaviler bazen tek seçenek haline gelir. Ancak yaşla beraber oluşan yumuşak ve sert doku değişiklikleri endodontik tedavileri zorlaştırabilir. Bu derlemenin amacı geriatrik hastalarda endodontik tedavi zorluklarını ortaya koymaktır.

Anahtar Kelimeler

• Endodontik Zorluklar
• Geriatrik Endodonti
• Kök Kanal Tedavisi

ENDODONTIC TREATMENT CHALLENGES IN THE GERIATRIC PATIENTS

Öz

Systemic diseases or medications used in geriatric patients may make tooth extraction contraindicated. In this case, endodontic treatments sometimes become the only option. However, soft and hard tissue changes that occur with age can complicate endodontic procedures. The purpose of this review is to reveal the difficulties of endodontic treatment in geriatric patients.

Anahtar Kelimeler

• Endodontic Challenges
• Geriatric Endodontics
• Root Canal Treatment

Kaynakça

1. Hargreaves, K. M. & Cohen, S. Cohen’s Pathways of the Pulp. Mosby Elsevier (Mosby Elsevier, 2012). doi:10.1017/CBO9781107415324.004.
2. Torabinejad, M. & Walton, R. E. Endodontic Principles and Practice. 233–240 (2009).
3. Lin, L. M., Skribner, J. E. & Gaengler, P. Factors Associated with Endodontic Treatment Failures. 18, 625–627 (1992).
4. Friedman, S. Prognosis of initial endodontic therapy. Endod. Top. 2, 59–88 (2002).
5. Allen, P. F. & Whitworth, J. M. Endodontic considerations in the elderly. Gerodontology 21, 185–194 (2004).
6. Nayak, D. Endodontic considerations in the elderly - case series. ENDODONTOLOGY 26, (2014).
7. Sugihara, N. et al. Factors Associated with Root Surface Caries in Elderly. 51, 23–30 (2010).
8. Nitzan, D. W., Michaeli, Y., Weinreb, M. & Azaz, B. The effect of aging on tooth morphology : A study on impacted teeth. 54–60.

9. Patel, S. & Rhodes, J. A practical guide to endodontic access cavity preparation in molar teeth. Br. Dent. J. 203, 133–140 (2007).
10. Kasabwala, K. A., Saumya-rajesh, P., Velmurugan, N. & Ashritha, M. C. V. Pulp Canal Obliteration : A Review. 3–8 (2020).
11. AAE Endodontic Case Difficulty Assessment Form. www.aae.org (2013).
12. Saunders, W. Endodontics Problem -Solving in Clinical Practice. British Dental Journal vol. 196 (2002).
13. Alrahabi, M. K. Root canal treatment in elderly patients: A review and clinical considerations. Saudi Med. J. 40, 217–223 (2019).
14. Goldberg, M. Pulp Aging: Fibrosis and Calcospherites. The Dental Pulp (Springer, Berlin, Heidelberg, 2014). doi:10.1007/978-3-642-55160-4.
15. Razak, A. & Richard, J. Geriatric Oral Health : A Review Article. J Int Oral Heal. 6, 110–116 (2014).
16. Murray, P. E., Matthews, J. B., Sloan, A. J. & Smith, A. J. Analysis of incisor pulp cell populations in Wistar rats of different ages. 47, 709–715 (2002).
17. Farac, R. V. et al. Pulp sensibility test in elderly patients. 135–139 (2012) doi:10.1111/j.1741-2358.2012.00623.x.
18. Yamamoto, T., Hasegawa, T., Yamamoto, T., Hongo, H. & Amizuka, N. Histology of human cementum: Its structure, function, and development. Jpn. Dent. Sci. Rev. 52, 63–74 (2016).
19. Alison, Q. J. & Mannocci, F. Endodontics and the Older Patient. Dent. Update 33, (2017).
20. Arora, G. Apex Locator - Booster to Dentist : Literature Review. 03, 508–515 (2020).
21. Cui, J., Peng, B. & Lin, W. Effects of combining CBCT technology with visual root canal recurrence in treatment of elderly patients with dental pulp disease. 903–907 (2017).
22. Katz, A., Tamse, A. & Kaufman, A. Y. Tooth length determination : A review. Oral Surg. Oral Med. Oral Pathol. (1991) doi:10.1016/0030-4220(91)90169-d.
23. Johnstone, M. & Parashos, P. Endodontics and the ageing patient. 20–27 (2015) doi:10.1111/adj.12281.
24. Kudsi, Z. Assessment of Psychological Disturbance in Patients with Tooth Loss : A Systematic Review of Assessment Tools. 29, 193–200 (2020).
25. Berkey, D. B. & Shay, K. GENERAL DENTAL CARE FOR THE ELDERLY. Clin. Geriatr. Med. 8, 579–598 (1992).
26. Vasthare, R., Ankola, A. V, Lim, A., Ran, Y. & Mansingh, P. Geriatric oral health concerns , a dental public health narrative. Int. J. Community Med. Public Heal. 6, 883–888 (2019).