Nekrotik Pulpalı İmmatür Dişlerde Tedavi Yaklaşımları

Levent Demiriz; Serap Çetiner

Treatment Approaches In Immature Teeth With Necrotic Pulp

Yıl 2011, Cilt: 5 Sayı: 1, 770 - 781, 01.04.2011

Öz

Endodontic treatment of immature teeth with necrotic pulp remains a challenge due to open apices and thin dentinal root walls. Although calcium hydroxide apexification remains the most widely used technique, apexification with MTA and Revascularization techniques have been recommended as alternative treatment options owing to disadvantages associated with traditional calcium hydroxide apexification such as long treatment time, reinfeciton and increased risk of cervical root fracture. However, prospective clinical studies comparing long term clinical succes of these alternative techniques with calcium hydoxide apexification are required

Anahtar Kelimeler

Apexification, Calcium Hydroxide, MTA, Revascularization

Kaynakça

Rafter M. Apexification: a review. Dent Traumatol. 21: 1-8, 2005.
Stuart CH, Schwarts SA, Beeson TJ. Reinforcement of immature roots with a new resin material. J En- dod. 32: 350-3, 2006.
Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with Resilon, gutta-percha, or composite. J Endod. 33: 480-3, 2007.
Frank A. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc. 72: 87-93, 1966.
Keiser HJ. Management of wide open canals with calcium hydroxide (Abstract). Presented at the 21st Annual Meeting of the the American Association of Endodontists, Washington DC, April 17, 1964.
Torabinejad M, Chivian N. Clinical applications of mineral trioxit agregan. J Endod. 25: 197-205, 1999.
Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol. 18: 134-7, 2002.
Iwaya SI, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical perio- dontitis and sinus tract. Dent Traumatol. 17: 185- 7, 2001.
Mackie IC. U.K. national clinical guidelines in pa- ediatric dentistry. Int J Paediatr Dent. 8: 289-93, 1998.
Tait CME, Ricketts DNJ, Higgins AJ. Weakened anterior roots-intraradicular rehabilitation. Br Dent J. 21: 155-9, 2005.
Al Ansary MAD, Day PF, Duggal MS, Brunton PA. Interventions for treating traumatized necrotic im- mature permanent anterior teeth: inducing a cal- cific barrier & root strengthening. Dent Traumatol.
Huang JGT. Apexification: the beginning of its end. Int Endod J. 42: 855-66, 2009.
Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am. 54: 313-24, 2010.
Manogue M, Patel S, Walker RT. The life of a too- th: The Priciples of Endodontics. Oxford University Press, 1st Ed., 2005a, 11-30.
Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one visit apexifi- cation treatment: a prospective study. Int Endod J. 40: 186-97, 2007.
El Nesr NM, Avery JK. Development of the teeth: root and supporting tissues: Avery JK, Steele PF. Oral Development and Histology. 3rd. Ed., New York, 2006, 108-22.
Nagaveni NB, Umanshankara KV, Radhika NB, Manjunath S. Successful closure of the root apex in non-vital permanent incisors with wide open api- ces using single calcium hydroxide (CaOH) dres- sing-report of 2 cases. J Clin Exp Dent. 2: 26-9, 2010.
Lieberman N, Trombridge C, Klein A, Levy S. En- dodontic retreatment: a rational approach to non- surgical root canal theraphy of immature teeth. En- dod Dent Traumatol. 12: 246-53, 1996.
Mason C. Endodontics in children: Pit Ford T.R. Harty’s Endodontics in Clinical Practice. Oxford: Wright, 2004, 183-93.
D’Arcangelo C, D’Amario M. Use of MTA for ort- hograde obturation of nonvital teeth with open api- ces: report of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 104: 98-101, 2007.
Fuks AB, Heling I. Erken daimi dişlenme dönemin- de pulpa tedavisi. Çeviri Ed.: Tortop T, Tulunoğlu Ö. Çocuk Diş Hekimliği Bebeklikten Ergenliğe. 4. Baski. Ankara: Atlas Kitapçılık, 2009, 577-92.
Hemalatha H, Sandeep M, Kulkarni S, Yakub SS. Evaluation of fracture resistance in simulated imma- ture teeth using Resilon and ribbond as root rein- forcements-an in vitro study. Dent Traumatol. 25: 433-8, 2009.
Fuks AB. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am. 44: 571-96, 2000.
Reyes DA, Munoz ML, Martin AT. Study of calcium hydroxide apexification in 26 young permanent in- cisors. Dent Traumatol. 21: 141-5, 2005.
Erdem AP, Sepet E. Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices. Dent Traumatol. 24: 38- 41, 2008.
Holden DT, Schwartz SA, Kirkpatrick TC, Schindler WG. Clinical outcomes of artificial root-end barri- ers with mineral trioxide aggregate in teeth with immature apices. J Endod. 38: 812-17, 2008.
Sarris S, Tahmassebi JF, Duggal MS, Cross IA. A clinical evaluation of mineral trioxide aggregate for root-end closure of non-vital immature perma- nent incisors in children: a pilot study. Dent Trau- matol. 24: 79-85, 2008.
Soares J, Santos S, Cesar C, Silva P, Sa M, Sil- viera F. Calcium hydroxide induced apexification with apical root development: a clinical case re- port. Int Endod J. 41: 710-19, 2008.
Kidd EAM, Smith BGN, Watson TF. Why restore teeth?: Pickard’s manual of operative dentistry. 8th Ed., New York: Oxford University Press, 2003, 5-31.
Pitt Ford TR. The dental pulp: Harty’s Endodontics in Clinical Practice, 5th. Ed. Edinburgh: Wright, 2004, 37-49.
Brannström M, Lind PO. Pulpal response to early dental caries. J Dent Res. 44: 1045-50, 1965.
Baume IJ. Diagnosis of diseasses of the pulp. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 29: 102-16, 1970.
Bjorndal I, Darvann T, Thylstrup A. A quantitative light microscopic study of the odontoblast and su- bodontoblastic reactions to active and arrested enamel caries without cavitation. Caries Res. 32: 59-69, 1998.
Walton RE, Torabinejad M. Pulp and Periradicular Pathosis: Walton RE, Torabinejad MWB. Princip- les And Practice Of Endodontics, 3rd Ed., Saun- ders: Philadelphia, 2002, 28-48.
Theilade, E. The microbiology of the necrotic pulp: Bergenholtz G, Horsted-Bindslev P, Reit C. Textbo- ok of Endodontology, 4th Ed.,Blackwell,Munksga ard:Oxford, 2007, 111-29.
Çalışkan M.K. Endodontik Tanı-Semiyoloji: Endo- dontide tanı ve tedaviler, 1. Baskı. İstanbul: Nobel Yayıncılık, 2006a, 1-30.
Tsukiboshi M. Travma olgularında tedavi planla- ması. Çeviri Ed.: Koray G, İstanbul Quintessence, 2007, 11-20.
Pitt Ford HE, Pitt Ford TR. Endodontic aspects of traumatic injures: Harty’s Endodontics in Clinical Practice, 5th. Ed. Edinburgh: Wright, 2004, 195- 213.
McTigue DJ. Erken daimi dişlenme döneminde travmatik yaralanmaların tedavisi. Çeviri Ed.: Tor- top T, Tulunoğlu Ö: Çocuk Diş Hekimliği Bebeklik- ten Ergenliğe. 4. Baskı. Ankara: Atlas Kitapçılık, 2009, 593-607.
Alaçam T. Teşhis ve tedavi planlaması: Endodonti, 2. Baskı, Ankara, Barış Yayıncılık, 2000a, 73- 106.
Alaçam T. Pulpa ve periapikal hastalıkları: Endo- donti, 2. Baskı. Ankara, Barış Yayıncılık, 2006b, 45-72.
Manogue M, Patel S, Walker RT. Diagnosis and treatment planning: The Priciples of Endodontics. Oxford University Press, 1st Ed., 2005b, 31-46.
Berman LH, Hartwell GR. Diagnosis: Cohen S, Hargreaves KM. Pathways of the pulp, 9th. Ed., St Louis: Mosby Inc, 2006, 2-39.
Çalışkan, MK. Pulpa Hastalıkları: Endodontide tanı ve tedaviler, 1. Baskı, İstanbul: Nobel Yayın- cılık, 2006b, 83-110.
Garg N, Garg A. Pathologies of Pulp and Peria- pex: Textbook of Endodontics, New Delhi: Jaypee Brothers Medical Publishers Ltd., 2007, 24-48.
Trope M, Sigurdsson A. Clinical manifestations and diagnosis: Orstavik D, Pitt-Ford TR. Essential Endodontology, 1st Ed., Malden USA: Blackwell, 2004, 157-78.
Morse DR, O’larnic J, Yeşilsoy C. Apexification: review of the literature. Quint Int. 21: 589-98, 1990.
Ingle JI, Walton RE, Goerig AC. Preparation for endodontic therapy: Ingle JI, Bakland LK. Endodon- tics, 4th Ed., Philadelphia: Lea & Febiger, 1994, 53-89.
Wesselink PR, Beertsen, W. Repair process in the periodontium following dentoalveolar ankylosis- the effect of masticatoy function. J Clin Period. 21: 472-8, 1994.
Pitt Ford TR, Shabahang S. Management of in- completely formed roots: Walton RE, Torabinejad M. Principles and Practice of Endodontics, 3rd. Ed., Philadelphia: W.B. Saunders Company, 2002, 388-404.
Camp JH, Fuks AB. Pediatric endodontics: Endo- dontic treatment for the primary and young per- manent dentition: Cohen S, Hargreaves KM. Pat- hways of the pulp, 9th. Ed., St Louis: Mosby Inc, 2006, 822-82.
Lumley P, Adams N, Tomson P. History, diagno- sis, case selection and treatment planning: Prac- tical Clinical Endodontics, Philadelphia: Elsevier, 2006, 9-18.
Fulling HJ, Andreasen JO. Influence of maturation status and tooth type of permanent teeth upon ele- ctrometric and thermal pulp testing. Scand J Dent Res. 84: 286-90, 1976.
Klein H. Pulp responses to an electric pulp stimula- tor in the developing permanent anterior dentition. J Dent Child. 45: 199-202, 1978.
Narhi MVO, Virtanen A, Kuhta J, Huopaniemi T. Electrical stimulation of teeth with a pulp tester in the cat. Scan J Dent Res, 87: 32-8, 1979.
Cooley RL, Stilley J, Lubow RM. Evaluation of a di- gital pulp tester. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 58: 437-42, 1984.
Brandt K, Kortegaard U, Poulsen S. Longitudunal study of electrometric sensitivity of young perma- nent incisors. Scand J Dent Res. 96: 334-8, 1988.
Myers JW. Demonstration of a possible source of error with an electric pulp tester. J Endod. 24: 199-200, 1998.
Lin J, Chandler PN. Electric pulp testing: a review. Int Endod J. 41: 365-74, 2008.
Kleier DJ, Averbach RE. Painful dysesthesia of the inferior alveolar nerve following use of a parafor- maldehyde-containing root canal sealer. Endod Dent Traumatol. 4: 46-8, 1991.
Sheey EC, Roberts GJ. Use of calcium hydroxide for apical barrier formation and healing in non-vital immature permanent teeth: a review. Braz. Dent. J., 183: 241-6, 1997.
Cohen S, Schwartz S. Endodontic complications and the law. J Endod. 13: 191-7, 1987.
Çalışkan MK. Kök gelişimini tamamlamamış sürekli dişlerde uygulanan tedavi yöntemleri: Endodontide tanı ve tedaviler,1.Baskı, İstanbul: Nobel Yayıncı- lık, 2006c, 709-24.
Johnson WT, Williamson AE. Isolation, endodontic access and length determination: Torabinejad M, Walton RE. Endodontics: Principles and practice. 4th Ed., Saunders Elsevier, 2009, 230-57.
Waggoner WF. Süt dişlenme döneminde restoratif diş hekimliği. Çeviri Ed.: Tortop T, Tulunoğlu Ö: Çocuk Diş Hekimliği Bebeklikten Ergenliğe, 4. Bas- ki. Ankara: Atlas Kitapçılık, 2009, 341-74.
Vertucci FJ, Haddix JE, Britto LR. Tooth morpho- logy and access cavity preparation: Cohen S, Hargreaves KM,Pathways of the Pulp,9th Ed.,St Louis:Mosby Inc.,2006, 148-232.
Saunders WP. Apical and coronal leakage: Ber- genholtz G, Horsted-Bindslev P, Reit C. Textbook of endodontology, Blackwell, Munksgaard, Ox- ford, 2007, 192-8.
Çalışkan MK, Türkün M. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 84: 683-7, 1997a.
McDonald NJ. The electronic determination of working length. Dent Clin North Am. 36: 293- 307, 1992.
Pratten DH, McDonald NJ. Comparison of radi- ographic and electronic working lengths. J Endod. 22: 173-6, 1996.
Hülsmann M, Pieper K. Use of an electronic apex locator in the treatment of teeth with incomplete root formation. Endod Dent Traumatol., 5: 238- 41, 1989.
Ingle JI. A standardized endodontic technique using newly designed instruments and filling mate- rials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 14: 83-91, 1961.
Weine FS. Alternatives to routine endodontic tre- atment: Endodontic Therapy, 6th. Ed., St. Louis: Mosby Inc., 2004a, 513-43.
Zehnder M. Root canal irrigations. J Endod. 32: 389-98, 2006.
Trope M, Blanco L, Chivian N, Sigurdsson A. The role of endodontics after dental traumatic injuries: Cohen S, Hargreaves KM. Pathways of the Pulp, 9th Ed., St. Louis: Mosby Inc., 2006, 610-49.
Camp JH. Pediatric endodontic treatment. Cohen S, Burns RC. Pathways of the pulp, 7th Ed., St. Louis: Mosby, 1998, 718-58.
Metzger Z, Solomonov M, Mass E. Calcium hyd- roxide retention in wide root canals with flaring apices. Dent Traumatol. 17: 86-92, 2001.
Yamada RS, Armas A, Goldman M, Lin PS. A scanning electron microscopic comparison of a high volume final flush with several irrigating soluti- ons. Part 3. J Endod. 9: 137-42, 1983.
Çalt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod. 25: 431-3, 1999.
Çalt S, Serper A. Smear layer removal by EDTA. J Endod. 26: 459-61, 2000.
Hülsmann M, Heckendorff M, Lennon A. Chela- ting agents in root canal treatment: mode of action and indications for their use. Int Endod J. 36: 810- 30, 2003.
Scelza MF, Teixeira AM, Scelza P. Decalcifying effect of EDTA-T, %10 citric acid, and %17 EDTA on root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 95: 234-6, 2003.
Shipper G, Teixeira FB, Arnold RR, Trope M. (2005). Periapical inflamation after coronal micro- bial inoculation of dog roots filled with gutta-perc- ha or Resilon. J Endod. 31: 91-6, 2005.
Johnson WT, Noblett WC. Cleaning and sha- ping: Torabinejad M, Walton RE. Endodontics: Principles and practice, 4th Ed. Saunders Elsevier, 2009, 258-86.
Roberts SC, Brilliant JD. Tricalcium phosphate as an adjunct to apical closure in pulpless teeth in monkeys. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1: 263-9, 1975.
Mackie IC, Hill FJ, Worthington HV. Comparison of two calcium hydroxide pastes used for endo- dontic treatment of non-vital immature incisor teeth. Endod Dent Traumatol. 10: 88-90, 1994.
Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with guta-perka. A retrospective clinical study. En- dod Dent Traumatol. 8: 45-55, 1992.
Shoji S, Nakamura M, Horiuchi H. Histopatholo- gical changes in dental pulps irradiated by CO2 laser: apreliminary report on laser pulpotomy. J En- dod. 11: 379-84, 1985.
Alaçam A. Kök ucu kapanmamış genç sürekli diş- lerde kök gelişiminin teşviki ve tedavi yöntemleri: Alaçam T, Uzel İ, Alaçam A, Aydın M, Endodonti, 2. Baskı. Ankara: Barış Yayıncılık, 2000, 723-31.
Camp JH, Barret EJ, Pulver F. Pediatric endodon- tics: endodontic treatment for the primary and young permanent dentition: Cohen S, Burns RC. Pathways of the pulp, Mosby Inc, St. Louis, USA, 2002, 833-9.
Kratchman SI. Perforation repair and one-step apexification procedures. Dent Clin North Am. 48: 291-307, 2004.
Magura ME, Kafrawy AH, Brown CE, Newton CW. Human saliva coronal microlekage in obtu- rated root canals: an in vitro study. J Endod. 17: 324-31, 1991.
Saunders WP, Saunders EM Coronal leakage as a cause of failure in root canal treatment: a review. Endod Dent Traumatol., 10: 105-8, 1994.
Ray HA, Trope M. Periapical status of endodonti- cally treated teeth in relation to technical quality of the root filling and the coronal restoration. Int Endo J. 28: 12-8, 1995.
Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end Induction using osteogenic protein-1, calcium hyd- roxide and mineral trioxide aggregate. J Endod. 25: 1-5, 1999.
Chung HA, Titley, K, Torneck CD, Lawrence HP, Freidman S. Adhesion of glass-ionomer cement se- alers to bovine dentin conditioning with intracanal medications. J Endod. 27: 85-8, 2001.
Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J. 35: 623-8, 2002.
Wuerch RM, Apicella MJ, Mines P, Yancich PJ, Pashley DH. Effect % 2 chlorhexidine gel as an intracanal medication on the apical seal of the root canal system. J Endod. 30: 788-91, 2004.
Grigoratos D, Knowles J, Ng YL, Glubivala K. Effect of exposing dentine to sodium hypochlorite and calcium hydroxide on its flexural strength and elastic modulus. Int Endod J. 34: 113-9, 2001.
Rosenberg B, Murray PE, Namerow K. The effect of calcium hydroxide root filling on dentin fracture strength. Dent Traumatol. 23: 26-9, 2006.
Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root- end filling material. J Endod. 21: 349-53, 1995a
Torabinejad M, Pitt Ford TR, McKendrey DJ, Abedi HR, Miller DA, Kariyawasam SP. Histologic assess- ment of mineral trioxide aggregate as a rootend filling in monkeys. J Endod. 23: 225-8, 1997.
Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate used as a retrograde root filling material. J Endod. 19: 591- 5, 1993.
Holland R, Souza V, Nery MJ, Faraco Junior IM, Bernabe PFE, Otoboni Filho JA, Dezan Junior E. Re- action of rat connective tissue to implanted dentin tube filled with mineral trioxide aggregate, port- land cement or calcium hydroxide. Braz Dent J. 12: 3-8, 2001.
Holland R, Souza V, Nery MJ, Otoboni Filho JA, Bernabe PFE, Dezan Junior E. Reaction of dogs teeth to root canal filling with mineral trioxide agg- regate or a glass ionomer sealer. J Endod. 25: 728-30, 1999.
Moretton TR, Brown CE, Legan JJ, Kafrawy AH. Tissue reactions after subcutaneous and intraosse- ous implantation of mineral trioxide aggregate and ethoxybenzoic acid cement. Biomed Mater Res.
Hachmeister DR, Schindler WG, Walker WA, Thomas DD. The sealing ability and retention cha- racteristics of mineral trioxide aggregate in a mo- del of apexification. J Endod. 28: 386-90, 2002.
Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol. 22: 154-6, 2006.
Andreasen JO, Andreasen FM, Bakland LK, Flores MT. Endodontic implications of dental trauma: Tra- umatic dental injures, a manual, 2nd Ed., Oxford, UK: Blackwell Munksgaard, 2003, 58-60.
Al Kahtani A, Shostad S, Schifferle R, Bhambhani S. In-vitro evaluation of microleakage of an orthog- rade apical plug of mineral trioxide aggregate in permanent teeth with simulated immature apices. J Endod. 31: 117-9, 2005.
El-Meligy OA, Avery DR. Comparison of apexifica- tion with mineral trioxide aggregate and calcium hydroxide. Pediatr Dent. 28: 248-53, 2006.
Felippe MC, Felippe WT, Marques MM, Antoni- azzi JH. The effect of renewal of calcium hydroxide paste on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J. 38: 436-42, 2005.
White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic ma- terials on the strength and hardness of root dentin. J Endod. 28: 828-30, 2002.
Steinig TH, Regan JD, Gutmann JL. The use and predictable placement of mineral trioxide aggre- gate in one-visit apexification cases. Aust Endod J. 29: 34-42, 2003.
Şen Tunç E, Çetiner S. Mineral trioxide aggrega- te: literatür derlemesi. Atatürk Üniv. Dişhek. Fak. Derg., 16: 46-53, 2006.
Srinivasan V, Waterhouse P, Whitworth J. Mineral trioxide aggregate in paediatric dentistry. Int J Pae- diatr Dent. 19: 34-47, 2009.
Witherspoon DE, Small, JC, Regan, JD, Nunn M. Retrospective analysis of open apex teeth obtura- ted with mineral trioxide aggregate. J Endod. 34: 1171-6, 2008.
Giuliani V, Baccetti T, Pace R, Pagavino G. The use of mta in teeth with necrotic pulps and open apices. Dent Traumatol. 18: 217-21, 2002.
Maroto M, Barberia E, Planells P. Treatment of a non-vital immature incisor with mineral trioxide agg- regate (MTA). Dent Traumatol. 19: 165-9, 2003.