Travma Kaynaklı Geniş Periapikal Lezyonlarda Klinik Yaklaşım: 3 Yıllık Takipli 2 Olgu Raporu

Yıl 2025, Cilt: 14 Sayı: 3, 233 - 239, 29.09.2025

Menekşe Alim , Mehmet Bani

https://doi.org/10.54617/adoklinikbilimler.1566327

Öz

Bu olgu bildiriminin amacı geniş periapikal lezyona sahip dişlerin iki farklı yaklaşımla tedavisi ve uzun dönem takibini sunmaktır.
İlk olguda 14 yaşındaki kız hastanın üst sağ lateral dişinde geniş periapkal lezyon, ikinci olguda 10 yaşındaki kız hastada ekstraoral şişlik ve ağrıyla seyreden sol üst lateral diş kaynaklı geniş periapikal lezyon görülmüştür. Tedavi boyunca her iki olguda da sodyum hipoklorit ile irrigasyon yapılıp, kanal içi medikament olarak kalsiyum hidroksit uygulanmıştır. İlk olguda diş asemptomatik olduğunda kök kanalı ortograd olarak guta perka ve epoksi rezin içerikli pat ile doldurulmuştur. İkinci olguda ise pü drenajı engellenemediğinden kök kanalının doldurulmasının ardından apikal rezeksiyon yapılmıştır. 12 aylık takip sürecinin sonunda iki olguda da lezyonun tamamen iyileştiği ve kavitede kemik formasyonunun gerçekleştiği görüldü. Hastaların 3. yıl takiplerinde söz konusu dişlerde herhangi bir patolojik bulgu olmadığı klinik ve radyografik değerlendirmelerle tespit edildi.

Anahtar Kelimeler

apikal rezeksiyon , endodontik tedavi , kalsiyum hidroksit

Clinical Approach in Trauma-Induced Large Periapical Lesions: 2 Case Reports With 3-Year Follow-Up

Öz

The aim of this case report is to present the treatment and long-term follow-up of teeth with extensive periapical lesions using two different approaches.
In the first case, a 14-year-old girl had a large periapical lesion on the upper right lateral tooth and in the second case, a 10-year-old girl had a large periapical lesion on the upper left lateral tooth with extraoral swelling and pain. During the treatment, both cases were irrigated with sodium hypochlorite and calcium hydroxide was applied as an intracanal medicament. In the first case, when the tooth was asymptomatic, the root canal was filled with guta percha and epoxy resin paste. In the second case, since pus drainage could not be prevented, apical resection was performed after root canal filling. At the end of the 12-month follow-up period, it was observed that the lesion healed completely and bone formation occurred in the cavity in both cases. Clinical and radiographic evaluations revealed that there were no pathologic findings in the teeth at the 3rd year follow-up.

Anahtar Kelimeler

apical resection , endodontic treatment , calcium hydroxide

Kaynakça

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