İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ

Seda Elmas; Mesut Enes Odabaş

doi:10.17567/ataunidfd.782482

İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ

Öz

Geri dönüşümsüz pulpitisli hastalarda başarılı lokal anestezi elde etmek, diş hekimleri için büyük bir sorun oluşturmaktadır. İnflamatuar lezyonları olan, pulpitis ve apikal periodontitisli dişlerde anestezi etkinliği oldukça azalmaktadır. Bu dişlerde anestezi başarısızlığı ile ilgili; iyon tuzağı mekanizması (inflamatuar asidoz mekanizması), peroksinitritlerin etkisi, inflamasyonun periferal vasküler sistem üzerindeki etkisi, nosiseptörlerin membran uyarılabilirliğinin değişimi, tetradoksine (TTX) dirençli sodyum (Na) kanalları ve santral sensitizasyon teorisi gibi birçok neden öne sürülmüştür. Bu derlemede geri dönüşümsüz pulpitisli dişlerde anestezi başarısızlığı için önerilen teoriler ve başarısızlığa karşı uygulanabilecek güncel yaklaşımlar literatür bilgileri ışığında tartışılmıştır. Anahtar kelimeler: Anestezi başarısızlığı, geri dönüşümsüz pulpitis, inflamasyon, lokal anestezi Anesthesia Failure in Inflamed Teeth and Current Solution Recommendations Abstract Successful local anesthesia in irreversible pulpitis is a major problem for dentists. The effects of anesthesia on the teeth with inflammatory lesions, pulpitis and apical periodontitis are considerably reduced. Several reasons have been proposed for the failure of anesthesia in these teeth, such as the mechanism of ion trap (mechanism of inflammatory acidosis), the effect of peroxynitrite, the effect of inflammation on the peripheral vascular system, the change of membrane excitability of nociceptors, tetradoxine (TTX) resistant sodium (Na) channels and central sensitization theory. In this review, the theories proposed for failure of anesthesia in irreversible pulpitis and current approaches to failure are discussed in the light of the literature. Keywords: Anesthesia failure, inflammation, irreversible pulpitis, local anesthesia

Anahtar Kelimeler

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Diş Hekimliği

Bölüm

Derleme

Yazarlar

Seda Elmas Bu kişi benim
0000-0003-3552-4405
Türkiye

Mesut Enes Odabaş Bu kişi benim
0000-0002-4901-3617
Türkiye

Yayımlanma Tarihi

14 Temmuz 2021

Gönderilme Tarihi

4 Şubat 2020

Kabul Tarihi

19 Ağustos 2020

Yayımlandığı Sayı

Yıl 2021 Cilt: 31 Sayı: 3

DOI

https://doi.org/10.17567/ataunidfd.782482

IZ

https://izlik.org/JA66NH32JW

Kaynak Göster

RIS / Bibtex

APA

Elmas, S., & Odabaş, M. E. (2021). İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 31(3), 481-490. https://doi.org/10.17567/ataunidfd.782482

AMA

1.Elmas S, Odabaş ME. İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ. Ata Diş Hek Fak Derg. 2021;31(3):481-490. doi:10.17567/ataunidfd.782482

Chicago

Elmas, Seda, ve Mesut Enes Odabaş. 2021. “İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 (3): 481-90. https://doi.org/10.17567/ataunidfd.782482.

EndNote

Elmas S, Odabaş ME (01 Temmuz 2021) İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 3 481–490.

IEEE

[1]S. Elmas ve M. E. Odabaş, “İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ”, Ata Diş Hek Fak Derg, c. 31, sy 3, ss. 481–490, Tem. 2021, doi: 10.17567/ataunidfd.782482.

ISNAD

Elmas, Seda - Odabaş, Mesut Enes. “İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31/3 (01 Temmuz 2021): 481-490. https://doi.org/10.17567/ataunidfd.782482.

JAMA

1.Elmas S, Odabaş ME. İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ. Ata Diş Hek Fak Derg. 2021;31:481–490.

MLA

Elmas, Seda, ve Mesut Enes Odabaş. “İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 31, sy 3, Temmuz 2021, ss. 481-90, doi:10.17567/ataunidfd.782482.

Vancouver

1.Seda Elmas, Mesut Enes Odabaş. İNFLAMASYONLU DİŞLERDE ANESTEZİ YETERSİZLİĞİ VE GÜNCEL ÇÖZÜM ÖNERİLERİ. Ata Diş Hek Fak Derg. 01 Temmuz 2021;31(3):481-90. doi:10.17567/ataunidfd.782482

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