DERİN DENTİN ÇÜRÜKLERİNİN TEDAVİSİNDE ALTERNATİF YENİ YÖNTEMLER

Yıl 2016, Supplement 16, 120 - 136, 24.11.2016

İzgen Hacıoğulları Nuran Ulusoy Esra Cengiz

https://doi.org/10.17567/ataunidfd.290602

Öz

Günümüzde
modern diş hekimliği kapsamında, diş dokularının maksimum oranda korunması ve
fonksiyon görmesi için minimal invaziv yöntemler uygulanmaktadır. G.V. Black
tarafından tanımlanmış olan geleneksel görüşe bağlı kalınarak uygulanan derin
dentin çürüğü tedavilerinde tüm çürük dokunun uzaklaştırılması, pulpanın
perforasyonuna dolayısıyla endodontik girişimlere ve bazı durumlarda çekime neden
olabilmektedir. Dişin ağızda kalma süresi, fonksiyonu ve prognozu açısından
önemli bir etken olan pulpanın vitalitesinin daha uzun süre korunabilmesi
amacıyla adeziv sistemler ve restoratif materyallerdeki yeni gelişmelerle
günümüzde pek çok yeni tedavi yaklaşımı ve materyal geliştirilmiştir. Bu
derlemede derin dentin çürüğü varlığında çürüğün uzaklaştırılmasındaki selektif
yaklaşımlar, kavitenin dezenfeksiyonu, kuafaj uygulamaları ve derin dentin
çürüğünün tedavisindeki güncel yaklaşımlar tartışılmıştır.

Anahtar Kelimeler:  Aşamalı Çürük Tedavisi, Derin
Dentin Çürüğü, Dezenfeksiyon, Selektif Yaklaşımlar

ALTERNATIVE NEW
METHODS FOR THE TREATMENT OF DEEP DENTINE CARIES  

ABSTRACT 

Currently
minimal intervention techniques are put into practice for the maximum
preservation of tooth structure and function in modern dentistry. While treating
deep dentine caries according to the traditional method defined by G.V. Black,
removing all of the carious tissue can give way to perforation of the pulp,
endodontic treatment or at some issues the extraction of the tooth. To protect
the vitality of the pulp which is so important for the lifetime, function and
prognose of a tooth, new methods and materials has been improved according to
the increased understanding of the histology and phsyology of the dentin-pulp
complex and the current developments of the adhesive resine systems and
restorative materials. The selective caries removal techniques, disinfection of
the cavity, the pulp capping methods and the currrent treatment methods used in
the presence of a deep dentin caries were discussed in this review.

Key words: Deep Dentine Caries, Disinfection,
Selective Approaches, Stepwise-excavation

Anahtar Kelimeler

Aşamalı Çürük Tedavisi, Derin Dentin Çürüğü, Dezenfeksiyon

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