Geniş Periapikal Lezyonlu Dişlerin Cerrahi Olmayan Endodontik Tedavisi: Olgu Sunumu Serisi

Yıl 2019, Cilt: 5 Sayı: 3, 66 - 70, 29.12.2019

Baran Can Sağlam Ceren Karatekin Fatih Erol

Öz

Bu olgu sunumu serisinin amacı geniş periapikal lezyona sahip dişlerin cerrahi olmayan kök kanal tedavisinin anlatılmasıdır.
Bu olgu sunumlarının birincisinde geniş periapikal radyolüsensi bulunan alt çene keser dişin, ikinci olguda alt çene keser ve kanin dişi içine alan periapikal lezyon bulunan dişlerin cerrahi olmayan endodontik tedavisi anlatıldı. Üçüncü olguda ise alt çene büyük azı dişinde distal kökte kök ucundan taşkın bir konumda alet kırığı bulunan peri apikal lezyonlu dişin cerrahi olmayan endodontik tedavisi anlatıldı.
Geniş periapikal lezyonlu dişlerde ve kök ucuna ulaşılabilen kırık alet bulunan dişlerde cerrahi olmayan endodontik tedavi seçeneği ilk tercih olmalıdır.

Anahtar Kelimeler

Kök Kanal Tedavisi, Periapikal Lezyon, Kırık Alet

Kaynakça

• 1. Weiger R, Rosendahl R, Löst C. (2000) Influence of calcium hydroxide intracanal dressings on the prognosis of teeth with endodontically induced periapical lesion. Int Endod J 2000; 33: 219-26.
• 2. Bhaskar SN. Periapical lesion‐types, incidence and clinical features. Oral Surg Oral Med Oral Pathol 1966; 21: 657– 71.
• 3. Caliskan MK. Prognosis of large cyst‐like periapical lesions following nonsurgical root canal treatment. Int Endod J 2004; 37: 408– 16.
• 4. Harty FJ, Parkins B J, Wengraf AM. The success rate of apicectomy: a retrospective study of 1,016 cases. Br Dent J 1970; 82: 407-13.
• 5. Torabinejad M, Lemon RR. Procedural accidents. In: Walton R, Torabinejad M, eds. Principles and practice of endodontics. Philadelphia: W.B. Saunders Company, 2002. 310-330.
• 6. Madarati AA, Watts DC, Qualtrough AJ. Factors contributing to the separation of endodontic files. Br Dent J 2008; 204: 241–5.
• 7. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod. 2005; 31: 845–50.
• 8. Plotino G, Pameijer CH, Grande NM, Somma F. Ultrasonics in endodontics: A review of the literature. J Endod 2007; 33: 81-95.
• 9. Ruddle CJ. Broken instrument removal. The endodontic challenge. Dent Today 2002; 21: 70 –72.
• 10. Khayat BG, Byers MR, Taylor PE, Mecifi K, Kimberly CL. Response of nerve fibres to pulpal inflammation and periapical lesions in rat molars demonstrated by calcitonin gene-related peptide immunocytochemistry. J Endod 1988; 14: 577–87.
• 11. Esposito JV. Apical violation in periapical area cases – blasphemy or therapy? Dent Clin North Am 1990; 94: 171–8.
• 12. Farhad A, Mohammadi Z. Calcium hydroxide: a review. Int Dent J 2005; 55: 293–301.
• 13. Sjögren U, Figdor S, Spångberg L, Sundqvist G. The antimicrobial effect of calcium hydroxide as a short-term intracanal dressing. Int Endod J 1991; 24: 119–25.
• 14. Madarati AA, Hunter Mj, Paul M.H. Dummer PM. Management of intracanal instruments.J Endod 2013; 39: 569-581.
• 15. Strindberg L. The dependence of the results of pulp therapy on certain factors: an analytic study based on radiographic and clinical follow-up examination. Acta Odontol Scand 1956; 14: 1–175.
• 16. Grossman LI. Guidelines for the prevention of fracture of root canal instruments. Oral Surg Oral Med Oral Pathol 1969; 28: 746–52.