KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİ İLE DOĞRULANMIŞ OLAĞANDIŞI ÜST BİRİNCİ BÜYÜK AZI DİŞİN ENDODONTİK TEDAVİSİ

Yıl 2025, Cilt: 11 Sayı: 1, 46 - 52, 27.03.2025

Didem Seda Gültekin , Funda Kont Çobankara

https://doi.org/10.21306/dishekimligi.1591331

Öz

Kök kanal tedavisinin başarılı olabilmesi için kök kanal sistemininden enfekte pulpa dokusunun tamamen çıkarılması gerekmektedir. Tedavisi yapılcak dişin anatomisi ve olası varyasyonlarını bilmek başarı elde etmek için en temel faktörlerden biridir. Üst çene birinci büyük azı dişlerinin kanal ve kök morfolojileri her zaman tipik değildir. Dişlerin morfolojilerindeki anomaliler her zaman kök sayısının fazlalığı ya da azlığı şeklinde olmayıp aynı zaman da kanal sayısının azlığı ve fazlalılığı şeklinde de görülebilmektedir. İşlem öncesi tanı için alınan radyografide bir anomaliden süphelenilen dişler farklı açılardan alınan periapikal radyografilere ve özellikle de konik ışınlı bilgisayarlı tomografi gibi ileri görüntüleme yöntemlerine ihtiyaç duymaktadır. Bu vaka raporunun amacı endodontik tedavi sırasında üst birinci büyük azı dişinde tespit edilen olağandışı anatomiyi tanımlamaktır.

Anahtar Kelimeler

eksternal anatomi, internal anatomi, üst birinci büyük azı dişi, konik ışınlı bilgisayarlı tomografi, kök kanal tedavisi

Endodontic Treatment of an Unusual Maxillary First Molar Confirmed by Cone-Beam Computed Tomography

Öz

For the successful outcome of root canal treatment, it is crucial to entirely eliminate the infected pulpal tissue from the root canal system. Understanding the anatomy of the tooth to be treated and its potential variations is one of the fundamental factors for achieving success. The canal and root morphologies of maxillary first molars are not always typical. Anomalies in the morphology of teeth can manifest not only as an increased or decreased number of roots but also as variations in the number of canals. Teeth suspected of having anomalies, as observed in the preoperative diagnostic radiographs, may require periapical radiographs taken from different angles and, especially, advanced imaging methods such as cone-beam computed tomography for further evaluation. This case report aims to describe the unusual anatomy identified in the maxillary first molar during endodontic treatment.

Anahtar Kelimeler

external anatomy, internal anatomy, maxillary first molar, external anatomy internal anatomy maxillary first molar cone beam computed tomography, root canal treatment

Kaynakça

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