Endodontik Mikrobiyolojide Klasik ve Güncel Tanı Yöntemleri

Yıl 2025, Cilt: 4 Sayı: 1, 34 - 45, 27.03.2025

Eda Hasgül , Fahriye Keskin , Sevgi Çiftçi , Bülent Yılmaz

Öz

Endodontik enfeksiyonlar diş pulpasının mikroorganizmalarca istilası sonucu oluşmaktadır. Mikroorganizmalar veya toksinleri öncelikle pulpaya ulaşarak pulpitislere, ardından periapikal bölgeyi etkileyerek periapikal doku hastalıklarına neden olmaktadır. Polimikrobiyal karakterde olan endodontik enfeksiyonlarda anaerop bakteriler baskın durumdadır. Bununla birlikte, kök kanallarında bakteriler dışında mantar, virüs ve arkealar da tanımlanmıştır. Kök kanallarındaki mikroorganizma çeşitliliğinin anlaşılması enfeksiyonun bütünüyle yok edilmesi, yeniden oluşabilecek bir enfeksiyonun önlenmesi ve tedaviye dirençli olgularda primer enfeksiyon etkeni dışındaki mikroorganizmaların tespiti noktasında fayda sağlamaktadır. Dolayısıyla, endodontik tedavinin başarısı, endodontik uygulamaların mikrobiyolojik çalışmalarla birlikte yürütülmesi ile artmaktadır. Günümüzde, endodontik mikrobiyolojide kültür yöntemi, enfeksiyon etkenlerinin saptanmasında hala standart tanı yöntemi olarak kullanılmaya devam etmektedir. Son yıllarda ise mikrobiyatanın çeşitliliğini belirleyebilmek için moleküler tanı yöntemleri ön plana çıkmaktadır. Bu makalenin amacı klinisyenlere endodonti alanında kullanılan mikrobiyolojik tanı yöntemlerini tanıtmak ve bu yöntemlerin avantaj ve dezavantajlarını ortaya koymaktır.

Anahtar Kelimeler

Endodonti, mikrobiyolojik teknikler, enfeksiyon

Proje Numarası

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Kaynakça

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