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Abstract

This report presents a case treated both endodontically and surgically of a mandibular left canine tooth with two seperate inflammatory resorptive defects, one perforating the apical one-third. Following obturation with hybrid tecnique, mucoperiostal flap was performed and MTA was applied into the perforated resorptive cavity. At 1-year follow-up, the tooth was free of symptoms and complete healing was observed around the root in radiographic examination . At 2-year follow-up,the tooth was asymptomatic in clinically and radiologically. For postoperatif results of the treatment, sealing of perforation site with material such as MTA which has biocompatibility and good sealing properties may result in good clinical prognosis.

Keywords

• Mineral trioxide aggregate, inflammatory root resorption, endodontic surgery

KÖK REZORPSİYONU OLAN BİR OLGUNUN ENDODONTİK VE CERRAHİ KOMBİNE TEDAVİSİ : OLGU SUNUMU

Abstract

Bu olgu sunumunda, kök kanalında iki ayrı bölgede iltihabi iç kök resorpsiyon alanı olan ve rezorpsiyonlardan birinin kök kanalının apikal 1/3’ünde perforasyona yol açtığı alt çene sol kanin dişinin tedavisi anlatılmaktadır. Hibrit yöntemle yapılan kök kanal tedavisini takiben lambo kaldırılmış ve kö- kün dış yüzeyine açılan perforasyon alanına MTA uygulanmıştır. Altı aylık takipte dişin semptomsuz olduğu, 1 yıl sonunda yapılan radyografik muayenede, kök etrafında bir iyileşme olduğu görülmüştür. 2 yıllık takipte dişin klinik ve radyolojik olarak asemptomatik olduğu gözlenmiştir. Tedavi sonrası takip sonuçlarına göre, perforasyon alanının MTA gibi biyouyumlu ve iyi tıkama özelliklerine sahip bir materyal ile kapatılması iyi bir klinik başarı ile sonuçlanabilir

Keywords

• Mineral trioksit agregatı, iltihabi kök rezorbsiyonu, endodontik cerrahi

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25. İstanbul Üniversitesi Diş Hekimliği Fakültesi Endodonti A.D. 34093 Çapa –Fatih/İstanbul Tel : [phone] ( 30245 ) e-posta: [e-mail]