KRONİK PERİODONTİTİSLİ HASTALARDA KÖK KANAL TEDAVİSİNİN MARJİNAL KEMİK SEVİYESİNE ETKİSİ- Effect of Root Canal Treatment on Marginal Bone Levels of Chronic Periodontitis Patients
Abstract
öz
Amaç: Periodontitis esas olarak mikrobiyal dental plağın neden olduğu lokal ve sistemik faktörlerin de rol aldığı, alveoler kemikte yıkıma neden olan kronik bir enflamasyondur. Restorasyonlar ve kök kanal tedavisi periodontal yıkıma neden olabilecek lokal risk faktörleri olarak görülmektedir. Bu çalışmanın amacı periodontitis hastalarında kök kanal tedavisinin marjinal kemik seviyesine etkisinin incelenmesidir.
Gereç ve Yöntem: Kronik periodontitis teşhisi konulmuş hastalara ait ortopantomograf filmler incelenerek kök kanal tedavili büyük azı dişler simetriğinde kök kanal tedavisi yapılmamış, aynı ko-ronal restorasyona sahip dişler ile kıyaslanarak mesiyal ve distal taraflardaki marjinal kemik seviyeleri ölçülmüştür.
Bulgular: Kök kanal tedavili dişler ile kök kanal tedavisi uygulanmayan restorasyonlu dişlerin mesiyal ve distal kemik seviyesi ortalamaları arasında istatistiksel olarak anlamlı bir farklılık bulunmamaktadır (p>0.05).
Sonuç: Kronik periodontitisli hastalarda ideal kök kanal tedavisinin marjinal kemik seviyesi üzerinde direkt etkisi olmadığı gösterilmiştir.
Anahtar kelimeler: Kronik periodontitis, kök kanal tedavisi, marjinal kemik seviyesi
ABSTRACT
Purpose: Periodontitis is a chronic inflammation mainly caused by dental plaque; local and systemic factors may also be involved in chronic inflammation that causes destruction of the alveolar bone. Restorations and root canal treatment is seen as a local risk factors that may cause destruction of the periodontal bone. The aim of this study was to investigate radiographically the effect of root canal treatment on periodontal bone level in periodontitis patients.
Material and Methods: Bone level of endodontically treated tooth and its contra-lateral tooth without root canal treatment at the mesial and distal sides of these teeth was scored.
Results: No difference was found statistically between the periodontal bone level of endodontically treated tooth and its contralateral tooth without root canal treatment (p>0.05).
Conclusion: It was determined that adequate root canal therapy in patients with chronic periodontitis did not have a direct impact on the marginal bone level.
Keywords: Chronic periodontitis, root canal treatment, marginal bone level
References
- Herrera D, Matesanz P, BasconesMartínez A, Sanz M. Local and systemic antimicrobial therapy in periodontics. J Evid Based Dent Pract, 2012; 12(3 Suppl): 50-60. Ababnaeh KT, Al-Omari M, Alawneh TN. The effect of dental restoration type and material on periodontal health. Oral Health Prev Dent, 2011; 9(4): 395-403. Adyani-Fard D, Kim TS, Eickholz P. Interproximal bone loss at contra-lateral teeth with and without root canal filling in periodontitis patients. J Clin Periodontol, 2011; 38(3): 269-75. Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol, 1964; 35(1): 22–48. Chen SY, Wang HL, Glickman GN. The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol, 1997; 24(7): 449-56. Kerns DG, Glickman GN. Endodontic and periodontal interrelationships. In: Cohen S, Hargreaves KM, editors. Pathways of the pulp. 9th ed., St. Louis: Mosby, 2006, p. 650- Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease.
- J Endod, 1979; 5(8): 242–53. Langeland K, Rodrigues H, Dowden
- W. Periodontal disease, bacteria, and pulpal histopathology. Oral Surg Oral Med Oral Pathol, 1974; 37(2): 257–70. Mandi FA. Histological study of the pulp changes caused by periodontal disease.
- J Br Endod Soc, 1972; 6(4): 80–83. Weitman RT, Eames WB. Plaque accumulation on composite surfaces after various finishing procedures. J Am Dent Assoc, 1975; 91(1): 101-06. Katsamakis S, Timmerman M, Van der Velden U, de Cleen M, Van der Weijden F.
- Patterns of bone loss around teeth restored with endodontic posts. J Clin Periodontol, 2009; 36(11): 940-49. Eliasson S, Bergström J, Sanda A.
- Periodontal bone loss of teeth with metal posts. A radiographic study. J Clin Periodontol, 1995; 22(11): 850-53. Arvidson K, Wróblewski R. Migration of metallic ions from screwposts into dentin and surrounding tissues. Scand J Dent Res, 1978; 86(3): 200-05. Arvidson K, Cottler-Fox M, Friberg
- U. Effects of dental root posts on human gingival fibroblasts in vitro. J Dent Res, 1980; 59(3): 651-56. Timmerman MF, Van der Weijden
- GA. Bone level around endodontically treated teeth in periodontitis patients. J Clin Periodontol, 2006; 33(9): 620-25. Jansson L, Ehnevid H, Lindskog S, Blomlöf L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol, 1995; 22(10): 729-34. Ehnevid H, Jansson L, Lindskog S, Blomlöf L. Periodontal healing in teeth with periapical lesions. A clinical retrospective study. J Clin Periodontol, 1993; 20(4): 254
- Sjögren U, Ohlin A, Sundqvist G, Lerner UH. Gutta-percha-stimulated mouse macrophages release factors that activate the bone resorptive system of mouse calvarial bone. Eur J Oral Sci, 1998; 106(4): 872-81. Pascon EA, Leonardo MR, Safavi K, Langeland K. Tissue reaction to endodontic materials: methods, criteria, assessment, and observations. Oral Surg Oral Med Oral Pathol, 1991; 72(2): 222-37. Yazışma adresi: Aysun KARA TUNCER 19 Mayıs Mah. Gürsoylu Sok. 20/5 Erenköy-İstanbul Tel: 631 15 23 e-posta: aysunkara80@gmail.com
Abstract
Amaç: Periodontitis esas olarak mikrobiyal dental plağın neden olduğu lokal ve sistemik faktörlerin de rol aldığı, alveoler kemikte yıkıma neden olan kronik bir enflamasyondur. Restorasyonlar ve kök kanal tedavisi periodontal yıkıma neden olabilecek lokal risk faktörleri olarak görülmektedir. Bu çalışmanın amacı periodontitis hastalarında kök kanal tedavisinin marjinal kemik seviyesine etkisinin incelenmesidir. Gereç ve Yöntem: Kronik periodontitis teşhisi konulmuş hastalara ait ortopantomograf filmler incelenerek kök kanal tedavili büyük azı dişler simetriğinde kök kanal tedavisi yapılmamış, aynı koronal restorasyona sahip dişler ile kıyaslanarak mesiyal ve distal taraflardaki marjinal kemik seviyeleri ölçülmüştür. Bulgular: Kök kanal tedavili dişler ile kök kanal tedavisi uygulanmayan restorasyonlu dişlerin mesiyal ve distal kemik seviyesi ortalamaları arasında istatistiksel olarak anlamlı bir farklılık bulunmamaktadır (p > 0.05).Sonuç: Kronik periodontitisli hastalarda ideal kök kanal tedavisinin marjinal kemik seviyesi üzerinde direkt etkisi olmadığı gösterilmiştir.
References
- Herrera D, Matesanz P, BasconesMartínez A, Sanz M. Local and systemic antimicrobial therapy in periodontics. J Evid Based Dent Pract, 2012; 12(3 Suppl): 50-60. Ababnaeh KT, Al-Omari M, Alawneh TN. The effect of dental restoration type and material on periodontal health. Oral Health Prev Dent, 2011; 9(4): 395-403. Adyani-Fard D, Kim TS, Eickholz P. Interproximal bone loss at contra-lateral teeth with and without root canal filling in periodontitis patients. J Clin Periodontol, 2011; 38(3): 269-75. Simring M, Goldberg M. The pulpal pocket approach: retrograde periodontitis. J Periodontol, 1964; 35(1): 22–48. Chen SY, Wang HL, Glickman GN. The influence of endodontic treatment upon periodontal wound healing. J Clin Periodontol, 1997; 24(7): 449-56. Kerns DG, Glickman GN. Endodontic and periodontal interrelationships. In: Cohen S, Hargreaves KM, editors. Pathways of the pulp. 9th ed., St. Louis: Mosby, 2006, p. 650- Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease.
- J Endod, 1979; 5(8): 242–53. Langeland K, Rodrigues H, Dowden
- W. Periodontal disease, bacteria, and pulpal histopathology. Oral Surg Oral Med Oral Pathol, 1974; 37(2): 257–70. Mandi FA. Histological study of the pulp changes caused by periodontal disease.
- J Br Endod Soc, 1972; 6(4): 80–83. Weitman RT, Eames WB. Plaque accumulation on composite surfaces after various finishing procedures. J Am Dent Assoc, 1975; 91(1): 101-06. Katsamakis S, Timmerman M, Van der Velden U, de Cleen M, Van der Weijden F.
- Patterns of bone loss around teeth restored with endodontic posts. J Clin Periodontol, 2009; 36(11): 940-49. Eliasson S, Bergström J, Sanda A.
- Periodontal bone loss of teeth with metal posts. A radiographic study. J Clin Periodontol, 1995; 22(11): 850-53. Arvidson K, Wróblewski R. Migration of metallic ions from screwposts into dentin and surrounding tissues. Scand J Dent Res, 1978; 86(3): 200-05. Arvidson K, Cottler-Fox M, Friberg
- U. Effects of dental root posts on human gingival fibroblasts in vitro. J Dent Res, 1980; 59(3): 651-56. Timmerman MF, Van der Weijden
- GA. Bone level around endodontically treated teeth in periodontitis patients. J Clin Periodontol, 2006; 33(9): 620-25. Jansson L, Ehnevid H, Lindskog S, Blomlöf L. The influence of endodontic infection on progression of marginal bone loss in periodontitis. J Clin Periodontol, 1995; 22(10): 729-34. Ehnevid H, Jansson L, Lindskog S, Blomlöf L. Periodontal healing in teeth with periapical lesions. A clinical retrospective study. J Clin Periodontol, 1993; 20(4): 254
- Sjögren U, Ohlin A, Sundqvist G, Lerner UH. Gutta-percha-stimulated mouse macrophages release factors that activate the bone resorptive system of mouse calvarial bone. Eur J Oral Sci, 1998; 106(4): 872-81. Pascon EA, Leonardo MR, Safavi K, Langeland K. Tissue reaction to endodontic materials: methods, criteria, assessment, and observations. Oral Surg Oral Med Oral Pathol, 1991; 72(2): 222-37. Yazışma adresi: Aysun KARA TUNCER 19 Mayıs Mah. Gürsoylu Sok. 20/5 Erenköy-İstanbul Tel: 631 15 23 e-posta: aysunkara80@gmail.com
Details
| Primary Language | English |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 12, 2013 |
| Published in Issue | Year 2013 Volume: 47 Issue: 3 |
Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.