Sekonder Endodontik Enfeksiyonlarda, Enterococcus Faecalis\'in Rolü ve Tedavisi

Yıl 2014, Cilt: 15 Sayı: 1, 79 - 84, 01.04.2014

Emre Bayram İsmail Özkoçak

Öz

E. faecalis has been frequently found in root canal-treated teeth in prevalence values ranging from 29% to 70% of the cases. E. faecalis survive very harsh environments including extreme alkaline pH and salt concentrations. E. faecalis possesses certain virulence factors including lytic enzymes, cytolysin, aggregation substance, pheromones, and lipoteichoic acid. Currently, use of good aseptic technique, increased apical preparation sizes, and inclusion of sodium hypochlorite and 2% chlorhexidine irrigants are the most effective methods to eliminate E. faecalis. Recent study has helped us better understand E. faecalis and the mechanisms that enable it to cause persistent endodontic infections

Anahtar Kelimeler

E. Faecalis; retreatment; root canal irrigation

Sekonder Endodontik Enfeksiyonlarda, Enterococcus Faecalis’in Rolü ve Tedavisi

Öz

Kök kanal dolgulu dişlerde %29’den %70’e değişen oranda E. faecalis görülme sıklığı vardır. Yüksek alkali pH ve tuz konsantrasyonu içeren sert ortamlarda bile hayatta kalabilir. Litik enzimler, cytolsin, agregasyon maddeleri, fenomen, lipoteyik asit gibi E. faecalis belirli virulans faktörleri içerir. Uygun bir aseptik teknik kullanma, apikal preparasyon boyutunu artırma, sodyum hipoklorit ve %2’lik klorheksidin irrigasyon solüsyonlarının ilave edilmesi, E. Faecalis’i yok etmede en etkili yöntemlerdir. Medikaman ve dolgu patının kullanılması başarısız kök kanal tedavilerinin yenilenmesi sürecinde E.faecalis’i tamamen yok etmede önemli rol oynar. Bu çalışma E. Faecalisi ve dirençli endodontik enfeksiyonlara neden olan mekanizmasını daha iyi anlamamıza yardım etmektedir

Anahtar Kelimeler

E. Faecalis, yenilenen kanal tedavisi, kök kanal irrigasyonu

Kaynakça

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