Yıl 2019, Cilt 6 , Sayı 2, Sayfalar 177 - 181 2019-08-01

Açık apeksli dişlerde mineral trioksit agregat ile alternatif tedavi yöntemi: Olgu sunumu
Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report

Banu Arıcıoğlu [1] , Ömer Hatipoğlu [2]


Bu olgu sunumunun amacı apeksi açık dişlerde Mineral Trioksit Aggregat (MTA) kullanımı sonucunda apeksifikasyon tedavisinin verimliliğinin ve etkinliğinin belirlemesidir. Bu amaçla, Recep Tayyip Erdoğan Üniversitesi Diş Hekimliği Fakültesi'nde klinik kayıtlara göre 16 yaşında bir bayan ve 8 yaşında bir erkek olmak üzere 2 vaka ele alındı. Her iki olgu için ameliyat öncesi, uygulama ve takip aşamaları olmak üzere üç aşama planlandı. Takip süreci ise klinik ve radyografik incelemeler olarak belirlendi. Uygulamanın ilk aşamasında, kök kanalları 5 ml %2.5’lik NaOCl ile yıkandı ve bir hafta süre ile kalsiyum hidroksit (CH) uygulandı. Kök kanallarının apikal 4 mm’lik kısmı MTA ile kapatıldıktan sonra kalan kısmı gütta perka konileri ile dolduruldu. Bir yıl içerisinde altı ay ara ile yapılan klinik ve radyolojik takiplerde periapikal bölgedeki dokuların yeniden yapılandığı ve lezyonların iyileştiği tespit edildi. Sonuç olarak, MTA materyali apeksifikasyon tedavisinde tedavi süresi ve kalitesi de göz önünde bulundurulduğunda hala kabul edilebilen güçlü bir alternatif yöntemdir.

The study aims to determine the efficiency and effectiveness of apexification treatment using mineral trioxide aggregate (MTA). For this purpose, two cases were taken into consideration in the examination on the basis of clinical records in the Faculty of Dentistry at Recep Tayyip Erdoğan University. These cases were a female patient at the age of 16 and a male patient at the age of 8. A treatment protocol was designed for and applied on both cases. This way, the whole treatment could be divided into three stages: preoperative, procedural and follow-up steps. The follow-up process consisted of two parts: clinical and radiographic examinations. In the procedural stage, the clinician first rinsed the root canals with 5 ml of 2.5% NaOCl and administered calcium hydroxide (CH) in the canals and allowed it to remain within a 1-week period in order to fill the apical area (4 mm) of the immature, necrotic permanent incisors with an MTA plug. After MTA application, the clinic doctor filled the rest with gutta-percha cones. On the clinical and radiographic follow-ups performed semi-annually within one year, the lesions were dissected, and the tissues were regenerated in the periradicular area. In conclusion, use of MTA material was determined as an efficient and effective method in apexification with respect to time and quality of treatment and it is still a well-accepted technique.

  • 1. Moretton TR, Brown CE, Legan JJ, Kafrawy A. Tissue reactions after subcutaneous and intraosseous implantation of mineral trioxide aggregate and ethoxybenzoic acid cement. Journal of Biomedical Materials Research Part A, 2000, 52: 528-33. 2. Pinar Erdem A, Sepet E. Mineral trioxide aggregate for obturation of maxillary central incisors with necrotic pulp and open apices. Dental Traumatology, 2008, 24. 3. Bakland L. Management of traumatically injured pulps in immature teeth using MTA. Journal of the California Dental Association, 2000, 28: 855-8. 4. Schumacher JW, Rutledge RE. An alternative to apexification. Journal of endodontics, 1993, 19: 529-31. 5. Torabinejad M, Ford T. Root end filling materials: a review. Dental Traumatology, 1996, 12: 161-78. 6. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. Journal of endodontics, 1999, 25: 197-205. 7. Moretti A, Oliveira T, Sakai V, Santos C, Machado M, Abdo R. Mineral trioxide aggregate pulpotomy of a primary second molar in a patient with agenesis of the permanent successor. International endodontic journal, 2007, 40: 738-45. 8. Torabinejad M, Watson T, Ford TP. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. Journal of endodontics, 1993, 19: 591-5. 9. Felippe W, Felippe M, Rocha M. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. International endodontic journal, 2006, 39: 2-9. 10. Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. Journal of endodontics, 1999, 25: 1-5. 11. Metzger Z, Solomonov M, Mass E. Calcium hydroxide retention in wide root canals with flaring apices. Dental Traumatology, 2001, 17: 86-92. 12. Schwartz RS, Mauger M, Clement DJ, Walker WA. Mineral trioxide aggregate: a new material for endodontics. The Journal of the American Dental Association, 1999, 130: 967-75. 13. Sarkar N, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. Journal of endodontics, 2005, 31: 97-100. 14. Hargreaves KM, Geisler T, Henry M, Wang Y. Regeneration potential of the young permanent tooth: what does the future hold? Journal of endodontics, 2008, 34: 51-6. 15. Kim J-H, Kim Y, Shin S-J, Park J-W, Jung I-Y. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. Journal of endodontics, 2010, 36: 1086-91. 16. Reynolds K, Johnson J, Cohenca N. Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. International endodontic journal, 2009, 42: 84-92. 17. Chen MH, Chen KL, Chen CA, Tayebaty F, Rosenberg P, Lin L. Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. International endodontic journal, 2012, 45: 294-305. 18. Nosrat A, Homayounfar N, Oloomi K. Drawbacks and unfavorable outcomes of regenerative endodontic treatments of necrotic immature teeth: a literature review and report of a case. Journal of endodontics, 2012, 38: 1428-34. 19. Petrino JA, Boda KK, Shambarger S, Bowles WR, McClanahan SB. Challenges in regenerative endodontics: a case series. Journal of endodontics, 2010, 36: 536-41. 20. Shabahang S, Torabinejad M. Treatment of teeth with open apices using mineral trioxide aggregate. Practical Periodontics and Aesthetic Dentistry, 2000, 12: 315-20. 21. Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. International endodontic journal, 2007, 40: 478-84. 22. Mente J, Hage N, Pfefferle T, Koch MJ, Dreyhaupt J, Staehle HJ, Friedman S. Mineral trioxide aggregate apical plugs in teeth with open apical foramina: a retrospective analysis of treatment outcome. Journal of endodontics, 2009, 35: 1354-58. 23. Hachmeister DR, Schindler WG, Walker WA, Thomas DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. Journal of endodontics, 2002, 28: 386-90. 24. Aminoshariae A, Hartwell GR, Moon PC. Placement of mineral trioxide aggregate using two different techniques. Journal of endodontics, 2003, 29: 679-82.
Birincil Dil en
Konular Diş Hekimliği
Bölüm Olgu Sunumu
Yazarlar

Yazar: Banu Arıcıoğlu

Yazar: Ömer Hatipoğlu

Tarihler

Yayımlanma Tarihi : 1 Ağustos 2019

Bibtex @olgu sunumu { selcukdentj598433, journal = {Selcuk Dental Journal}, issn = {}, eissn = {2148-7529}, address = {Selçuk Üniversitesi Diş Hekimliği Fakültesi Alaeddin Keykubat Kampüsü Selçuklu, Konya}, publisher = {Selçuk Üniversitesi}, year = {2019}, volume = {6}, pages = {177 - 181}, doi = {}, title = {Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report}, key = {cite}, author = {Arıcıoğlu, Banu and Hatipoğlu, Ömer} }
APA Arıcıoğlu, B , Hatipoğlu, Ö . (2019). Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal , 6 (2) , 177-181 . Retrieved from https://dergipark.org.tr/tr/pub/selcukdentj/issue/47415/598433
MLA Arıcıoğlu, B , Hatipoğlu, Ö . "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report". Selcuk Dental Journal 6 (2019 ): 177-181 <https://dergipark.org.tr/tr/pub/selcukdentj/issue/47415/598433>
Chicago Arıcıoğlu, B , Hatipoğlu, Ö . "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report". Selcuk Dental Journal 6 (2019 ): 177-181
RIS TY - JOUR T1 - Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report AU - Banu Arıcıoğlu , Ömer Hatipoğlu Y1 - 2019 PY - 2019 N1 - DO - T2 - Selcuk Dental Journal JF - Journal JO - JOR SP - 177 EP - 181 VL - 6 IS - 2 SN - -2148-7529 M3 - UR - Y2 - 2019 ER -
EndNote %0 Selcuk Dental Journal Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report %A Banu Arıcıoğlu , Ömer Hatipoğlu %T Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report %D 2019 %J Selcuk Dental Journal %P -2148-7529 %V 6 %N 2 %R %U
ISNAD Arıcıoğlu, Banu , Hatipoğlu, Ömer . "Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report". Selcuk Dental Journal 6 / 2 (Ağustos 2019): 177-181 .
AMA Arıcıoğlu B , Hatipoğlu Ö . Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dent J. 2019; 6(2): 177-181.
Vancouver Arıcıoğlu B , Hatipoğlu Ö . Alternative treatment method with mineral trioxide aggregate in open apex formation: Case report. Selcuk Dental Journal. 2019; 6(2): 181-177.