Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Alternatif Çürük Uzaklaştırma Yöntemleri
Alternative Caries Removal Methods
A. Tuğba ERTÜRK AVUNDUKa, Serdar BAĞLARa
aRestoratif Diş Tedavisi ABD, Kırıkkale Üniversitesi Diş Hekimliği Fakültesi, Kırıkkale, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2019;25(3):360-70
doi: 10.5336/dentalsci.2017-59091
Article Language: TR
Full Text
ÖZET
 Ağız içerisinde demineralizasyon ve remineralizasyon belirli bir denge hâlindedir ve bu dengenin demineralizasyon lehine bozulması çürük oluşumunu başlatmaktadır. Günümüz diş hekimliği uygulamalarında kavitasyon oluşmuş veya ağrı ya da hassasiyet gibi belirtiler gösteren dişlerin restorasyonları büyük yer tutmaktadır. Birçok hasta çürük uzaklaştırma işlemlerinden hoşnut olmadıklarını düşünmektedir. Diş hekimliği materyalleri ve anestezide olan gelişmelere rağmen, diş hekimliği tedavilerinde birçok kişi hâlâ ağrı çekmektedir. Çoğu zaman, bu endişe ağrı/rahatsızlık, lokal anestezi ve çürük uzaklaştırma işlemleri sırasında frezlerin kullanılmasından kaynaklanmaktadır. Dentin çürüklerinin frezlerle uzaklaştırılması; basınç, termal hasar ve titreşime bağlı olarak pulpa için travmatik olabilmektedir. Üstelik düşük ve yüksek hızda çalışan el aletleri enfekte ve enfekte olmayan dentini eşit bir şekilde uzaklaştırmakta, sağlıklı diş dokusunun aşırı kaybıyla sonuçlanmaktadır. Frezler ve lokal anesteziklerin eksiklikleri sebebiyle daha konforlu ve sağlıklı diş dokularını koruyan alternatif teknikler geliştirmek konusunda artan bir ilgi bulunmaktadır. Bu tekniklerin amacı; sadece yüksek enfeksiyon derecesine sahip tabakayı (enfekte dentin) uzaklaştırmak, yeniden remineralize olma yeteneğine sahip dokuları içeren daha düşük enfeksiyon derecesine sahip (etkilenmiş dentin) tabakayı korumaktır. Çürük tedavilerinde minimal invaziv tekniklerin hastalar tarafından kabul edilmesi ayrıca önemlidir.

Anahtar Kelimeler: Minimal invaziv teknikler; çürük uzaklaştırma; alternatif yöntemler
ABSTRACT
 Demineralization and remineralization in the mouth is in equilibrium and deterioration of balance in favor of demineralization initiates the formation of caries. A large portion of today's dental practices constitute the restoration of the teeth that cavitated or showing symptoms such as pain and sensitivity. Many patients consider caries removal to be very unpleasant. In spite of developments in dental materials and anaesthesia, many people are still apprehensive of pain during dental treatment. Often, this apprehension is due to pain/discomfort, local anaesthesia and the use of the drill during caries removal. Dentin caries removal with the drill may be traumatic to the pulp due to pressure, thermal damage and vibration. Moreover, a drill on a high or low speed hand-piece equally removes infected and uninfected dentin, resulting in excessive loss of healthy tooth structure. Due to the shortcomings of the drill and local anaesthesia, there has been a growing interest in developing alternative techniques, which are more comfortable and preserve healthy dental tissues. The aim of these techniques became to remove only the layer with a high level of infection (infected dentin), preserving the layer with a low level of infection (affected dentin), which consists of tissues able to remineralize. It is also important to evaluate minimally invasive techniques for caries treatment, which are more acceptable to patients.

Keywords: Minimally invasive techniques; caries removal; alternative methods
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"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com