Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Evaluation of Clinical and Radiological Success of Primary Teeth Root Canal Treatments: A Retrospective Study
Süt Dişi Kök Kanal Tedavilerinin Klinik ve Radyolojik Başarılarının Değerlendirilmesi: Retrospektif Çalışma
Semih Ercan AKGÜNa , İpek ARSLANb , Sema AYDINOĞLUc , İrem OKUMUŞc , Sena SAKIN ULUBAYc , Ömer HATİPOĞLUd
aOndokuz Mayıs University Health Services of Vocational School, Department of Dentistry Services, Samsun, Türkiye
bPrivate Dentist, Sakarya, Türkiye
cRecep Tayyip Erdoğan University Faculty of Dentistry, Department of Pediatric Dentistry, Rize, Türkiye
dRecep Tayyip Erdoğan University Faculty of Dentistry, Department of Restorative Dentistry, Rize, Türkiye
Turkiye Klinikleri J Dental Sci. 2025;31(3):384-92
doi: 10.5336/dentalsci.2024-106974
Article Language: EN
Full Text
ABSTRACT
 Objective: To evaluate the success of primary teeth root canal treatments (RCTs) and restorations, as well as the effects of these treatments on the development and eruption of permanent teeth. Material and Methods: A total of 119 patients who underwent RCT of the primary teeth were included in the study. If the primary teeth to which the RCT was applied, the success of the restoration was evaluated according to the United States Public Health Service (USPHS) criteria. Root canal fillings were classified as overfilled, normal, or underfilled. The effect of the RCT on the eruption of permanent teeth was investigated. Results: The mean follow-up period was 40 months (range 12- 72 months). The loss percentage in primary teeth increased as the follow-up period (>48 months) increased (p<0.001). A statistically significant difference was observed among the 3 restorative materials (p=0.011). There was a statistically significant difference in the rates of RCTs on primary teeth applied between dentists and specialist dentists (p=0.003). There was no significant difference between the level of root canal filling and the presence of teeth in the dental arch (p>0.05). Among the USPHS criteria, less sensitivity was reported in restorations made with glass ionomers and compomers than in those made with composites in terms of postoperative sensitivity (p<0.001). Conclusion: The type of material used for restorations and the clinical experience and skill of the dentist are essential factors that affect the success of RCT in primary teeth. Furthermore, in the current study, primary teeth RCT had no effect on the development and eruption of permanent teeth.

Keywords: Primary teeth; pulpectomy; United States Public Health Service; root canal treatment; success
ÖZET
 Amaç: Süt dişi kök kanal tedavilerinin (KKT) ve üst restorasyonlarının başarıları ile bu tedavilerin daimi dişlerin gelişim ve sürme sürecine etkilerinin değerlendirilmesi amaçlanmaktadır. Gereç ve Yöntemler: Çalışmaya süt dişlerine KKT yapılmış 119 hasta dâhil edildi. KKT uygulanan süt dişi ağızda ise restorasyonun başarısı Amerika Birleşik Devletleri Halk Sağlığı Servisi [United States Public Health Service (USPHS)] kriterlerine göre değerlendirildi. Kök kanal dolguları taşkın, normal veya eksik dolum olarak gruplandırıldı. Uygulanan KKT'nin alttaki daimi dişlerin sürmesi üzerindeki etkisi araştırıldı. Bulgular: KKT uygulanan dişlerde ortalama takip süresi 40 ay (12-72 ay) olarak belirlendi. Takip süresi uzadıkça (>48 ay) süt dişlerinde görülen kayıp yüzdelerinin arttığı gözlemlendi (p<0,001). Üç farklı restoratif materyal arasında istatistiksel açıdan anlamlı şekilde fark görüldü (p=0,011). Uzman diş hekimleri ile diş hekimleri arasında uygulanan süt dişi kök kanal tedavilerinin ağızda bulunma oranlarında istatistiksel olarak farklılık tespit edildi (p=0,003). Kök kanal dolgusunun seviyesi ile dişlerin ağızda bulunma oranları arasında anlamlı bir fark görülmedi (p>0,05). USPHS kriterleri arasında, postoperatif hassasiyet açısından cam iyonomer ve kompomer ile yapılan restorasyonlarda, kompozit ile yapılanlara kıyasla daha az hassasiyet bildirildi (p<0,001). Sonuç: Üst restorasyonlarda kullanılan materyalin çeşidi ile tedaviyi uygulayan hekimin klinik tecrübe ve becerisi, süt dişi kök kanal tedavisi uygulamalarında başarıyı etkileyen önemli faktörlerdendir. Ayrıca mevcut çalışmada, süt dişi KKT'lerinin daimi dişlerin gelişim ve sürme süreci üzerine etkisi gözlenmemiştir.

Anahtar Kelimeler: Süt dişi; pulpektomi; Amerika Birleşik Devletleri Halk Sağlığı Servisi; kök kanal tedavisi; başarı
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