Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
İnternal Kök Rezorpsiyonları ve Tedavi Yaklaşımları
Internal Root Resorptions and Treatment Approaches
Gözde AKBAL DİNÇERa, Ali ERDEMİRb
aÖzel Dentistanbul Diş Hastanesi Yıldız Endodonti Kliniği, İstanbul, TÜRKİYE
bKırıkkale Üniversitesi Diş Hekimliği Fakültesi, Endodonti ABD, Kırıkkale, TÜRKİYE
Turkiye Klinikleri J Dental Sci.2021;27(1):129-37
doi: 10.5336/dentalsci.2020-74381
Article Language: TR
Full Text
ÖZET
 Yaşam boyunca sürekli fizyolojik remodelasyona uğrayan kemikten farklı olarak, daimi dişlerin kök rezorpsiyonu doğal olarak meydana gelmez, daimî dişte kök rezorpsiyonu patolojik bir olaydır, eğer tedavi edilmezse etkilenen dişlerin erken kaybına neden olabilir. Kök rezorpsiyonu, kök yüzeyi ile ilişkili rezorpsiyonun lokasyonuna bağlı olarak, eksternal ve internal olarak sınıflandırılabilir. Klastik hücrelerin etkisinin bir sonucu olarak, dentin kaybı ile karakterize özel bir pulpa hastalığı kategorisi olan internal kök rezorpsiyonu (İKR), hem teşhis hem de tedavi açısından her zaman bir ikilem oluşturmuştur. İKR, genellikle asemptomatiktir ve rutin radyografik incelemelerde tesadüfen fark edilmektedir. Koni ışınlı bilgisayarlı tomografi (CBCT)'nin, İKR yönetiminde bir teşhis ve tedavi planlama aracı olarak kullanımı literatürde bildirilmiştir. Günümüzde, İKR olan dişlerde tercih edilen tek tedavi kök kanal tedavisidir. Rezorpsiyon defektinin düzensiz içbükey doğası, İKR olgularında kök kanallarının kemomekanik debridmanı ve doldurulmasında farklı tedavi yaklaşımlarını zorunlu hâle getirmektedir. Prognoz, küçük lezyonlar için daha iyidir. Kök duvarının perfore olduğu durumlarda, mineral trioksid agregat perforasyonu kapatmak için tercih edilen malzeme olarak düşünülmelidir. Ancak perforasyonla ilişkili geniş rezorpsiyonlarda, diş yapısı büyük ölçüde zayıfladığından prognoz kötüdür. Bu noktada rejeneratif endodontik tedavinin, İKR görülen dişlere uygulanması avantaj sağlayabilir. Bu derlemede, İKR'nin etiyoloji, histolojik görünüm, klinik özellikler, radyografik özellikler, tanı, ayırıcı tanı, geleneksel ve son tedavi yaklaşımları hakkında bilgi vermek amaçlanmıştır.

Anahtar Kelimeler: İnternal kök rezorpsiyonu; perforasyon; rejeneratif endodontik tedavi; endodonti
ABSTRACT
 Unlike bone, which undergoes continuous physiological remodeling throughout life, root resorption of permanent teeth does not occur naturally, it is a pathological event; if left untreated, it can cause premature loss of affected teeth. Root resorption can be classified as external and internal depending on the location of the resorption associated with the root surface. Internal root resorption (IRR), which is a particular category of pulp disease characterized by the loss of dentine as a result of the action of clastic cells, has been a quandary from the standpoints of both its diagnosis and treatment. It is usually asymptomatic and discovered by chance on routine radiographic examinations. The use of Cone beam computed tomography (CBCT) as a diagnostic and treatment planning tool in IRR management has been reported in the literature. Today, root canal treatment is the only treatment preferred for teeth with IRR. The irregular nature of the resorption defect necessitates different treatment approaches in chemomechanical debridement and filling of root canals. Prognosis is good for smaller lesions. In cases where the root surface is perforated, mineral trioxide aggregate should be considered as the preferred material to close the perforation. However, for those with extensive resorption associated with perforation the tooth structure is greatly weakened and the prognosis remains poor. At this point, applying regenerative endodontic treatment to teeth with IRR can be advantageous. In this review, it is aimed to give information about the etiology, histological appearance, clinical features, radiographic features, diagnosis, differential diagnosis, traditional and recent treatment approaches of IRR.

Keywords: Internal root resoption; perforation; regenerative endodontic treatment; endodontics
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4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"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