Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Kemomekanik Çürük Temizleme Yöntemindeki Güncel Gelişmeler
Current Developments in Chemomechanical Caries Removal Method
Melike TURGUT COŞGUNa, Firdevs TULGA ÖZa
aPedodonti ABD, Ankara Üniversitesi Diş Hekimliği Fakültesi, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2019;25(3):344-50
doi: 10.5336/dentalsci.2017-59103
Article Language: TR
Full Text
ÖZET
 Geleneksel çürük uzaklaştırma tekniği; giriş kavitesinin hızlı turlu döner aletle açıldıktan sonra, çürük dokunun mikromotora takılan çelik ya da tungsten karbid frezlerle uzaklaştırılmasıdır. Geleneksel çürük uzaklaştırma tekniğinde; çürüğün uzaklaştırma hızının artması diş dokusunda tahribata neden olmakta, enfekte veya sağlam dentini ayırt etmeden uzaklaştırmaktadır. Bu dezavantajların sonucu olarak, diş dokularına en az hasarla restoratif tedavi yapılmasını mümkün kılan, minimal invaziv diş hekimliği felsefesi ortaya çıkmıştır. Minimal invaziv diş hekimliği; remineralizasyon potansiyeli olan diş dokusunun mümkün olduğunca korunduğu, yüksek derecede enfekte ve geri dönüşümsüz olarak denatüre olmuş dentinin uzaklaştırıldığı selektif çürük temizleme yöntemidir. Kemomekanik çürük temizleme tekniği, kaygılı hastalarda döner alet kullanmadan sağlıklı diş dokusunu koruma ve çürük dentini yeterli miktarda kaldırma amacıyla uygulanmaktadır. Kemomekanik çürük temizleme tekniği enfekte dentinin kimyasal ajanla yumuşatılarak uzaklaştırıldığı bir tekniktir. Bu teknikte, frez ve lokal anestezi kullanımının neden olduğu rahatsızlık elimine edilmekte, sağlıklı diş dokusu korunmakta ve hastaya daha konforlu tedavi hizmeti sunulmaktadır. Geçmişten günümüze kemomekanik çürük temizleme yönteminde çeşitli ajanlar tanıtılmış, ancak sadece birkaçı klinik uygulamaya girebilmiştir. Kemomekanik çürük temizleme yöntemi minimal invaziv diş hekimliği kavramına dayanmaktadır. Bu teknik; korkulu hastalarda döner alet kullanmadan sağlıklı diş dokusunu koruma ve çürük dentini yeterli miktarda kaldırma amacıyla uygulanmaktadır. Bu çalışmada, kemomekanik çürük temizleme tekniklerinin ve güncel gelişmelerin tartışılması amaçlanmıştır.

Anahtar Kelimeler: Koruyucu diş hekimliği; diş çürükleri, carisolv; papacarie
ABSTRACT
 Conventional caries removal technique is to remove decay with a steel or tungsten carbide burr attached to the micromotor after preparation of access cavity with a aerator. In the conventional caries removal technique, increasing caries removal speed causes destruction of dentin and removes dentin without distinguishing infected or healthy. As a result of these disadvantages, minimally invasive dentistry philosophy has emerged which makes restorative treatment possible with minimal damage to dental tissues. Minimally invasive dentistry is a selective caries removal method, in which dentin with remineralization potential, is preserved as much as possible and highly infected and irreversibly denatured dentin are removed. Chemomechanical caries removal technique is a technique in which the infected dentin is removed by softening with a chemical agent. In this technique, the discomfort caused by the use of burrs and local anesthesia is eliminated, healthy dental tissue is protected, and the patient is treated more comfortably. Various agents have been introduced in the method from past to present chemomechanical caries removal, but only a few have entered clinical practice. The chemomechanical caries removal method is based on the concept of minimally invasive dentistry. This technique is used in fearful patients to protect healthy dental tissue and remove dental caries in sufficient quantity without using a rotary instrument. In this review, chemomechanical decay techniques and current developments will be discussed.

Keywords: Preventive dentistry; dental caries; carisolv; papacarie
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