.: OLGU SUNUMU
İmmatür Devital Daimi Molar Dişte Rejeneratif Tedavi Uygulaması
Regenerative Endodontic Therapy of Immature Permanent Molars with Pulp Necrosis
Turkiye Klinikleri J Dental Sci. 2022;28(1):232-6
doi: 10.5336/dentalsci.2020-80638
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Rejeneratif endodontik tedavi (RET), pulpa-dentin kompleksini rejenere etmeyi amaçlayan bir tedavi şeklidir. Bu tedavi, devital immatür dişlerde uygulanmaktadır. Devital immatür daimi dişlerin endodontik tedavisi; ince, kırılgan diş duvarlarına sahip kısa kökler nedeniyle diş hekimleri için zorlayıcı bir tedavi olarak görülmektedir. Bu olgu sunumunun amacı, devital immatür daimi dişe rejenerasyon tedavisi uygulayarak, klinik ve radyografik sonuçlarının takip edilmesidir. Olgumuzda, sağ alt 1. büyük azı dişine rejenerasyon tedavisi uygulanarak, klinik ve radyografik takibi sağlanmıştır. On sekiz aylık takip periyodu sonucunda, periapikal lezyonun iyileştiği, kök gelişiminin devam ettiği tespit edilmiştir. RET, son yıllarda yaygın olarak uygulanan tedavi seçeneği olmasına rağmen bu konuda daha çok çalışma yapılmasına gerek vardır.
Anahtar Kelimeler: Rejeneratif endodonti; mineral trioksit agregat; diş
Rejeneratif endodontik tedavi (RET), pulpa-dentin kompleksini rejenere etmeyi amaçlayan bir tedavi şeklidir. Bu tedavi, devital immatür dişlerde uygulanmaktadır. Devital immatür daimi dişlerin endodontik tedavisi; ince, kırılgan diş duvarlarına sahip kısa kökler nedeniyle diş hekimleri için zorlayıcı bir tedavi olarak görülmektedir. Bu olgu sunumunun amacı, devital immatür daimi dişe rejenerasyon tedavisi uygulayarak, klinik ve radyografik sonuçlarının takip edilmesidir. Olgumuzda, sağ alt 1. büyük azı dişine rejenerasyon tedavisi uygulanarak, klinik ve radyografik takibi sağlanmıştır. On sekiz aylık takip periyodu sonucunda, periapikal lezyonun iyileştiği, kök gelişiminin devam ettiği tespit edilmiştir. RET, son yıllarda yaygın olarak uygulanan tedavi seçeneği olmasına rağmen bu konuda daha çok çalışma yapılmasına gerek vardır.
Anahtar Kelimeler: Rejeneratif endodonti; mineral trioksit agregat; diş
ABSTRACT
Regenerative endodontic treatment (RET) is a form of treatment that aims to regenerate the pulp-dentin complex. This treatment is applied to devital immature teeth. Endodontic treatment of devital immature permanent teeth is seen as a challenging treatment for dentists due to short roots with thin, fragile tooth walls. The aim of this case report is to follow the clinical and radiographic results by applying regeneration therapy to the devital immature permanent tooth. In our case report, regeneration treatment was applied to the right lower 1st molar tooth, and clinical and radiographic follow-up was provided. At the end of the 18-month follow-up period, it is seen that the periapical lesion has healed and the root development continues. Although RET has been widely used in recent years, more studies are needed on this subject.
Keywords: Regenerative endodontics; mineral trioxide aggregate; tooth
Regenerative endodontic treatment (RET) is a form of treatment that aims to regenerate the pulp-dentin complex. This treatment is applied to devital immature teeth. Endodontic treatment of devital immature permanent teeth is seen as a challenging treatment for dentists due to short roots with thin, fragile tooth walls. The aim of this case report is to follow the clinical and radiographic results by applying regeneration therapy to the devital immature permanent tooth. In our case report, regeneration treatment was applied to the right lower 1st molar tooth, and clinical and radiographic follow-up was provided. At the end of the 18-month follow-up period, it is seen that the periapical lesion has healed and the root development continues. Although RET has been widely used in recent years, more studies are needed on this subject.
Keywords: Regenerative endodontics; mineral trioxide aggregate; tooth
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