Mine BOZKURT, Canan DAĞ, Mustafa DAĞ, Nurhan ÖZALP

Geniş Periapikal Lezyonlu Dişlerin Cerrahi Olmayan Yöntemle Tedavisi

Endodontik kaynaklı periapikal lezyonlar, devital pulpaya karşı verilen enflamatuvar cevap sonucu ortaya çıkmaktadırlar. Geniş periapikal lezyonlu dişlerin tedavisi; cerrahi olmayan ortograd kök kanal tedavisinden, apikal cerrahiye hatta çekime kadar değişmektedir. İlk seçenek olarak bu dişlerin tedavisinin cerrahi gerektirmeyen kök kanal tedavisi ile yapılması gerektiği düşünülmekte ve kanal içi medikaman olarak kullanılan kalsiyum hidroksitle Ca OH yapılan endodontik tedavinin, uzun dönem takiplerde başarılı sonuçlar verdiği bildirilmektedir. Aynı zamanda cerrahi işlemler çocuk hastalar için her yönden daha travmatik olmakta ve sağlıklı dokulara zarar verme riski bulunmaktadır. Bu olgu sunumunda; özellikle adolesanlarda ortaya çıkabilecek geniş periapikal lezyonlu dişlerde, ara seanslarda Ca OH 2 kullanılarak yapılan ortograd kök kanal tedavisinin etkin bir yöntem olarak uygulanabileceğini 4 olguyla açıklamak amaçlanmıştır. En az bir yıl takip süresi sonucunda bu dişlerin, cerrahi müdahale gerekmeksizin geleneksel kök kanal tedavisi ve kanal içi medikaman olarak kalsiyum hidroksit uygulaması ile uzun bir süre almasına rağmen tedavi edilebileceği sonucuna varılmıştır

Anahtar Kelimeler:

Geniş periapikal lezyon, cerrahi olmayan kök kanal tedavisi, kalsiyum hidroksit, Ca OH

Non-Surgical Treatment of Teeth with Large Periapical Lesions

Periapical lesions generally ocur as a result of an inflammatory response against the non-vital pulp. Treatment options include non-surgical root canal treatment, apical surgery and extraction. Recently, investigators consider that inflammatory periapical lesions must be treated with non-surgical root canal treatment by using Ca OH 2 as an intracanal medicament primarily with a long-term success. At the same time, surgical intervention can be more traumatic for children and has risk of damage to healthy tissue.The aim of the present case series is to show that the orthograde root canal treatment with using Ca OH 2between the session is effective treatment method for the teeth with large periapical lesion, especially in adolescence. The teeth with large periapical lesion teeth can be successfuly treated with traditional root canal treatment by using Ca OH 2 as an intracanal medicament. Despite taking a longer time the presented technique eliminates the need for surgical intervention

Keywords:

Large periapical lesion, non-surgical root canal treatment, calcium hydroxide, Ca OH 2,

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