İhmal Edilmiş Periapikal Lezyonun Hızlı İyileşmesi: Bir Vaka Raporu
Endodontik lezyonun iyileşme süreci için mikroorganizmaların kök kanal sisteminden tamamen elimi- ne edilmiş olması hayati önem taşımaktadır. Bununla birlikte, bazı bakteri türleri kök kanal yıkama solusyonlarına direnç gösterebilmekte ve dentin tübüllerinde yıllarca yaşayarak kalıcı periradiküler lezyonlara neden olabilmektedir. Derinlere inebilen ve çok etkin dezenfeksiyon yeteneğine sahip olmaları nedeniyle son on yılda diyot lazerler, lazer destekli endodonti işlemlerinde yaygın olarak kabul görmüştür. Bu vaka raporu, geleneksel kök kanal tedavi prosedürleri ile birlikte kanal içi lazer dezenfeksiyonu yapılması sonucunda periapikal bir lezyonun hızlı iyileşmesini sunmaktadır.
Anahtar Kelimeler:
Periapikal periodontitis, diyot lazerler, kök kanal tedavisi, dezenfeksiyon, tedavi sonucu
Fast Healing of a Neglected Periapical Lesion
Complete elimination of microorganisms from the root canal system is crucial for the healing process of an endodontic lesion. Nevertheless, some species of bacteria can cope with root canal irrigants, survive in the dentinal tubules for years and cause persistent periradicular lesions. In the last decade, diode lasers received wide acceptance in laser-supported endodontics because of their impactful and deep-reaching disinfection ability. This case report presents the fast healing of a periapical lesion as a result of performing intra-canal laser disinfection in conjunction with conventional root canal treatment procedures.
Keywords:
Periapical periodontitis, Diode lasers, Root Canal Therapy, Disinfection, Treatment outcome,
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- 1. Setzer, Frank C., et al. Long-Term Prognosis of Endodontically Treated Teeth: A Retrospective Analysis of Preoperative Factors in Molars. J Endod 2011; 37: 21–25.
- 2. Berutti E. Penetration Ability of Different Irrigants into Dentinal Tubules. AAE 1997; 23:725–727.
- 3. Nair PN, Sjögren U, Krey G, Kahnberg KE, Sundqvist G. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. J Endod 1990; 16(12):580–8.
- 4. Fouad AF, Zerella J, Barry J, Spangberg LS. Molecular detection of Enterococcus species in root canals of therapy-resistant endodontic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99: 112-8.
- 5. Figdor, D, Davies JK, Sundqvist G. Starvation Survival, Growth and Recovery of Enterococcus faecalis in Human Serum. Oral Microbiol Immunol 2003; 18: 234–239.
- 6. Vatkar NA, Hegde V, Sathe S. Vitality of Enterococcus faecalis inside Dentinal Tubules after Five Root Canal Disinfection Methods. J Conserv Dent 2016; 19: 445–449.
- 7. Gutknecht N, Franzen R, Schippers M, Lampert F. Bactericidal effect of a 980-nm diode laser in the root canal wall dentin of bovine teeth. J Clin Laser Med Surg. 2004 Feb; 22: 9-13.
- 8. Rossi A, Silva LAB, Leonardo MR, Rocha LB, Rossi MA. Effect of rotary or manual instrumentation, with or without a calcium hydroxide 1% chlorhexidine intracanal dressing, on the healing of experimentally induced chronic periapical lesions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 628-36.
- 9. Fabricius, L., Dahlén, G., Sundqvist, G., Happonen, R.-P. and Möller, Å.J.R. (2006), Influenc of residual bacteria on periapical tissue healing after chemomechanical treatment and root filling of experimentally infected monkey teeth. Eur. J. Oral Sci, 114: 278 285.
- 10. Chávez De Paz LE, Dahlén G, Molander A, Möller A, Bergenholtz G. Bacteria recovered from teeth with apical periodontitis after antimicrobial endodontic treatment. Int Endod J. 2003; 36: 500-508.
- 11. Parirokh, Masoud. Effect of 808 nm Diode Laser Irradiation on Root Canal Walls after Smear Layer Removal: A Scanning Electron Microscope Study. IEJ, vol. 2, no. 2, 2007, pp. 37–42.
- 12. Humud R, Kahler WA, Walsh LJ. Temperature changes accompanying near infrared diode laser endodontic treatment of wet canals. J Endod 2010; 36: 908–911.
- 13.da Costa Ribeiro A, Nogueira GE, Antoniazzi JH, Moritz A, Zezell DM. Effects of diode laser (810 nm) irradiation on root canal walls: thermographic and morphological studies. J Endod. 2007; 33: 252-255
- 14. Trišić, Dijana, Ćetenović, Bojana, Jovanović, Igor, Gjorgievska, Elizabeta, Popović, Branka and Marković, Dejan. "Diode Laser Irradiation in Endodontic Therapy through Cycles - in vitro Study" B.J.D.M, vol.21, no.2, 2017, pp.108-111.
- 15.Alfredo E, Marchesan MA, Sousa-Neto MD, Brugnera-Júnior A, Silva-Sousa YT. Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent. 2008 Jul;36(7):529-34.
- 16. Jyotsna, Sistla Venkata. Effect of Diode Laser on Bacteria Beyond the Apex in Relation to the Size of the Apical Preparation – An In-Vitro Study. J Clin Diag Res 2016;10: 63-65.
- 17. Henry A. Bartels, Irving J. Naidorf, Harry Blechman, A study of some factors associated with endodontic "flare-ups", Oral Surg, Oral Med, Oral Patho,Volume 25, Issue 2,1968, Pages 255-261,ISSN 0030-4220.
- 18. Genc Sen O, Kaya M. Effect of Root Canal Disinfection with a Diode Laser on Postoperative Pain After Endodontic Retreatment. Photobiomod Photomed Laser Surg 2019; 37: 85–90
- ISSN: 2149-5572
- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2015
- Yayıncı: İstanbul Aydın Üniversitesi
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