Özge TURAN, Elçin TEKİN BULUT, Evcim ÇEKER

PERİODONTAL PERFORASYONA SAHİP BİR İNTERNAL KÖK REZORPSİYONUNUN MULTİDİSİPLİNER TEDAVİSİ: BİR OLGU BİLDİRİMİ

Bu olgu bildiriminin amacı, periodontal dokulara açıldığı belirlenen bir internal rezorpsiyona sahip bir sağ üst santral kesici dişin endodontik cerrahi tedavisinin sunulmasıdır. On yedi yaşında, herhangi bir sistemik hastalığı olmayan erkek hasta sağ üst santral kesici dişindeki estetik yetersizlik şikâyeti ile İnönü Üniversitesi Diş Hekimliği Fakültesi Endodonti Kliniğine başvurdu. Klinik ve radyografik muayene sonrasında dişe daha önce kök kanal tedavisi başlandığı tespit edildi. Ayrıca kök kanalında internal rezorpsiyon ve periapikal lezyon varlığı tespit edildi. Kronik apikal periodontitis teşhisi kondu. İlk seansta kök kanalında aşırı bir kanama mevcuttu. Endodontik cerrahi planlandı. Tam kalınlıklı mucoperiosteal flep kaldırıldı. Granülasyon dokusu uzaklaştırıldı ve kanama kontrol altına alındı. Perforasyon alanı ve kök kanalı biyouyumlu bir material kullanılarak kapatıldı.

Anahtar Kelimeler:

Biyouyumlu Materyaller, Dişlerde Yaralanmalar, Kök Kanal Tedavisi, Kök Rezorpsiyonu, Oral Cerrahi.

MULTIDISCIPLINARY MANAGEMENT OF INTERNAL ROOT RESORPTION WITH PERIODONTAL PERFORATION: A CASE REPORT

The purpose of this case report is to present the endodontic surgical treatment of a right maxillary central incisor with an internal resorption which has perforation to periodontal tissues. A seventeen-year-old male patient, with no systemic disease, applied to Inonu University, Faculty of Dentistry endodontic clinic with the complaint of aesthetic dissatisfaction in his maxillary right central incisor tooth. After clinical and radiographic examination, it was determined that root canal treatment was started before. In addition, the presence of internal resorption in the root canal and the periapical lesion was detected. A diagnosis of chronic apical periodontitis was made. In the first session, there was excessive bleeding in the root canal. Endodontic surgery was planned. The full-thickness mucoperiosteal flap was elevated. Granulation tissue was removed and bleeding was controlled. The perforation area and the root canal were sealed using a biocompatible material.

Keywords:

Biocompatible Materials, Oral Surgery, Root Canal Therapy, Root Resorption, Teeth Injuries.,

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