İzgen HACIOĞULLARI, Nuran ULUSOY, Esra CENGİZ

DERİN DENTİN ÇÜRÜKLERİNİN TEDAVİSİNDE ALTERNATİF YENİ YÖNTEMLER

Günümüzde modern diş hekimliği kapsamında, diş dokularının maksimum oranda korunması ve fonksiyon görmesi için minimal invaziv yöntemler uygulanmaktadır. G.V. Black tarafından tanımlanmış olan geleneksel görüşe bağlı kalınarak uygulanan derin dentin çürüğü tedavilerinde tüm çürük dokunun uzaklaştırılması, pulpanın perforasyonuna dolayısıyla endodontik girişimlere ve bazı durumlarda çekime neden olabilmektedir. Dişin ağızda kalma süresi, fonksiyonu ve prognozu açısından önemli bir etken olan pulpanın vitalitesinin daha uzun süre korunabilmesi amacıyla adeziv sistemler ve restoratif materyallerdeki yeni gelişmelerle günümüzde pek çok yeni tedavi yaklaşımı ve materyal geliştirilmiştir. Bu derlemede derin dentin çürüğü varlığında çürüğün uzaklaştırılmasındaki selektif yaklaşımlar, kavitenin dezenfeksiyonu, kuafaj uygulamaları ve derin dentin çürüğünün tedavisindeki güncel yaklaşımlar tartışılmıştır. Anahtar Kelimeler: Aşamalı Çürük Tedavisi, Derin Dentin Çürüğü, Dezenfeksiyon, Selektif Yaklaşımlar ALTERNATIVE NEW METHODS FOR THE TREATMENT OF DEEP DENTINE CARIES ABSTRACT Currently minimal intervention techniques are put into practice for the maximum preservation of tooth structure and function in modern dentistry. While treating deep dentine caries according to the traditional method defined by G.V. Black, removing all of the carious tissue can give way to perforation of the pulp, endodontic treatment or at some issues the extraction of the tooth. To protect the vitality of the pulp which is so important for the lifetime, function and prognose of a tooth, new methods and materials has been improved according to the increased understanding of the histology and phsyology of the dentin-pulp complex and the current developments of the adhesive resine systems and restorative materials. The selective caries removal techniques, disinfection of the cavity, the pulp capping methods and the currrent treatment methods used in the presence of a deep dentin caries were discussed in this review. Key words: Deep Dentine Caries, Disinfection, Selective Approaches, Stepwise-excavation

Anahtar Kelimeler:

Aşamalı Çürük Tedavisi, Derin Dentin Çürüğü, Dezenfeksiyon

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