İÇ KÖK REZORPSİYONUNUN TEDAVİSİNDE KONİK IŞINLI BİLGİSAYARLI TOMOGRAFİNİN ÖNEMİ: OLGU SUNUMU

Amaç: İç kök rezorpsiyonu, pulpa odasının içinden dentine doğru ilerleyen rezorpsiyon ile karakterize bir endodontik hastalıktır. Daimi dentisyonda nispeten nadir bir bulgudur ve altta yatan patoloji tam olarak anlaşılamamıştır. Bu makalenin amacı, bir iç rezorpsiyon olgusunda tanı, tedavi planlaması ve tedavi sonucunun değerlendirilmesinde konik ışınlı bilgisayarlı tomografik (CBCT) görüntülemenin kullanımını göstermektir. Gereç ve Yöntem: Bu raporda 47 yaşında bir bayan hastanın iç kök rezorpsiyonlu üst iki premolar dişinin tanısı, tedavisi ve takibinde konik ışınlı bilgisayarlı tomografinin kullanımı gösterilmektedir. İlgili dişlere kök kanal tedavisi yapılıp, 2 yıl takibi yapılmıştır. Bulgular: 2 yıllık takipte olgunun klinik ve radyografik bulguları tatmin edicidir. Sonuç: Şu anda intraoral radyografi endodontik hastalıkların tedavisinde tercih edilen görüntüleme tekniği olmasına karşın, CBCT görüntüleme endodontik tanı ve komplikasyonların tedavisinde daha üstün ve güvenilir gözükmektedir. Anahtar Kelimeler: Konik Işınlı Bilgisayarlı Tomografi, Dental Radyografi, İç Rezorpsiyon, Kök Kanal Tedavisi, Endodonti The Importance of Conical Beam Computed Tomography in the Treatment of Internal Root Resorption: Case Report Abstract Aim: Internal root resorption is an endodontic disease characterized by progressive resorption of dentin from the inside of the pulp chamber. It is a comparatively rare finding in the permanent dentition, and the underlying pathology is not fully understood. The purpose of this case report was to show the use of cone-beam computed tomographic (CBCT) imaging in the diagnosis, treatment planning, and assessing the outcome of treatment in an internal resorption case. Materials and Methods: This report defines the use of CBCT in the diagnosis, management and follow-up of two maxillary premolars with internal root resorption in a 47-year old female patient. Root canal treatment was applied to the relevant teeth and followed for 2 years. Results: At 2-year follow-up, clinical and radiographic findings of the case were satisfactory. Conclusion: Currently, intraoral radiography is the imaging technique of choice for the management of endodontic disease, but CBCT imaging appears to have a superior validity and reliability in the management of endodontic diagnosis and complications. Key words: Cone Beam Computed Tomography, Dental Radiography, Internal Resorption, Root Canal Treatment, Endodontics

Anahtar Kelimeler:

Konik Işınlı Bilgisayarlı Tomografi, Dental Radyografi, Kök Kanal Tedavis

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