Başarısız Olmuş Apikal Cerrahi Sonrası Cerrahi Olmayan Retreatment ve Apeksifikasyon: İki Olgu Sunumu

Bu olgu sunumunun amacı; geçmişte apikal rezeksiyon uygulanmış, ancak ortograd ve retrograd endodontik tedavi ile apikal bölgede iyileşme sağlanamamış iki daimi kesici dişin apeksifikasyonu süresince kullanılan iki farklı yöntemin ve bu yöntemlerin iki yıllık tedavi sonuçlarının sunulmasıdır. Sert doku bariyeri birinci olguda mineral tiroksit agregat (MTA) kullanılarak ortograt yöntemle, ikinci olguda ise kalsiyum hidroksit (KH) kullanılarak oluşturulmuştur. Her iki olgunun iki yıllık takipleri tamamlanmış ve dişlerin klinik olarak asemptomatik olduğu, radyolojik incelemede periodontal dokuların sağlıklı ve fonksiyon görür durumda olduğu gözlenmiştir

Non-Surgical Retreatment And Apexification Of A Failed Apicoectomy: Case Report

The aim of the present case presentation was to evaluate the treatment outcome of two-apexification methods to treat incisor teeth which were previously treated surgically involving the apical thirds but poorly healed either after orthograde or retrograde endodontic treatment after 2-years. In the first case report, apical hard tissue barrier was formed using mineral trioxit aggregate (MTA), and calcium hidroxide was used regarding the same reason in the second case. Both cases were followed for two-years and teeth were asymptomatic clinically and in addition periodontal tissues were healthy and in function

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1. Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am 2010; 54: 313-24.
2. Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006; 22: 154- 6.
3. Huang JGT. Apexification: the beginning of its end. Int Endod J 2009;42: 855-66.
4. Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a rootcanal dressing may increase risk of root fracture. Dent Traumatol 2002;18: 134–7.
5. Çalışkan MK, Türkün M. Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 683-687.
6. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod 2010;36:16-27.
7. Lee SJ, Monsef M, Torabinaj M. Sealing ability of mineral trioxide aggregate for repair of lateral root perforations. J Endod 1993; 19: 551-4.
8. Reyes DA, Munoz ML, Martın AT. Study of calcium hydroxide apexification in 26 young permanent incisors. Dent Traumatol 2005; 21: 141- 145.
9. Sarris S, J.F. Tahmassebi, M.S. Duggal, I.A. Cross A clinical evaluation of mineral trioxide aggregate for root-end closure of non-vital immature permanent incisors in children: a pilot study. Dent Traumatol 2008; 24: 79–85.
10. Ørstavik D. Time-course and risk analyses of the development and healing of chronic apical periodontitis in man. Int Endod J 1996; 29: 150–5
11. Song M, Shin SJ, Kim E. Outcomes of endodontic micro-resurgery: A prospective clinical study. J Endod 2011; 37: 316-320.
12. Fava, L.R.G. Calcium hyroxide in endodontic retreatment after two nonsurgical and two surgical failures: Report of a case . Int Endod J 2001; 34: 72- 80.
13. Chalfin, H., M.Kellert and P.Weseley. Postsurgical endodontics.. J Endod 1993; 19: 307-311.
14. Moiseiwitch, J.D.R and M. Trope. Nonsurgical root canal therapy treatment with apparent indications for root-end surgery. Oral Surg.Oral Med.Oral Pathol.Oral Radiol. Endod 1998; 86: 335-340.
15. Economides N., Vouzara T. Non-surgical endodontic retreatment after unsuccessful apicectomy: A case report Balkan Journal of Stomatology 2011 :15 ; 166- 170.
16. Frank AL. Therapy for the divertgent pulpless tooth by continued apical formation. J Am Dent Assoc 1966; 72: 87-93.
17. Metzger Z, Solomonov M, Mass E. Calcium hydroxide retention inwide root canals with flaring apices. Dent Traumatol 2001;17: 86-92.
18. Pace R, Giuliani V, Pini Prato L, Baccetti T, Pagavino G. Apical plug technique using mineral trioxide aggregate: results from a case series. Int Endod J 2007; 40: 478-484.
19. Simon S, Rilliard F, Berdal A, Machtou P. The use of mineral trioxide aggregate in one-visit apexsification treatment: a prospective study. Int Endod J 2007; 40: 186-197.
20. 20.Katebzadeh N, Dalton BC, Trope M. Strengthening immature teeth during and after apexification. J Endod 1998; 24: 256-9.
21. Pene JR, Nichols JI, Harrington GW. Evaluation of fiber-composite laminate in the restoration of immature, nonvital maxillary incisors. J Endod 2001; 27: 18–2.
22. Shabahang S, Torabinejad M, Boyne PP, Abedi H, McMillan P. A comparative study of root-end induction using osteogenic protein-1, calcium hydroxide, and mineral trioxide aggregate in dogs. J Endod 1999; 25: 1-5.