AKUT APİKAL PERİODONTİTİSİN TEDAVİSİNDE FARKLI TAŞIYICILARLA HAZIRLANAN KALSİYUM HİDROKSİT ESASLI MEDİKAMANLARIN POSTOPERATİF AĞRI ÜZERİNE ETKİSİ

Çalışmamızın amacı akut apikal periodontitisli hastaların endodontik tedavilerinde farklıtaşıyıcılar ile hazırlanan kalsiyum hidroksit esaslıkök kanal medikamanlarının postoperatif ağrıüzerine etkisini incelemektir. Çalışmamız akutapikal periodontitis teşhisi konulan tek köklüdişlere sahip 60 hasta üzerinde yürütülmüştür. Kökkanal preparasyonu "crown-down" tekniği ile ProTaper kullan›larak gerçekleştirilmiştir. Hastalar rastgele 3 gruba ayr›lm›şt›r. Kalsiyum hidroksit tozu distile su, %2 klorheksidin glukonat ve Ultrakain ile pat haline gelinceye kadar kar›şt›r›lm›ş ve haz›rlanan pat kök kanal›na yerleştirilmiştir. Hastan›n başlang›ç, 24, 48 saat ve 7 gün sonraki ağr› skorlar› kaydedilmiştir. Veriler X2 testi kullan›larak değerlendirildi. Başlang›ç, 24 saat, 48 saat ve 7 gün sonraki elde edilen ağr› skorlar›n›n değerlendirildiğinde kalsiyum hidroksit esasl› kök kanal medikamanlar› aras›nda istatistiksel olarak anlaml› bir farkl›l›k tespit edilmemiştir p>0.05 . Sonuç olarak çal›şmam›zda test edilen medikamanlar 7 gün sonunda postoperatif ağr›n›n eliminasyonunda etkin bulunmuştur.

Effect of Calcium Hydroxide Medicaments Prepared with Different Vehicles on Postoperative Pain in Treatment of Acute Apical Periodontitis

The aim of our study was to evaluate the effectof calcium hydroxide medicaments prepared withdifferent vehicles on postoperative pain in treatment of acute apical periodontitis. Study was performed on 60 patients who had single rooted teethwhich was diagnosed acute apical periodontitis.Root canals were prepared using crown-down technique with ProTaper. Patients were randomly divided 3 groups. Root canals medicated with calciumhydroxide pastes which was prepared with distilledwater, 2% chlorhexidine glukonate, and ultracaine.Pain scores of initials, after 24, 48 hours, and 7days were recorded. The data were analyzed usingX2test. When pain scores of initials, after 24, 48hours, and 7 days were evaluated, there were nostatistically significant differences among groups.As a result, the medicaments tested were effectiveelimination of postoperative pain after 7 days

___

  • Nair PNR. Pathobiology of the periapex. In Cohen S, Burns RC. Pathways of the pulp. 8th ed. St. Louis: CV Mosby Co, 2002; 457-500.
  • Marshall FJ. Planning endodontic treatment. Dent Clin North Am 1979; 23: 495-518.
  • Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TS. Factors asso- ciated with endodontic interappointment emergen- cies of teeth with necrotic pulps. J Endod 1988;14:261–6.
  • Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J 1995;28:261–5.
  • Seltzer S, Naidorf IJ. Flare-ups in endodon- tics: I. Etiological factors. J Endodon 1985;11:472–8.
  • Byström A, Claesson R, Sundqvist G. The antibacterial effect of camphorated paramono- chlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1985;1:170-5.
  • Tornstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. pH changes in dental tissues after root canal filling with calcium hydroxide. J Endod 1981;7:17-21.
  • Hasselgren G, Olsson B, Cvek M. Effects of calcium hydroxide and sodium hypochlorite on the dissolution of necrotic porcine muscle tissue. J Endod 1988;14:125-7.
  • Siqueira JF Jr, de Uzeda M. Intracanal medi- cations: evaluation of the antibacterial effects of chlorhexidine, metranidazole, and calcium hydro- xide associated with three vehicles. J Endod 1997;23:167-9.
  • Solak H, Özten MD. The pH changes of four different calcium hydroxide mixtures used for intracanal medication. J Oral Rehabil 2003;30:436-9.
  • Fava LRG, Saunders WP. Calcium hydro- xide pastes: classification and clinical indications. Int Endod J 1999;32:257-82.
  • Fava LRG. One appointment root canal treatment: incidence of post-operative pain using a modified double-flared technique. Int Endod J 1991; 24: 258-62.
  • Fava LRG. Single visit root canal treat- ment: incidence of post-operative pain using three different instrumentation techniques. Int Endod J 1995; 28: 103-7.
  • Al-Omari MA, Dummer PMH. Canal blockage and debris extrusion with eight preparation techniques. J Endod 1995;21:154–8.
  • Siqueira JF, Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JCM, Abat EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002; 28: 457-60.
  • Chong BS, Pitt Ford TR. The role of intra- canal medication in root canal treatment. Int Endod J 1992; 25: 97-106.
  • Orstavik D. Antibacterial properties of endodontic materials. Int Endod J 1988; 21: 161-9
  • Flahaut S, Hartke A, Giard J-C, Auffray Y. Alkaline stress response in Enterococcus faecalis: adaptation, cross-protection, and changes in protein synthesis. Appl Environ Microbiol 1997; 63: 812-4.
  • Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32:361-9.
  • Souza V, Bernabe PFE, Holland R. Tratamento nao cirurgico das lesoes periapicais. Rev Bra Odonto 1989; 46: 39-46 In Fava LRG. Acute apical periodontitis: incidence of post-operative pain using two different root canal dressings. Int Endod J 1998; 31: 343-7.
  • Pacios MG, de la Casa ML, Bulacio MA, Lopez ME. Influence of different vehicles on the pH of calcium hydroxide pastes. J Oral Sci 2004;46:107- 11.
European Annals of Dental Sciences-Cover
  • Yayın Aralığı: Yıllık
  • Başlangıç: 1972
  • Yayıncı: Ankara Üniversitesi
Sayıdaki Diğer Makaleler

POSTERİOR KOMPOZİT VE AMALGAMLA RESTORE EDİLMİŞ ENDODONTİK TEDAVİLİ MAKSİLLER PREMOLAR DİŞLERİN KIRILMAYA DAYANIKLILIĞI

Özgür İlke Atasoy ULUSOY, Güliz GÖRGÜL, Özgür GENÇ, Cenker KÜÇÜKEŞMEN

KRON-KÖPRÜ RESTORASYONLARINDA SEKONDER ÇÜRÜĞÜN RADYOLOJİK VE KLİNİK OLARAK DEĞERLENDİRİLMESİ

Rana NALÇACI, İlgi BARAN, Ebru OLGUN ERDEMİR

PREMOLAR DİŞLERİN KÖK KANAL SAYILARININ FARKLI HIZDAKİ FİLMLER VE BİR DİJİTAL GÖRÜNTÜLEME SİSTEMİYLE RADYOGRAFİK OLARAK DEĞERLENDİRİLMESİ

Kamran GÜLŞAHI, Ayşe GÜLŞAHI, A.r. İlker CEBECİ, Kıvanç KAMBUROĞLU

FARKLI İKİ YAPIDA MEMBRAN KULLANILARAK GERÇEKLEŞTİRİLEN YÖNLENDİRİLMİŞ DOKU REJENERASYONU TEKNİĞİNİN 5 YILLIK KLİNİK SONUÇLARININ DEĞERLENDİRİLMESİ

Hilal Uslu TOYGAR, M. Nejat ARPAK, Esra GÜZELDEMİR

TEMEL METAL VE KOR ALT YAPI ÜZERİNE FARKLI KALINLIKLARDA HAZIRLANAN DÜŞÜK ISI PORSELENİNİN RENK STABİLİTESİNİN ESKİTME SONRASI KARŞILAŞTIRILMASI

Evrim DOĞAN, Ali ZAİMOĞLU

KÖK KANAL BOYU TESPİTİNDE FARKLI DİJİTAL GÖRÜNTÜLERİN İN VİTRO OLARAK KARŞILAŞTIRILMASI

Ali Çağın YÜCEL, Ebru ÖZSEZER, Ata ÇAĞLAYAN

ORTODONTİ-KONSERVATİF TEDAVİ İŞBİRLİĞİ İLE ESTETİK YAKLAŞIMLAR İKİ OLGU NEDENİYLE

Neslihan ARHUN, Ayça ARMAN

PAPILLON-LEFEVRE SENDROMU İLE İLİŞKİLİ PERİODONTİTİS OLGUSU: 1 YILLIK TAKİP

Onur ÖZÇELİK, M. Cenk HAYTAC

AKUT APİKAL PERİODONTİTİSİN TEDAVİSİNDE FARKLI TAŞIYICILARLA HAZIRLANAN KALSİYUM HİDROKSİT ESASLI MEDİKAMANLARIN POSTOPERATİF AĞRI ÜZERİNE ETKİSİ

Ali Çağın YÜCEL, Ebru ÖZSEZER, Fikret YILMAZ