İATROJENİK BİR ENDODONTİK KOMPLİKASYONUN TEDAVİSİ: OLGU SUNUMU
Endodontik tedavi sırasında hekimin tecrübesizliği ve dikkatsizliği nedeniyle çeşitli komplikasyonlar meydana gelebilmektedir. İatrojenik kök perforasyonları da bunlardan birisidir. Bu perforasyonların tedavisinde iyi bir teşhis ve anamnezin yanı sıra hekimin klinik tecrübesi de önemlidir. Ayrıca tedavide kullanılacak olan materyalin ideal bir tıkama sağlaması, biyouyumlu olması ve dayanıklı olması gerekmektedir. Bir çok çalışmada Mineral Trioksit Aggregat’ın (MTA) bu özelliklere sahip olduğu rapor edilmiştir. Bu olgu sunumunda bir iatrojenik perforasyonun MTA kullanılarak tedavisi anlatılmaktadır.
Treatment of an Iatrogenic Endodontic Complication: Case Report
During endodontic treatment various complications may occur because of dentist’s inexperienced ness and carelessness. Iatrogenic root perforation is one of these. Dentist’s experience is important to care these complications as well as sufficient diagnosis and anamnesis. In addition, the material to be used in treatment should be biocompatible, durable and supply an ideal plugging of perforation area. Mineral trioxide aggregate (MTA) has been reported to have these properties in several studies. In this case report, using MTA, the treatment of an iatrogenic perforation is described.
___
- 1. Adebayo ET, Ahaji LE, Nnachetta RN, et al. Technical quality of root canal fillings done in a Nigerian
general dental clinic. BMC Oral Health 2012;
12:42.
- 2. Lin LM, Skribner JE, Gaengler P. Factors associated
with endodontic treatment failures. J Endod 1992;
18:625-627.
- 3. Nair PN, Sjogren U, Figdor D, Sundqvist G. Persistent periapical radiolucencies of root-filled human
teeth, failed endodontic treatments, and periapical
scars. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 1999; 87:617-627.
- 4. Siqueira JF, Jr. Aetiology of root canal treatment
failure: why well-treated teeth can fail. Int Endod J
2001; 34:1-10.
- 5. Nair PN. On the causes of persistent apical periodontitis: a review. Int Endod J 2006; 39:249-281.
- 6. Lin LM, Ricucci D, Lin J, Rosenberg PA. Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical
cysts. J Endod 2009; 35:607-615.
- 7. Adiga S, Ataide I, Fernandes M, Adiga S. Nonsurgical approach for strip perforation repair using
mineral trioxide aggregate. J Conserv Dent 2010;
13:97-101.
- 8. Mente J, Hage N, Pfefferle T, et al. Treatment outcome of mineral trioxide aggregate: repair of root
perforations. J Endod 2010; 36:208-213.
- 9. Alhadainy HA. Root perforations. A review of literature. Oral Surg Oral Med Oral Pathol 1994;
78:368-374.
- 10. Kaufman AY, Keila S. Conservative treatment of
root perforations using apex locator and thermatic compactor--case study of a new method. J
Endod 1989; 15:267-272.
- 11. Fuss Z, Trope M. Root perforations: classification
and treatment choices based on prognostic factors. Endod Dent Traumatol 1996; 12:255-264.
- 12. Torabinejad M. Clinical applications of mineral
trioxide aggregate. Alpha Omegan 2004; 97:23-31.
- 13. Allam CR. Treatment of stripping perforations. J
Endod 1996; 22:699-702.
- 14. Meister F, Lommel TJ, Gerstein H, Davies EE. Endodontic perforations which resulted in alveolar
bone loss. Report of five cases. Oral Surg Oral Med
Oral Pathol 1979; 47:463-470.
- 15. Ahangari Z, Karami M. Evaluation of the sealing
ability of amalgam, MTA, Portland sement and
coltozol in the repair of furcal perforations. Iran
Endod J 2006; 1:60-64.
- 16. Alhadainy HA, Himel VT. Evaluation of the sealing
ability of amalgam, Cavit, and glass ionomer cement in the repair of furcation perforations. Oral
Surg Oral Med Oral Pathol 1993; 75:362-366.
- 17. Main C, Mirzayan N, Shabahang S, Torabinejad M.
Repair of root perforations using mineral trioxide
aggregate: a long-term study. J Endod 2004; 30:80
-83.
- 18. Torabinejad M, Eby WC, Naidorf IJ. Inflammatory
and immunological aspects of the pathogenesis of
human periapical lesions. J Endod 1985; 11:479-
488.
- 19. Torabinejad M, Hong CU, McDonald F, Pitt Ford
TR. Physical and chemical properties of a new root
-end filling material. J Endod 1995; 21:349-353.
- 20. Mozayeni MA, Milani AS, Marvasti LA, Asgary S.
Cytotoxicity of calcium enriched mixture cement
compared with mineral trioxide aggregate and
intermediate restorative material. Aust Endod J
2012; 38:70-75.
- 21. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part
II: leakage and biocompatibility investigations. J
Endod 2010; 36:190-202.
- 22. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part
I: chemical, physical, and antibacterial properties.
J Endod 2010; 36:16-27.
- 23. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review-Part
III: Clinical applications, drawbacks, and mechanism of action. J Endod 2010; 36:400-413.
- 24. Seltzer S, Sinai I, August D. Periodontal effects of
root perforations before and during endodontic
procedures. J Dent Res 1970; 49:332-339.
- 25. Petersson K, Hasselgren G, Tronstad L. Endodontic
treatment of experimental root perforations in
dog teeth. Endod Dent Traumatol 1985; 1:22-28.
- 26. Torabinejad M, Ford TR, Abedi HR, Kariyawasam
SP, Tang HM. Tissue reaction to implanted rootend filling materials in the tibia and mandible of
guinea pigs. J Endod 1998; 24:468-471.
- 27. Koh ET, McDonald F, Pitt Ford TR, Torabinejad M.
Cellular response to mineral trioxide aggregate. J
Endod 1998; 24:543-547.
- 28. Thomson TS, Berry JE, Somerman MJ, Kirkwood
KL. Cementoblasts maintain expression of osteocalcin in the presence of mineral trioxide aggregate. J Endod 2003; 29:407-412.
- 29. Holland R, Filho JA, de Souza V, et al. Mineral trioxide aggregate repair of lateral root perforations. J
Endod 2001; 27:281-284.
- 30. Torabinejad M, Rastegar AF, Kettering JD, Pitt
Ford TR. Bacterial leakage of mineral trioxide
aggregate as a root-end filling material. J Endod
1995; 21:109-112.
- 31. Fischer EJ, Arens DE, Miller CH. Bacterial leakage
of mineral trioxide aggregate as compared with
zinc-free amalgam, intermediate restorative material, and Super-EBA as a ro