Kök Kanal Tedavisi Başarısızlıklarında Retreatment

SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2006 Aralık; 13(4) Kök Kanal Tedavisi Başarısızlıklarında Retreatment Uygulamaları Bulem Üreyen Kaya, Ayşe Diljin Keçeci Özet Önceki kök kanal tedavisinin başarısız olduğuna karar verildiğinde kanal dolgusunun sökülüp yeniden yapılması retreatment. veya .revizyon. olarak adlandırılır. Retreatmentın başarısında vaka seçimi, uygun teknik ve ekipmanın yanı sıra prognozunun iyi değerlendirilmesi de etkili olur. Cerrahi yöntemlere başvurmadan önce endodontik olarak yapılabilecek ortograd girişimler manuel veya rotary aletlerin, sıcak kondansatörlerin ya da bunların çeşitli çözücülerle kombine kullanımı ile gerçekleştirilebilir. Bu çalışmada Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesine başvuran 8 hastada yapılan retreatment tedavileri ve 3 -24 ay arasındaki kontrolleri sunulmuştur. Kök kanalının yetersiz doldurulması, periradiküler bölgede lezyon varlığı, alet kırılmaları ve/veya hasta şikayetlerinin bulunması gibi nedenlerle, daha önceki tedavisi başarısız kabul edilen hastalara retreatment tedavileri uygulanmıştır. Doğru endikasyon sınırları içinde uygulanan retreatment tedavilerinin başarı oranlarını arttıracağı düşünülmektedir. Anahtar kelımeler: Kök kanalının yenilenmesi, başarısızlık, el aletleri, döner aletler. Abstract Retreatment of Failed Root Canal Therapy When the initial root canal therapy is defined as failed, the reperforming therapy following removal of the root filling is called .retreatment. or .revision.. The case selection, proper technique and equipment as well as detailed assessment of case prognosis affect the success of retreatment. Before applying surgical techniques, orthograd procedures performed endodontically can be realised using manual or rotary instruments, hot condansators or their combination with various solvents. This study presents the 3-24 months follow-up ofthe retreatment cases conducted on the patients who applied to the Dentistry Faculty of Suleyman Demirel University of Isparta. Key words: Retreatment, failure, manuel instruments, rotary instruments

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