Mandibulada Kist Benzeri Geniş Periapikal Lezyonun Cerrahi Olmayan Endodontik Tedavisi
Pulpa dokusunun; çürük, dental işlemler veya travma gibi nedenlerle enfekte olması öncelikle pulpa sağlığının yitirilmesine sonrasında ise pulpa nekrozuna neden olur. Nekroz sonrası oluşan mediatörler periapikal bölgedeki immün cevabı tetikleyerek periapikal lezyon gelişmesine neden olabilir. Kist benzeri geniş periapikal lezyonlu dişlerin tedavi seçenekleri endodontik tedavi, endodontik tedavi ile birlikte cerrahi tedavi ya da dişin çekimidir. Geçmişte, büyük periapikal lezyonlar genellikle lezyonlu dişin veya dişlerin kök kanal tedavisiyle birlikte kistik lezyonun da cerrahi olarak çıkartılması ile tedavi ediliyordu. Ancak son yıllarda, kök kanal sistemlerinin morfolojik farklılıkları hakkında daha fazla bilgi sahibi olunması ve endodonti alanındaki gelişmeler sonucunda kist benzeri büyük lezyonlu dişlerin tedavisinde artık daha az oranda cerrahi tedaviye ihtiyaç duyulmaktadır. Bu vaka raporunda; sol alt mandibular bölgesinde kist benzeri geniş periapikal lezyonu bulunan hastanın cerrahi olmayan endodontik tedavisi sonucunda sağlanan başarılı iyileşme sunulmaktadır.
Anahtar Kelimeler:
Kalsiyum hidroksit, Kist benzeri lezyon, Kök kanal tedavisi
Non-Surgical Endodontic Treatment of Large Cyst-Like Periapical Lesion in the Mandibula
The infection of pulp tissue because of caries, dental procedures or trauma firstly causes loss of pulp health and pulp necrosis then. The mediators formed after necrosis may trigger the immune response in the periapical region and cause the development of periapical lesions. Treatment options for teeth with cyst-like large periapical lesions are endodontic treatment, surgical treatment combined with endodontic treatment, or tooth extraction. In the past, large periapical lesions were usually treated by surgical removal of the cystic lesion along with root canal treatment. However, in recent years, as a result of more knowledge about the morphological differences of root canal systems and developments in the field of endodontics, surgical treatment is needed at a lesser rate in the treatment of teeth with cyst-like large lesions nowadays. In this case report; the successful management of a patient with a large cyst-like periapical lesion in the left lower mandibular region as a result of non-surgical endodontic treatment is presented.
Keywords:
Calcium hydroxide, Cyst-like lesion, Root canal treatment,
___
- Çalışkan, M. K., & Şen, B. H. (1996). Endodontic treatment of teeth with apical periodontitis using calcium hydroxide: a long-term study. Endod Dent Traumatol, 12(5), 215-221. https://doi.org/10.1111/j.1600- 9657.1996.tb00518.x
- Çalışkan, M. K., & Türkün, M. (1997). Periapical repair and apical closure of a pulpless tooth using calcium hydroxide. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(6), 683-687. https://doi.org/10.1016/s1079-2104(97)90373-5
- Çelik, K., & Belli, S. (2012). Periapical cysts and relationships with root canal therapy: Review. Türkiye Klinikleri J Dental Sci, 18(1), 64-69.
- Elmas, S., & Odabaş, M. E. (2021). Geniş periapikal lezyonlu dişlerin cerrahi olmayan endodontik tedavisi: olgu sunumu. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 31(1), 100-103. https://doi.org/10.17567/ataunidfd.751974
- Fernandes, M., & De Ataide, I. (2010). Non-surgical management of a large periapical lesion using a simple aspiration technique: A case report. Int Endod J, 43(6), 536–542. https://doi.org/10.1111/j.1365-2591.2010.01719.x
- Foreman, P., & Barnes, I. (1990). A review of calcium hydroxide. Int Endod J, 23(6), 283-297. https://doi.org/10.1111/j.1365-2591.1990.tb00108.x
- Ghorbanzadeh, S., Ashraf, H., Hosseinpour, S., & Ghorbanzadeh, F. (2017). Nonsurgical management of a large periapical lesion: A case report. Iran Endod J, 12(2), 253-256. https://doi.org/10.22037/iej.2017.49
- Kırıcı, D., Çolak, M. & Kuşuçar, A. N. (2019). Eksternal kök rezorpsiyonlu ve geniş periapikal lezyonlu bir dişin endodontik tedavisi. Uluslararası Diş Hekimliği Bilimleri Dergisi, 5(1), 10-13.
- Kurnaz, S. & Kiraz, G. (2020). Kist benzeri geniş periapikal lezyonlu dişlerin cerrahi olmayan endodontik tedavileri: İki vaka raporu. Aydın Dental Journal, 6(1), 15-21. https://doi.org/10.17932/IAU.DENTAL.2015.009/dental_v06i1004
- Martin, S. A. (2007). Conventional endodontic therapy of upper central ıncisor combined with cyst decompression: A case report. J Endod, 33(6), 753-757. https://doi.org/10.1016/j.joen.2007.01.013
- Matsumoto, T., Nagai, T., Ida, K., Ito, M., Kawai, Y., Horiba, N., …….., Nakamura, H. (1987). Factors affecting successful prognosis of root canal treatment. J Endod, 13(5). 239–242. https://doi.org/10.1016/S0099-2399(87)80098-5
- Nair, P. N. R., Pajarola, G., & Schroeder, H. E. (1996). Types and incidence of human periapical lesions obtained with extracted teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 81(1), 93-102. https://doi.org/10.1016/s1079-2104(96)80156-9
- Natkin, E., Oswald, R. J., & Carnes, L. I. (1984). The relationship of lesion size to diagnosis, incidence, and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol, 57(1), 82-94. https://doi.org/10.1016/0030-4220(84)90267-6
- Önay, E. O., Üngör, M. & Gülşahı, K. (2008). Kist benzeri geniş periapikal lezyonlu dişin endodontik tedavisi: Vaka raporu. ADO Klinik Bilimler Dergisi, 2(2), 131-134.
- Özan, Ü. & Er, K. (2005). Endodontic treatment of a large cyst-like periradicular lesion using a combination of antibiotic drugs: A case report. J Endod, 31(12), 898-900. https://doi.org/10.1097/01.don.0000164129.74235.8e
- Öztan, M. (2002). Endodontic treatment of teeth associated with a large periapical lesion. Int Endod J, 35(1), 73-78. https://doi.org/10.1046/j.1365-2591.2002.00455.x
- Saatchi, M. (2007). Healing of large periapical lesion: A non‐surgical endodontic treatment approach. Aust Endod J, 33(3), 136-140. https://doi.org/10.1111/j.1747-4477.2007.00061.x
- Sjögren, U., Figdor, D., Persson S., & Sundqvist, G. (1997). Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis. Int Endod J, 30(5), 297-306. https://doi.org/10.1046/j.1365-2591.1997.00092.x
- Sjögren, U., Hagglund, B., Sundqvist, G., & Wing, K. (1990). Factors affecting the long-term results of endodontic treatment. J Endod, 16(10), 498 –504. https://doi.org/10.1016/S0099-2399(07)80180-4
- Stashenko, P. (2002). Interrelationship of dental pulp and apical periodontitis. Hargreaves K. M, Goodis H. E., Franklin, T. (Eds.), Bender and Seltzer’s Dental Pulp. (pp. 389–409) Chicago: Quintessence Publishing.
- Sundqvist, G. (1994). Taxonomy, ecology, and pathogenicity of the root canal flora. Oral Surg Oral Med Oral Pathol, 78(4), 522-530. https://doi.org/10.1016/0030-4220(94)90047-7
- Tanomaru, Filho, M., Leonardo, M. R., & da Silva, L. A. B. (2002). Effect of irrigating solution and calcium hydroxide root canal dressing on the repair of apical and periapical tissues of teeth with periapical lesion. J Endod, 28(4), 295-299. https://doi.org/10.1097/00004770-200204000-00009
- Thomas, K., T, P. D., & Simon, E. P. (2012). Management of large periapical cystic lesion by aspiration and nonsurgical endodontic therapy using calcium hydroxide paste. J Contemp Dent Pract,13(6), 897-901. https://doi.org/10.5005/jp-journals-10024-1249
- Başlangıç: 2021
- Yayıncı: Karabük Üniversitesi
Sayıdaki Diğer Makaleler
Yenidoğanlarda Ağrının Azaltılması ve Konforun Sağlanmasında Kullanılan Nonfarmakolojik Yöntemler
Ayla GÜNDOĞDU KARAKAYA, Aysel TOPAN
Fiber ile Güçlendirilmiş Adeziv Köprüler: İki Olgu Sunumu
Uzun Süre Takipli Glutarik Asidüri Tip 1 Olgusunda Beslenme Programının Önemi: Olgu Sunumu
Büşra DEMİRER, Hülya YARDIMCI, Nevra KOÇ
Mandibulada Kist Benzeri Geniş Periapikal Lezyonun Cerrahi Olmayan Endodontik Tedavisi