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KÖK ÇÜRÜKLERİ VE TEDAVİLERİ

ROOT CARIES AND TREA TING ROOT SURFACE CARIES

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Abstract (2. Language): 
Root caries is a soft rrreguaarly shaped lesion either totally confined to the root surface or involving the undermining of enamel at the cemento enamel junction, but ciinical/y indicating that the lesion initiated on the root surface. Root caries can be initiated only if the root surface is exposed to the oral envrroment. The risk of root caries increases with inadequate oral hygiene and nn reductions in salivary flow rate. Many root caries lesions do not need restorative treatment. Accessible, shallow lesions can be made caries free and easy to clean through caries depridement with hand nnstruments, finishing burs and\orpolishing disks. Arrested lessions with a hard to leathery surface are often amenable to treatment with topikai flourides in combination with a chlorhexidine rince. When root caries has progresed such that restoration of loast structure is necessary they can restored with different restorative materials. Typical root carious lesions are difficult to restore because the gingiva/ margin of the lesion is often subgingival. To gain acces to this area a variety of techniques have been developed. In this article etiology and incidence of root surface caries described and summarizes the effectiveness of restorative materials used to restore root surfaces.
Abstract (Original Language): 
Kök çürüğü klinik oaarak kök yüzeyinden başlayan kök yüzeyinde sınırlı veya mine sement bileşimindeki minenin attında kaplayan yumuşak düzensiz şekilli lezyondur. Kök çürüğü sadece kök yüzeyinin ağız ortamına açıldığı durumlarda baş/ar. Yetersiz ağız hijyeni ve tükürük akış hızında azalma olduğunda kök çürüğü riski oluşumu artmaktadır. Kök çürük lezyonlarının bir çoğu restoratif tedavi gerektirmemektedir. U/aşılabilir sığ lezyon/ar el aletler, bitirme frez/eri ve\veya paraatma diskleri yardımı ile çürükten çürüksüz ve kolay temizlenebilen alanlara dönüştürülebilir. Sert kayışımsı yüzeyler şekinnde olan durağan lezyonaar k/orheksidin ile birlikte topikal florid uyguaamaaarı ile birlikte tedavi edilebilir. Kök çürüğü doku kaybıyla birlikte ilerlediğinde farklı restoratif materyaller l/e restorasyonu gerekmektedir. Kök çürüklerini restore etmek, lezyonun dişeti sınırı çoğunlukla subgingival alanda son/andığından güçtür. Bu aaana ulaşabilmek için değişik teknikler geiiştiri/miştir. Bu derlemede kök çürüklerinin etyolojisi ve görülme sıklığından bahsedilmiş ve kök çürüklerinin restorasyonunda kullanılan restoratif materyallerin etkinliği özetlenmiştir.
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