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APİKAL PERİODONTİTİS İZLENEN İMMATÜR DİŞ PULPASININ REVASKÜLARİZASYONU: VAKA RAPORU

PULP REVASCULARIZATION OF AN IMMATURE TOOTH WITH APICAL PERIODONTITIS: A CASE REPORT

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
This case report describes biologically based treatment of a necrotic immature lower left second premolar with severe periapical infection. A different clinical approach to treat cases indicated for apexification has been advocated. Revascularization of teeth with necrotic infected canals has been reported by using combinations of antibiotics. This case report details the outcome of an 8-year-old girl who presented with a successful revascularization procedure of tooth #20. After NaOCL irrigation and medication with triantibiotic mix (ciprofloxacin, metronidazole, and minocycline), bleeding was stimulated to form an intracanal blood clot, and mineral trioxide aggregate was placed coronally to the blood clot. The patient was asymtomatic and apical periodontitis was resolved. There was radiographic evidence of continuning thickness of dentine walls with closure of the apex. Pulp revascularization could be an alternative treatment procedure of immature permanent teeth with apical periodontitis.
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Abstract (Original Language): 
Bu vaka raporu ileri derecede periapikal enfeksiyonu bulunan nekrotik immatür sol alt ikinci küçük azı dişin biolojik esaslı tedavisini anlatmaktadır. Apeksifikasyon tedavisi gerektiren vakalarda farklı klinik yaklaşımlar ileri sürülmektedir. Nekrotik enfekte kanallı dişlerin revaskülarizasyonu antibiotik kombinasyonu kullanılarak yapıldığı rapor edilmiştir. Bu vaka raporuda 8 yaşındaki kız çocukta #20 no'lu dişe ait başarılı bir revaskülarizasyon işleminin bulgularını rapor edilmektedir. Bu vakada, NaOCL irrigasyonu ve üçlü antibiyotik pat (siprofloksasin, metronidazol ve minosiklin) uygulamasından sonra kanal içi pıhtı oluşumunu stimule edilerek mineral trioksit agregat koronalden pıhtı formasyonunun üzerine yerleştirilmiştir. Hastanın şikayetleri ortadan kalkarak ve apikal periodontitis tedavi edilmiştir. Radyografik olarak apeksteki kapanma ile birlikte dentin duvarlarındaki kalınlaşma izlenmiştir. Pulpa revaskülarizasyon işlemi apikal periodontitis izlenen dişlerde alternatif tedavi yöntemi olabilmektedir
FULL TEXT (PDF): 
PDF icon arastirmax-apikal-periodontitis-izlenen-immatur-dis-pulpasinin-revaskularizasyonu-vaka-raporu.pdf
  • 3
236-240
  • Turkish

REFERENCES

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Atatürk
Univ
. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı:3, Yıl: 2011, Sayfa: 236-240
ODABAŞ
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