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APEKSİFİKASYON TEDAVİSİ BAŞARISIZ OLAN KÖK UCU TAMAMLANMAMIŞ ÜST ORTA KESER DİŞİN PERİAPİKAL CERRAHİ İLE TEDAVİSİ: OLGU SUNUMU

PERIAPICAL SURGICAL TREATMENT OF AN IMMATURE CENTRAL INCISOR FOLLOWING UNSUCCESSFUL APEXIFICATION TREATMENT: A CASE REPORT

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
This case report presents the periapical surgical treatment of a traumatized immature central incisor with a large periapical lesion following failed apexification treatments. The left central incisor of an 14-year old girl was diagnosed as an immature tooth with a periapical lesion and draining fistula. The tooth was biomechanically cleaned and the slurry calcium hydroxide was introduced to the root canal for apexification treatment. Apexification treatment was maintained for 6 month changing calcium hydroxide every month. The fistula disappeared alter the treatment. The root canal was obturated with mineral trioxide aggregate and the tooth was restored. At the 6-month recall, the tooth was presenting llstula and mild swelling on the mucosa. The periapical lesion was removed surgically and the root end was resected. The lesion was diagnosed as a radicular cyst histopalhologically. At the 6-month recall following the surgery, the tooth was asympthomatic clinically and the new bone formation was seen around the root end radiographically. Periapical surgery is indicated for the treatment of non-vital immature teeth with persistent periapical lesions which do not heal with the apexification techniques.
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Abstract (Original Language): 
Bu olgu sunumunda, travma nedeniyle kök gelişimi durmuş, kök kanalı enfekte olmuş ve periapical lezyon gelişmiş üst sol santra] dişin, başarısız olan apeksifıkasyon tedavisinden sonra periapikal cerrahi tekniği ile tedavisi anlatılmaktadır. 14 yaşındaki kadın hastanın, üst sol santral dişi incelendiğinde, kök ucunun henüz kapanmamış olduğu ayrıca periapikal lezyon ve akmakta olan bir fislül ağzının varlığı saptandı. Üst santral dişin apeksilikasyonu için biyomekanik temizleme sonrasında '6 ay boyunca aylık seanslarda, kök kanalları kalsiyum hidroksit ve steril tuzlu su karışımı ile dolduruldu. Klinik olarak fislülüıı kapanması sonucunda, kök kanalı MTA ile dolduruldu ve diş restore edildi. 6 ay sonraki takip seansında, klinik olarak tislülün yeniden oluştuğu ve radyogralik olarak periapikal lezyonun varlığını sürdürdüğü görüldü. Periapikal cerrahi sırasında kök ucu rezeke edildi ve lezyon kürete edilerek çıkartıldı. Hıslopatolojik olarak le/yona radiküler kist tanısı koyuldu. Hastanın 6 ay sonraki kontrolünde dişin klinik olarak sağlıklı olduğu ve radyolojik olarak lezyonun iyileştiği gözlendi. Bu olgu bildirisi, apeksifıkasyon tedavisinde, uzun süreli kalsiyum hidroksit uygulaması ve MTA ile kanal doldurma gibi başarısının çok yüksek olduğu bilinen tekniklerin hile ba/en başarısızlıkla sonuçlanabileceğini ortaya koymaktadır. Böyle inatçı ve iyileşmeyen apeksifıkasyon olgularında periapikal cerrahi uygulanarak iyileşmenin sağlanabileceği bu olguda gösterilmektedir.
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REFERENCES

References: 

1. Cvek M. Endodontic management of traumatized teeth. in: Andreasen JO, Andreasen FM, editor. Traumatic injuries of the teeth. Copenhagen: Munksgaard-Mosby. 1994. p. 517-85.
2. Trope M, Blanco L, Chivian N. Sigurdsson A. The role of endodontics after dental traumatic injuries. in:Cohen S, Hargreaves KM.editors. Pathways of the pulp. St. Louis: Elsevier-Mosby. 2006, 610-49.
3. Torabinejad M. Chivian N. Clinical applications of mineral trioxide aggregate Journal of Endodontics, 1999: 197-205.
4. Torabinejad M. Pitt Ford TR. Mckendry DJ, Abedi HR, Miller A, Kariyawasam SP. Histologic assessment of mineral trioxide aggregate as a root-end filling in monkeys. Journal of Endodontics, 1997: 23: 225-8.
5. Torabinejad M, Rastegar AF. Kettering .11). Pitt Ford TR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. Journal of Endodontics. 1995: 21: 109-12.
6. Maroto M, Barberia E, Planells P, Vera V. Treatment of a non-vital immature incisor w ith mineral trioxide aggregate (MTA). Dental Traumatology. 2003: Î9: 165-9.
7. Giuliani V, Baccetti T. Pace R, Pagavino G. The use of MTA in teeth with necrotic pulps and open apices. Dental Traumatology, 2002: 18: 217-21.
8. Morse DR. O'Larnic J, Yesilsoy C. Apexification: review of the literature. Quintessence International. 1990: 21: 589-98.
9. Dawood AJS, Pitt Ford TR. A surgical approach to the obturation of apically flared root canals with thermoplasticized guttapercha. International Endodontic Journal. 1989: 22: 138-41.
10. Tronstad L. Andreasen JO. Hasselgren G. pll changes in dental tissues after root canal filling with calcium hydroxide. Journal of Endodotics, 1981: 7: 17-21.'
11. Antony DR. Gordon TM. del Rio CE. The effect of three vehicles on the pH of calcium hydroxide. Oral Surgery Oral Medicine Oral Pathology. 1982: 54: 560-5.
12. Erdoğan G. The treatment of nonvital immature teeth with calcium hydroxide-sterile water paste: two case reports. Quintessence International. 1997: 28: 68 I-6.
13. Ghose L.I. Baghdady VS. Hikmal BYM. Apexification of immature apices of pulpless permanent anterior teeth with calcium hydroxide. Journal of Endodontics. 1987: 13: 285-90.
14. Kratchman SI. Perforation repair and one-step apexification procedures. Dental Clinics of North America. 2004: 48: 291-307.
15. Hayashi M. Shimizu A, Ebisu S. MTA for obturation of mandibular central incisors with
Rüstem Kemal SÜBAY. Muzaffer Emir DİNÇOL. Melike Ordulu S U B A Y
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open apices: case report. Journal of Endodontics. 2004: 30: 120-2.
16. El-Meligy OA, Avery DR. Comparision of apexification with mineral trioxide aggregate and calcium hydroxide. Pediatric Dentistry. 2006: 28: 248-53.
17. Reyes DA, Munoz ML, Aznar MT. Study of calcium hydroxide apexification in 26 young permanent incisors. Dental Traumatology, 2005: 21: 141-5.
18. Morfis AS, Siskos G. Apexification with the use of calcium hydroxide. A clinical study. J Clinicial Pediatric Dentistry 1991: 16: 13-9.
19. Ileithersay GS. Calcium hydroxide in the treatment of pulpless teeth with associated pathology. Journal of British Endodontic Soiety, 1975: 8: 74-93.
20. Kleier DJ, Barr ES. A study of endodontically apexified teeth. Endodontic Dental Traumatology. 1991: 7: 112-7.
21. Sundqvist G. Figdor D. Persson S, Sjogren U. Microbiologic analysis of teeth with failed
endodontic treatment and the outcome of conservative re-treatment. Oral Surgery Oral Medicine Oral Pathology Oral Radiology Endodontics, 1998: 85: 86-92.
22. Nair PN, Sjogren U. Kiev G. Sundqvist G. Therapy-resistant foreign body giant cell granuloma at the periapex of a root-filled human tooth. Journal of Endodontics, 1990: 16: 589-95.
23. Nair PN, Sjogren U, Krey G, Kahnbcrg KE, Sundqvist G. Intraradicular bacteria and fungi in root-filled, asymptomatic human teeth with therapy-resistant periapical lesions: a long-term light and electron microscopic follow-up study. Journal of Endodontics. 1990: 16: 580-7.
24. Nair PN. New perspectives on radicular cysts: do they heal? Int Endodon J 1998: 31: 155.
25. Peciuliene V. Reynaud AH, Balciuniene I, Haapasalo M. Isolation of yeasts and enteric bacteria in root-filled teeth with chronic apical periodontitis. International Endodotic Journal 2001: 34: 429-34.

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