Complications and Treatment Methods Occur When Opening the Access Cavity During Endodontic Treatment
Year 2020,
Volume: 47 Issue: 1-3, 131 - 142, 31.12.2020
Fatih Uçar
,
İrem Eren
,
Melike Bayram
Abstract
Endodontic treatment is a discipline that requires sensitive study in a narrow area and adherence to the treatment procedure. Successful endodontic treatment requires a thorough diagnosis, a thorough knowledge of the anatomy of the treated root canals with complete removal of root canal debridements and careful shaping. If the treatment steps are carried out carefully and without skipping, the possibility of failure due to clinical practice will decrease. However, there is always a risk of developing complications at any stage of the treatment. Therefore, the physician should always be ready to manage the complications. The access cavity may be one of the most underestimated aspects of endodontic treatment, but this stage is very important for the success of the treatment as it directly affects the other stages that follow. In this article, the complications that may occur while opening the access cavity in the preoperative stage and solutions are reviewed.
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ENDODONTİK TEDAVİ SIRASINDA GİRİŞ KAVİTESİ AÇILIRKEN ORTAYA ÇIKAN KOMPLİKASYONLAR VE TEDAVİ YÖNTEMLERİ
Year 2020,
Volume: 47 Issue: 1-3, 131 - 142, 31.12.2020
Fatih Uçar
,
İrem Eren
,
Melike Bayram
Abstract
Endodontik tedavi dar bir alanda hassas çalışılması ve tedavi prosedürüne bağlı kalınması gereken bir disiplindir. Başarılı endodonti, eksiksiz bir teşhis, kök kanalındaki debridmanların tam uzaklaştırılması ile tedavi edilen kök kanallarının anatomisi hakkında tam bir bilgi ve dikkatli şekillendirme gerektirir. Tedavi aşamaları atlanmadan ve dikkatli bir şekilde ya-pıldığı takdirde klinik uygulamaya bağlı başarısızlık oluşma ihtimali de azalacaktır. Bununla birlikte tedavinin herhangi bir aşamasında komplikasyon gelişme riski her zaman vardır. Bu yüzden komplikasyonları yönetmek için hekim her zaman hazır olmalıdır.
Giriş kavitesi, endodontik tedavinin en hafife alınan yönlerinden biri olabilir, ancak bu aşama takip eden diğer aşamaları doğrudan etkileyeceğinden tedavinin başarısı açısından çok önemlidir. Bu makalede preoperatif aşamada giriş kavitesi açılırken meydana gelebilecek komplikasyonlar ve çözüm yolları derlenmiştir.
References
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- 22. Paz E, Satovsky J, Moldauer I. Comparison of the cutting efficiency of two ultrasonic units utilizing two different tips at two different power settings. Journal of endodontics, 2005;31(11): p. 824-826.
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- 25. Gutmann J, Fan B. Tooth morphology, isolation, and access. Cohen’s pathways of the pulp. 11th ed. St. Louis: Elsevier, 2016; p. 130-208.
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- 27. Fuss Z, Trope M. Root perforations: classification and treatment choices based on prognostic factors. Dental Traumatology, 1996;12(6): p. 255-264.
- 28. Kvinnsland I, Oswald RJ, Halse A, Grønningsaeter AG. A clinical and roentgenological study of 55 cases of root perforation. International endodontic journal, 1989;22(2): p. 75-84.
- 29. Nicholls E. Treatment of traumatic perforations of the pulp cavity. Oral Surgery, Oral Medicine, Oral Pathology, 1962;15(5): p. 603-612.
- 30. Estrela C, Decurcio DA, Rossi-Fedele G, Silva JA, Guedes OA, Borges ÁH. Root perforations: a review of diagnosis, prognosis and materials. Braz Oral Res. 2018 Oct 18;32(suppl 1):e73.
- 31. Estrela C, Pécora JD, Estrela CRA, Guedes OA, Silva BSF, Soares CJ, Sousa-Neto MD. Common Operative Procedural Errors and Clinical Factors Associated with Root Canal Treatment. Braz Dent J. 2017 Jan-Apr;28(2):179-190.
- 32. Alhadainy HA. Root perforations: a review of literature. Oral surgery, oral medicine, oral pathology, 1994;78(3): p. 368-374.
- 33. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J. 2007 Oct;40(10):818-30.
- 34. Kaufman AY, Keila S. Conservative treatment of root perforations using apex locator and thermatic compactor—case study of a new method. Journal of endodontics, 1989;15(6): p. 267-272.
- 35. Kaufman AY, Fuss Z, Keila S, Waxenberg S. Reliability of different electronic apex locators to detect root perforations in vitro. Int Endod J. 1997 Nov;30(6):403-7.
- 36. Bueno MR, Estrela C, De Figueiredo JA, Azevedo BC. Map-reading strategy to diagnose root perforations near metallic intracanal posts by using cone beam computed tomography. J Endod. 2011 Jan;37(1):85-90.
- 37. Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dento Maxillo Facial Radiology. 1999 Jul;28(4):245-248.
- 38. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol. 1998;8(9):1558-64.
- 39. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. Journal-Canadian Dental Association, 2006;72(1): p. 75.
- 40. Cotton TP, Geisler TM, Holden DT, Schwartz SA, Schindler WG. Endodontic applications of cone-beam volumetric tomography. J Endod. 2007 Sep;33(9):1121-32.
- 41. Beavers R, Bergenholtz G, Cox C. Periodontal wound healing following intentional root perforations in permaent teeth of Macaca mulatta. International Endodontic Journal, 1986;19(1): p. 36-44.
- 42. Estrela C, Holland R, Estrela CR, Alencar A, Sousa-Neto M, PÉcora JD. Characterization of successful root canal treatment. Brazilian dental journal, 2014;25(1): p. 3-11.
- 43. Seltzer S, Sinai I, August D. Periodontal effects of root perforations before and during endodontic procedures. Journal of dental research, 1970;49(2): p. 332-339.
- 44. Lantz B, Persson P. Periodontal tissue reactions after root perforations in dog's teeth. A histologic study. Odontologisk tidskrift, 1967;75(3): p. 209.
- 45. Himel VT, Brady J, Weir J. Evaluation of repair of mechanical perforations of the pulp chamber floor using biodegradable tricalcium phosphate or calcium hydroxide. Journal of Endodontics, 1985;11(4): p. 161-165.
- 46. Hartwell GR, England MC. Healing of furcation perforations in primate teeth after repair with decalcified freeze-dried bone: a longitudinal study. Journal of endodontics, 1993;19(7): p. 357-361.
- 47. Petersson K, Hasselgren G, Tronstad L. Endodontic treatment of experimental root perforations in dog teeth. Dental Traumatology, 1985;1(1): p. 22-28.
- 48. Stromberg T. Endodontic treatment of traumatic root perforations in man, A clinical and roentgenological follow-up study. Swed Dent J, 1972;65: p. 457-466.
- 49. Sinai IH. Endodontic perforations: their prognosis and treatment. The Journal of the American Dental Association, 1977;95(1): p. 90-95.
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