AŞAMALI ÇÜRÜK TEDAVİSİ

Year 2018, Volume: 5 Issue: 2, 177 - 185, 01.08.2018

Fatma Dilsad Oz , Saadet Gökalp

https://doi.org/10.15311/selcukdentj.337781

Abstract

Günümüzde diş dokusunun
sağlıklı olarak kalmasında pulpanın önemi daha iyi anlaşıldıkça, diş hekimleri
çürük temizlenmesi sırasında pulpa ekspoz olsa bile pulpanın canlılığının
korunması için daha çok çaba sarf etmeye başlamışlardır. Çünkü pulpasız dişlerde
dişin kırılması gibi kritik komplikasyonlar ortaya çıkabilmektedir. Diş
hekimliği uygulamalarında diş hekimleri, eğer çürük tamamen uzaklaştırılacaksa
pulpa ekspozu ile sonuçlanabilecek derin çürüklerle çok sık karşılaşırlar.
Pulpanın doğal rejenerasyon yeteneğinin çok yüksek olduğu araştırmacılar
tarafından gözlenmektedir. Direk pulpa kaplaması tipik olarak pulpanın
korunması için uygulanır. Bununla birlikte çürük kaldırılmasına bağlı olarak
ekspoz olan pulpaya direk pulpa kaplaması uygulamasına alternatif olarak çürük
dokunun tamamı kaldırılmadan ilk randevude yumuşak dentinin sadece bir kısmı
kaldırılarak kavite  geçici restore
edilir ve bir süre sonra tekrar açılır. İleri ekskavasyon bu randevuda yapılır
ve kavite kalıcı olarak restore edilir. Bu uygulamanın amacı lezyonun
ilerlemesini durdurmaktır ve pulpal ekspoz olmadan tersiyer dentin oluşumuna
izin vermektir. Bu tedavi yöntemi ile ilgili literatürde bulunan pek çok
çalışma incelenerek tedavinin prognozu hakkında bilgi edinilmiştir.

Keywords

derin dentin çürüğü, direkt kuafaj, indirekt kuafaj, aşamalı çürük tedavisi

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