Rejeneratif Endodontik Tedavi Sonrası Nadir Görülen Ayrık Kök Gelişimi: Olgu Sunumu

Year 2022, Volume: 9 Issue: 1, 244 - 248, 27.04.2022

Enes Mustafa Aşar , Murat Selim Botsalı

https://doi.org/10.15311/selcukdentj.1091147

Abstract

ÖZ
Rejeneratif endodontik tedavi başarılı tedavi sonuçları sayesinde son yıllarda popülerlik kazanmıştır. Bu tedavinin immatür dişlerde semptomların ortadan kaldırılması, durmuş olan kök gelişiminin devamı ve dişlerin canlılık kazanması gibi hedefleri vardır. İmmatür dişlerde rejeneratif endodontik tedavi sonrası kök gelişiminin devam ettiği birçok çalışmada gösterilmiştir. Fakat tedavi sonrası kök oluşum şekilleri değişkenlik göstermektedir. Chen ve ark. tarafından bu tedaviden sonra görülen 5 farklı tip kök yanıtı gösterilmiştir. Bunlar köklerin uzayıp kapanması, köklerin künt kapanması, kök apeksinin açık kalması, kanal obliterasyonu, kanal içerisinde sert doku bariyeri oluşmasıdır. Fakat bu kök yanıtlarından farklı olarak kök apeksinin ana kökten ayrılarak gelişimini devam ettirdiği nadir görülen farklı bir kök yanıt tipi bildirilmiştir. Bu çalışmada da rejeneratif endodontiden sonra nadir görülen ayrık kök gelişiminin teşhisi, tedavisi ve takibi anlatılmıştır.

ABSTRACT
Regenerative endodontic treatment has gained popularity in recent years thanks to successful treatment results. This treatment has goals such as eliminating symptoms in immature teeth, continuation of the stopped root development and vitality of teeth. It has been shown in many studies that root development continues after regenerative endodontic treatment in immature teeth. Five different types of root response seen after this treatment were demonstrated by Chen et al. These are elongation and closure of the roots, blunt closure of the roots, open root apex, canal obliteration, formation of a hard tissue barrier. However, unlike these root responses, a different type of root response, which is rarely seen, has been shown to continue its development by separating the root apex from the main root. In this study, the diagnosis, treatment and follow-up of split root development, which is rare after regenerative endodontics, is explained.

Keywords

Dental travma, kök gelişimi, rejeneratif endodontik tedavi

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