Akademik Veri Yönetim Sistemi
Türk Endodonti Derneği 9. Uluslararası Endodonti Sempozyumu, Mardin, Türkiye, 19 - 22 Mayıs 2022, ss.396, (Özet Bildiri)
Kök kanal tedavisinin amacı; pulpa boşluğunun mekanik ve kimyasal olarak temizlenerek üç boyutlu olarak hermetik bir şekilde kanal dolgusu ile tıkanmasıdır. Bu vaka raporunda farklı sayıda kök kanalı varyasyonu gösteren küçük azı dişlerinin endodontik tedavileri sunulmaktadır.
36 yaşında erkek hasta 24 numaralı dişde kendiliğinden
başlayan ve analjezik kullanımına
rağmen geçmeyen şiddetli ağrı perküsyon hassasiyeti ısırmada hassasiyet şikayeti ile başvuruyor
Alınan panoromik ve periapikalröntgenlerde kanal anatomisinin farklı olduğu,3 kök kanalına sahip olduğu tespit edildi ve operasyon mikroskobu kullanılarak büyütme altında kanal tedavisi planlandı. Hastaya tedavi planlaması hakkında bilgi verildi ve aydınlatılmış onam formu alındı. Kanal tedavisi birden çok seansta tamamlandı.
Sonuç: Bu olgu sunumunda farklı anatomik yapılara sahip dişlerin başarılı endodontik tedavisi sunulmuştur. Karmaşık kök kanal anatomisine sahip olabilen alt ve üst küçük azı dişlerinde kanal tedavisini başarılı bir şekilde yapabilmek için büyütme cihazları faydalıdır. Bu konuda daha çok klinik çalışmaya ihtiyaç vardır.
ENDODONTIC TREATMENT OF PREMOLARS WITH DIFFERENT ANATOMICAL VARIATIONS:
CASE REPORT
Farid Fattahi, Tarık Ahmet, Murat Ünal
Selçuk University, Faculty of Dentistry, Department of Endodontics, Konya, Turkey
Aim: The purpose of root canal treatment is to clean the pulp cavity mechanically and chemically, and to seal
it hermetically in three dimensions with a sealer. In this case report, endodontic treatments of premolar teeth
with different number of root canal variations are presented.
Case 1: A 39-year-old male patient applied to the Endodontics department of the Faculty of Dentistry of Selcuk University with a complaint of spontaneous pain. As a result of clinical and radiographic examination, it
was determined that the patient had severe pain in tooth number 45 that started spontaneously and did not
pass despite the use of analgesics. On radiological examination, it was noticed that the anatomy of the canal
is different and has 3 root canals. Root canal treatment was planned under magnification using an operating
microscope. The patient was informed about the treatment planning and an informed consent form was obta-
ined. Canal treatment was completed in multiple sessions.
Case 2: A 36-year-old male patient applied to the department of oral diagnosis and radiology of the Faculty
of Dentistry of Selcuk University for a general dental examination. During the examination, it was determined
that there was severe pain in tooth number 24 that started spontaneously. On the received panoramic and
periapical X-rays, it was noticed that the anatomy of the canal is different and has 3 root canals . The patient
was referred to the Department of Endodontics with the indication of root canal treatment. In the patient who
accepted the treatment planning, canal treatment was completed under the Operating Microscope in multiple
sessions.
Results: The patiens had no clinical symptoms or pain at the controls.
Conclusion: In this case report, successful endodontic treatment of teeth with different anatomical structures
is presented. Augmentation devices are useful in order to successfully perform root canal treatment in lower
and upper premolar teeth, which may have complex root canal anatomy. More clinical studies are needed on
this subject.
Keywords: root canal treatment, upper premolar, lower premolar, different root canal anatomy