KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G,...
Transcript of KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G,...
![Page 1: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/1.jpg)
•
•
•
KAYNAKLAR1. Tronstad L. Clinical Endodontics, A Textbook, Second Revised Edition,
ISBN 3-13-768102-2GTV, 2002 , Oslo2. Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology,
ISBN 8-7161-2185-6, 2003, Oxford/UK3. Alaçam T. Endodonti. ISBN 978-975-96479-0-2, 2012 ANKARA
![Page 2: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/2.jpg)
![Page 3: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/3.jpg)
ÇÜRÜK FİZİKSEL/KİMYASAL/TERMAL
PULPAL HASTALIKLARIN NEDENLERİ
PULPAL İRRİTASYON
ENFLAMASYON
REVERSIBL (GERİ DÖNÜŞÜMLÜ) PULPITIS IREVERSIBL (GERİ DÖNÜŞÜMLÜ) PULPITIS
VİTAL PULPA TEDAVİLERİ
TAMİR
NEKROZ
KANAL TEDAVİ
![Page 4: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/4.jpg)
SÜT DİŞLERİ GENÇ DAİMİ DİŞLER
DİŞLERE GÖRE PULPA TEDAVİ ENDİKASYONLARI
İNDİREKT KUAFAJ (INDIRECT PULP CAPPING)
DİREKT KUAFAJ (DIRECT PULP CAPPING)
AMPUTASYON (PULPATOMY)
KANAL TEDAVİ (PULPECTOMY)
İNDİREKT KUAFAJ (INDIRECT PULP CAPPING)
DİREKT KUAFAJ (DIRECT PULP CAPPING)
AMPUTASYON (PULPATOMY)/APEKSOGENEZİS
APEKSİFİKASYON
![Page 5: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/5.jpg)
VİTAL PULPA TEDAVİLERİ NON VİTAL PULPA TEDAVİLERİ
PULPAL TEDAVİLERİN SINIFLANDIRILMASI
İNDİREKT KUAFAJ (INDIRECT PULP CAPPING)
DİREKT KUAFAJ (DIRECT PULP CAPPING)
AMPUTASYON (PULPATOMY)/ APEKSOGENEZİS
KANAL TEDAVİ (VITAL PULPECTOMY)
KANAL TEDAVİ (NON VITAL PULPECTOMY)
APEKSİFİKASYON
![Page 6: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/6.jpg)
![Page 7: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/7.jpg)
![Page 8: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/8.jpg)
DENTİN KÖPRÜSÜNÜN OLUŞMASININ SAĞLANMASI KÖK GELİŞİMİNİN DEVAMI
VİTAL PULPAL TEDAVİLERİNİN TEMEL HEDEFİ
DİFFERANSİYE OLMAYAN MEZENKİMAL HÜCRELER ODONTOBLASTLAR
REPARATİF MATERYALLER İLE SİTİMÜLASYON
ODONTOBLASTLARA BENZEYEN HÜCRELER
REPARATİF DENTİN REAKSİYONER DENTİN
TERSİYER DENTİN
DENTİNAL KÖPRÜ
![Page 9: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/9.jpg)
KALAN DENTİN KALINLIĞI (0,25-2 mm) KALAN DENTİN KALINLIĞI (0-0,25 mm)
KALAN DENTIN KALINLIĞINA GÖRE KUAFAJ TEDAVİLERİ
İNDİREKT KUAFAJ (INDIRECT PULP CAPPING) DİREKT KUAFAJ (DIRECT PULP CAPPING)
Maruz kalmabölgesinde çok azmiktarda veya hiç
kanama yok
![Page 10: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/10.jpg)
![Page 11: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/11.jpg)
DİREKT KUAFAJIN BAŞARISINI ETKİLEYEN FAKTÖRLER
ÖNEMLİ DEĞİL ÖNEMLİ
YAŞ BAKTERİYAL KONTAMİNASYON
CİNSİYET EKPOZE NEDENİ/LOKALİZASYONU
DİŞİN LOKALİZASYONU EKPOZE TİPİ-BÜYÜKLÜĞÜ-KANAMA
DİŞİN POZİSYONU KUAFAJ MATERYALİ
SIZINTI/RESTORASYON TİPİ-SINIFI
![Page 12: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/12.jpg)
EKPOZE LOKALİZASYONU
• PERFORASYONUN PULPA BOYNUZUNDA OLMASı < KOLE BÖLGESINDEOLUŞANLARA KıYASLA DAHA AZ DOKU HASARıNA YOL AÇABILMEKTEDIR
• YAPıLAN ÇALıŞMALARDA EN BAŞARıLı BÖLGE OKLUZAL VE OKLUZO-MESIAL IKEN,
• PALATINAL VE DISTAL BÖLGELER EN BAŞARıSıZ KUAFAJ BÖLGELERI OLARAKBILDIRILMIŞTIR
![Page 13: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/13.jpg)
PULPANıN KONTAMINASYONU
• ENFEKSIYON OLUŞMADıĞıNDA
• ÇÜRÜKLETÜKRÜKLE PLAKLA
![Page 14: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/14.jpg)
KANAMA KONTROLÜ
• KıSA SÜREDEKOYU RENKLI
• 3-5 DAKIKADAN UZUN SÜRENPROGNOZ KÖTÜ
OLACAKTıR
![Page 15: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/15.jpg)
ÇÜRÜK DEFEKTININ DERINLIĞI
•PULPADA
ILTIHABI DEJENERATIF DEĞIŞIKLIKLER
BAŞARıSıZ
![Page 16: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/16.jpg)
İYATROJENIK FAKTÖRLER
••••
![Page 17: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/17.jpg)
DİĞER FAKTÖRLER
• HASTANıN YAŞı
![Page 18: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/18.jpg)
![Page 19: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/19.jpg)
![Page 20: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/20.jpg)
ENDIKASYONLAR
• PULPA VITAL VE AĞıZ ORTAMıNA AÇıLMAMıŞ OLMALı
• PULPA SEMPTOMSUZ VEYA REVERSIBL(GERI DÖNEBILEN) PULPITIS SAFHASıNDA OLMALı
• PROVOKE AĞRı OLMALı(SOĞUK, TATLı VEYA EKŞI UYARANLAR ILE KıSA SÜRELI AĞRı)• PERKÜSYONDA DUYARLıLıK OLMAMALı
• RADYOGRAFIK MUAYENEDE PERIRADIKÜLER DOKULAR SAĞLıKLı GÖRÜNMELI, LAMINA DURADA GENIŞLEME VEYAPERIAPIKALDE RADYOLÜSENSI BULUNMAMALıDıR
• DIŞTEKI MADDE KAYBı RESTORE EDILEBILIR DÜZEYDE OLMALıDıR
![Page 21: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/21.jpg)
KONTRENDIKASYONLAR
• NEKROZE PULPA
• AÇıK (PERFORE) PULPA
• SPONTAN AĞRı
• SıCAKTA AĞRı
• PERKÜSYONDA HASSASIYET
• İRREVERSIBL(GERI DÖNEMEYEN) PULPITIS
• EKPOZE VAKALARDA PULPADA HIÇ KANAMA OLMAMASı VEYA KANAMANıN 5 DAKIKADANFAZLA SÜRMESI
![Page 22: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/22.jpg)
1- ANESTEZİ
İNDİREKT/DİREKT KUAFAJ
2- İZALASYON (RUBBER-DAM)-PREPARASYON ÇELIK ROND FREZ EKSKAVATÖRLERLE
EN SON
ARTTıĞı
DÜŞÜK DEVIRDE BASıNÇSıZ
SERT DOKUYA ULAŞıLMASı
Çürük tek bir aşamada temizlenebildiği gibi, iki aşamalı(En erken 8-10 HAFTA) olarak da uzaklaştırılabilir
![Page 23: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/23.jpg)
3- KLORHEKSİDİN AĞIZ GARGARASI
4- STERİL SALİN SOLUSYON VEYA ANESTEZİK İLE DURULANIR
İNDİREKT/DİREKT KUAFAJ
![Page 24: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/24.jpg)
5- STERİL PAMUK PELET İLEKANAMA MEVCUT İSE KONTROL EDİLİR
KANAMA
KANAMAYıNAOCI
BASıNÇSıZ SUHAFIFÇE
AŞıRı
6- KUAFAJ MATERYALİ KARIŞTIRILIR
İNDİREKT/DİREKT KUAFAJ
![Page 25: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/25.jpg)
7- YARA YÜZEYİ/EKPOZE ALANA KARIŞTIRILAN KUAFAJ MATERYALİYERLEŞTİRİLİR
KAN PıHTıSı
INATÇı KANAMA
8- DAHA SONRA KAİDE MATERYALİ (RESIN MODIFIYECAMIYONOMER SIMAN) VE KALICI RESTORASYON
İNDİREKT/DİREKT KUAFAJ
![Page 26: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/26.jpg)
![Page 27: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/27.jpg)
![Page 28: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/28.jpg)
![Page 29: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/29.jpg)
![Page 30: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/30.jpg)
![Page 31: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/31.jpg)
![Page 32: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/32.jpg)
![Page 33: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/33.jpg)
![Page 34: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/34.jpg)
![Page 35: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/35.jpg)
![Page 36: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/36.jpg)
![Page 37: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/37.jpg)
![Page 38: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/38.jpg)
![Page 39: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/39.jpg)
![Page 40: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/40.jpg)
![Page 41: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/41.jpg)
![Page 42: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/42.jpg)
![Page 43: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/43.jpg)
![Page 44: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/44.jpg)
![Page 45: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/45.jpg)
VITAL PULPA TEDAVILERI DEĞERLENDIRME KRITERLERI
SEMPTOMLAR
KLINIK BULGULAR
KORONAL ÖRTÜCÜLÜK
RADYOGRAFIK BULGULAR
![Page 46: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/46.jpg)
SEMPTOMLAR
PULPİTİS
PERİRADİKÜLER PERİODONTİTİSE
![Page 47: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/47.jpg)
KLINIK BULGULAR
• POZİTİF YANıT
• PERKÜSYONA PALPASYONA
• RENKLEŞME
• BAŞARıSıZ
• MOBİLİTE
• FİSTÜL
• SEMPTOM GÖRÜLMEDİĞİ DUYARLıLıK
• HAFİF AĞRı SOĞUKTA DUYARLıLıK
• BAŞARıLı VAKALARDA
• SPONTAN, BAŞARISIZLIK GÖSTERGESİDİR
![Page 48: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/48.jpg)
RADYOGRAFIK BULGULAR
• PERIODONTAL LIGAMENTTE GENIŞLEME
• PERIRADIKÜLER RADYOLÜSENSI
•
![Page 49: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/49.jpg)
![Page 50: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/50.jpg)
VITAL PULPA TEDAVISI PROGNOZU
Mekanik Nedenle Pulpal Açılım (Expose) Başarı Oranı > Çürük Nedeniyle Pulpal Açılım Başarı Oranı
Kuafaj materyalleri ve kaide sonrası kronel sızıntısız daimi dolgu başarıda önemli faktördür
![Page 51: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/51.jpg)
![Page 52: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/52.jpg)
![Page 53: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/53.jpg)
![Page 54: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/54.jpg)
![Page 55: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/55.jpg)
![Page 56: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/56.jpg)
![Page 57: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/57.jpg)
VİTAL PULPA TEDAVİLERİNDE KULLANILAN MATERYALLER
CALCIUM HYDROXIDE - Ca(OH)2
MINERAL TRIOXIDE AGGREGATE (MTA)
TRI-CALCIUM PHOSPHATE
BIO-AGGREGATE
BIODENTINE
BONDING SYSTEMS
YaygınOlarak
Kullanılırlar
![Page 58: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/58.jpg)
![Page 59: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/59.jpg)
CALCIUM HYDROXIDE - Ca(OH)2
En yaygın olarak kullanılan kuafaj materyalidir Pulpa yüzeyinde dezenfektan ve antibakteriyal etkilidir. Yüksek pH a sahiptir (12,5) Saf kalsiyum hidroksit, hızlı sertleşen kalsiyum
hidroksit macunlarından (Dycal, Kerr Life) dahayakıcıdır, ancak aynı tip iyileşmeyi başlattığıgösterilmiştir.
CALCIUM HYDROXIDE PULPA ÜZERİNE ETKİSİ
Yüzeyel pulpada likeifikasyon nekrozu Derin tabakalarda toksisitenin nötralizasyonu Kuagulasyon nekrozu ve bitişik pulpa dokusunun
irritasyonu Minör enflamasyon ve sert doku bariyeri oluşumu
![Page 60: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/60.jpg)
![Page 61: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/61.jpg)
![Page 62: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/62.jpg)
![Page 63: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/63.jpg)
MINERAL TRIOXIDE AGGREGATE (MTA)
Son zamanlarda vital pulpa tedavileri, perforasyontamiri ve kök kanal tedavi başta olmak üzere tümpulpa tedavilerinde kullanılabilecek materyal olaraktanımlanmıştır.İçeriğiTrikalsiyum silikatTrikalsiyum alimunatTrikalsiyum oksitSilikat oksit1/3 oranında steril su ile karıştırılarak kullanılır ve 5 dk‘da sertleşir.
![Page 64: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/64.jpg)
MINERAL TRIOXIDE AGGREGATE (MTA)
Hiç veya düşük eriyebilirlik Antibakteriyal etkili Başlangıç pH 10,2 olup, karıştırıldıktan ve 3 saat sonra
pH 12,5 ‘a ulaşır. Pulpal hücrelerin proliferasyonunu indükler Mineralize sert doku sitümülasyonunu sağlar
MINERAL TRIOXIDE AGGREGATE (MTA)PULPA ÜZERİNE ETKİSİ
Etki mekanizması tam olarak bilinmez
Trikalsiyum oksit + Doku sıvısı = Kalsiyum hidroksit Sert dokuformasyonu
![Page 65: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/65.jpg)
![Page 66: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/66.jpg)
![Page 67: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/67.jpg)
![Page 68: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/68.jpg)
![Page 69: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/69.jpg)
BIO-AGGREGATE
Nano partiküllü bioseramik içerikli Bio-aggregate kök kanaltamir materyali olarak sunulmuştur. Perforasyon tamiri Rezorpsiyon tedavisi Apeksifikasyon Pulpa kuafaj materyali olarak kullanılabileceği belirtilmiştir.
İçeriğiTozTrikalsiyum silikat (ana kor materyal)Dikalsiyum silikat (ikincil kor materyal)Kalsiyum karbonat ve okside foldurucularZirkonyum oksit radyoopafisierLikidKalsiyum klorit akseleratörSuda çözünen su indirgeyici ajan
![Page 70: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/70.jpg)
Mta Ve Biyolojik Agrega ile bazı farklılıklar ile birlikte benzer kimyasal kompozisyongösterir
![Page 71: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/71.jpg)
![Page 72: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/72.jpg)
![Page 73: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/73.jpg)
![Page 74: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/74.jpg)
![Page 75: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/75.jpg)
![Page 76: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/76.jpg)
![Page 77: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/77.jpg)
![Page 78: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/78.jpg)
![Page 79: KAYNAKLAR 1. Tronstad L. Clinical Endodontics, A Textbook, … · 2020-03-17 · Bergenholtz G, Bindslev PH, Reit C. Textbook of Endodontology, ISBN 8-7161-2185-6, 2003, Oxford/UK](https://reader031.fdocuments.in/reader031/viewer/2022011911/5f8dbe9bc615b46bbd30461b/html5/thumbnails/79.jpg)