Kök geliþimi tamamlanmamýþ üst keser diþin biodentine ile apeksifikasyonu: Olgu sunumu

Bu olgu sunumunun amacý, açýk apeksli üst santral diþe Biodentine ile uygulanan apeksifikasyon tedavisinin sonuçlarýný bildirmektir. Üst ön bölgesinde travma hikayesi olan 9 yaþýndaki hasta aðrý þikayetiyle baþvurmuþtur. Radyolojik incelemede sol üst santral diþin kök geliþiminin tamamlanmadýðý ve ilgili bölgede radyolüsent alan olduðu tespit edilmiþtir. Apikal týkaç oluþmadýðýndan dolayý Biodentine ile apeksifikasyon tedavisi yapýlmasýna karar verilmiþtir. Kök kanal tedavisine baþlanmýþ ve kök kanallarýna kalsiyum hidroksit yerleþtirilmiþtir. 14 gün sonra, üretici firma talimatlarý doðrultusunda Biodentine, kök kanalýna yerleþtirilmiþ ve apikalde 5 mm’lik bir týkaç oluþturulmuþtur. Biodentine sertleþtikten sonra, kanalýn koronal kýsmý devamlý ýsý ile vertikal kompaksiyon tekniði doldurulmuþtur. Diþ A2 kompozitle (Solare X, Tokyo, Japonya) restore edilmiþtir. 3, 6 ve 12 aylýk takiplerinde klinik semptomlarýn kaybolduðu ve periapikal lezyonda radyografik olarak iyileþme olduðu tespit edilmiþtir. Biodentine sahip olduðu üstün fiziksel ve biyolojik özellikler sayesinde kök geliþimi tamamlanmamýþ diþlerin apeksifikasyonunda baþarýlý sonuçlar göstermiþtir.

Apexification of the upper incisor tooth with incomplete root development using biodentine: A case report

The aim of this case report is to report the results of apexification treatment with Biodentine on the upper central tooth with open apex. A 9-year-old patient with a history of upper anterior trauma presented with pain. In the radiological examination, it was determined that the root development of the left upper central tooth was not accomplished and there was a radiolucent area in the related region. Since there was no apical plug, it was decided to perform Biodentine apexification treatment. Root canal treatment was began and calcium hydroxide was placed into the root canals. 14 days later, Biodentine was carried into the canal in accordance with the manufacturer's instructions and a 5 mm plug was formed at the apical. After Biodentine setting, coronal part of the canal was filled using continuous wave warm vertical compaction technique. The tooth has been restored with A2 composite (Solare X, Tokyo, Japan). At 3, 6, and 12 months of follow-up, no clinical symptom was found and the periapical lesion was reduced. Due to its superior physical and biological properties, Biodentine has shown successful results in the apexification of teeth whose root development is incomplete.