İmmatür mandibular daimi santral dişin multidisipliner tedavisi:olgu sunumu

Sarı C., Altunbaş D., Acıpınar Ş., Üstün B.

10. International Scientific Symposium of Turkish Endodontic Society, İstanbul, Türkiye, 19 - 22 Mayıs 2024, ss.233-234, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.233-234
  • Sivas Cumhuriyet Üniversitesi Adresli: Evet

Özet

Aim: The aim of this case report is to present the multidisciplinary treatment of an immature left mandibular

central tooth with periapical lesion using biodentine.

Case: A 26-year-old type 1 diabetic patient applied to our clinic with the complaint of a crown fracture

in her left mandibular tooth due to trauma 15 years ago. It was learned that endodontic treatment was

started at another dental clinic 3 years ago, but the treatment was not completed due to health problems.

In clinical examination, a fistula tract, a deep periodontal pocket, discoloration of the crown and a fracture

were detected in the relevant tooth area. In radiographic evaluation, it was observed that the tooth had an

open apex and a large periapical lesion. Multi-session root canal treatment was planned for the patient.

Calcium hydroxide paste was placed into root canal between treatment sessions. Since there was no healing

of fistula after applying calcium hydroxide every 3 weeks, periapical surgery was planned. Before the surgical

procedure, the root canal system was filled with biodentine. Then the flap in the relevant area was lifted

and PRF was placed. At the follow-up session 20 days later, it was seen that the fistula tract had healed. The

prosthetic restoration of the tooth was made 2 months later and the patient was referred for control sessions.

Results: In radiographic evaluation at the 3rd and 6th months follow-ups, a decrease in lesion size was

detected. In clinical examination, it was observed that the fistula tract had healed.

Conclusion: Successful treatments can be achieved with a multidisciplinary approach instead of standard

procedures in the treatment of immature teeth with extensive bone loss. Apical plug may not be fully

achieved with standard filling methods. The use of biocompatible materials such as biodentine constitutes a

good alternative in providing apical plug.