Gündüz Bayirli

Travma Nedeniyle Radikular Kist

SONUC: 1 — Cenelerde buyuk bir periapikal lezyon goruldugunde ayirdedici teshis yapilmalidir. 2 — Klinik bulgular, radyografik gorunumler ve histopatolojik inceleme sonuclari degerlendirilerek kati teshis konmalidir. 3 — Cok ciddi sonuclara neden olan habis bir tumor bir rodi-kular kiste, «cementoma»ya ve bir travmatik kemik kistine benzeyebilir.

Radyasyon Tedavisinden önce ve Sonra Diş ve Ağız Bakımı

Kanser tedavisinde radyasyon uc nedenle uygulanir : 1 — Cerrahi mudahaleden once lezyonun hacmini kucultmek veya daha fazla buyumesini onlemek amaciyla, 2 — Cerrahi mudahaleden sonra geride kalmasi muhtemel olan kanser hucrelerini yoketmek icin, 3 — Cogu kez de tek basina tedavi metodu olarak. Cenelerdeki veya cenelere komsu bolgelerdeki kanserlerin radyoterapilerini takiben gorulen ilk zarar anormal dis curuklerinin olusmasidir. Curukler cogu kez kole bolgesindedir ve kesici kenarlarda da olabilir. Yapilan arastirmalar curuklerin dis maddesindeki herhangi bir degisiklik sonucu olmadigini gostermistir (5). VVieman ve arkadaslari (24), 1972 de, radyasyonu takiben minenin cozunurlugunde veya kimyevi bilesiminde hicbir degisiklik olmadigini acikca ortaya koymuslardir (5).

Bir Darbe ile Yerinden Oynayan Dişlerin Tedavisi

SONUC: Darbe etkisiyle yerinden oynayan dislerin hasta tarafindan hemen o anda yerine itilmesi tedavi bakimindan buyuk kolaylik saglar. Fakat disin yerine konmus olmasi tedavinin tamamlandigi anlamina gelmez. En muhim mesele pulpanin canli olup olmamasidir.xa0Bu sekilde kendi alveol bosluklarina yerlestirilen diser hassasiyet testleri ile 1,5-2 ay kontrol edilmelidir. Pulpanin canli olmadigi kesinxa0olarak anlasildiginda kok kanali tedavisi yapilmalidir. SUMMARY As a result of an injury the two upper central incisors of a 23 year - old university male student were in the oblique position toward the palate. The patient pushed immediately the teeth in question to their normal alveolar position. He applied to our clinic fourty days later, and as a result of the first examination the roots and crowns of both his upper central incisors were found to be normal. The test bearing on cold, heat upplications as well as pulp tester showed that the pulp of the upper left central incisor was necrotized whereas that of the upper right central incisor was vital. Therefore this case was considered as being worth to be reported. The root canal treatment of the upper left central incisor carried out and followed up for a period of two years. Meanwhile the pulp of the upper right central incisor remained vital without any calcification; the periapical tissues of the upper left central incisor were found to be normal.

BİR DARBE ETKİSİNDE KALAN KURON VE KÖKÜ SAĞLAM OLAN DİŞLERİN TEDAVİSİ (Vak'a Takdimi)

Sonuc olarak sunu belirtebilir iz: Kok kanali tumuyle tesekkul etmis olsa bile baslangictaki canlilik testleri pulpanin nekroze oldugunu katiyetle belirtmiyorsa, en az iki ay beklenmesi ancak ondan sonra pul panin canliligi hakkinda karar verilmesi gerekir. SUMMARY A case report about traumatized teeth have been presented. The maxillary anterior teeh of a -girl, 18 years of age, had been traumatized by traffic accident. The patien had applied to our clinic for examination of traumatized teeth one month following the accident. Both the apicale foramen of the upper central and lateral incisors Were completely developed; the crown and roots were intact according to the first radiography. The pulps of two upper central incisors were necrotic, root canal treatment was performed. On the first examination, the maxillary lateral incisors responded a very high discharge from; the electric pulp tester. The vitality of two mlaxillairy lateral incisors returned gradually to normal two months after the accident.

KÖK REZORPSİYONU VAK'A TAKDİMİ

SUMMARY This case report deals with an external - internal resorption. A 36 - year old man had a broken maxillary right second premolar. The radiograph showed a greetly expanded transparent surface on the root of the maxillary canine (Fig ; 2). This case was diagnosed as an external - internal resorption. The tooth was checked roentgenographcally after one year. The second radiograph revealed a larger transparent surface. It was including almost the entire root and reducing the dentin to a very thin lamelle (Fig : 3). Next day, this tooth was broken. The root was extracted and examined histologically.

TRAVMAYI TAKİBEN PULPA'DA KİREÇLENME VAK'A TAKDİMİ

SUMMARY A case report about complete calcification of the pulp of the upper left central incicor have been presented. The patient had kicked a hard substance, nin& years ago. Clinical investigation showed no crown fracture. Roentgenograms revealed that the pulp room and the root canal were aimost completely ablitered, except a small segment of the root canal in the apical third. A periapical lesion had cocur red in the periapical area. A draining fistula was present. In such a case, a conventional approach throught the pulp room is contralndi-cated. it was decided that this tooth should he treated by a reverse apical procedure : A Local anesthetic was used- A mucoperiasta! flap was reflected, and access to the root apex was attained. The apical periodontal pathosis could he easily located. An amalgam alloy was used as the filling material.