Diş Fraktürleri ve Pulpa Hastalıkları
Özet
Endodonti, dişin hücre, damar, sinir ağından zengin canlı kısmı pulpanın ve apikal, periapikal, radiküler ve periradiküler dokulardaki hastalıkları ve olası sekellerinin tanısı ve sağaltımıyla ilgilenir. Herhangi bir nedenle pulpanın zarar görmesi, kısmi veya tam canlılığını kaybetmesi dişin kaybına neden olur. Pulpadaki değişikliklerin zamanında tanısı ve endodontik sağaltım seçenekleriyle diş kaybının önlenmesi sağlanabilir. Dişin canlı kısmı olmasada fonksiyonunu devam ettirmesi hastaların yaşam kalitesini arttıracağı gibi, özellikle görev yapan hayvanlar içinde önem taşır. Bu amaçla, el aletleriyle temel kanal tedavisine seçenek olarak geri adım, adım ve taç aşağı, dengeli kuvvet ve motor destekli teknik gibi bazı pulpektomi yöntemleride kullanılmaktadır.Yine kısmi pulpektomide, pulpanın bir kısmının etkilendiği yangısal veya nekrotik pulpa parçası uzaklaştırılarak dişin canlılık ve fonksiyonunu kurtarabilecek yöntemlerdendir. Sonuç olarak, dişin calılık veya fonksiyonunu devam ettirmek amacıyla birçok teknik geliştirilmiş olmasına karşın, geleneksel kanal tedavisi, uygun aletlerin bulunması halinde, diğer yöntemlere göre daha uygulanabilir bir teknik olarak veteriner hekimlerce göz önüne alınmalı ve üzerine çalışılmalıdır.
Endodontics deals with the diagnosis and treatment of diseases and possible sequelae of the pulp, the living part of the tooth rich in cells, blood vessels, and nerves, and the apical, periapical, radicular, and periradicular tissues. Damage to the pulp, or partial or complete loss of vitality, for any reason leads to tooth loss. Timely diagnosis of changes in the pulp and endodontic treatment options can prevent tooth loss. Maintaining the function of the tooth, even if it is no longer vital, improves the quality of life for patients and is especially important for working animals. For this purpose, some pulpectomy methods such as step-down, step-down, and crown-down techniques, balanced force, and motor-assisted techniques are used as alternatives to basic root canal treatment with hand instruments. Partial pulpectomy, where a portion of the pulp is affected by inflammation or necrotic pulp fragments, is another method that can save the vitality and function of the tooth. In conclusion, although many techniques have been developed to preserve the health or function of a tooth, traditional root canal treatment, provided the appropriate instruments are available, should be considered and studied by veterinarians as a more feasible technique compared to other methods.
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