Cover / Jenerik / Içindekiler / Editörden / Doğal vertikal kemik artıșı / In-out tekniği / Bir paradigma değișimi mi var? / Periapikal küretaj / Irrigasyonun önemi / Vital pulpa tedavisi / Tanıtımı / Güncel / Sempozyum / Tanıtımı / Firma / PTC / Inceleme / Ajanda / Yayın kuralları
Cover
1 - 1 viewJenerik
2 - 2 viewIçindekiler
6 - 6 viewEditörden
7 - 7 viewDoğal vertikal kemik artıșı
8 - 10 viewIn-out tekniği
12 - 16 viewBir paradigma değișimi mi var?
18 - 26 viewPeriapikal küretaj
28 - 31 viewIrrigasyonun önemi
32 - 35 viewVital pulpa tedavisi
36 - 39 viewTanıtımı
40 - 42 viewGüncel
44 - 47 viewSempozyum
48 - 49 viewTanıtımı
50 - 51 viewFirma
52 - 53 viewPTC
54 - 54 viewInceleme
55 - 55 viewAjanda
56 - 57 viewYayın kuralları
58 - 58 viewArray
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[1] =>
ROOTS DERGISI-S-30 KAPAKLAR
Sayı 30
international magazine of
1
2023 Türkiye Baskısı
_vaka raporu
poru
Kök kanalı
preparasyonuna
una yeni
bir yaklașım:
In-out tekniği
Doğal vertikal kemik
emik
artıșı – bir efsane değil,
bir gerçeklik
_vaka raporu
Vital pulpa tedavisi klinik bakıș açısı
ISSN 1307-7791
endodontics
[2] =>
ROOTS DERGISI-S-30 KAPAKLAR
[3] =>
ROOTS DERGISI-S-30 KAPAKLAR
roots_jenerik
1
ISSN 1307-7791
roots
international magazine of endodontics
Yay›nc›
Vestiyer Yay›n Grubu
%LOLPVHO'DQÕüPD.XUXOX
Sahibi
Bülent Manav
'Ro'U%XUoLQ$UþFDQ$OSD\ %DüNDQ
Prof. Ebru Özsezer Demiryürek
3URI'U.UúDW(U
3URI'U1LPHW*HQoRÿOX
Prof. Dr. Nicola Mary Grande
Prof. Dr. Mehmet Baybora Kayahan
3URI'U$OSHU.XúWDUFþ
3URI'U(PUH1DJDú
Prof. Dr. Gianluca Plotino
Dr. Simone Staffoli
'Ro'U*OúDK8VOX
'Ro'U.RUD\<þOPD]
Editör
Doç. Dr. Taha Özyürek
tahaozyurek@hotmail.com
.XUXPVDO6DWÕü0GU
(OLI7DPDQ
[4] =>
ROOTS DERGISI-S-30 KAPAKLAR
GREATIST
2023
19th Greatist Professional Dental Meetings & Expo
Beautiful
Days
for
Dentistry
%8)8$56$<,/,.$181*(5(ñó1&(72%%
7¸5.ó<(2'$/$59(%256$/$5%ó5/óñó
ó=1óó/('¸=(1/(10(.7('ó5
*UHDWLVW.26*(%WDUDIÞQGDQGHVWHNYHULOHQ
ELULKWLVDVIXDUÞGÞU
OCTOBER
greatistpro
[5] =>
ROOTS DERGISI-S-30 KAPAKLAR
[6] =>
ROOTS DERGISI-S-30 KAPAKLAR
roots_içindekiler
sayfa 06
sayfa 10
| editörden
| haberler
05
42
'HæHUOL0HVOHNWDâODUÖP
_Doç. Dr. Taha Özyürek
42
43
| vaka raporu
'RæDOYHUWLNDONHPLNDUWÖâÖ²ELUHIVDQHGHæLO
ELUJHUoHNOLN
06
_Prof. Adj. Philippe Sleiman
10
.|NNDQDOÖSUHSDUDV\RQXQD\HQLELU\DNODâÖP
,QRXWWHNQLæL
_Dr. Grzegorz Witkowski
16
/HVV3UHS(QGR|QP]GHN|NNDQDO
SUHSDUDV\RQXQGDELUSDUDGLJPDGHæLâLPLPLYDU"
_Dr. Bartlomiej Karaś
30
43
44
44
45
45
=RUOXYDNDODUGDLUULJDV\RQXQ|QHPL
| olgu sunumu
.DQDOWHGDYLVLQLQ\HQLOHQPHVLYHSHULDSLNDONUHWDM
_Dt. Nüshet Doğan
6HPSR]\XPGDNDoÖUÖOPD\DFDNHQGRGRQWLVXQXPODUÖ
| üniversite_tanıtımı
48
26
%LQLQh]HULQGH0DUND,'(;)XDUÖ·QGD
*|UF\HdÖNÖ\RU
å'(;)XDUÖ·QGDåP]D*Q
'Lâ+HNLPOLæL.WSKDQHVLQGH$ERQHOLæLQL]
%DâODGÖ
)',·ÖQ3ODWIRUPXLOH
[7] =>
ROOTS DERGISI-S-30 KAPAKLAR
roots_editörden
'HæHUOL0HVOHNWDâODUÖP
_%XVD\þPþ]GDHQGRGRQWLDODQþQGD\NVHOHQELUWUHQGRODQOD]HULOHLUULJDV\RQVROV\RQODUþQþQDNWLYDV\RQXQXHOHDODFDÿþ]%X\HQLOLNoL\DNODúþPN|NNDQDOWHGDYLOHULQLQ
HWNLQOLÿLQL YH EDúDUþVþQþ DUWþUPD\þ DPDoODPDNWDGþU *HOHQHNVHO HQGRGRQWLN WHGDYLOHUGH
N|NNDQDOWHPL]OLÿLYHGH]HQIHNVL\RQXLoLQPHNDQLNYHNLP\DVDO\|QWHPOHUNXOODQþOþUNHQ
OD]HUWHNQRORMLVLLOHLUULJDV\RQVROV\RQODUþQþQDNWLYDV\RQXEXVUHoOHULGDKDHWNLOLKkOH
JHWLUPHNWHGLU/D]HULQþVþHQHUMLVLYHPHNDQLNHWNLVLVD\HVLQGHVROV\RQODUN|NNDQDOVLVWHPLQLQGDKDGHULQE|OJHOHULQHQIX]HGHELOPHNWHYHNDSVDPOþELUWHPL]OLNVDÿODPDNWDGþU
%LUELULQGHQJ]HOYDND|UQHNOHULQLQROGXÿXYHoRNGHÿHUOLNOLQLV\HQOHUWDUDIþQGDQKD]þUODQDQEXYDNDODUþQNOLQLÿLQL]H\DUDUOþROPDVþQþXPX\RUXP
%XVD\þQþQKD]þUODQPDVþQGDROGXNoD\RÿXQoDOþúDQ'Ro'U%XUoLQ$UþFDQ$OSD\·DYH
\D]þLúOHULHNLELPL]HJD\UHWOLoDOþúPDODUþQGDQGROD\þWHúHNNUOHU
+HSLQL]HNH\LIOLRNXPDODUGLOHULP
Doç. Dr. Taha Özyürek
Editör
roots
1_2023
5
[8] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_doğal vertikal kemik artıșı
'RæDOYHUWLNDONHPLNDUWÖâÖ –
ELUHIVDQHGHæLOELUJHUoHNOLN
Yazar_Prof. Adj. Philippe Sleiman, Lübnan
Resim 2 b
Resim 1
Resim 2 a
Resim 2 c
Resim 1: +DVWDQÖQSUHRSUDG\RJUDILVLResim 2 a-c:%\NELUNHPLNGHIHNWL(a)J|VWHUHQL&$7WDUDPDVÖQÖQKRUL]RQWDOJ|UQP+HULNLVDQWUDONHVLFLGLâLQYHUWLNDODoÖODUÖNHPLNND\EÖQÖ
J|VWHULU(b ve c)
_*LULü
.HPLNND\EþGLúKHNLPOLÿLQGHNLHQE\N]RUOXNODUGDQ ELULGLU .HPLN KDFPL GRÿDO GLúOHULQ YDUOþÿþ
Resim 3:
+HULNLVDQWUDONHVLFLGLâHVÖIÖU
DSLVHNWRPLWHNQLæL
Resim 3
X\JXODQGÖ
Resim 4 a ve b:
3RVWRSGXUXPX(a)YHGRNX]D\OÖN
WDNLSWHNLGXUXPX(b)J|VWHUHQ
UDG\RJUDILOHU
Resim 4 a
6 roots
1_2023
Resim 4 b
LOHEDÿODQWþOþGþU$QNUDMODUþQþQ\DQLGLúOHULQND\Eþ\ODNHPLN\DYDú\DYDúUH]RUEHRODFDNWþUYHEXGXUXPXQ NRQWURO DOWþQGD WXWXOPDVþ GDKD GúN ELU
LKWLPDOGLU$\QþVþSHULRGRQWDOKDVWDOþNGXUXPXQGDEDNWHUL\HOLQYD]\RQLOHGHRUWD\DoþNDU%LUoRN
GLúLQGXUXPXED]HQ\DWD\NHPLNND\EþLOHELUOHúPLú GLNH\ NHPLN ND\Eþ QHGHQL\OH XPXWVX] RODUDN
kabul edilir.
%X PDNDOH EX WU GXUXPODU LoLQ XPXW ROPD\þ
DPDoODPDNWDGþU6XQXODQWHNQLNDSLNDONLVWHEDÿOþ
SUREOHPOHULSUREOHPOHULQLLNLNþVþPGDWHGDYLHGHQ
VþIþU DSLVHNWRPL WHNQLÿLQH GD\DQPDNWDGþU ýON VRUXQN|NNDQDOWHGDYLVLLOHo|]PHNDYXúDQN|NNDQDOþQþQLoLLOH LNLQFLVRUXQNLVWLQNHQGLVLYHNLVWLQ
LoLQGHNLN|NQDoþNWDNDODQNþVPþLOHLOJLOLGLU6þIþU
DSLVHNWRPL WHNQLÿL N|N NDQDOþQþQ EWQOÿQQ
NRUXQPDVþQDYHN|NQDoþNWDNDODQNþVPþQþQWHGDYLHGLOPHVLQHGD\DQþU7HPHO]RUOXNN|NQGþú\]H\LQGHEXOXQDQEDNWHULOHUGLUEXQXQLoLQVLWULN
DVLWNLVWLoþNDUGþNWDQVRQUDN|NQDoþNWDNDODQNþVPþQDELUPLNURIþUoDLOHG]JQELUúHNLOGHX\JXODQþU6LWULNDVLW\]H\GHELULNHQEDNWHULOHULRUWDGDQ
NDOGþUþU .|N oL]PHPHN LoLQ |]HOOLNOH GLNNDWOL RO-
[9] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_doğal vertikal kemik artıșı
PDNJHUHNLU%LUVRQUDNLDGþPDVLGL\]H\GHQGXUXODPDN LoLQ ERO PLNWDUGD VWHULO VX LOH \þNDPDGþU
'DKDVRQUDEXWHNQLNOHNRUXQDQSHULRGRQWDOOLJDPHQW KFUHOHULQL RQDUPDN LoLQ ELU PLNUR IþUoD LOH
('7$X\JXODQþUGDNLNDEHNOHWLOLU$UGþQGDQ
EROPLNWDUGDVWHULOVXLOHLUULJDV\RQ\DSþOþU%X\DNODúþP SHULRGRQWDO OLJDPHQW KFUHOHULQLQ N|NQ
DoþNWDNDODQNþVPþ]HULQGH\HQLGHQJHOLúPHVLLoLQ
JYHQOL ELU RUWDP \DUDWþU 3HULRGRQWDO OLJDPHQWL
\HQLGHQúHNLOOHQGLUHUHNYHE|\OHFHGþúUH]RUSVL\RQXYH\DDQNLOR]X|QOH\HUHNGLNH\YH\DWD\NHPLN
\HQLGHQ ROXúXPXQX LQGNOH\HUHN \HQLGHQ E\\HFHNNHPLNLoLQELU\DSþLVNHOHVLROXúWXUXU
Resim 5 a
Resim 5 b
Resim 5 a ve b:3UHRS D YHGRNX]D\OÖNWDNLSWH E DOÖQDQL&$7WDUDPDODUÖQÖQKRUL]RQWDOJ|UQPOHULQLQ
NDUâÖODâWÖUÖOPDVÖ
Resim 6 b
_2OJX6XQXPX
Resim 6 a-c:
'þúJ|UQúQHoRN|QHPYHUHQYHGRÿDOJ|UQPHNLVWH\HQPRGHOELUJHQoNDGþQKDVWDDOWoHQHVLQGHLNLVDQWUDONHVLFLGLúLQDOWþQGDELUúLúOLNLOHNOLQLÿLPL]HJHOGL3HULRGRQWLVWYHSURWH]X]PDQþPþ]D
GDQþúWþNWDQVRQUDELUVDQWUDONHVLFLGLúWHQGLÿHULQH
X]DQDQWPNRUWLNDOSODNDQþQ\RNROGXÿXQXJ|VWHUHQPP·GHQJHQLúELUFHSNHúIHGLOGL%XKHULNL
VDQWUDONHVLFLGLúLQ6þQþI,,,PRELOLWHVLLOHELUOLNWHSHULRGRQWLVWLoLQELUWHKOLNHLúDUHWL\GL'LúOHULQFDQOþOþN
WHVWLQGHKHULNLVDQWUDONHVLFLGLúVRÿXNWHVWLQHFHYDSYHUPHGLYHNDODQGLúOHUQRUPDOGL5DG\RJUDILGH
VRUXQJ|UQP\RUGX 5HVLP Sorunun daha iyi
DQODúþOPDVþLoLQELUL&$7WDUDPDVþ\DSþOGþ7DUDPD
OH]\RQXQKRUL]RQWDOYHYHUWLNDOELUDoþVþQþJ|VWHUL\RUGX+RUL]RQWDODoþVROVDQWUDONHVLFLGLúWHQVDÿ
ODWHUDONHVLFLGLúHNDGDUX]DQDQWRSODPX]XQOXÿX\DNODúþNPPYHGHULQOLÿLPPRODQ
KHP NRUWLNDO KHP GH WUDEHNOHU NHPLÿLQ ND\EþQþ
J|VWHUL\RUGX 5HVLP D 9HUWLNDO DoþGD EXNNDO
\]H\GHYHVDQWUDONHVLFLGLúOHULQQHUHGH\VHDSHNV
KL]DVþQD NDGDU NHPLN EXOXQPDGþÿþ J|]OHQL\RUGX
5HVLPEYHF PPLOHPPDUDVþQGDKRUL]RQWDONHPLNND\EþYDUGþ%XJHQHOOLNOHXPXWVX]
NDEXO HGLOHQ ELU GXUXPGX YH LOJLOL GLúOHUL NXUWDUPDNLPNkQVþ]J|UQ\RUGX
+DVWD EX SURJQR]GDQ PHPQXQ GHÿLOGL /H]\RQXQ
QHGHQLQL DQODPDN LoLQ EDQD EX GLúOHULQ KLND\HVLQL
DQODWPDVþQþ LVWHGLP $OW oHQHVLQH oRN |QFHGHQ |Q
WDUDIWDQDOGþÿþELUWUDYPD\þDQODWWþ%LUNDo\þOGþUWUDYPDWLNELUNLVWWHQPX]GDULSROGXÿXVRQXFXQDYDUGþP
'LúOHULQLNXUWDUPD\þXPDUDNVþIþUDSLVHNWRPLWHNQLÿLQLX\JXODPD\þ|QHUGLPDQFDNNHPLNND\EþoRNLOHUOHPLúROGXÿXLoLQEDúDUþVþ]OþNULVNLQLDoþNODGþP
Resim 7 a
Resim 7 b
'RNX]D\OÖNWDNLSWHDOÖQDQL&$7
WDUDPDVÖQÖQKRUL]RQWDOJ|UQP
VDGHFHPP D NHPLNGHIHNWL
Resim 6 c
J|VWHUPHNWHGLU+HULNLVDQWUDONHVLFL
GLâLQYHUWLNDOJ|UQPOHULDSHNVOHULQ
DOWÖQGDNLNHPLNL\LOHâPHVLQLJ|VWHULU
YHNHPLNEXNNDO\|QGHYHUWLNDO
RODUDNJHOLâPHNWHGLU(b ve c)
Resim 6 a
+HU LNL VDQWUDO NHVLFL GLúH WHN VHDQVWD N|N NDQDO
WHGDYLVL X\JXODQGþ IOHS NDOGþUþOGþ NLVW GLNNDWOLFH
oþNDUþOGþYHKHULNLN|NQ\]H\WHGDYLVLGLNNDWOLELU
úHNLOGH\DSþOGþ 5HVLP ýúOHPVþUDVþQGDKFUHOHUL
FDQOþWXWPDNLoLQE|OJH\LL\LQHPOHQGLUPHN]RUXQOXGXU6þNþYHG]JQGLNLúDWþOGþVHUWELUUHWDLQHU
\DSþOGþYHNDSDQþúNRQWUROHGLOGL6HUWUHWDLQHUDOWþ
KDIWDVRQUDGDKDHVQHNELUUHWDLQHULOHGHÿLúWLULOdi. Hastaya yedi gün boyunca antibiyotik, birkaç
JQ ER\XQFD LEXSURIHQ YH DPHOL\DWWDQ VRQUDNL
JQEDúODPDN]HUH\HGLJQER\XQFDDONROV]ELU
gargara reçete edildi. Ameliyattan bir hafta sonra
GLNLúOHU DOþQGþ YH KHU LNL VDQWUDO NHVLFL GLúLQ JLULú
NDYLWHVLQHGDLPLGROJX\DSþOGþ
ýúOHPGHQ KHPHQ VRQUD SRVWRSHUDWLI YH GRNX]
D\OþN WDNLS UDG\RJUDILVL oHNLOGL .DUúþODúWþUPDGD
LNL VDQWUDO NHVLFL GLú DUDVþQGD NHPLN DSR]LV\RQX
J|UOG 5HVLP .HPLNROXúXPXQXNRQWUROHWPHNLoLQGRNX]D\OþNWDNLSWHELUL&$7WDUDPDVþGD
\DSþOGþ3UHRSHUDWLIRODUDNDOþQDQODD\QþVHYL\HGHQ
DOþQDQKRUL]RQWDONHVLWERúOXÿXQNRUWLNDOG]H\GH
PP·GHQ PP·\H GúWÿQ YH WUDEHNOHUNHPLÿLQL\LOHúPHGHD\QþHÿLOLPLJ|VWHUGLÿLQL
DoþNoD J|VWHUGL 5HVLP 9HUWLNDO NHVLW EXNNDO
Resim 7 c
Resim 7 d
Resim 7 e
Resim 7 a-e:3UHRS(a ve b)GRNX]D\OÖNWDNLS(c)YHD\OÖNWDNLSWH(d ve e)DOÖQDQL&$7WDUDPDODUÖQÖQKRUL]RQWDOJ|UQPOHULQLQNDUâÖODâWÖUÖOPDVÖE|OJHQLQWDPDPHQL\LOHâWLæLQLJ|VWHULU
roots
1_2023
7
[10] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_doğal vertikal kemik artıșı
Resim 8 a
WDEDND]HULQGHNLNHPLÿLQN|NHGRÿUXYHYHUWLNDO
RODUDN E\GÿQ J|VWHUGL 5HVLP
[11] =>
ROOTS DERGISI-S-30 KAPAKLAR
[12] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_in-out tekniği
.|NNDQDOÖSUHSDUDV\RQXQD\HQL
ELU\DNODâÖP ,QRXWWHNQLæL
Yazar_Dr. Grzegorz Witkowski, Polonya
_*LULü
6RQ \þOGD HQGRGRQWLGH KDOD D\Qþ GHUHFHGH NDUPDúþN RODQ DQDWRPL KDULo oRN úH\ GHÿLúWL
3URWRNROOHULPL]L YH WHNQLNOHULPL]L JHOLúWLUHELOLUL]
DQFDN DQDWRPLN \DSþODUþQ NDUPDúþNOþÿþ |]HOOLNle enstrümantasyon için çok sorunlu olabilir.
(QVWUPDQODUþQ NHVLWOHUL UHWLOGLNOHUL DODúþP YH
PDUX] NDOGþNODUþ þVþO LúOHP LOH LOJLOL VUHNOL JHOLúLPLQH UDÿPHQ HQVWUPDQWDV\RQ SURWRNROOHUL NRQXVXQGDKDODPNHPPHOELUo|]PP]\RNWXU
(Q E\N VRUXQ ELUoRN HÿH VLVWHPL NþODYX]XQGD
\D\JþQRODUDN|QHULOHQVWDQGDUWHQVWUPDQWDV\RQ
WHNQLNOHULQLQ HÿH oDOþúPD KDUHNHWLQGHQ EDKVHWResim 1
Resim 2
Resim 3
Resim 4
Resim 5 a
Resim 5 b
10 roots
1_2023
[13] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_in-out tekniği
Resim 6
PHGLÿLPHGLNNDWHGLQL]GRÿDODQDWRPL\HYHRQXQ
NDUPDúþNOþÿþQDVD\JþJ|VWHUPHPHVLGLU
'LúKHNLPOHULNDQDOERúOXÿXQGDJHQHOOLNOH\DNODúþN USP·GH G|QHQ URWDU\ HÿHOHUOH oDOþúþUNHQ
KDUHNHWLQEDúODPDVþQGDQKHPHQVRQUDDOHWLQ\LYOHULQLQ WDPDPHQ WþNDQGþÿþQþ DQODPDN |QHPOLGLU
%X QHGHQOH GHEULVLQ YH NHVLOPLú GHQWLQLQ oRÿX
ODWHUDODQDWRPL\HVþNþúWþUþOþU%X]DWHQGDURODQYH
GDKDVRQUDWHPL]OHQPHVL]RUDODQODUþQWþNDQPDVþ
QHGHQL\OHHQEDúþQGDQEHULVRUXQ\DUDWþU7HNELU
KDUHNHWWHELUGHQID]ODYXUXúODoRNKþ]OþJHUoHNOHúWLULOHQ \DQOþú HQVWUPDQWDV\RQ DUGþQGDQ X\JXQ
LUULJDV\RQYHDNWLYDV\RQHNVLNOLÿLUDG\RJUDILJ]HOEH\D]oL]JLOHUJ|VWHUVHELOHEDúDUþVþ]OþNODUD\RO
DoDU $QDWRPLQLQ ' ROGXÿXQX XQXWPDPDOþ\þ]
5HVLP
Resim 8
Resim 7
Resim 9
roots 11
1_2023
[14] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_in-out tekniği
Resim 10
Resim 11
Resim 12
Resim 13
Resim 14
Resim 15
Resim 16
Resim 17
Resim 18
7HNQLN WDOLPDWODUþQ oRÿX GLú KHNLPOHULQH HÿHOHUL
o LOD G|UW VUHNOL JDJDODPD KDUHNHWLQGH NXOODQPDODUþQþ KHU KDUHNHWWH HÿH\L oþNDUPDGDQ ELUD]
GDKDLOHUOHPHOHULQLYHGDKDVRQUDHÿH\LNDQDOGDQ
oþNDUPDODUþQþDOHWLWHPL]OHPHOHULQLNDQDOþ\þNDPDODUþQþ YH X\JXOD\þFþ DSLNDO E|OJH\H XODúDQD NDGDU
EXQXWHNUDUODPDODUþQþ|QHULU%XWUELU\DNODúþP
ELUSRPSDODPDKDUHNHWL\DUDWþUYHWPGHEULVLVþUDVþ\ODODWHUDOHYHDSLNDOE|OJH\HGRÿUXLWHU'DKD
VRQUD VRQ LUULJDV\RQ SURWRNRO JHUoHNOHúWLULOLU
Resim 19
Resim 20
Resim 21
Resim 22
Resim 23
Resim 24
12 roots
1_2023
/DWHUDO DQDWRPL YH GDOODQPDODUGD SUHSDUDV\RQOD
ROXúDQWPWþNDQþNOþNODUGDQ|WUEDúODQJþFDJ|UH
oRNGDKD]RUGXU 5HVLP
%X \D]þGD PHNDQLN KD]þUOþÿD \HQL ELU \DNODúþP
|QHUPHNLVWL\RUXP ,QRXWWHNQLÿLgQHULOHQSURWRNROVDWþúWDRODQYHPHYFXWKHUHÿHoDOþúPDKDUHNHWL LoLQ JHoHUOLGLU $\UþFD JHOLúWLULOHQ KHUKDQJL
ELU \HQL HÿH\OH EX WHNQLNOH oDOþúDELOHFHÿLQL] LoLQ
JHOHFHÿH\|QHOLNWLU
Resim 25
[15] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_in-out tekniği
Resim 26
Resim 27
Resim 28
Resim 29
Resim 30
Resim 31
Resim 32
Resim 33
Resim 34
_3URWRNRO
0DQXHO ELU JLULú \ROX KD]þUODUVDQþ] EXQX PHNDQLN HQVWUPDQWDV\RQGDQ |QFH \DSþQ %X DGþPGD
dD LUULJDV\RQ \DSPD\þ XQXWPD\þQ *LULú NDYLWHVLQLROXúWXUGXNWDQYHSXOSDRGDVþWDEDQþQGDNLWP
NDQDOJLULúOHULQLEXOGXNWDQVRQUDHÿHGHQWLQLNHVPH\H EDúOD\DQD NDGDU HÿH\L KHU NDQDO ERúOXÿXQD VDGHFH ELU KDPOH\OH 5HVLP \HUOHúWLULQ (ÿH
NHVPH\H EDúODU EDúODPD] JHUL oþNDUþQ JHQHOOLNOH
DOHWLQPP·VLQL\HUOHúWLUGLNWHQVRQUD 5HVLP
[16] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_in-out tekniği
WREXNNDONDQDOYHELUSDODWLQDONDQDO7PNDQDOODUGDSDWHQVLVDÿODQGþ 5HVLP
0HNDQLN SUHSDUDV\RQ 9':527$7( 9': HÿHOHU LOH VWDQGDUW ELU VþUD\OD \DSþOGþ
(QVWUPDQWDV\RQVþUDVþQGDWPHÿHOHULQ
RXWWHNQLÿLLOHNXOODQþOGþ 5HVLP +HUHÿHX\JXODPDVþ DUDVþQGD N|N NDQDOþ ERúOXÿX ELU DULVFDOHU
WDUDIþQGDQ\NVHNIUHNDQVWDoDOþúWþUþODQ(''<XoODUþ 9': LOHUHWLFLQLQSURWRNROQHX\JXQRODUDN
LUULJHYHDNWLYHHGLOGL 5HVLPYH
2EWXUDV\RQ VRQ LUULJDV\RQ SURWRNROQGHQ VRQUD
JHUoHNOHúWLULOGL 2EWXUDV\RQ LoLQ WHN NRQ WHNQLÿL
LOH 9': 6HDO EL\RVHUDPLN SDW 9': NXOODQþOGþ
5HVLP %LWLPUDG\RJUDILVLDQDWRPLQLQEDúDUþOþ ELU úHNLOGH GROGXUXOGXÿXQX J|VWHUGL EXUDGDQX\JXQSUHSDUDV\RQWHNQLÿLQLQHQL\LLUULJDV\RQSURWRNRO\OHELUOLNWHNOLQLV\HQOHULQEDúDUþOþELU
WHGDYL JHUoHNOHúWLUPHOHULQH \DUGþPFþ RODELOHFHÿL
VRQXFXQDYDUþODELOLU 5HVLP
_9DND
BLOHWLâLP
roots
Witkowscy Dental Clinic
8O.D]LPLHU]D-DURV]\ND
2OV]W\Q3RODQG
ZZZGHQWDONXUV\SO
\DúþQGD KDVWD QXPDUDOþ GLúLQ HQGRGRQWLN
WHGDYLVL LoLQ NOLQLÿLPL]H \|QOHQGLULOGL %DúODQJþo
UDG\RJUDILVLQGH NHVNLQ NXUYDWUOHUL RODQ NRPSOHNV ELU DQDWRPL J|UOG 5HVLP %X GXUXPODUGD DVþO DPDFþPþ] DOHWLQ NþUþOPDVþQþ |QOHPHNWLU
,QRXW WHNQLÿL EX GXUXPODUGD GD L\L ELU VHoLPGLU ý]RODV\RQGDQ VRQUD JLULú NDYLWHVL KD]þUODQGþ
5HVLP %XOXQDQKHULNLNDQDOGDNLDQLHÿLPOHU
QHGHQL\OH PDQXHO ,62 YH .WLSL HÿHOHUOH 9': 5HVLP ELU UHKEHU \RO KD]þUODQGþ
0DQXHOHQVWUPDQWDV\RQVþUDVþQGDXOWUDVRQLNELU
XoLOHJLULúNDYLWHVLQGHNoNG]HQOHPHOHU\DSþOGþ
5HVLP
0DQXHO RODUDN UHKEHU \RO KD]þUODQGþNWDQ VRQUD
9':527$7(HÿHOHULOHLQRXWWHNQLÿLNXOODQþODUDN
VRQ HQVWUPDQWDV\RQ JHUoHNOHúWLULOGL 5HVLP
3UHSDUDV\RQYHVRQLUULJDV\RQGDQVRQUDGHYDPOþ
þVþ\OD NRPSDNVL\RQ WHNQLÿL YH HSRNVLDPLQ ED]Oþ
B\D]DUKDNNÖQGD
roots
Dr. Grzegorz Witkowski \ÖOÖQGD 3RORQ\D·GDNL 9DU
âRYD7ÖShQLYHUVLWHVL·QGHQPH]XQROGX\ÖOÖQGDQEHUL
3RORQ\D·QÖQ2OV]W\QâHKULQGHHQGRGRQWL&$'&$0YHHV
WHWLNGLâKHNLPOLæLQHRGDNODQDQ|]HOELUPXD\HQHKDQHLâOHW
PHNWHGLU 7DQÖQPÖâ ELU XOXVODUDUDVÖ NRQXâPDFÖGÖU YH LOHUL
HQGRGRQWLYH.,%7&$'&$0OD]HUGHVWHNOLHQGRGRQWLYH
PLNURVNRSXQJQONSUDWLNWHNXOODQÖPÖ]HULQHoRNVD\ÖGD
PDNDOHQLQ\D]DUÖGÖU*QONHQGRGRQWLSURWRNROOHULQLDoÖN
ODGÖæÖ 3URFHGXU\ (QGRGRQW\F]QH 4XLQWHVVHQFH 3RORQ\D
NLWDEÖQÖQ \D]DUÖGÖU $YUXSD (QGRGRQWL 'HUQHæL YH
3ROVNLH 7RZDU]\VWZR (QGRGRQW\F]QH 3RORQ\D (QGRGRQ
WL'HUQHæL \HVLGLU'U:LWNRZVNLLOHJU]HJRU]ZLWNRZVNL#PHFRPDGUHVLQGHQLOHWLâLPH
JHoLOHELOLU
14 roots
1_2023
ELUN|NNDQDOSDWþRODQ6HDOLOHREWXUDV\RQ\DSþOGþ 9': 5HVLP %LWLPUDG\RJUDILVLWDPRODUDN GROGXUXOPXú N|N NDQDO NRPSOHNVLQL J|VWHUGL
5HVLP
_9DND
\DúþQGD KDVWD HQGRGRQWLN SULPHU WHGDYL LoLQ
NOLQLÿLPL]H \|QOHQGLULOGL +DVWDQþQ DNXW DÿUþVþ
YDUGþ YH DFLO ELU UDQGHYX HVQDVþQGD WHGDYL HGLOGL
%DúODQJþoUDG\RJUDILVL 5HVLP YHDÿþ]LoLPXD\HQH QXPDUDOþ GLúH HQGRGRQWLN PGDKDOH
LKWL\DFþQþ J|VWHUGL *LULú NDYLWHVL ('' XOWUDVRQLN VFDOHU XFX :RRGSHFNHU NXOODQþODUDN ROXúWXUXOGX YH SXOSD RGDVþ WDEDQþQþQ WDPDPþQþ J|UVHOOHúWLUHFHN úHNLOGH X\DUODQGþ 5HVLP 7HVSLW
HGLOHQ ELU SXOSD WDúþ GD ('' XFX LOH oþNDUþOGþ
5HVLPYH (QVWUPDQWDV\RQGDQ|QFHSXOSDDUWþNODUþQþSXOSDRGDVþQGDQX]DNODúWþUPDNLoLQ
NDYLWHQLQVRG\XPKLSRNORULWLOHLONLUULJDV\RQXYH(''<XoODUþLOHDNWLYDV\RQXJHUoHNOHúWLULOGL
5HVLP 'DKD VRQUD EDúODQJþo UHKEHU \ROX
PDQXHO62.WLSLHÿHOHU 9': NXOODQþODraN ROXúWXUXOGX 0HNDQLN HQVWUPDQWDV\RQ LNLQFL
PHVLREXNNDOELULQFLYHLNLQFLGLVWREXNNDOYHSDODWDO
NDQDOODUGD 9':527$7( HÿHOHUL YH ELULQFL PHVLREXNNDONDQDOGD55(&,352&EOXHHÿHVL 9': LOH
\DSþOGþ 5HVLP 7P DOHWOHU LQRXW WHNQLÿLQGH
NXOODQþOGþ YH HQVWUPDQODU DUDVþQGD ERO PLNWDUGD
LUULJDV\RQ LOH DNWLYDV\RQ \DSþOGþ .DQDOODUþQ oRN
X]XQYHHÿULROPDVþQHGHQL\OHVRQLUULJDV\RQSURWRNROLoLQ,UUL)OH[LÿQHVL 3' NXOODQþOGþ 5HVLP
2EWUDV\RQ9':6HDOLOHNDYLWSLVWRQWHNQLÿLNXOODQþODUDN\DSþOGþ 5HVLP %LWLPUDG\RJUDILVLoHNLOGLYHNOLQLNVRQXoDoþVþQGDQLQFHOHQGL 5HVLP
*|]OH J|UOU ODWHUDO DQDWRPL REWXUDV\RQXQGDQ
SUHSDUDV\RQVþUDVþQGDNXOODQþODQLQRXWWHNQLÿLQLQ
NDQDOúHNLOOHQGLUPHVLQGHNOLQLNEDúDUþLoLQXPXWYHULFLELUo|]PROGXÿXVRQXFXQDYDUþODELOLU
_Sonuç
(QGRGRQWLNWHGDYLROGXNoDNDUPDúþNWþUYHLúOHPVþUDVþQGDELUoRNKDWD\DDoþNWþU.DQDOSUHSDUDV\RQX
\DSþOþUNHQGLúKHNLPOHULQLQEHOLUOLNXUDOODUDX\PDVþ
JHUHNLU(Q|QHPOLVLGHEULVLQNDQDOERúOXÿXYHODWHUDODQDWRPLQLQLoLQHGHÿLOoRÿXQOXNODDSLNDOE|OJH
LoLQHLWLOPHVLGLU6KLOGHU·þQWHPL]OLNLoLQúHNLOOHQGLULOPHVL úHNLOOHQGLUPH YH WHPL]OHPH KDOLQH JHOGL
[17] =>
ROOTS DERGISI-S-30 KAPAKLAR
[18] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
/HVV3UHS(QGR|QP]GHN|N
NDQDOSUHSDUDV\RQXQGD
ELUSDUDGLJPDGHæLâLPLPLYDU"
Yazar_Dr. Bartłomiej Karaś, Polonya
Resim 1
Resim 2
Resim 4
Resim 5
Resim 3
Resim 6
In vitrooDOÖâPDODU³5HVLP %LUPDQGLEXODUPRODUGLâLQLVWPXVGDOODQPDODUYHODWHUDONDQDOODUÖJ|VWHUHQSUH
RSUDG\RJUDILVLResim 2:$\QÖPDQGLEXOHUPRODUGLâLQNDQDOSDWÖLOHGROGXUXOPXâLVWPXVGDOODQPDODUYHODWHUDO
NDQDOODUÖJ|VWHUHQSRVWRSUDG\RJUDILVLResim 3-5:%LUPDQGLEXOHUPRODUGLâLQSRVWRSUDG\RJUDILVLResim 6:
0DNVLOOHUPRODUGLâLQSRVWRSUDG\RJUDILVL
_*LULü
/D]HUOHU GLú KHNLPOLÿLQH \þOþQGD /HRQ
*ROGPDQ WDUDIþQGDQ WDQþWþOGþ ýON X\JXODPD
DúþUþ WHUPDO KDVDU QHGHQL\OH ELU EDúDUþVþ]OþNWþ
*ROGPDQ·þQ \LUPL ELULQFL \]\þO GLú KHNLPOLÿL LoLQ
ND\GHWWLÿLE\NLOHUOHPHQLQIDUNþQGDROXSROPDGþÿþQþPHUDNHGHELOLUL](OOL\þOGDQID]ODELUVUHGLU
IDUNOþOD]HUWUOHULGLúKHNLPOLÿLQLQoHúLWOLGDOODUþQGDGRNXL\LOHúWLUPHUHMHQHUDV\RQGLúHWLFHUUDKLVL UHVWRUDWLI GLú KHNLPOLÿL SURWH] NURQODUþQþQ YH
N|SUOHULQD\UþOPDVþYHHQGRGRQWLLoLQoRN\D\JþQ
RODUDNNXOODQþOPDNWDGþU
+HUEHUW 6FKLOGHU·LQ N|N NDQDO úHNLOOHQGLUPH LONHOHULQL HQGRGRQWLN WHGDYL\H WHPHO \DNODúþP RODUDN
EHOLUOHGLÿL \þOþQGDQEX\DQDQHUHGH\VHKLoELU
16 roots
1_2023
úH\GHÿLúPHGL+HSLPL]NRQLNELUSUHSDUDV\RQúHNOL
HOGH HWPHN DSLNDO IRUDPHQL PPNQ ROGXÿXQFD
NoNWXWPDNYHLUULJDV\RQDMDQODUþQþQN|NNDQDOþ
sistemlerinin art arda dezenfeksiyonunu gerçekOHúWLUPHOHUL LoLQ DODQ KD]þUODPDN DPDFþ\OD N|N
NDQDO úHNLOOHQGLUPH SURVHGUOHULQL X\JXODPD\D
oDOþúþ\RUX] 1H \D]þN NL N|N NDQDOþ úHNLOOHQGLUPH
SURVHGUWPHQIHNWHGRNXQXQN|NNDQDOþQGDQ
oþNDUþOPDVþQD RODQDN VDÿODPD] YH G|QHU DOHWOHULQ
NXOODQþOPDVþLVWPXVODUGD\]JHoOHUGHGDOODQPDlarda ve aksesuar kanallarda biriken çok miktarda
VHUWGRNXDUWþÿþUHWLU*HOHQHNVHO\|QWHPLQGH]DYDQWDMODUþROPDVþQDUDÿPHQEX]DPDQDGHNGDKD
L\LELU\|QWHPELOPL\RUX]
6HUW GRNX DUWþNODUþQþQ E\N oRÿXQOXÿXQX RUWDGDQNDOGþUPD\D\|QHOLNN|NNDQDOþúHNLOOHQGLUPHYH
\þNDPDSURWRNROOHULQHGDLUoHúLWOLJ|UúOHUVXQXOPXúWXU *U]HJRU] :LWNRZVNL WDUDIþQGDQ WDQþWþODQ
LQRXW WHNQLÿL JLEL WHNQLNOHU HQVWUPDQWDV\RQ
VþUDVþQGD HQ \D\JþQ NXOODQþODQ oRN KDUHNHWOL PHNDQLN SUHSDUDV\RQXQ ROXúWXUGXÿXQGDQ oRN GDKD
ID]OD GHEULVL RUWDGDQ NDOGþUPDN LoLQ JHOLúWLULOPLúWLU 6RG\XP KLSRNORULWLQ 1D&O2 NHVLQWLVL] DNþúþ
LOHúHNLOOHQGLUPHSURWRNROOHULGHWDQþWþOPþúWþU6RQ
RODUDN *HQWOH:DYH LUULJDV\RQ FLKD]þ 6RQHQGR
N|NNDQDOþERúOXÿXQXQDOþúWþÿþPþ]GDQoRNGDKDD]
SUHSDUDV\RQX\ODSL\DVD\DWDQþWþOGþ
/D]HUOHULQGLúKHNLPOLÿLQHJLULúL|]HOOLNOHHQGRGRQWLNWHGDYLGHEDúODQJþoWDXPXWYHULFLGHÿLOGL5XE\
OD]HUOHULQQHGHQROGXÿXWHUPDOKDVDUVRUXQXEX
WUOD]HUOHULQN|NNDQDOþGH]HQIHNVL\RQXLoLQNXOODQþODPD\DFDÿþDQODPþQDJHOL\RUGX1H\VHNL\HQL
OD]HUWHNQRORMLOHULQLQJHOLúPHVLN|NNDQDOWHGDYLVLQH|]HOOLNOHGHOD]HUOHDNWLYHHGLOHQLUULJDV\RQD
X\JXQOD]HUFLKD]ODUþLOHVRQXoODQGþ
[19] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
/3( NRQVHSWL 7DEOR %XPDNDOHGHILNULQN|NHQLQL/3(NDYUDPþQþQLONLQYLWURGHQHPHOHULQLYHEX
SURWRNROHJ|UHX\JXODQDQYDNDODUþHOHDODFDÿþP
_.|NHQL
0LNUR%7 WDUDPDODUþ NOLQLV\HQOHULQ N|N NDQDOþ
VLVWHPLQLQ NDUPDúþNOþÿþ KDNNþQGDNL ELOJLOHULQL JHOLúWLUPHOHULQH L]LQ YHUGL %X WU ELU J|UQW NOLQLV\HQLQ |]HOOLNOH D]þ GLúOHULQGH N|NOHULQ LoLQGHNL
NDQGDPDUODUþDÿþQþDQODPDVþQD\DUGþPFþRODELOLU
0LNUR%7 WDUDPDODUþQþQ LQWHUQHWWH PHYFXW UDG\RJUDILOHUOH NDUúþODúWþUPDVþ PLNUR%7 WDUDPDODUþ
LOHSRVWRSHUDWLIUDG\RJUDILOHUDUDVþQGDREWXUDV\RQ
NDOLWHVL DoþVþQGDQ J|]OH J|UOU ELU IDUN ROGXÿXQXRUWD\DNR\PDNWDGþU(QEHOLUJLQIDUNOþOþNDSLNDO
GHOWDYHNDQDOODUDUDVþQGDNLLVWKPXVODUDODQþQGDGþU %X IDUN N|N NDQDOþ WHGDYLVL SURVHGUOHUL oRN
EDúDUþOþROPDVþQDUDÿPHQN|NNDQDOþERúOXÿXQXQ
E\NELUNþVPþQþQVHUWGRNXDUWþNODUþQGDQWHPL]OHQPHGLÿL YH REWXUDV\RQ PDWHU\DOL LOH GROGXUXOPDGþÿþVRQXFXQDYDUPDPþ]þVDÿODGþ
)RWRQD·QþQ 6:((36 úRN GDOJDVþ\OD JHOLúWLULOPLú
HPLV\RQIRWRDNXVWLNDNþúþ WHNQRORMLVLELUNDoPLNURVDQL\H ER\XQFD QP GDOJD ER\XQD VDKLS
ELUOD]HUDWþPþQDGD\DQPDNWDGþU%XoRNNþVDOD]HU
DWþPþELUELUOHUL\OHoDUSþúDQYHo|NHUHNNDEDUFþNODU
UHWHUHNELUúRNGDOJDVþ\DUDWDUDNE\NPLNWDUGD
HQHUML ROXúWXUXU %X J|Uú OLWHUDWUGH VHUW GRNX
DUWþNODUþQþQX]DNODúWþUþOPDVþYHGHQWLQWEOOHULQLQ
GH]HQIHNVL\RQXDoþVþQGDQHQHWNLOLRODQODUGDQELUL
RODUDNWDQþPODQPDNWDGþU
_In
In Vitro
VitrodDOÕüPDODU(Resim 1-6)
/3(NRQVHSWLQLQLONoDOþúPDODUþoHNLOPLúLQVDQPRODUGLúOHUL]HULQGHJHUoHNOHúWLULOGL.|NNDQDOþLUULJDV\RQXVþUDVþQGDVþYþQþQGLQDPLÿLLQYLYRRODUDN
oHNLOPLú GLúOHUGHQ WDPDPHQ IDUNOþ ROVD GD EX WU
oDOþúPDODU\|QWHPKDNNþQGDLONELOJLOHULVDÿODU%X
GLúOHUGHQ ED]þODUþQþQ DSHNVOHUL DSLNDO GHOWD\þ NDSDWPDN YH SHULDSLNDO GRNX\X VLPOH HWPHN LoLQ
ELU NDW PXP YH NRPSR]LW UH]LQ LOH NDSDWþOPþúWþU
*LULú NDYLWHVL ROXúWXUXOGXNWDQ VRQUD SXOSD RGDVþ
ELU 6N\3XOVH OD]HU )RWRQD LOH $XWR6:((36 PRGXQGD +] P- DNWLYH HGLOPLú 1D&O2
LOH VUHNOL LUULJDV\RQOD WHPL]OHQGL gQ JHQLúOHWPH SUHIODULQJ LúOHPLQL JHUoHNOHúWLUPHN LoLQ ELU
UHVLSURNDO HÿH 6KHQ]KHQ 3HUIHFW 0HGLFDO
,QVWUXPHQWV NXOODQþOGþ .RURQDO oO DoþOPDVþQþQ
DUGþQGDQGHEULVLNDOGþUPDNLoLQOD]HULOHDNWLYHHGLOPLú1D&O2LOHVUHNOLLUULJDV\RQVDQL\H
ER\XQFD NXOODQþOGþ 'HEULVL X]DNODúWþUGþNWDQ VRQUD
PPNQVHHÿH\L]RUODPDGDQDSLNDOSDWHQVLROXúWXUPDNLoLQ&3,/27HÿH 9': NXOODQþOGþ%D]þ
GXUXPODUGD DSLNDO SDWHQVL\H N|N NDQDOþ KD]þUOþÿþQþQEXDúDPDVþQGD]DWHQXODúþOPþúWþ7PROJXODUGD
HQVWUPDQWDV\RQXQLNLQFLDGþPþRUWDoOQQD\Qþ
HÿH\OHKD]þUODQPDVþ\GþYHD\QþLUULJDV\RQSURVHGUJHUoHNOHúWLULOGL$UGþQGDQDSLNDOIRUDPHQHXODúPDNLoLQ&3,/27HÿHNXOODQþOGþ%XDúDPDGDoRÿX
YDNDGDDSLNDOSDWHQVL\HXODúþOGþDQFDNED]þN|NOHUGH DSLNDO IRUDPHQH JLUPH RODVþOþÿþ \RNWX dDOþúPD
X]XQOXÿXHOHÿHVL\OHDOþQDQELUUDG\RJUDILLOHGRÿUXODQGþ *HQHOOLNOH X\JXODQDFDN ELU VRQUDNL LúOHP
DSLNDO SUHSDUDV\RQGXU DQFDN /3( NRQVHSWL JHOLúPLúELULUULJDV\RQSURWRNROQHGD\DQPDNWDGþU%X
SURWRNRO WDNLEHQ 6N\3XOVH OD]HULQ $XWR6:((36
PRGXQGD +]P- NRQLNVDILUILEHULOHDNWLYH
HGLOHQ 1D&O2·QXQ VUHNOL DNþúþ LOH GDNLND ER\XQFD LUULJDV\RQ \DSþOGþ %LU VRQUDNL DGþP
VDQL\HER\XQFD('7$VDQL\HER\XQFD
1D&O2YHVDQL\HER\XQFD('7$LOH
DUW DUGD LUULJDV\RQ DUGþQGDQ $XWR6:((36 LOH HWNLQOHúWLULOHQ1D&O2LOHGDNLNDGDKDLUULJDV\RQROGXdRÿXYDNDGDDUWþUþOPþúLUULJDV\RQXQEX
DúDPDVþQGDQVRQUDNLDGþPDSLNDOSUHSDUDV\RQGDQ
]L\DGH DSLNDO GDUDOþPþQ D\DUODQPDVþ\Gþ DQFDN EX
DGþPGDKDID]ODDUDúWþUPDJHUHNWLUPHNWHGLU
_/3(VÇUDODPDVÇ
YH\DER\XWXQDNDGDU|QJHQLúOHWPH YH\DHQVHYGLÿLQL]NDQDODÿ]þDoþFþ\OD
VDQL\HER\XQFD6:((36DNWLYDV\RQXLOH
NaClO irrigasyonu.
YH\D ER\XWXQD NDGDU
WDKPLQLoDOþúPDX]XQOXÿXQXQoWHLNLVLQHNDdar enstrümantasyon.
QXPDUDOþ HO HÿHVL LOH SDWHQVL ROXúWXUPD
PPNQVHEXDúDPDGD
/3(JHOLúPLúLUULJDV\RQSURWRNRO
QXPDUDOþHOHÿHVL\OHSDWHQVLROXúWXUPD
$SLNDO SUHSDUDV\RQ DSLNDO |OoP SURVHGU
\DUDUOþRODELOLU
6RQLUULJDV\RQSURWRNRO
_$SLNDOSUHSDUDV\RQ
In vitro DúDPDGDDSLNDOoO\úHNLOOHQGLUPHNLoLQ
IDUNOþSURWRNROOHUNXOODQþOGþ%D]þYDNDODUGDN|NOHULQVDGHFHNRURQDOYHRUWDoOVKD]þUODQGþ ED]þ
YDNDODUGDDSLNDOSUHSDUDV\RQ\DOQþ]FD.WLSL
HÿHLOHJHUoHNOHúWLULOGL ED]þYDNDODUGDSUHSDUDV\RQ
UHVLSURNDO ELU HÿH LOH \DSþOGþ 3DWþQ DSLNDO
Süre
5 dk
30 sn
30 sn
30 sn
5 dk
åUULJDV\RQ6ROV\RQX
1D&O2
('7$
1D&O2
('7$
1D&O2
1D&O2 VRG\XPNLSRNORULW
Tablo 1: /HVV3UHS(QGRLOHDUWÖUÖOPÖâLUULJDV\RQSURWRNRO
roots 17
1_2023
[20] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 7
Resim 8
Resim 9
Resim 10
Resim 11
Resim 12
Resim 13
Resim 14
Resim 15
Resim 16
Resim 17
Resim 20
Resim 18
Resim 21
Resim 23
Resim 24
18 roots
1_2023
Resim 19
Resim 22
Resim 25
Resim 26
[21] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
9DND ³ 5HVLP 0DNVLOOHU ELULQFL YH LNLQFL PRODU GLâOHULQ 0% N|NOHULQLQ DSLNDO NÖVÖPODUÖQÖQ ]HULQGH ELU UDG\ROVHQVL J|VWHUHQ SUHRS .,%7 J|UQWV Resim 8: 0DNVLOOHU ELULQ
FL PRODU GLâLQ 0% N|NQQ ]HULQGH ELU UDG\ROVHQVL J|VWHUHQ SUHRS .,%7 J|UQWV 5DG\ROVHQVL 0% NDQDOÖQÖQ WDKPLQ HGLOHQ DSLNDO IRUDPHQLQLQ \DNÖQÖQGD GDKD QHW J|UOHELOLU
Resim 9:0DNVLOOHULNLQFLPRODUGLâLQ0%N|NQQ]HULQGHELUUDG\ROVHQVLJ|VWHUHQSUHRS.,%7J|UQWV5DG\ROVHQVL0%NDQDOÖQÖQWDKPLQHGLOHQDSLNDOIRUDPHQLQLQ\DNÖQÖQGDGDKD
QHWJ|UOHELOLUResim 10:7HGDYL|QFHVLJHoLFLUHVWRUDV\RQLOHPDNVLOOHUELULQFLPRODUGLâResim 11:7HGDYL|QFHVLPDNVLOOHULNLQFLPRODUGLâResim 12:(VNLUHVWRUDV\RQXQoÖNDUÖOPDVÖQGDQ
VRQUDYHFXVSUHGNVL\RQXQGDQVRQUDPDNVLOOHULNLQFLPRODUGLâResim 13:*HoLFLUHVWRUDV\RQXQX]DNODâWÖUÖOPDVÖQGDQVRQUDYHFXVSUHGNVL\RQXQGDQVRQUDPDNVLOOHUELULQFLPRODUGLâ
Resim 14:/HVV3UHS(QGRLOHDUWÖUÖOPÖâLUULJDV\RQSURWRNROVÖUDVÖQGDLUULJDV\RQPLNWDUÖQÖDUWÖUPDNLoLQ\DSÖODQJHoLFLUHVWRUDV\RQResim 15: /HVV3UHS(QGRLOHJHOLâPLâLUULJDV\RQSUR
WRNROVÖUDVÖQGDLUULJDV\RQPLNWDUÖQÖDUWÖUPDNLoLQ\DSÖODQJHoLFLUHVWRUDV\RQResim 16: 0%NDQDOÖYHLVWKPXVåNLQFLPRODUGLâWH0%NDQDODæ]ÖQÖEXOPDDâDPDVÖ3DWHQVLVDæODQDPDGÖ
Resim 17:0%NDQDOÖYHLVWKPXV%LULQFLPRODUGLâWH0%NDQDODæ]ÖQÖEXOPDDâDPDVÖResim 18:%LULQFLPRODUGLâWHNL0%NDQDODæ]ÖQÖQNHâIL$SLNDOSDWHQVLROXâWXUPDRODVÖOÖæÖ\RNWX
Resim 19:åNLQFLPRODUGLâLQSXOSDRGDVÖ0%NDQDOÖSDODWLQDONDQDODGDKD\DNÖQ\HUOHâPLâWLResim 20:0%NDQDOÖLVWKPXVYH0%NDQDOÖResim 21:.DQDOODUÖGROGXUXOPXâELULQFLPRODU
GLâLQSXOSDRGDVÖResim 22:.DQDOODUÖGROGXUXOPXâLNLQFLPRODUGLâLQSXOSDRGDVÖResim 23:+HULNLPRODUGLâLQSRVWRSUDG\RJUDILVLResim 24:3RVWRSUDG\RJUDILGLVWDOVKLIWLNLQFLPRODUGLâLQ
0%NDQDOÖQÖQNDQDOSDWÖLOHGROGXUXOGXæXQXJ|VWHULUResim 25: åONPRODUGLâLQPHVLREXNNDON|NQGHooÖNÖâQRNWDVÖQÖJ|VWHUHQSRVWRS.,%7J|UQWVResim 26:åNLQFLPRODUGLâLQPHVLREXNNDO
N|NQGHNLLNLoÖNÖâQRNWDVÖQÖPHGLDONÖVÖPGDNLELULVWKPXVYHPHVLREXNNDON|NQDSLNDONÖVPÖQGDNLELULVWKPXVLOHSDODWLQDOYHGLVWREXNNDON|NOHULQELUNÖVPÖQÖJ|VWHUHQSRVWRS.,%7J|UQWV
HNVWU]\RQXYHN|NNDQDOþGROJXPDGGHVLQLQKRPRMHQOLÿL DoþVþQGDQ DQODPOþ ELU IDUN J|]OHQPHGL
DQFDN|UQHNOHPE\NOÿ/3(LOHDUWþUþOPþúLUULJDV\RQSURWRNROQQDSLNDOSUHSDUDV\RQDúDPDVþQþQ\HULQLDOþSDODPD\DFDÿþQþNHVLQRODUDNEHOLUlemek için çok küçüktü.
_7HGDYL\HGDKLOHGLOHQ/3(NRQVHSWL
In vitrooDOþúPDODUYHVRQUDG\RJUDILOHUKDVWDYDNDODUþQGD HQVWUPDQWDV\RQ YH LUULJDV\RQ SURWRNROQGHÿLúWLUPHPHUHKEHUOLNHWWL
_9DND(Resim 7-26)
X]DNODúWþUþOGþ %LULQFL PRODU GLúWH 0% NDQDO Dÿ]þ
DoþOGþNWDQVRQUDX\JXOD\þFþNDQDOGDDoþNOþÿDXODúDPDGþ %X QHGHQOH 0% YH 0% NDQDO Dÿþ]ODUþ
DUDVþQGDNLLVWKPXVHOPDVNDSOþXOWUDVRQLNXoODUOD
DoþOGþ YH VRQXQGD DoþNOþÿD XODúþOGþ ýNLQFL PRODU
GLúWH0%NDQDOþQþQúHNLOOHQGLULOPHVLDQFDN0%
NDQDOþLOHELUOHúWLÿL\HUHNDGDUPPNQROGX.,%7
J|UQWOHPHVL GDKD |QFH 0% NDQDOþQþQ DSLNDO
oOGH NHQGL OPHQLQH VDKLS ROPDVþ JHUHNWLÿLQL
DQFDN ELUOHúPH \HULQLQ NXUYDWUQ DOWþQGD ROGXÿXQX RUWD\D NR\PXúWX %X DODQþ N|NH ]DUDU YHUPHGHQEXOPDRODVþOþÿþoRN]D\þIWþ%XDúDPDGD/3(
LOHDUWþUþOPþúLUULJDV\RQSURWRNROWHNUDUX\JXODQGþ
\DúþQGDELUNDGþQKDVWDPDNVLOOHUVROELULQFLYH
LNLQFL PRODU GLúOHULQLQ FHUUDKL ROPD\DQ UHWUHDWPHQWþLoLQNOLQLÿH\|QOHQGLULOGL5HWUHDWPHQWEDúND
ELUGLúKHNLPLWDUDIþQGDQEDúODWþOPþúWþDQFDNYDND
LNLQFLPHVLREXNNDO 0% NDQDOþQ\HULQLEHOLUOHPHGH EDúDUþVþ] ELU JLULúLPGHQ VRQUD VHYN HGLOPLúWL
.,%7 J|UQWOHPHGH KHU LNL PRODU GLúLQ PH]LREXNNDON|NHWUDIþQGDSHULDSLNDOOH]\RQVDSWDQGþ
5HWUHDWPHQWLNLUDQGHYX\DE|OQG
“In vitro çalıșmalar
ve son radyografiler,
enstrümantasyon
ve irrigasyon
ýONUDQGHYXGDKHULNLGLúDoþOGþHVNLUHVWRUDV\RQODU protokolünü değiștirmeme
X]DNODúWþUþOGþ WP N|N NDQDOþ Dÿþ]ODUþ WHVSLW HGLOGL YH |QFH PHVLREXNNDO 0% GLVWREXNNDO '%
rehberlik etti.”
YH SDODWLQDO NDQDOODU úHNLOOHQGLULOGL +HU LNL GLúWH
GH 0% NDQDO Dÿþ]ODUþ EXOXQPXú DQFDN úHNLOOHQGLULOPHPLúWL 3UHSDUDV\RQ DúDPDVþ GDKD |QFH
DoþNODQDQODUD EHQ]HUGL .|N NDQDOþ SUHSDUDV\RQX
DúDPDVþQGD KHU UHVLSURNDO DOHWWHQ VRQUD SDWHQVL\L VDÿODPDN LoLQ HO HÿHVL NXOODQþOGþ YH NDQDOODU
VDQL\H ER\XQFD $XWR6:((36 PRGXQGD
6N\3XOVHOD]HULOHHWNLQOHúWLULOHQ1D&O2LOH\þNDQGþ
5HVLSURNDOHÿHOHUOHWDKPLQLoDOþúPDX]XQOXÿXQXQ
oWHLNLVLQHXODúþOGþNWDQVRQUD/3(6N\3XOVHOD]HUL
LOHDUWþUþOPþúLUULJDV\RQSURWRNRONXOODQþOGþ$SLNDO
SUHSDUDV\RQEXDúDPDGD\DSþOPDGþ%XUDQGHYXGD]DPDQ\HWHUVL]OLÿLQHGHQL\OHNDQDOODU('7$YH
VWHULOVXLOH\þNDQGþYHNDQDOLoLSDQVXPDQRODUDN
·OLNELUNORUKHNVLGLQo|]HOWLVLX\JXODQGþ+HULNLGLú
GHJHoLFLNRPSR]LWUHVWRUDV\RQODNDSDWþOGþ
ýNLQFL UDQGHYXGD JHoLFL UHVWRUDV\RQODU NDOGþUþOGþ NORUKHNVLGLQ VWHULO VX YH ('7$ LOH \þNDQDUDN
ýUULJDV\RQ SURWRNRO X\JXODQGþNWDQ VRQUD WP
NDQDOODULoLQDSLNDOSUHSDUDV\RQ\DSþOGþ6RQLUULJDV\RQSURWRNROGDNLNDER\XQFD1D&O2
GHYDPOþ DNþúþ VDQL\H ER\XQFD ('7$
VDQL\HER\XQFD1D&O2YHVDQL\HER\XQFD('7$ELUELULQLWDNLSHWPHVLYHGDNLND
ER\XQFD1D&O2LOHLUULJDV\RQúHNOLQGHJHUoHNOHúWLULOGL7PLUULJDV\RQVROV\RQODUþELU(''<
VRQLNXo 9': LOHDNWLYHHGLOGL3HULDSLNDOUDG\RJUDILOHUDOþQGþNWDQVRQUDKHULNLGLúWHGH0%NDQDOODUþQþQGDKD|QFHSUHSDUHHGLOPHPLúERúOXNODUþQþ
GROGXUDQ NDQDO SDWþQþQ \ROXQX GRÿUXODPDN LoLQ
ELU.,%7WDUDPDVþ\DSþOGþ+HULNLGXUXPGDGD.,%7
J|UQWVQGHGDKD|QFHSUHSDUHHGLOPHPLúWP
ERúOXNODUþQREWXUDV\RQPDWHU\DOLLOHGROGXUXOGXÿX
DoþNoDJ|UO\RUGX
roots 19
1_2023
[22] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 27
Resim 28
Resim 29
Resim 30
Resim 31
Resim 32
Resim 33
Resim 34
Resim 35
Resim 36
9DND³5HVLP 0DQGLEXOHUELULQFLPRODUGLâLQSUHRS.,%7J|UQWVResim 28:7HGDYL|QFHVLJHoLFLUHVWRUDV\RQLOHPDQGLEXOHUELULQFLPRODUGLâResim 29: *HoLFLUHVWRUDV\RQXQ
X]DNODâWÖUÖOPDVÖQGDQVRQUDPDQGLEXOHUELULQFLPRODUGLâResim 30:(QVWUPDQWDV\RQGDQVRQUDPHVLDONDQDOODUResim 31:(QVWUPDQWDV\RQGDQVRQUDGLVWDONDQDOODU Resim 32:$\QÖDQGD
oGLVWDONDQDOD\HUOHâWLULOPLâJXWWDSHUNDNRQODUÖResim 33:.DQDOODUÖGROXSXOSDRGDVÖ Resim 34:3RVWRSUDG\RJUDILResim 35: 3RVWRSUDG\RJUDILGLVWDOVKLIWGROGXUXOPXâLVWKPXVLOH
PHVLDON|NQ\DNÖQoHNLPLQLJ|VWHULUResim 36:3RVWRS.,%7J|UQWVODWHUDOoÖNÖâQRNWDODUÖQGD|QHPOLPLNWDUGDNDQDOSDWÖHNVWU]\RQXQXJ|VWHULU
_9DND(Resim 27–36)
\DúþQGD NDGþQ KDVWD PDQGLEXOHU VRO ELULQFL
PRODU GLúLQH EDÿOþ VUHNOL DÿUþ QHGHQL\OH NOLQLÿH
EDúYXUGX3XOSDQHNUR]XWDQþVþNRQXOGX$FLOUDQGHYXGDQVRQUDKDVWDWDPWHGDYLLoLQ\|QOHQGLULOGL
'Lú |QFHNL SDUDJUDIODUGD DoþNODQGþÿþ JLEL WHGDYL
HGLOGL *LULú NDYLWHVLQLQ ROXúWXUXOPDVþQGDQ VRQUD
NDQDO Dÿþ]ODUþ WHVSLW HGLOGL 3XOSD RGDVþQGD 0%
mesiolingual, DB, distomesial ve distolingual kaQDOODUþQDÿþ]ODUþPHYFXWWXgQJHQLúOHWPHYHRUWD
oOQQ KD]þUODQPDVþQGDQ VRQUD 6N\3XOVH OD]HU
LOH DUWþUþOPþú /3( LUULJDV\RQ SURWRNRO JHUoHNOHúWLULOGL 0HVLDO N|NWHNL LUULJDV\RQ SURWRNROQGHQ
VRQUDLUULJDV\RQVROV\RQODUþOLQJXDOYHEXNNDONDQDOODUDUDVþQGDDNPD\DEDúODGþ%|\OHELUJ|]OHP
X\JXOD\þFþ\DLVWKPXVWDELUPLNWDUERúOXN\DUDWþOGþÿþL]OHQLPLQLYHUGL%XDúDPDGDDSLNDOJHQLúOHWPHQLQ\DSþOPDGþÿþQþEHOLUWPHNWHID\GDYDU%HúNDQDOþQGDVRQSUHSDUDV\RQXUHVLSURNDOHÿHLOH\DSþOGþ
YH VRQ LUULJDV\RQ SURWRNRO |QFHNL YDNDGDNL JLEL
JHUoHNOHúWLULOGL 5DG\RJUDIL LVWKPXV ERúOXÿXQXQ
SDWLOHGROXROGXÿXQXDoþNoDJ|VWHUGL5DG\RJUDIL
YH.,%7J|UQWVPHVLDON|NWHG|UWoþNþúQRNWDVþ
ROGXÿXQXRUWD\DNR\GX
20 roots
1_2023
_9DND(Resim 37-46)
\DúþQGDNDGþQKDVWDPDNVLOOHUVDÿELULQFLPRODU GLúLQH EDÿOþ DÿUþ QHGHQL\OH NOLQLÿH EDúYXUGX
5DG\RJUDILGHNURQLNSHULDSLNDOSHULRGRQWLWLVLQúLGGHWOHQGLÿLQL J|VWHUHQ SHULDSLNDO UDG\ROVHQVL L]OHQGL*LULúNDYLWHVL*YHQOL(ULúLPYH3UHSDUDV\RQ
.RQVHSWL IUH] VHWL 1HYDGHQW LOH ROXúWXUXOGX 3XOSD RGDVþ 6N\3XOVH OD]HU LOH DNWLYH HGLOHQ
1D&O2 LOH WHPL]OHQGL '|UW NDQDO Dÿ]þ EXOXQGXYHG|UWNDQDOþQWPGDKD|QFHWDULIHGLOHQ
VþUD\OD úHNLOOHQGLULOGL /3( LOH DUWþUþOPþú LUULJDV\RQ
6N\3XOVHOD]HUWDUDIþQGDQDNWLYDV\RQODJHUoHNOHúWLULOGL 0HVLDO N|NWH WHPL] ELU LVWKPXV J|UOHELOL\RUGXYHLUULJDV\RQVROV\RQODUþQþQDSLNDOoOGH
0% YH 0% NDQDOODUþ DUDVþQGD DNPD\D EDúODGþÿþ PLNURDVSLUDV\RQ NDQO LOH NHVLQOHúWLULOGL
0% 0% YH '% NDQDOODUþQGD DSLNDO NXUYDWUOHU QHGHQL\OH ER\XWXQD NDGDU (QGRVWDU
($]XUHHÿHOHUL 3ROGHQW LOHDSLNDOSUHSDUDV\RQ
\DSþOGþ'%NDQDOGDSDWHQVLVDÿODQDPDGþ6RQLUULJDV\RQSURWRNROGDKD|QFHWDULIHGLOHQVþUD\OD
JHUoHNOHúWLULOGL 3HULDSLNDO UDG\RJUDIL LVWKPXVXQ
SDWLOHGROGXUXOGXÿXQXGRÿUXODGþ
[23] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 37
Resim 38
Resim 39
Resim 40
Resim 41
Resim 42
9DND³5HVLP 0DNVLOOHUELULQFLPRODUGLâLQSUHRSUDG\RJUDILVLResim 38:7HGDYLGHQ|QFHPDNVLOOHUELULQFLPRODUGLâResim 39:*LULâNDYLWHVLQLQROXâWXUXOPDVÖQGDQVRQUDPDNVLOOHU
ELULQFLPRODUGLâResim 40:/HVV3UHS(QGRLOHDUWÖUÖOPÖâLUULJDV\RQSURWRNROVÖUDVÖQGDLUULJDV\RQPLNWDUÖQÖDUWÖUPDNLoLQ\DSÖODQJHoLFLUHVWRUDV\RQ0%NDQDOODUÖQÖQLVWKPXVYHNDQDODæ]Ö
J|UOHELOL\RUGXResim 41:/HVV3UHS(QGRLOHDUWÖUÖOPÖâLUULJDV\RQSURWRNROQGHQ|QFHNHPRPHNDQLNKD]ÖUOÖNResim 42:0%NDQDODæ]ÖYH0%NDQDODæ]ÖQGDJ|UOHQWHPL]OHQPLâLVWPXV
Resim 43
Resim 44
Resim 45
Resim 46
Resim 43: .|N NDQDOÖ REWXUDV\RQX VRQUDVÖ SXOSD RGDVÖ Resim 44: 0% YH 0% NDQDOODU YH VÖFDN JXWWDSHUND LOH GROGXUXOPXâ LVWKPXV
Resim 45: 3RVWRS UDG\RJUDIL Resim 46: 3RVWRS UDG\RJUDIL GLVWDO VKLIW NRURQDO NÖVÖPGD ELU LVWKPXV YH DSLNDO NÖVÖPGD LNLQFLVLQL
J|VWHUPHNWHGLU
roots 21
1_2023
[24] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 47
Resim 48 a
Resim 49
Resim 48 b
Resim 50
9DND³5HVLP 3XOSDRGDVÖQÖQNDOVLILNDV\RQXQXJ|VWHUHQSUHRSUDG\RJUDILResim 48a ve b:3XOSDRGDVÖQÖQNDOVLILNDV\RQXQXGRæUXOD\DQSUHRS.,%7J|UQWV5esim 49:7HGDYL
|QFHVLJHoLFLUHVWRUDV\RQLOHPDNVLOOHUELULQFLPRODUGLâResim 50:/HVV3UHS(QGRLOHDUWÖUÖOPÖâLUULJDV\RQSURWRNROVÖUDVÖQGDLUULJDV\RQPLNWDUÖQÖDUWÖUPDNLoLQ\DSÖODQJHoLFLUHVWRUDV\RQ
3XOSDRGDVÖQGDNDOVLILNDV\RQJ|UOHELOLU
_9DND(Resim 47-60)
\DúþQGD NDGþQ KDVWD SXOSD RGDVþQGD DoþNOþN
ROPDPDVþQHGHQL\OHNOLQLÿHVHYNHGLOGL3HULDSLNDO
UDG\RJUDILYH.,%7J|UQWVSXOSDRGDVþQþQWDPDPHQ NDOVLIL\H ROGXÿXQX GúQGUG 3XOSD
RGDVþQGDNL NDOVLILNDV\RQ HOPDV NDSOþ XOWUDVRQLN
XoODUODJLGHULOGL.DOVLILNDV\RQRUWDGDQNDOGþUþOGþNWDQVRQUDGDKD|QFHWDULIHGLOHQVþUD\ODG|UWNDQDO
Dÿ]þWHVSLWHGLOGLYHúHNLOOHQGLULOGL/3(LOHDUWþUþOPþú
LUULJDV\RQSURWRNRO6N\3XOVHOD]HULOHJHUoHNOHúWLULOGL%XGXUXPGD0%NDQDOþDSHNVWHQ\DNODúþN
PP|QFH0%NDQDOþ\ODELUOHúWLYHEXX]XQOXNWD
úHNLOOHQGLULOGL $SLNDO SUHSDUDV\RQ YH LUULJDV\RQ
GDKD|QFHDQODWþOGþÿþJLEL\DSþOGþ3HULDSLNDOUDG\RJUDIL0%NDQDOþQþQLUULJDV\RQVROV\RQODUþ\OD
WHPL]OHQHQ YH SDW LOH GROGXUXODQ D\Uþ ELU DSLNDO
NþVPDVDKLSROGXÿXQXYHSDODWLQDONDQDOþQLNLoþNþú
QRNWDVþQDVDKLSROGXÿXQXRUWD\DNR\PXúWXU
_7DUWÕüPD
.DQDO WHGDYLVLQGH HQ |QHPOL IDNW|U EDNWHUL\HO
EL\RILOPLQ X]DNODúWþUþOPDVþ YH GHQWLQ WEOOHULQLQ
dezenfekte edilmesi ile enfeksiyonun ortadan
NDOGþUþOPDVþGþU %LUoRN oDOþúPDGDQ 1D&O2·QXQ
DQWLEDNWHUL\HO DNWLYLWHVLQLQ oRN \NVHN ROGXÿXQX
22 roots
1_2023
ELOL\RUX] DQFDNoRNNDUPDúþNELUN|NNDQDOþERúOXÿXQGDGDÿþOþPþ\HWHUVL]RODELOLUýUULJDV\RQVROV\RQODUþQþQ N|N NDQDOþ VLVWHPLQH SHQHWUDV\RQXQX
DUWþUPDNYHGDKDL\LGH]HQIHNVL\RQVDÿODPDNLoLQ
WDVDUODQPþúoHúLWOLDNWLYDV\RQFLKD]ODUþYDUGþU
.DQDO WHGDYLVL VþUDVþQGD NOLQLV\HQLQ EDúDUþ\D
XODúPDNLoLQoRNVD\þGDSURWRNROX\JXQVþUDYH
úHNLOGH JHUoHNOHúWLUPHVL JHUHNWLÿLQL KDWþUODPDN
oRN|QHPOLGLU.OLQLV\HQLQDSLNDOSDWHQVL\LNRUXPDVþúHNLOOHQGLUPHVþUDVþQGDVHUWGRNXDUWþNODUþQþURWDU\YH\DUHVLSURNDOHÿHOHUOHWHPL]OHPHVLYH
NDQDOODUþ HÿHOHU DUDVþQGD LUULJDV\RQ VROV\RQODUþ\OD\þNDPDVþJHUHNLU(QVWUPDQWDV\RQGDQVRQUD VPHDU WDEDNDVþQþ NDOGþUPDN LoLQ NOLQLV\HQLQ
1D&O2YHúHODV\RQDMDQODUþQþNXOODQPDVþJHUHNLU
Son olarak, dentin tübüllerinin dezenfekte edilmesi gerekir.
In vitro oDOþúPDODU YH LQ YLYR ROJXODU SHULDSLNDO
UDG\RJUDILOHU YH SRVWRSHUDWLI .,%7 J|UQWOHUL
LUULJDV\RQ VROV\RQODUþQþQ OD]HU DNWLYDV\RQXQXQ
NOLQLV\HQHVHUWGRNXDUWþNODUþQþQNRQYDQVL\RQHOLUULJDV\RQ\|QWHPOHULQHJ|UHoRNGDKDL\LX]DNODúWþUþOPD VDÿODGþÿþQþ J|VWHUPHNWHGLU /3( NRQVHSWL
[25] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 51
Resim 52
Resim 53
Resim 54
Resim 51: (OPDVNDSOÖXOWUDVRQLNELUXoLOHNDOVLILNDV\RQXQX]DNODâWÖUÖOPDVÖResim 52:8OWUDVRQLNSUHSDUDV\RQDâDPDODUÖDUDVÖQGDVRG\XPKLSRNORULWLQDNWLYDV\RQXResim 53:.ÖVPHQ
X]DNODâWÖUÖOPÖâNDOVLILNDV\RQ3DODWLQDONDQDODæ]ÖJ|UOHELOLUResim 54: .DOVLILNDV\RQNÖVPHQX]DNODâWÖUÖOGÖNWDQVRQUDSXOSDRGDVÖQÖQEXNNDOWDUDIÖ+HQ]ELUNDQDODæ]ÖJ|UOP\RU
Resim 55
Resim 56
Resim 57
Resim 58
Resim 55: .DOVLILNDV\RQX]DNODâWÖUÖOGÖNWDQVRQUDSXOSDRGDVÖQÖQEXNNDOWDUDIÖ.DQDODæÖ]ODUÖJ|UOHELOL\RUGXDQFDNKHQ]DoÖNGHæLOGLResim 56:.DOVLILNDV\RQX]DNODâWÖUÖOGÖNWDQVRQUDSXOSD
RGDVÖQÖQEXNNDOWDUDIÖ.DQDODæÖ]ODUÖDoÖNWÖResim 57:0%NDQDOÖQÖQNHâILResim 58:2UWDNÖVÖPGDELUOHâHQ0%YH0%NDQDOODUÖQÖJ|VWHUHQSXOSDRGDVÖQÖQJ|UQP
roots 23
1_2023
[26] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_bir paradigma değișimi mi var?
Resim 59
Resim 60
Resim 59: .DQDOODUÖQREWUDV\RQXQGDQVRQUDSXOSDRGDVÖResim 60:0%NDQDOÖQÖQNDQDOSDWÖLOHGROGXUXOPXâDSLNDONÖVPÖQÖYHSDODWLQDON|NWHNLODWHUDONDQDOÖJ|VWHUHQSRVWRSUDG\RJUDIL
“LPE protokolü,
klasik kök kanal
șekillendirme ve sulama
protokolünün
bir modifikasyonudur.”
VHUWGRNXDUWþNODUþQþQGDKDL\LX]DNODúWþUþOPDVþDoþVþQGDQXPXWYHULFLJ|UQPHNWHGLU%XQXQVDGHFH
NOLQLNELUJ|]OHPROGXÿXQXEHOLUWPHN|QHPOLGLU%X
J|]OHPLQHQ|QHPOLNþVPþ/3(·QLQ6N\3XOVHOD]HUOH
JHOLúWLULOPLú LUULJDV\RQ SURWRNROQGHQ VRQUD DPD
DSLNDO SUHSDUDV\RQGDQ |QFH D\Qþ N|NWH EXOXQDQ
N|NNDQDOODUþDUDVþQGDNLLUULJDV\RQVROV\RQODUþQþQ
oRNKþ]OþDNþúþGþU
B\D]DUKDNNÖQGD
roots
Bartłomiej Karas
0$;'(17
8O+DOOHUD
²:URFłDZ
3RODQG
NRQWDNW#ENDUDVFRP
24 roots
1_2023
_Sonuç
/3( SURWRNRO NODVLN N|N NDQDOþ úHNLOOHQGLUPH YH
LUULJDV\RQ SURWRNROQQ ELU PRGLILNDV\RQXGXU
LUULJDV\RQYH6:((36WHNQRORMLVLLOHOD]HUDNWLYDV\RQXRODUDNLNLDúDPDGDQROXúXU3RVWRSHUDWLISHULDSLNDOUDG\RJUDILOHUHYH.,%7J|UQWOHULQHJ|UH
LVWPXV ODWHUDO NDQDO YH NDQDO SDWþ LOH GROX oþNþú
QRNWDODUþQþQ VD\þVþ NRQYDQVL\RQHO SURWRNROOHUGHQ
VRQUDJ|]OHJ|UOUúHNLOGHGDKD\NVHNWLU%XGD
X]DNODúWþUþODQ VHUW GRNX DUWþNODUþQþQ HQIHNWH GRNXQXQYHQHNURWLNSXOSDQþQPLNWDUþQþQJHOHQHNVHO
N|N NDQDO WHGDYLVLQGHQ oRN GDKD \NVHN ROGXÿX
KLSRWH]LQLNXUPDPþ]D\RODoWþ/3(LOHNRQYDQVL\RQHON|NNDQDOWHGDYLVLDUDVþQGDX]DNODúWþUþODQVHUW
GRNXDUWþNODUþQþQKDFPLQLNDUúþODúWþUDQKLoELUDUDúWþUPDQþQKHQ]\DSþOPDGþÿþQþQDOWþQþoL]PHNJHUHNLU%XNDYUDPEXSURWRNROQN|NNDQDOþWHGDYLVLQLQEDúDUþRUDQþQþDUWþUDELOHFHÿLQLNDQþWODPDNLoLQ
GDKDID]ODDUDúWþUPDJHUHNWLULU
_(GLW|U1RWX
Bu makale ilk olarak roots international magazine
of endodontics9ROVD\þVþQGD\D\þQODQPþúWþU
[27] =>
ROOTS DERGISI-S-30 KAPAKLAR
[28] =>
ROOTS DERGISI-S-30 KAPAKLAR
olgu sunumu_periapikal küretaj
.DQDOWHGDYLVLQLQ\HQLOHQPHVLYH
SHULDSLNDONUHWDM
Yazar_Dt. Nüshet Doğan, Türkiye
_(QGRGRQWLN WHGDYLQLQ DPDFþ PLNURRUJDQL]PDODUþ
N|N NDQDOþQGDQ X]DNODúWþUPDN YH SHULDSLNDO GRNXlara mikroorganizma ve ürünlerinin geçmesini enJHOOHPHN LoLQ \HWHUOL ELU EDUL\HU ROXúWXUPDNWþU
.|N NDQDO WHGDYLVLQLQ EDúDUþ RUDQþ ED]þ DUDúWþUPDFþODUD J|UH LOH DUDVþQGD GHÿLúPHN
WHGLU
Endodontik cerrahi tedavi, ortograt retreatmentin
X\JXODQDPDGþÿþGXUXPODUGDJYHQLOLUELUWHGDYLGLU (QGRGRQWLNFHUUDKLWHGDYLQLQNOLQLNEDúDUþVþ
LVH OLWHUDWUGH LOH DUDVþQGD UDSRU HGLOPLúWLU
&HUUDKL\DNODúþPSHULDSLNDOVRUXQXo|]PHGHNRQYDQVL\RQHO WHGDYL \HWHUVL] \D GD RODQDNVþ] ROGXÿXQGDWHUFLKHGLOHQELUVHoHQHNWLU*LWWLNoHJHOLúHQ
HQGRGRQWLNWHGDYL\|QWHPOHULQHNDUúþQDSLNDOUH]HNVL\RQ KDOD JQP] GLú KHNLPOLÿLQGH VþNOþNOD
X\JXODQDQ ELU \|QWHP RODUDN |QHPLQL NRUXPDNWDGþU
$SLNDOUH]HNVL\RQHQIHNWHYH\D]DUDUJ|UPúN|N
DSHNVLQLQNHVLOHUHNoþNDUWþOPDVþYHELWLúLNSHULDSLNDO
GRNXQXQ NUHWH HGLOPHVLQL NDSVD\DQ FHUUDKL ELU
WHGDYLGLU 5HWURJUDW GROJXQXQ \HWHUVL] \DSþO-
Resim 1
PDVþGDEDúDUþVþ]OþNVHEHELRODUDNELOGLULOPLúWLU
$\UþFD NRURQDO Vþ]þQWþ NRQXVX GD HQGRGRQWLGH
EDúDUþVþ]OþÿDJLGHQ\ROXQNDSþVþQþDoPDNWDGþUýQ
YLWUR YH LQYLYR DUDúWþUPDODU J|VWHUPLúWLU NL HQGRGRQWLNWHGDYLVRQUDVþQGDROXúDQNXURQDOVþ]þQWþ
EDNWHUL\HOSHQHWUDV\RQDL]LQYHUPHNWHYHNDQDOþQ
\HQLGHQNRQWDPLQHROXSEDúDUþVþ]OþÿDXÿUDPDVþQD
QHGHQROPDNWDGþU
3HULDSLNDO FHUUDKL VRQUDVþ DPDFþPþ] SHULDSLNDO
E|OJHGH NHPLN YH VHPHQW GHSR]LV\RQX YH SHULRGRQWDO OLJDPHQW KFUHOHULQLQ UH]HNH HGLOPLú N|N
\]H\LQH DWDúPDQþ LOH WDPLU HGLOPHVLGLU
$SLNDO UH]HNVL\RQ VRQUDVþ PH\GDQD JHOHQ EDúDUþVþ]OþNODUþQ VHEHEL RSHUDV\RQ E|OJHVLQGH HQIHNWH
SHULDSLNDOGRNXODUþQGROD\þVþLOHPLNURRUJDQL]PDODUþQNDOPDVþGþU
_2OJX6XQXPX
\DúþQGDNLED\DQKDVWDVDÿVWoHQHODWHUDOGLúLQLQDSHNVKL]DVþQGDúLúOLNYHSDNþQWþVþúLND\HWOHULLOH$QNDUDhQLYHUVLWHVL'Lú+HNLPOLÿL)DNOWHVL
(QGRGRQWL $QDELOLP 'DOþ NOLQLÿLQH EDúYXUGX
$OþQDQ WþEEL DQDPQH]GH &URKQ KDVWDVþ ROGXÿX
YH LPPXQRVXSUHVLI LODoODU NXOODQGþÿþ ND\GHGLOGL
Resim 2
26 roots
1_2023
Resim 1:
[29] =>
ROOTS DERGISI-S-30 KAPAKLAR
olgu sunumu_periapikal küretaj
Resim 3
Resim 4
Resim 3: QR·OXGLâLQ\HWHUVL]NDQDOGROJXVX\HQLOHQGL$\UÖFDGDKD|QFH\DSÖODQN|SUGHNXURQDOX\XPVX]OXNJ|]OHQPHNWHGLUResim 4:$SLVHNWRPLE|OJHVLQHXODâPDNLoLQFHUUDKL
WHGDYL\HJHoLOGL
'HQWDODQDPQH]GHQR·OXGLúLQDSHNVLKL]DVþQGD
SDOSDV\RQGDúLúOLNYHKDVVDVL\HWYHGUHQDMROPDPDNOD EHUDEHU ELU ILVWO Dÿ]þ J|]OHQGL 5HVLP
+DVWDQþQQR·OXGLúLQLQJHoPLúWHoHNLOPLúROGXÿXYHQR·OXGLúOHULQ\þO|QFHN|NNDQDO
WHGDYLVLJ|UGÿVRQUDVþQGDHVWHWLNDPDoODUOD|Q
JUXS GLúLQH ELUELULQH EDÿOþ ]LUNRQ\XP NXURQODU YH YH QROX GLúOHULQ N|NOHULQH DSLVHNWRPL \DSþOGþÿþ |ÿUHQLOGL 7HGDYL |QFHVL DOþQDQ
SDQRUDPLNU|QWJHQGHQR·OXGLúH|QFHGHQ\DSþOPþúNDQDOWHGDYLVLQLQ\HWHUVL]ROGXÿXJ|]OHQGL
5HVLP
Resim 5:
.HPLNNDOGÖUÖOPDDâDPDVÖ
Resim 6:
$SLNDOE|OJH\HXODâÖSHQIHNWHGRNX
NUHWHHGLOGL
Resim 5
Resim 6
Resim 7:
5HWURJUDWGROJX\DSÖOGÖ
Resim 8:
(OGHHGLOHQ353
Resim 7
Resim 8
roots 27
1_2023
[30] =>
ROOTS DERGISI-S-30 KAPAKLAR
olgu sunumu_periapikal küretaj
Resim 9
Resim 10
Resim 9: .UHWHHGLOHQE|OJH353LOHGROGXUXOGXResim 10:2SHUDV\RQE|OJHVLVXWXUODNDSDWÖOGÖ
Resim 11
Resim 12
Resim 11: 2SHUDV\RQVRQUDVÖDOÖQDQSHULDSLNDOU|QWJHQResim 12:%LUKDIWDVRQUDVXWXUODUDOÖQGÖ.OLQLNPXD\HQHGHILVWODæ]ÖQÖQ\RNROGXæXJ|]OHQGL.URQDOX\XPVX]OXæXEXOXQDQN|SU
\HQLOHQGL
.|SUQQV|NOPHVLLoLQKDVWD$QNDUDhQLYHUVLWHVL
'Lú +HNLPOLÿL )DNOWHVL 3URWHWLN 7HGDYL NOLQLÿLQH
J|QGHULOGLN|SUV|NOGYHNXURQDOVþ]þQWþWHVSLW
HGLOGLÿLQGHQGROD\þN|SUQQ\HQLOHQPHVLQHNDUDU
YHULOGL.DQDOWHGDYLVLQLQ\HQLOHQPHVLYHD\QþJQ
NOLQLÿLPL]GHSHULDSLNDONUHWDMVRQUDVþQGDUHWURJUDW\ROODGROJX\DSþOPDVþSODQODQGþ
+DVWDQþQ RQD\þ DOþQDUDN WHGDYL SURWRNROQH EDúODQGþ 3URWDSHU ' YH ' 'HQWVSO\ 0DLOOHIHU
UHWUHDWPHQW XoODUþ NXOODQþODUDN HVNL N|N NDQDO
GROJXVX oþNDUþOGþ 3URWDSHU )·H NDGDU JHQLúOHWLOGL YH WHN VHDQVWD N|N NDQDOþ ) X\XPOX JXWWD
SHUND 'HQWVSO\ 0DLOOHIHU YH UH]LQ LoHULNOL NDQDO
SDWþ 'HQWVSO\ 0DLOOHIHU NXOODQþODUDN GROGXUXOGX 5HVLP $UGþQGDQ FHUUDKL WHGDYL\H JHoLOGL
28 roots
1_2023
[31] =>
ROOTS DERGISI-S-30 KAPAKLAR
olgu sunumu_periapikal küretaj
_7DUWÕüPD
Endodontik tedavide kanal dolum materyalinin
DQDDPDFþSHULDSLNDOE|OJH\HN|NNDQDOVLVWHPLQGHQJHOHQEDNWHULJ|oQYHUQOHULQLQGLI]\RQXQX HQJHOOH\HFHN ELU EDUL\HU ROXúWXUPDNWþU
Endodontik tedavi her ne kadar atravmatik bir
WHGDYL ROVD GDKL |]HOOLNOH DSLNDO E|OJHGH JHQLú
OH]\RQODUDVDKLSGLúOHULQWHGDYLVLX]XQ]DPDQDODELOPHNWHGLU$SLNDOE|OJHGHNLNURQLNHQIHNVL\RQXQ
WDP RODUDN WHGDYL HGLOHPHGLÿL GXUXPODUGD NDQDO
GROJXVX \DSþOPDVþ KDOLQGH NDQDOþQ WDP RODUDN
NXUXWXODPDPDVþQDEDÿOþRODUDNLGHDOELUNDQDOWHGDYLVL KHU ]DPDQ VDÿODQDPD\DELOLU %X JLEL
GXUXPODUGD NDQDO GROJXVX LOH FHUUDKL LúOHPLQ Hú
]DPDQOþ\DSþOPDVþ|QHULOPHNWHGLU
6XQXODQ ROJXGD SHULDSLNDO HQIHNVL\RQXQ YH L\LOHúPHPHQLQVHEHELQLQGDKD|QFH\DSþOPþúNDQDO
GROJXVXQXQ\HWHUVL]ROPDVþD\Qþ]DPDQGD|QFHGHQ\DSþOPþúN|SUQQGHX\XPVX]ROPDVþYHGROD\þVþ\ODNXURQDOVþ]þQWþROGXÿXQXGúQPHNWH\L]
.þVDG|QHPVRQXoODUEDúDUþOþROXSX]XQG|QHPOL
WDNLSSODQODQPþúWþU
_(GLW|U1RWX
5HIHUDQVODUþQELUOLVWHVL\D\þQFþGDQWHPLQHGLOHELOLU
.|NNDQDOGROJXVXEDúDUþVþ NDQDOODUþQWDPRODUDN
ERúDOWþOPDVþQD YH GH]HQIHNVL\RQXQD EDNWHULOHULQ
\RÿXQOXÿXQD\DQNDQDOODUDVPHDUWDEDNDVþPLNWDUþQDX\JXODQDQWHNQLÿHL\LELUNDQDOGROJXVXQD
L\DWURMHQLN KDWDODUD KHNLPLQ X\JXODQDQ WHNQLÿH
KkNLPL\HWLQHWHNQLNOHLOJLOL\HWHUOLDUDoJHUHoEXOXQPDVþQDEDÿOþGþU(QGRGRQWLNWHGDYLQLQ|]HOOLNOH
X]XQ G|QHP EDúDUþVþQþ GHÿHUOHQGLUPHGH NXURQDO
Vþ]þQWþQþQ|QOHQPHVLYHNXURQDOUHVWRUDV\RQXQNDOLWHVL ROGXNoD |QHPOL ELU HWNHQGLU 8\XPVX]
kuronal restorasyon ve yetersiz endodontik tedavi
VRQUDVþQGDEDúDUþRUDQþQþQ·OHUHGúWÿELOGLULOPLúWLU %X oRN GúN RUDQ NRQXQXQ QH
NDGDU|QHPOLROGXÿXQXJ|]OHU|QQHVHUPHNWHGLU
B\D]DUKDNNÖQGD
roots
'W 1VKHW 'RåDQ \ÖOÖQGD *D]L hQLYHUVLWHVL 'Lâ
+HNLPOLæL )DNOWHVL·QGHQ PH]XQ ROGX \ÖOODUÖ
DUDVÖQGD $QNDUD hQLYHUVLWHVL 'Lâ +HNLPOLæL )DNOWHVL (Q
GRGRQWL$QDELOLP'DOÖ·QGD\NVHNOLVDQVHæLWLPLDOGÖ
\ÖOÖQGD .ÖUÖNNDOH hQLYHUVLWHVL (QGRGRQWL $QDELOLP 'DOÖ·QGD
GRNWRUDHæLWLPLQHEDâODGÖ\ÖOÖQGD$QNDUDhQLYHUVLWHVL
'Lâ+HNLPOLæL)DNOWHVL(QGRGRQWL$QDELOLP'DOÖ·QDGRNWR
UDHæLWLPLLoLQJHULG|QG+DOHQGRNWRUDWH]LoDOÖâPDODUÖQÖ
\UWPHNWHGLU.HQGLVLQHGWQXVKHWGRJDQ#JPDLOFRPPDLO
DGUHVLQGHQXODâÖODELOLU
roots 29
1_2023
[32] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_irrigasyonun önemi
=RUOXYDNDODUGDLUULJDV\RQXQ
|QHPL
Yazar_Dr. Marco Martignoni, İtalya
D]DOWþU $VOþQGD PHNDQLN HQVWUPDQWDV\RQXQ NDQDOODUGDLODDUDVþQGDGHÿLúHQRUDQGDWHGDYLHGLOPHPLúDODQODUEþUDNWþÿþELOLQPHNWHGLU
%X DODQODUGD EDNWHULOHULQ oRÿDOPD RODVþOþÿþ YDUGþU
YH EX GD WHGDYLQLQ EDúDUþVþ]OþÿþQD \RO DoDU
[33] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_irrigasyonun önemi
Resim 8
Resim 9
Resim 10
Resim 11
|QFHGHQ þVþWþOPþú VROV\RQODUþQ NXOODQþOPDVþ
YH\D XOWUDVRQLNVRQLN FLKD]ODU YH\D QHJDWLI
EDVþQoOþFLKD]ODU DUDFþOþÿþ\ODLUULJDV\RQVROV\RQODUþQþQDNWLYDV\RQX |QHULOPHNWHGLU
ýÿQH oDOþúPD X]XQOXÿXQD QH NDGDU \DNþQVD LUULJDV\RQ R NDGDU ID]OD ROXU %X QHGHQOH KD]þUODQDQ N|N NDQDOþQþQ DQDWRPLVLQH X\JXQ UQOHULQ
NXOODQþOPDVþ EX NOLQLN DGþPGD \DUGþPFþ RODELOLU
%XQXQODELUOLNWHGHEULVLQSHULDSLNDOGRNX\DLWLOPH
ULVNLQLD]DOWPDNLoLQDNþúúLGGHWOLROPDPDOþGþU
5HVLP gQFHNLWHGDYLQLQVRQXoODUþL\LOHúWLULOHELOHFHÿLQGHQGROD\þPHYFXWNURQXGHOHUHNGLúLWHNrar tedavi etmeye karar verdik.
5XEEHU GDPþQ \HUOHúWLULOPHVLQGHQ VRQUD 5HVLP
NURQXQ RUWDVþQGDNL NRPSR]LW GROJX HOPDV NDSOþ
ELU IUH] NXOODQþODUDN \NVHN GHYLUOL ELU HO DOHWL\OH
oþNDUþOGþ%XúHNLOGHSXOSDRGDVþQþQJ|UOHELOPHVL
LoLQ JLULú NDYLWHVL ROXúWXUXOGX YH G]HQOHQGL
5HVLP 0HYFXWN|NNDQDOþGROJXVXUHWUHDWPHQW
LoLQ|]HORODUDNWDVDUODQPþúG|QHUDOHWOHUNXOODQþOD-
%LUNDo PDNDOH NOLQLV\HQLQ N|N NDQDOþ ERúOXÿXQX
HWNLQ YH JYHQOL ELU úHNLOGH LUULJH HWPHVLQH \DUGþPFþRODQoLIWWDUDIOþGHOLNWDVDUþPþLOHNDUDNWHUL]H\HQLELUSROLSURSLOHQLÿQHQLQ ,UUL)OH[3URGXLWV
'HQWDLUHV NXOODQþPþQþ DoþNODPþúWþU %X UQ
JDXJH XFX\OD oDOþúPD X]XQOXÿXQD UDKDWOþNOD
XODúPD YH \NVHN PLNWDUGD LUULJDV\RQ VROV\RQXQX DSHNVH XODúWþUPD DYDQWDMODUþQD VDKLSWLU
hUQQ HÿLPOL NDQDOODUGD HWNLOL ROGXÿX J|VWHULOPLúWLU SHNL \D ]RUOX YDNDODU" $úDÿþGDNL YDND VXQXPODUþ ,UUL)OH[·LQ LNL IDUNOþ GXUXPGD NXOODQþPþQþ
J|VWHUPHNWHGLU .DOVLIL\HELUNDQDOþQUHWUHDWPHQWþ
YHSULPHUWHGDYLVL
_9DND
\DúþQGD KDVWD HQGRGRQWLN WHGDYL WHNUDUþ
UHWUHDWPHQW LoLQ NOLQLÿLPL]H EDúYXUGX +DVWDGD
VROPDNVLOOHUGLúHWLQGHúLúOLNELOGLULOGL5DG\RJUDILN
LQFHOHPHGH GDKD |QFH \DSþOPþú ELU HQGRGRQWLN
WHGDYLYHSHULDSLNDOUDG\ROVHQVLYDUOþÿþVDSWDQGþ
Resim 12
roots 31
1_2023
[34] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_irrigasyonun önemi
Resim 13
Resim 14
UDNoþNDUþOGþYHGDKDVRQUDSXOSDRGDVþWDEDQþQGDNLDUWþNODUþoþNDUPDNLoLQXOWUDVRQLNXoODUNXOODQþOGþ
3XOSDRGDVþVRG\XPKLSRNORULWLOHGROGXUXOGX
5HVLP YH|QFHNLWHGDYLVþUDVþQGDúHNLOOHQGLULOPHPLúWHPL]OHQPHPLúYH\DGROGXUXOPDPþúRODQ
LNLQFLPHVLREXNNDONDQDOWHVSLWHGLOGLYHVWDQGDUW
SURWRNROHJ|UHúHNLOOHQGLULOGL
(QGRGRQWLNELUOH]\RQXQYDUOþÿþYHúLúOLNJ|]|QQGHEXOXQGXUXODUDNN|NNDQDOþVLVWHPLQLQGHNRQWDPLQDV\RQXQDE\N]DPDQD\UþOGþ 5HVLP
ýUULJDV\RQo|]HOWLVLQLoDOþúPDX]XQOXÿXQDXODúWþUPDNLoLQVHoLOHQFLKD],UUL)OH[ 5HVLPYH ROGX
oQNHVQHNOLÿLVD\HVLQGHLUULJDV\RQVROV\RQXQX
herhangi bir zorlama olmadan, kurvatürlerde durPDGDQKHUN|NQDSLNDOoOVQHXODúWþUDELOHFHNWL
ýUULJDV\RQVROV\RQXGDKDVRQUD7RQLQLYH&HUXWWL
WDUDIþQGDQYHULOHQHQGLNDV\RQODUDJ|UHXOWUDVRQLN
XoODU \DUGþPþ\ODDNWLYHHGLOGL
.|N NDQDOODUþ NXUXODQGþNWDQ VRQUD VþFDN JXWWDSHUND NRPSDNVL\RQ WHNQLÿL\OH GROGXUXOGX
5HVLP 'DKD VRQUD JLULú NDYLWHVLQH GLUHNW
NRPSR]LW UHVWRUDV\RQ X\JXODQGþ 5HVLP YH
QLKDLVRQXFXNRQWUROHWPHNLoLQSRVWRSHUDWLIUDG\RJUDILoHNLOGL 5HVLP
_9DND
\DúþQGD ELU KDVWD DFLO ELU GXUXP QHGHQL\OH
NOLQLÿLPL]H JHOGL
[35] =>
ROOTS DERGISI-S-30 KAPAKLAR
vaka raporu_irrigasyonun önemi
Resim 18
7HGDYLQLQLONDGþPþRODUDNNDODQGLú\DSþVþQþQHWUDIþQD GRÿUXGDQ ELU UXEEHU GDP \HUOHúWLULOGL YH NDQDO WHGDYLVLQH EDúODQGþ *LULú NDYLWHVL ROXúWXUXOGX
N|N NDQDOþ Dÿ]þ XOWUDVRQLN XoODU NXOODQþODUDN WHVSLW
HGLOGL YH E\WOG 'DKD VRQUD EX GDU N|N NDQDO
ERúOXÿXQXQ úHNLOOHQGLULOPHVLQL WDPDPODPDN LoLQ
QLNHOWLWDQ\XP G|QHU DOHWOHU NXOODQþOGþ 5HVLP
+HP HQGRGRQWLN DOHWOHULQ ELU LUULJDV\RQ o|]HOWLVL
YDUOþÿþQGDoDOþúPDVþQþVDÿODPDNKHPGHEDNWHUL\HO
\N D]DOWPDN LoLQ ,UUL)OH[ YH XOWUDVRQLN VRG\XP
KLSRNORULWDNWLYDV\RQXNXOODQþODUDNoRNOXLUULJDV\RQ
GL]LOHUL WHNUDUODQGþ %LU SROLSURSLOHQ LUULJDV\RQ
NDQO NXOODQPDQþQ HQ E\N DYDQWDMþ VRQ úHNLOOHQGLUPHDOHWLoDOþúPDX]XQOXÿXQDXODúWþÿþQGDNDQOQGHoDOþúPDX]XQOXÿXQDVRUXQVX]ELUúHNLOGH
XODúPDVþ\Gþ 5HVLPYH %XGDGLúKHNLPLQLQ
LUULJDV\RQ VROV\RQXQX DSLNDO GDUDOþPþQ PPNQ
ROGXÿXQFD\DNþQþQDWDúþPDVþQDL]LQYHUGL
.|N NDQDOþ GXYDUODUþ \HWHULQFH WHPL] YH SDUODN
J|UQGÿQGH VþFDN JXWWDSHUND LOH REWUDV\RQ
\DSþOGþ(QGRGRQWLNWHGDYLQLQVRQEDVDPDÿþRODUDN
NRPSR]LWLOHGROJX\DSþOGþ 5HVLP YHSHULDSLNDO
UDG\RJUDILDOþQGþ 5HVLP
_Sonuç
%X PDNDOHGH ELOGLULOHQ LNL N|N NDQDO WHGDYLVLQL GH
D\Qþ GHQH\LPOL KHNLP JHUoHNOHúWLUGL 9DNDODU WHN
N|NO ELU GLúLQ LON WHGDYLVL YH oRN N|NO ELU GLúLQ
yeniden tedavisiydi ve birbirinden son derece farkOþ\GþDQFDNKHULNLVLGH]RUGX.|NNDQDOþVLVWHPLQL
úHNLOOHQGLUPHNLoLQNXOODQþODQDOHWOHUYHVþUDODPDODU
ROJXODUDUDVþQGDIDUNOþOþNJ|VWHUGLoQNN|NNDQDO
NRQLNOLÿLIDUNOþ\GþYHODWHUDONHVLFLGLúLQDSLNDOER\XWXPRODUGLúLQNLQGHQEHOLUJLQúHNLOGHGDKDNoNW
%XYDNDODUD\DNODúþPGDGHÿLúPH\HQúH\LUULJDV\RQ
EDVDPDÿþQD YHULOHQ |QHPGL 5HWUHDWPHQW YDND-
Resim 19
VþQGD EDNWHULOHULQ \RN HGLOPHVL HQGRGRQWLN WHGDYL
J|UPúYHEDúDUþVþ]ROPXúELUGLúWHEDúDUþQþQDQDKWDUþ\Gþ R\VDODWHUDONHVLFLGLúWHGDUELUNDQDOROPDVþ
N|NNDQDOþVLVWHPLQLWHPL]OHPH\L]RUODúWþUGþ
+HU LNL GXUXPGD GD HQGRGRQWLN DOHWOHU WDUDIþQGDQROXúWXUXODQ\ROXL]OH\HQHVQHNELULUULJDV\RQ
NDQOQQ NXOODQþOPDVþ WHGDYL\L NROD\ODúWþUGþ YH
oDOþúPD VUHOHULQL NþVDOWWþ oQN HQ oRN LKWL\Do
GX\XODQ\HUH\NVHNPLNWDUGDLUULJDV\RQo|]HOWLVL
XODúWþUPDN PPNQG .DQO ]HULQGH X]XQOXN
LúDUHWOHULQLQEXOXQPDVþNOLQLV\HQLQN|NNDQDOþLoLQGHNL LÿQH GHULQOLÿLQL EHOLUOHPHVLQH \DUGþPFþ ROGX
dDOþúPD X]XQOXÿX LOH KD]þUODQDQ NDQDOþQ LoLQGHNL
,UUL)OH[ SHQHWUDV\RQ GHULQOLÿL DUDVþQGDNL X\XPX
YXUJXODPDNLoLQNDQO]HULQHVDUþVWRS\HUOHúWLULOGL.|NNDQDOþERúOXÿXQX'RODUDNNDSDWPDNLoLQ
VþFDNJXWWDSHUNDLOHREWUDV\RQ\DSþOGþYHKHULNL
GLúLGHN|NNDQDOWHGDYLVL\OHD\QþVHDQVWDUHVWRUH
HWPHWHUFLKLJHQHOOLNOHJHoLFLUHVWRUDV\RQODUODLOLúNLOLRODQNRURQDOVþ]þQWþ\þ|QOHPHNLoLQGL
_(GLW|U1RWX
5HIHUDQVODUþQELUOLVWHVL
\D\þQFþGDQDOþQDELOLU
Bu makale ilk olarak
roots international
magazine of endodontics,
9ROVD\þVþQGD
\D\þQODQPþúWþU
roots
B\D]DUKDNNÖQGD
Dr. Marco Martignoni \ÖOÖQGDåWDO\D·GDNL&KLHWL3HV
FDUD *DEULHOH G·$QQXQ]LR hQLYHUVLWHVL·QGHQ PH]XQ ROGX
·GDQ ·HNDGDU$%'·GHNL%RVWRQhQLYHUVLWHVL+HQ
U\0*ROGPDQ'Lâ+HNLPOLæL)DNOWHVL·QGH'U+HUEHUW6F
KLOGHUWDUDIÖQGDQVXQXODQVUHNOLHæLWLPNXUVODUÖQÖWDPDP
ODGÖ \ÖOÖQGD$%'·GH6DQWD%DUEDUD·GD'U&OLII5XGGOH
WDUDIÖQGDQ VXQXODQ VUHNOL HæLWLP SURJUDPÖQÖ WDPDPODGÖ
åWDO\D·GD5RPD·GD|]HOELUNOLQLNLâOHWPHNWHGLUYHHVDVROD
UDNHQGRGRQWLSUHSURWHWLNNRUX\JXODPDODUÖYHSURWH]OHUOH
LOJLOHQPHNWHGLU'U0DUWLJQRQLHQGRGRQWLNWHGDYLVRQUDVÖ
NRU X\JXODPDODUÖ ]HULQH DUDâWÖUPDODU \DSPÖâ YH \D\ÖQOD
PÖâWÖU7DQÖQPÖâELUNRQXâPDFÖGÖUåWDO\D·GDYHGQ\DoDSÖQGDHQGRGRQWLNRUX\JXODPDODUÖ
YHGLâKHNLPOLæLQGHRSHUDV\RQPLNURVNREXQXQNXOODQÖPÖ]HULQHoRNVD\ÖGDNRQIHUDQVYH
X\JXODPDOÖ ZRUNVKRSODU YHUPLâWLU $FFDGHPLD ,WDOLDQD GL 2GRQWRLDWULD 0LFURVFRSLFD·QÖQ
åWDO\DQ0LNURVNRELN'Lâ+HNLPOLæL$NDGHPLVL NXUXFXVXYH6RFLpWp)UDQoDLVHG·(QGRGRQ
WLH·QLQ )UDQVÖ](QGRGRQWL'HUQHæL RQXUVDO\HVLGLU
roots 33
1_2023
[36] =>
ROOTS DERGISI-S-30 KAPAKLAR
teknik_vital pulpa tedavisi
9LWDOSXOSDWHGDYLVLNOLQLN
EDNÖâDoÖVÖ
Yazarlar_Dr. Jenner Argueta ve Dr. Ana Lucía Orellana, Guatemala
Resim 1
Resim 2
Resim 1:*HoLFLUHVWRUDV\RQOXQROXGLâdUæQX]DNODâWÖUÖOPDVÖQGDQ|QFHWDPL]RODV\RQResim 2:QROXGLâWHPHVLDOVHYL\HGHGHULQELUUHVWRUDV\RQYDUOÖæÖQÖJ|VWHUHQELWHZLQJ
UDG\RJUDIL0HVLDOSXOSDER\QX]XQXQ\DNÖQÖQGD\HWHUVL]PLQHUDOL]HGRNXEXOXQGX(Tüm resimler: © Dr Jenner Argueta Endodoncia)
_*LULü
1IXVXQ \NVHN ELU \]GHVL GLúOHUL oUNOHUGHQ
|QHPOL|OoGHHWNLOHQGLÿLQGHGLúKHNLPLQHJLWPH\HNDUDUYHULU%LUoRNGXUXPGDKDVWDODUN|NNDQDO
WHGDYLVLYHSRVWHULRUUHVWRUDV\RQXQPDOL\HWLQHGHQL\OHGLúOHULQHUNHQoHNLOPHVLQLWHUFLKHGHUOHU
3XOSDGHQWLQ NRPSOHNVLQL FDQOþ WXWPDQþQ |QHPL
N|N NDQDO WHGDYLVLQH DOWHUQDWLI DUD\þúODU YH PLQL-
Resim 3
PDO LQYD]LY GLú KHNLPOLÿLQLQ NOLQLN X\JXODPDVþ
SXOSDKDVDUþQDNDUúþNRQVHUYDWLI\DNODúþPODUþQSRSODULWHVLQLQDUWPDVþQD\RODoPþúWþU*QP]GH
YLWDOSXOSDWHGDYLVL 937 SURVHGUOHULLoLQELOGLULOHQ\NVHNEDúDUþRUDQþEXWUWHGDYLOHULQNXOODQþP
VþNOþÿþQþQ DUWPDVþQGD |QHPOL ELU IDNW|U ROPXúWXU
%XSURVHGUOHULQL\LSURJQR]XNþVPHQPHYFXW WHGDYL SURWRNROOHUL LOJLOL EL\RORMLN VUHoOHULQ
Resim 4
Resim 3:'XUGXUXOPDVÖNROD\RODQPLQLPXPNDQDPDQÖQHâOLNHWWLæLNDYLWHSUHSDUDV\RQWDEDQÖVHYL\HVLQGHSXOSDHNVSR]XResim 4:3XOSDGRNXVXNDQDPDVÖVRG\XPKLSRNORULWLOH
34 roots
1_2023
GH]HQIHNVL\RQVRQUDVÖGXUGX
[37] =>
ROOTS DERGISI-S-30 KAPAKLAR
teknik_vital pulpa tedavisi
Resim 5:
&HUD3XWW\·QLQ 0HWD%LRPHG HNVSR]
SXOSDVHYL\HVLQH\HUOHâWLULOPHVL
Resim 5
DQODúþOPDVþ YH JHUL G|QúPO SXOSD KDVWDOþÿþ
YDNDODUþQGDNXOODQþODELOHFHNPDWHU\DOOHUVD\HVLQGH
HOGHHGLOPLúWLU
ý\LELUWDQþNDUDUDOþUNHQYHELUWHGDYLVUHFLROXúWXUXUNHQHQ|QHPOLYH]RURODQIDNW|UGU0HYFXWWDQþVDOWHVWOHULQVþQþUODPDODUþKDVWD\D|]JVXEMHNWLI
IDNW|UOHU YH NOLQLN ELOJLOHULQ X\JXOD\þFþ WDUDIþQGDQ
GRÿUX\RUXPODQPDVþJ|]|QQHDOþQGþÿþQGDSXOSD LQIODPDV\RQXQXQ NHVLQ GHUHFHVLQL EHOLUOHPHN
NROD\ ELU Lú GHÿLOGLU %LU 937 SURVHGUQQ
EDúDUþOþROPDVþLoLQSXOSDLOWLKDEþQþJHULoHYLUPHQLQ
PPNQROPDVþJHUHNWLÿLL\LELOLQPHNWHGLU0HYFXW
SXOSDGX\DUOþOþNWHVWOHULQLQWDPDPHQJYHQLOLUROPDGþÿþQþDNþOGDWXWPDN|QHPOLGLU
_'LUHNW3XOSD.XDIDMÕ².OLQLN7HNQLN
VHORODUDNX]DNODúWþUþOGþ dUNX]DNODúWþUþOþUNHQ
PHVLREXNNDOSXOSDER\QX]XDoþÿDoþNWþ 5HVLP
'DKD NoN SXOSD PDUX]L\HWOHUL J|]GHQ NDoDELOHFHÿLQGHQ NDYLWH SUHSDUDV\RQ WDEDQþQþQ KHU
zaman bir endodontik sond ile kontrol edilmesi
tavsiye edilir.
(NVSR] SXOSD E|OJHVLQGH NDQDPDQþQ ROGXÿX GXUXPODUGD VWHULO VDOLQ o|]HOWLVL LOH QHPOHQGLULOPLú
ELUSDPXNXoOXDSOLNDW|UOHVDQL\HER\XQFD
VUHNOLEDVþQoX\JXODQPDVþ DUGþQGDQNDYLWHQLQVRG\XPKLSRNORULWLOHGH]HQIHNVL\RQXJHUHNOLGLU 5HVLP %XQGDQVRQUDSXOSD\þGRÿUXGDQNDSDWPDNLoLQELUSXWW\ PDFXQNþYDPþQGD NDOVL\XP
VLOLNDW ED]Oþ PDWHU\DO &HUD3XWW\ 0HWD %LRPHG
\HUOHúWLULOGL 5HVLP 'LUHNWSXOSDNDSODPDPDteryali üzerine, onu korumak için ince bir tabaka
Bu makalede sunulan klinik olguda, reversible
SXOSLWLV WDQþVþ LOH SXOSD HNVSR]X RODQ YDNDODUGD
GLUHNWSXOSDNXDIDMþ\DSþOPDVþLoLQ|QHULOHQWHNQLN
DQODWþOPDNWDGþU%XNOLQLNVHQDU\RHQVþNPH\GDQD
JHOHQVHQDU\RROGXÿXLoLQVHoLOPLúWLU
QXPDUDOþGLúLQGHNþVDVUHOLDÿUþELOGLUHQKDVWD NOLQLÿH EDúYXUGX 5HVLP 5DG\RJUDIL NOLQLN
GHÿHUOHQGLUPHYHKDVWDQþQNOLQLN|\NVQQDQDOL]L LOH UHYHUVLEOH SXOSLWLV WDQþVþ NRQXOGX YH GHULQ
ELU6þQþI,,JHoLFLUHVWRUDV\RQVDSWDQGþ 5HVLP
7DPL]RODV\RQELUUXEEHUGDPYHSDVODQPD]oHOLN
ELUNOHPSNXOODQþODUDNVDÿODQGþYHWHGDYLHGLOHFHN
DODQþQEDNWHUL\HONRQWDPLQDV\RQXQX|QOHPHNLoLQ
NOHPSLQHWUDIþQDDNþúNDQGLúHWLEDUL\HUL 1H[7HPS
/&0HWD%LRPHG \HUOHúWLULOGL*HoLFLUHVWRUDV\RQ
PDWHU\DOLSXOSDHNVSR]XROPDVþGXUXPXQGDEDNWHULOHULQSXOSDGRNXVXERúOXÿXQDKDUHNHWLQLVþQþUODPDNLoLQNURQGDQVHUYLNDOPDUMLQHGRÿUXoHYUH-
Resim 6
Resim 6:5HVWRUDWLILâOHPLKÖ]ODQGÖUPDNLoLQGLUHNWSXOSDNXDIDMÖPDWHU\DOLQLQ]HULQH\HUOHâWLULOHQNRUXPD
EXVD\HGHDGH]LYSURWRNROKHPHQX\JXODPDLPNkQÖYDUGÖU
roots 35
1_2023
[38] =>
ROOTS DERGISI-S-30 KAPAKLAR
teknik_vital pulpa tedavisi
Resim 7:
QROXGLâH\DSÖODQNDOÖFÖ
UHVWRUDV\RQ
Resim 7
KDOLQGH NDOVL\XP KLGURNVLW ED]Oþ þúþN SROLPHUL]H
HGLOHQ PDO]HPH %LQHU /& 0HWD %LRPHG X\JXODQGþ 5HVLP %|\OHOLNOHUHVWRUDV\RQD\QþVHDQVWD PDWHU\DOLQ E]OPHVLQL HQ D]D LQGLUPHN
DPDFþ\OD REOLN WDEDNDODPD WHNQLÿL NXOODQþODUDN
5HVLPYH NRPSR]LWUH]LQOH\DSþODELOGL
6RQ UHVWRUDV\RQXQ NDOLWHVL YH Vþ]þQWþODUþ |QOHPHN
LoLQ GHQWLQ \DSþVþQD \DNþQ DGDSWDV\RQX X\JXODPDQþQX]XQYDGHOLEDúDUþVþQGDDQDKWDUIDNW|UOHUGLU'RÿUXPDUMLQDODGDSWDV\RQYHUHVWRUDV\RQXQ
GLúGRNXVXLOHGHYDPOþOþÿþLúOHPHDLWVRQUDG\RJUDILGHJ|UOHELOLU 5HVLP
+DVWDQþQ WDPDPHQ DVHPSWRPDWLN ROGXÿXQGDQ
YH GX\DUOþOþN WHVWOHULQH QRUPDO \DQþW YHUGLÿLQGHQ
emin olmak için tedaviden yedi gün sonra bir deÿHUOHQGLUPH \DSþOGþ 7P WHVWOHUGH QRUPDO SXOSD
GRNXVX\DQþWþHOGHHGLOGLýNL\þOVRQUD\DSþODQWDNLSWHPHVLDOSXOSDER\QX]XQGDUHWUDNVL\RQJ|]OHQGL 5HVLP
_937·GH.XOODQÕODQ0DWHU\DOOHU
3XOSD WHGDYLVL SURVHGUOHULQGH NXOODQþOPDN ]HUH
WDQþPODQDQPDWHU\DOOHUDUDVþQGDNDOVL\XPKLGURNVLWED]OþVLPDQODUYHEL\RVHUDPLNOHUGHQ EDKVHGLOPLúWLUýNLQFLVLoWHPHOJUXEDD\UþODQEL\RX\XPOXPDO]HPHOHUGLU
\NVHNGLUHQoOLEL\RLQHUWVLPDQODU
PLQHUDOL]HGRNXLOHNLP\DVDOEDÿODUROXúWXUDQ
biyoaktif simanlar ve
RUJDQL]PDQþQ PHWDEROLN VUHoOHULQGH DNWLI
RODUDN\HUDODQEL\RORMLNRODUDNSDUoDODQDELOHQ
PDWHU\DOOHU
937 SURVHGUOHUL LoLQ NXOODQþODELOHFHN ELUoRN PDO]HPHYDUGþUHQL\LELOLQHQOHULPLQHUDOWULRNVLWDJUHJDW 07$ YH(QGR6HTXHQFH%&550%LRGHQWLQH
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simanlar grubuna aittir.
Resim 8
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36 roots
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teknik_vital pulpa tedavisi
Resim 9
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Referans listesi için lütfen QR kodu okutun. Bu
makale ilk olarak roots international magazine of
endodontics 9RO VD\þVþQGD \D\þQODQPþúWþU
Kaynaklar
roots
B\D]DUKDNNÖQGD
Dr. Jenner Argueta *XDWHPDOD·GD *XDWHPDOD &LW\·GHNL
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38 roots
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[41] =>
ROOTS DERGISI-S-30 KAPAKLAR
ürün_tanıtımı
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[42] =>
ROOTS DERGISI-S-30 KAPAKLAR
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[43] =>
ROOTS DERGISI-S-30 KAPAKLAR
[44] =>
ROOTS DERGISI-S-30 KAPAKLAR
haber_güncel
%LQLQh]HULQGH0DUND,'(;)XDUÕ·QGD
*|UF\HdÕNÕ\RU
IDEX 2023 Fuarı, dental sektördeki 500’ün üzerinde firmadan 4 bini așan markayı 25-28 Mayıs’ta
İstanbul’da, ziyaretçiler ile bulușturacak. Bu yıl fuar alanı, 5 ayrı salona yayılıyor. Dev organizasyonun,
80 binden fazla ziyaretçi ağırlaması bekleniyor.
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ONHVLQGHQ ELQ FLYDUþQGD \DEDQFþ PLVDILU WRSODPGD ELQGHQ ID]OD ]L\DUHWoL
bekleniyor.
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DODQGDNRQXNODUþNDUúþOþ\RU
[45] =>
ROOTS DERGISI-S-30 KAPAKLAR
haber_güncel
'Lø+HNLPOLõL.WSKDQHVLQGH$ERQHOLõLQL]%DøODGÕ
Daha iyi bir diș hekimliği için çalıșan Vestiyer Yayın Grubu (VYG), yayına
giren VYG Dijital Kütüphane’deki bilimsel içerikleri ulașılabilir kılıyor.
Kütüphanede, 28 binin üzerinde diș hekimine,
ücretsiz abonelik tanımlandı.
B9HVWL\HU
[46] =>
ROOTS DERGISI-S-30 KAPAKLAR
haber_güncel
.|NFHOO7(.12)(67·WH%HõHQL7RSODGÕ
Dünya’nın en büyük Havacılık, Uzay ve Teknoloji Festivali TEKNOFEST 2023’te İstanbul Aydın Üniversitesi
Dișhekimliği Fakültesi’nden akademisyen ve öğrenciler Kökcell isimli projeleri ile yarı finale kaldı.
Kök Hücre Eksozomları ile Zenginleștirilmiș Yara İyileștirici Oral Membran projesi beğeni topladı.
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[47] =>
ROOTS DERGISI-S-30 KAPAKLAR
haber_güncel
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[48] =>
ROOTS DERGISI-S-30 KAPAKLAR
haber_sempozyum
6HPSR]\XPGDNDoÕUÕOPD\DFDNHQGRGRQWLVXQXPODUÕ
IDEX 2023 Fuarı’nın, 25-28 Mayıs’ta İstanbul’da, 80 binden fazla ziyaretçi ağırlaması bekleniyor.
Bu iddialı organizasyon, yüzlerce markayı ziyaretçilerle bulușturmasının yanı sıra 6. Dental Tribune Türkiye
Sempozyumu ile bilimsel gelișmeleri de diș hekimlerine sunuyor. Özenle hazırlanan programdan, endodontik
tedavideki son gelișmeleri takip etmek isteyenler için kaçırılmayacak endodonti sunumlarını seçtik.
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[49] =>
ROOTS DERGISI-S-30 KAPAKLAR
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[50] =>
ROOTS DERGISI-S-30 KAPAKLAR
üniversite_tanıtımı
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Üniversite Tanıtımı sayfalarımızın bu sayıdaki konuğu, 6 Șubat depreminde zarar gören Adıyaman Üniversitesi
Diș Hekimliği Fakültesi. Afetin ilk günlerinde, fakültenin Endodonti AD. Bașkanı Dr. Mehmet Dündar’ın
öğrencileri için yardım isteğini duyurmuștuk. Yeniden ulaștığımız Dr. Dündar’a diș hekimliği
fakültesinde ve Adıyaman’daki bugünkü durumu sorduk.
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vermeyen yok diyebilirim.
48 roots
1_2023
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[52] =>
ROOTS DERGISI-S-30 KAPAKLAR
röportaj_firma
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Kliniğiniz, konut olarak tasarlanmıș bir binada yer alıyor ve 2000 yılı öncesi inșa edilmiș ise depreme karșı risk
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klinik ve polikliniklerde güçlendirmenin nasıl yapılması gerektiğini anlattı. Maliyetler hakkında da bilgi veren
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kitap_PTC
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arka ve ön dișlerin anatomisi, kuron ve köprü modelajı,
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ROOTS DERGISI-S-30 KAPAKLAR
kitap_inceleme
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ROOTS DERGISI-S-30 KAPAKLAR
etkinlik_ajanda
Roots $MDQGD
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https://eurodentistry.dentalcongress.com
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https://adpa2023.cw3.events/
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http://www.apeconweb.org/index.html
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https://indonesiadentalexpo.com/
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https://ced-iadr2023.com/
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etkinlik_ajanda
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İDEX 2023 Fuarı, 6. Dental Tribune Türkiye Sempozyumu ile uluslararası
konușmacıları, katılımcılar ile bulușturuyor.
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yayın kuralları
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[59] =>
ROOTS DERGISI-S-30 KAPAKLAR
[60] =>
ROOTS DERGISI-S-30 KAPAKLAR
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[cover] => ![roots Turkey No. 1, 2023]()
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[title] => In-out tekniği
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[6] => Array
(
[title] => Bir paradigma değișimi mi var?
[page] => 18
)
[7] => Array
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[title] => Periapikal küretaj
[page] => 28
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[8] => Array
(
[title] => Irrigasyonun önemi
[page] => 32
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[9] => Array
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[title] => Vital pulpa tedavisi
[page] => 36
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[title] => Tanıtımı
[page] => 40
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[title] => Güncel
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[title] => Sempozyum
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Table of contents
-
Cover
1 - 1
view
-
Jenerik
2 - 2
view
-
Içindekiler
6 - 6
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Editörden
7 - 7
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Doğal vertikal kemik artıșı
8 - 10
view
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In-out tekniği
12 - 16
view
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Bir paradigma değișimi mi var?
18 - 26
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Periapikal küretaj
28 - 31
view
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Irrigasyonun önemi
32 - 35
view
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Vital pulpa tedavisi
36 - 39
view
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Tanıtımı
40 - 42
view
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Güncel
44 - 47
view
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Sempozyum
48 - 49
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Tanıtımı
50 - 51
view
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Firma
52 - 53
view
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PTC
54 - 54
view
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Inceleme
55 - 55
view
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Ajanda
56 - 57
view
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Yayın kuralları
58 - 58
view
[toc_titles] => Cover
/ Jenerik
/ Içindekiler
/ Editörden
/ Doğal vertikal kemik artıșı
/ In-out tekniği
/ Bir paradigma değișimi mi var?
/ Periapikal küretaj
/ Irrigasyonun önemi
/ Vital pulpa tedavisi
/ Tanıtımı
/ Güncel
/ Sempozyum
/ Tanıtımı
/ Firma
/ PTC
/ Inceleme
/ Ajanda
/ Yayın kuralları
[cached] => true
)