roots Turkey No. 1, 2024
Cover / Jenerik / Içindekiler / Vaka raporu / Vaka raporu / Vaka raporu / Vaka raporu / Tanıtımı / Güncel / Tanıtımı / PTC / Inceleme / Ajanda / Yayın kuralları
Table of contents
-
Cover
1 - 1 view -
Jenerik
3 - 3 view -
Içindekiler
6 - 6 view -
Vaka raporu
8 - 12 view -
Vaka raporu
14 - 25 view -
Vaka raporu
28 - 34 view -
Vaka raporu
36 - 39 view -
Tanıtımı
40 - 45 view -
Güncel
46 - 48 view -
Tanıtımı
50 - 52 view -
PTC
54 - 54 view -
Inceleme
55 - 55 view -
Ajanda
56 - 57 view -
Yayın kuralları
58 - 58 view
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[pdf] => ROOTSTUR0124.pdf
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[1] =>
ROOTS DERGISI-S-32 KAPAKLAR
Sayı 32
international magazine
mag
of
1
2024 Tü
Türkiye Baskısı
_vaka raporu
Er:YAG lazer ve SWEEPS
teknolojisi ile kırık alet
yönetimi — bir vaka serisi
Kompleks endodontik
vakaların Er:YAG ve
Er,Cr:YSGG lazerler ile
yyönetimi
önetimi
Pis
Piston
tekniği — kök
kanal
kan
nal dolgusuna yeni
bir ya
yaklașım
ISSN 1307-7791
endodontics
[2] =>
ROOTS DERGISI-S-32 KAPAKLAR
[3] =>
ROOTS DERGISI-S-32 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-32 KAPAKLAR
[5] =>
ROOTS DERGISI-S-32 KAPAKLAR
[6] =>
ROOTS DERGISI-S-32 KAPAKLAR
roots_içindekiler
sayfa 06
| vaka raporu
06
Er:YAG lazer ve SWEEPS teknolojisi ile
NÖUÖNDOHW\|QHWLPL — bir vaka serisi
sayfa 14
45
46
sayfa 26
+HU*Q%LU6DæOÖNdDOÖâDQÖãLGGHWH8æUX\RU
åQJLOWHUH'HQWDO.DUL\HU
[7] =>
ROOTS DERGISI-S-32 KAPAKLAR
KAPSAMLI İMPLANTÜSTÜ
PROTEZ EĞİTİMİ
Tek Diş Eksikliğinden Tam Dişsizliğe
18-19 Mayıs 2024, İstanbul
UYGULAMALI
İSTANBUL
2 GÜN
PROF. DR. ÖZGÜR İNAN, PROF. DR. HANEFİ KURT, DOÇ. DR. ÖZGÜN YUSUF ÖZYILMAZ
İki gün süreli ve çok farklı uygulamalarla
zenginleştirilen Eğitim, implantüstü protez
uygulamalarında ihtiyaç duyulan bütün temel konuları
tek bir kurs çatısı altında topluyor. Bu sayede, katılımcı
hekimlere bütüncül bir bakış açısı
kazandırmayı hedefliyor.
İmplant vakalarında, hasta memnuniyeti söz konusu olduğunda, işin özeti
şu cümlede saklı: Hasta bizden implant değil, diş istiyor. Çünkü altyapı
çok önemli olsa da, hastalarımızla ilişkilerimiz genellikle üstyapı
üzerinden şekilleniyor.
Elbette bir implantın başarısını tamamlayan en önemli faktör, protetik
üst yapıdır. Çünkü yukarıda da bahsettiğimiz gibi, hasta memnuniyetinin
birinci önceliği, tedavi sonrası sahip olacağı dişlerin görünümü
ve kullanım rahatlığıdır.
DrVesta.com | 0212 481 02 20
[8] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
Er:YAG lazer ve SWEEPS
teknolojisi ile NÖUÖNDOHW\|QHWLPL
— bir vaka serisi
Yazar_Dr. Bartłomiej Karaś, Polonya
Resim 1
Resim 2
Resim 3
Vaka 1 — Resim 1:3UHRSUDG\RJUDIL3HULDSLNDOOH]\RQYHNÖUÖNDOHWJ|UOHELOLUResim 2:3UHRS.,%7WDUDPDVÖ.ÖUÖNHæHNDQDOHæLPLQLQoRN|WHVLQGHResim 3:3UHRS.,%7WDUDPDVÖ
.ÖUÖNHæHQLQXFXPH]LREXNNDOYHPH]LROLQJXDONDQDOODUÖQELUOHâLP\HULQLQDOWÖQGDNRQXPODQPÖâWÖU
_*LULü
.þUþNDOHW\|QHWLPLHQGRGRQWLNWHGDYLQLQHQ]RUOX
NþVþPODUþQGDQELULGLU.OLQLV\HQLQNþUþNHÿHQLQoþNDUþOPDVþQþ JHUHNWLUHQ ELU UHWUHDWPHQW YDNDVþ \D GD
SULPHUN|NNDQDOþSUHSDUDV\RQXVþUDVþQGDELUHÿHQLQNþUþOPDVþIDUNHWPHNVL]LQEXGXUXPJHQHOOLNOH
WHGDYLQLQEDúDUþRUDQþQþHWNLOHU
%LOLQGLÿLJLELNDQDOWHGDYLVLQGHHQ|QHPOLIDNW|UOHUGHQ ELUL EL\RILOPLQ \RN HGLOPHVLGLU .þUþN HÿH
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Resim 4
Resim 5
%XQHGHQOHNOLQLV\HQKHUGXUXPGDHÿH\LoþNDUPD
LúOHPLQLQ WP DYDQWDMODUþQþ YH GH]DYDQWDMODUþQþ
J|]|QQGHEXOXQGXUPDOþYHNþUþNHÿH\LoþNDUPD\D\HULQGHEþUDNPD\DYH\DE\SDVVHWPH\HGHÿLS
GHÿPH\HFHÿLQHNDUDUYHUPHOLGLU
_6:((367HNQRORMLVLQLQ$YDQWDMODUÕ
%HOLUWLOGLÿL JLEL HQGRGRQWLN WHGDYLQLQ HQ |QHPOL
IDNW|UOHULQGHQ ELUL N|N NDQDOþ GH]HQIHNVL\RQXGXU
*HQHOOLNOHNþUþNHÿHQLQHWUDIþQGDoRNID]ODELULNPLú
VHUWGRNXGHEULVLEXOXQXUYHNþUþNHÿHN|NQRUWD
NþVPþQGD\HUDOþ\RUVDNDQDOþQDSLNDONþVPþQþQGHzenfeksiyonu yetersiz olabilir.
Resim 6
Resim 4:5XEEHUGDPL]RODV\RQXQGDQVRQUDWHGDYLHGLOHQGLâ+DVDUOÖJHoLFLUHVWRUDV\RQResim 5:*HoLFLUHVWRUDV\RQXQNDOGÖUÖOPDVÖQGDQVRQUDGLâResim 6:dUæQX]DNODâWÖUÖOPDVÖQGDQVRQUDGLâ DNÖâNDQNRPSR]LWYHUXEEHUGDPOLNLWLOHNDYLWHQLQVÖ]GÖUPD]OÖæÖQÖQVDæODQPDVÖ
6 roots
1_2024
[9] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
[10] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
Resim 12
Resim 13
Vaka 2 — Resim 12:3UHRS.,%7WDUDPDVÖ3HULDSLNDOOH]\RQJ|UOHELOLUResim 13:3UHRSUDG\RJUDIL.ÖUÖNDOHWLQLNLSDUoDVÖJ|UQPHNWH
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LoLQSXOSDRGDVþQD\HUOHúWLULOGL%XLúOHPHGDNLND
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WHGDYLHGLOHQGLâ
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5HVWRUDV\RQXQWDPDPHQ
NDOGÖUÖPDVÖQGDQVRQUDGLâ
Resim 17:
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NRPSR]LWYHUXEEHUGDPOLNLWLOH
NDYLWHQLQVÖ]GÖUPD]OÖæÖQÖQ
VDæODQPDVÖ
Resim 18:
.ÖUÖNHæHQLQoÖNDUÖODQLONSDUoDVÖ
Resim 19:
.ÖUÖNHæHQLQoÖNDUÖODQLNLQFLSDUoDVÖ
8 roots
1_2024
[11] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
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LQWUDRSUDG\RJUDIL
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.DQDOGROJXVXVRQUDVÖSXOSDRGDVÖ
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3RVWRSUDG\RJUDIL$SLNDOSXII
J|UOPHNWH
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_9DND
+DVWD PDQGLEXODU VDÿ ELULQFL PRODU GLúLQH EDÿOþ RUWD GHUHFHGH DÿUþ QHGHQL\OH NOLQLÿH JHOGL
3HULDSLNDO UDG\RJUDIL YH .,%7 WDUDPDVþ \DSþOGþ
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N|NQRUWDNþVPþQGDNXUYDWUGHQ|QFHGLÿHULLVH
NXUYDWUQELUD]DOWþQGDROPDN]HUHLNLSDUoDNþUþNDOHWJ|UOPHNWH\GL 5HVLPYH
$QHVWH]L X\JXODQGþNWDQ YH UXEEHU GDP \HUOHúWLULOGLNWHQVRQUDNRPSR]LWUHVWRUDV\RQNDOGþUþOGþ
YH N|N NDQDOþ WHGDYLVL LoLQ DNþúNDQ NRPSR]LW YH
Resim 24
Resim 25
Resim 24: $OWÖD\OÖNWDNLSWH.,%7WDUDPDVÖResim 25:D\OÖNWDNLSWH.,%7WDUDPDVÖ
roots
1_2024
9
[12] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
Resim 26
Resim 27
Vaka 3 — Resim 26:3UHRS.,%7WDUDPDVÖåNLDSLNDOOH]\RQJ|UOHELOLUResim 27:3UHRSUDG\RJUDIL.ÖUÖNHæHOHUJ|UOPHNWH
UXEEHU GDP OLNLW LOH JHoLFL UHVWRUDV\RQ \DSþOGþ
5HVLP 0H]LROLQJXDO YH GLVWDO NDQDOODUGDQ GROJX PDWHU\DOL oþNDUþOGþNWDQ VRQUD NþUþN
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XoODoþNDUþOGþ 5HVLP YHGDKDVRQUDLNLQFLSDUoDVþQþQXFXJ|UQUKDOHJHOGL1H\D]þNNLoþNDUþODQHÿHSDUoDVþRUWDGDQNþUþOGþYHVDGHFHNRURQDO
NþVþPDOþQDELOGL 5HVLP .þUþNHÿHQLQDSLNDONþVPþJ|UQPHGLÿLQGHQYHLUULJDV\RQYHDNWLYDV\RQ
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Resim 29:
dUæQX]DNODâWÖUÖOPDVÖYHDNÖâNDQ
NRPSR]LWYHUXEEHUGDPOLNLWLOH
Resim 28
Resim 29
Resim 30
Resim 31
Resim 32
Resim 33
NDYLWHQLQVÖ]GÖUPD]OÖæÖQÖQ
VDæODQPDVÖ
Resim 30:
*XWDSHUNDQÖQoÖNDUÖOPDVÖ
Resim 31:
.|NNDQDOÖDæ]ÖQÖQDâÖUÖ
HQVWUPDQWDV\RQXPXKWHPHOHQGDKD
|QFHNLHæHoÖNDUPDJLULâLPLVÖUDVÖQGD
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Resim 32:
NÖâNDQNRPSR]LWLOHNDSDWÖOPÖâ
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0H]LREXNNDONDQDOGDLNLNÖUÖNHæHQLQ
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10 roots
1_2024
[13] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
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NH]JHUoHNOHúWLULOGL ýUULJDV\RQGDQVRQUDKHULNL
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5DG\RJUDILPH]LDON|NQSHULDSLNDOE|OJHVLQGHYH
NDQDOSDWþLOHGROXLVWKPXVWDELUSXIIRUWD\DoþNDUGþ*LULúNDYLWHVLQHNRPSR]LWPDWHU\DO\HUOHúWLULOGL
YHKDVWDNRQWUROUDQGHYXVXQDoDÿUþOGþ
$OWþ D\ YH D\OþNNHQ .,%7 WDUDPDODUþ \DSþOGþ
5HVLP YH *|UQWOHUGH SHULDSLNDO E|OJHGH LQIODPDV\RQ EXOJXVXQD UDVWODQPDGþ YH GLú
DVHPSWRPDWLNWL
Resim 34
Resim 35
_9DND
Resim 34:¶/DVVRWRRO·LOHoÖNDUÖODQHæHOHULQELULResim 35:åQWUDRSUDG\RJUDIL.ÖUÖN
+DVWD SURWHWLN WHGDYL |QFHVL o GLúLQLQ NDQDO WHGDYLVL LoLQ NOLQLÿH VHYN HGLOPLúWL %X GLúOHUGHQ ELUL
PDQGLEXODU VRO ELULQFL PRODUGþ .,%7 WDUDPDVþ KHU
LNL N|NQ HWUDIþQGD LNL UDG\ROVHQW DODQODU RUWD\D
NR\GX 5HVLP $\UþFD SHULDSLNDO UDG\RJUDILGH
PH]LREXNNDONDQDOGDNþUþNELUHÿHL]OHQGL 5HVLP
HæHQLQWPSDUoDODUÖoÖNDUÖOGÖ
$QHVWH]L\DSþOGþNWDQYHUXEEHUGDP\HUOHúWLULOGLNWHQ VRQUD HVNL UHVWRUDV\RQODU NDOGþUþOGþ JHoLFL ELU
NRPSR]LW\DSþOGþYHDNþúNDQGHQWDOGDPLOHVþ]GþU-
Resim 36
Resim 38
Resim 37
Resim 39 a
Resim 39 b
Resim 36:åUULJDV\RQSURWRNROQGHQVRQUDSXOSDRGDVÖResim 37:.DQDOGROJXVXQGDQVRQUDSXOSDRGDVÖResim 38:3RVWRSUDG\RJUDILResim 39a ve b:D\OÖNWDNLSWH.,%7WDUDPDVÖ
roots 11
1_2024
[14] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_kırık alet yönetimi
PD]OþNVDÿODQGþ 5HVLPYH (VNLJXWDSHUND
NRQODU WP NDQDOODUGDQ oþNDUþOPþúWþU 5HVLP
*XWDSHUND·QþQ oþNDUþOPDVþQGDQ YH N|N NDQDOODUþQþQWHPL]OHQPHVLQGHQVRQUDPH]LREXNNDONDQDOþQ
Dÿ]þQGDQE\NPLNWDUGDGHQWLQLQX]DNODúWþUþOGþÿþ
J|UOG 5HVLP %\N RODVþOþNOD EX GXUXP
|QFHNL WHGDYLGH NþUþN HÿH\L oþNDUPD JLULúLPL VþUDVþQGD PH\GDQD JHOPLúWL 1H\VH NL NDQDO Dÿ]þQGD J|]OH J|UOU ELU SHUIRUDV\RQ EHOLUWLVL \RNWX
+DVDUOþ GXYDU NRPSR]LW UHoLQH LOH NDSDWþOPþúWþ
5HVLP 0H]LREXNNDO NDQDOþQ $XWR6:((36
PRGXYHVRG\XPKLSRNORULWLOHLUULJDV\RQXYH[
E\WPHDOWþQGDLQFHOHQPHVLWHGDYL\L]RUODúWþUDQ
LNLSDUoDNþUþNDOHWL 5HVLP RUWD\DoþNDUGþ+HU
LNLHÿHQLQGHXoODUþJ|UQ\RUGXDQFDNKHULNLVL
GHVþNþúPþúWþ8OWUDVRQLNELUHÿHLOHoþNDUPDJLULúLPLHWNLVL]GLEXQHGHQOHG]6:((36ILEHU
Xo$XWR6:((36PRGXLOH:JFQGHNXOODQþOGþ6RG\XPKLSRNORULWYH('7$LOHELUNDoGDNLND
LUULJDV\RQGDQ VRQUD KHU LNL HÿH SDUoDVþ GD ELUD]
KDUHNHW HWPH\H EDúODGþ YH EX GD KHU LNLVLQLQ GH
oþNDUþODELOLUROGXÿXQXJ|VWHUGL+HULNLSDUoDGDELU
¶ODVVRORRSWRRO· %753HQ&(5.$0(' 5HVLP
LOHDOþQGþ3HULDSLNDOUDG\RJUDILoHNLOHUHNNþUþNHÿH
SDUoDVþNDOPDGþÿþGRÿUXODQGþ 5HVLP
D\ VRQUD .,%7 WDUDPDVþ \DSþOGþ 5HVLP
*|UQWGHSHULDSLNDODODQGDLQIODPDV\RQEHOLUWLVL
VDSWDQPDGþYHGLúDVHPSWRPDWLNWL
_Sonuç
(U <$* OD]HULQ ]RUOX HQGRGRQWLN WHGDYLOHUH GDKLO
edilmesi, klinisyenlere birçok durumda daha etkiOL|QJ|UOHELOLUYHNRQVHUYDWLIWHGDYLOHUVDÿOD\DQ
\HQLRODQDNODUVXQDU%D]þGXUXPODUGDXOWUDVRQLN
XoODU NXOODQPDGDQ HÿH\L JHYúHWHELOPHN GDKD
NRQVHUYDWLI ROPDPþ]þ VDÿODU $\UþFD ELULNHQ VHUW
GRNXGHEULVLQLQoRNGDKDHWNLOLD]DOWþOPDVþ\ODNþUþN
DOHWLQHWUDIþQGDNLDODQþWHPL]OH\HELOLUL] E|\OHFHNþUþNHÿHQLQoþNDUþOPDVþQGDQNDoþQDUDN |UQHÿLQHÿH
NXUYDWUQ |WHVLQGH NþUþOþUVD NODVLN HÿH oþNDUPD
\|QWHPLQHNþ\DVODGDKDD]SHUIRUDV\RQROXúWXUPD
ULVNLRODQEDúDUþOþWHGDYLOHU\DSDELOLUL]
Kaynaklar
(ÿH oþNDUþOGþNWDQ VRQUD WP NDQDOODU G|QHU HÿHOHU LOH úHNLOOHQGLULOGL YH 663 VSHU NþVD SXOV
PRGXLOHVRQLUULJDV\RQSURWRNROJHUoHNOHúWLULOGL
ýUULJDV\RQ SURWRNROQGHQ VRQUD PH]LREXNNDO YH
PH]LROLQJXDO NDQDOODU DUDVþQGDNL VROV\RQ DNþPþ
Kþ]Oþ\Gþ .DQDOODU NXUXWXOGX 0H]LDO NDQDO Dÿþ]ODUþQþQoRNEHQ]HU,62ER\XWXQGDROGXÿXQXDoþNoD
J|UHELOL\RUGXNEXGDHÿHoþNDUþPþQþQoRNNRQVHUYDWLIROGXÿXQXJ|VWHUL\RUGX 5HVLP .DQDOODU
HSRNVL UHoLQH NDSDWþFþ YH JXWDSHUND LOH ¶GHYDPOþ
GDOJD WHNQLÿL· LOH GROGXUXOGX 5HVLP 'LVWDO
RODUDN ND\GþUþOPþú ELU SHULDSLNDO UDG\RJUDIL DOþQGþ
YHEXUDG\RJUDILGHPH]LDON|NWHLVWKPXVXQLNLE|OPQQ NDQDO SDWþ LOH GROGXUXOGXÿX J|UOPHNWH\GL 5HVLP 'LúELUILEHUSRVWLOHUHVWRUHHGLOGL
YHLQGLUHNWUHVWRUDV\RQLoLQSURWH]X]PDQþQDVHYN
edildi.
BLOHWLâLP
roots
Dr. Bartlomiej Karaś
0$;'(17
8O+DOOHUD
:URFODZ
Poland
NDUDVGHQW\VWD#JPDLOFRP
ZZZENDUDVFRP
12 roots
1_2024
B\D]DUKDNNÖQGD
_(GLW|U1RWX
5HIHUDQVODUþQ OLVWHVL LoLQ
lütfen bu QR kodunu taUDWþQ %X PDNDOH LON RODrak
roots—international
magazine of endodontics,
9RO VD\þVþQGD \D\þQODQPþúWþU
roots
Dr. Bartłomiej Karaś \ÖOÖQGD3RORQ\D·GDNL:URFODZ
7ÖShQLYHUVLWHVL·QGHQGLâKHNLPOLæLDODQÖQGDPH]XQROGX
.HQGLVL ELU HæLWLPFL YH PLQLPDO LQYD]LY HQGRGRQWL\H
RGDNODQDQ oRN VD\ÖGD \D\ÖQÖQ \D]DUÖGÖU 3ROVNLH
7RZDU]\VWZR6WRPDWRORJLF]QH·QLQ 3RORQ\D'Lâ+HNLPOHUL
%LUOLæL HQGRGRQWL E|OPQQ EDâNDQ \DUGÖPFÖVÖ YH
$YUXSD(QGRGRQWL'HUQHæLYH'Q\D/D]HU'Lâ+HNLPOLæL
)HGHUDV\RQX\HVLGLU'U.DUjś:URFODZ·GDHQGRGRQWLLOH
VÖQÖUOÖ|]HOELUGLâKHNLPOLæLPXD\HQHKDQHVLLâOHWPHNWHGLU
[15] =>
ROOTS DERGISI-S-32 KAPAKLAR
[16] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
.RPSOHNVHQGRGRQWLNYDNDODUÖQ
Er:YAG ve Er,Cr:YSGG lazerler
ile yönetimi
Yazarlar_Dr. Bartłomiej Karaś & Dr. Grzegorz Witkowski, Polonya
_*LULü
0RODUGLúOHULQWHGDYLVLNOLQLV\HQOHULoLQKHU]DPDQ
]RU ROPXúWXU $QDWRPLN NRQILJUDV\RQODUþQ oHúLWOLOLÿLHQVWUPDQWDV\RQDúDPDVþQGDELUoRN]RUOXÿD
QHGHQROPDNWDGþU$\UþFDoRNVD\þGDoDOþúPDGDQGD
ELOGLÿLPL]JLELN|NNDQDO\ROODUþQþQE|OQPHRODVþOþÿþODWHUDONDQDOODUþQYHDSLNDOGHOWDODUþQYDUOþÿþoRN
\NVHNWLU .|N NDQDOþ úHNLOOHQGLUPH LúOHPLQLQ
WHPHOSUHQVLEL ·OHUGH+HUEHUW6FKLOGHU WDUDIþQGDQLOHULVUOPúWUYHDQDKHGHID\QþNDOPþú
ROVDGDJLGHUHNDUWDQVD\þGDoDOþúPDúHNLOOHQGLUPHSURVHGUQQYHSR]LWLIEDVþQoOþLUULJDV\RQXQ
WPHQIHNWHGRNX\XYHELULNHQVHUWGRNXNDOþQWþODUþX]DNODúWþUPDGD\HWHUVL]ROGXÿXQXJ|VWHUPHNWHGLU
.|NNDQDOþVLVWHPLQGHELULNHQVHUWGRNXNDOþQWþODUþQþQX]DNODúWþUþOPDVþYHGRNXQXOPDPþúGXYDUODUþYH
LVWKPXVODUþWHPL]OHPHRODVþOþÿþQþDUWþUPDNLoLQELUoRNWHNQLNYHFLKD]WDQþWþOPþúWþU%XQODUPDOL\HWDoþVþQGDQIDUNOþOþNJ|VWHULU |UQHÿLQJXWDSHUNDNRQODUþ
LOHPDQXHOGLQDPLNDNWLYDV\RQYH\DGúNIUHNDQVOþ VRQLN DNWLYDW|UOHUGHQ ELUL RODQ (QGR$FWLYDWRU
'HQWVS\ 6LURQD JLEL GDKD XFX] VHoHQHNOHUGHQ
GDKDSDKDOþVHoHQHNOHURODQ(QGR9DF .HUU'HQWDO
JLEL XOWUDVRQLN XoODU YH (''< 9': JLEL \NVHN
IUHNDQVOþ VRQLN DNWLYDW|UOHUH YH (U&U <6** YH (U
<$*OD]HUOHUJLELHQSDKDOþVþQDNDGDUGHÿLúLU
Resim 1 a
Resim 1 b
14 roots
1_2024
Resim 1 c
%X PDNDOHQLQ WHPHO DPDFþ VRG\XP KLSRNORULWLQ
(U&U <6** QP YH(U <$* QP OD]HUOHUOHHQLOHULG]H\GHDNWLYDV\RQXLOHNOLQLV\HQOHULQ
úHNLOOHQGLUHPHGLÿLNDQDOODUGDQHQIHNWHGRNX\XYH
oLIW NDYLVOL NDQDOODUGDQ NDOVLIL\H SXOSD GRNXVXQX
X]DNODúWþUDUDN WHGDYL VRQXFXQXQ L\LOHúWLULOPHVLQH
RODQDN VDÿODGþÿþ ELU GL]L YDND UDSRUX VXQPDNWþU
%X NOLQLV\HQOHULQ SHULVHUYLNDO GHQWLQL NRUX\DUDN
YHGH]HQIHNVL\RQSURWRNROQGHQ|GQYHUPHGHQ
SDWHQVLHOGHHWPHOHULQHYHN|NNDQDOVLVWHPLQLúHNLOOHQGLUPHOHULQHL]LQYHULU
_Vaka 1
\DúþQGDNL ELU NDGþQ KDVWD |QFHNL GLú KHNLPL
QROX GLúWHNL LNLQFL PHVLREXNNDO 0% NDQDO
Dÿ]þQþEXODPDGþÿþLoLQ'U.DUDV·þQRILVLQH\|QOHQGLULOGL7þEEL|\NVQHGHQL\OHVHPSWRPDWLNRODQ
ELUGLúLQHQGRGRQWLNWHGDYLVL\DSþOPþúWþ0H]LDON|NQLQFHOHQPHVLYHELUWHGDYLSODQþQþQROXúWXUPDN
LoLQ .,%7 WDUDPDVþ \DSþOGþ .|NQ úHNOL YH SHULRGRQWDOOLJDPHQWLQJHQLúOHPHVLD\UþELU0%NDQDO
\ROXYHDSLNDOIRUDPHQLQYDUOþÿþQþLúDUHWHWPHNWH\GL$\UþFD0%N|NQSDODWDONþVPþQþJ|VWHUHQGLOLPELU0%NDQDOþQþQYDUOþÿþQþGúQGUHQNoN
ELU \RO RUWD\D oþNDUGþ $\UþFD 0% YH GLVWREXNNDO
'% N|NQDSHNVOHULoHYUHVLQGHYHPDNVLOOHUVLQV
PHPEUDQþQGDJ|]OHJ|UOULQIODPDV\RQEXOJXODUþYDUGþ 5HVLPDF
/RNDODQHVWH]LDOWþQGDUXEEHUGDP\HUOHúWLULOGLYH
DODQ VþYþ EDUL\HU LOH L]ROH HGLOGL 58%%(5'$0
VþYþVþ &(5.$0(' 5HVLP *HoLFL UHVWRUDV\RQ
X]DNODúWþUþOGþ 3XOSD RGDVþ GLVWLOH VX YH XOWUDVRQLN XoODUOD DNWLYH HGLOHQ VRG\XP KLSRNORULW LOH LUULJH HGLOGL 5HVLP 0HVLREXNDO 0%
'% YH SDODWDO 3 NDQDOODUþ DoþN ROGXÿXQGDQ
&3,/27 HÿHVL 9': YH ELU DSHNV EXOXFX
(3(;(LJKWHHWK LOHoDOþúPDX]XQOXÿXEHOLUOHQHELOGL.DQDOODU3HUIHFW6KDSHUHVLSURNDOHÿH
[17] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 2
Resim 3
Resim 4
Resim 5
Resim 6
Resim 7
6KHQ]KHQ3HUIHFW0HGLFDO,QVWUXPHQWV LOHoDOþúPD X]XQOXÿXQXQ \DNODúþN oWH LNLVLQH NDGDU úHNLOOHQGLULOGL0%NDQDODÿ]þQþQ]HULQGHNLGHQWLQ
HOPDVNDSOþELUXOWUDVRQLNXo ('':RRGSHFNHU
NXOODQþODUDNX]DNODúWþUþOGþYH0%YH0%NDQDOODUþ
DUDVþQGD\HUDODQELULVWKPXVRUWD\DoþNDUþOGþ0%
NDQDODÿ]þQþQSUHSDUDV\RQX\DOQþ]FDNRURQDOoOGHELUHOHÿHVLLOHPPNQG 5HVLP ýNLNDQDODUDVþQGDNLLVWKPXVHOPDVNDSOþXoODUODGHULQOLNRODUDN
PPGDKDNDOGþUþOGþ 5HVLP
/HVV3UHS (QGR JHOLúWLULOPLú LUULJDV\RQ SURWRNRO EX SURWRNRO XOXVODUDUDVþ roots dergisinin
VD\þVþQGD \D\þQODQDQ ELU PDNDOHGH DoþNODQPþúWþU 6N\3XOVH OD]HU )RWRQD $XWR6:((36
úRNGDOJDOþJHOLúWLULOPLúHPLV\RQIRWRDNXVWLNDNþPþ PRGXQGDNXOODQþODUDNJHUoHNOHúWLULOGL%X0%
NDQDOþQþQ RUWD oOVQH &3,/27 HÿHOHU LOH XODúþOPDVþQþ VDÿODGþ YH ELU UDG\RJUDIL LOH GRÿUXODQGþ
5HVLPYH 0%YH0%NDQDOODUþDUDVþQGDLUULJDV\RQVROV\RQODUþQþQDNþúþJ|]OHQGL&3,/27YH
3HUIHFW6KDSHHÿHOHULLOHEHOLUOHQHQJHoLFLoDOþúPD
X]XQOXÿXQD NDGDU FURZQGRZQ SURVHGU JHUoHNOHúWLULOGL=DPDQ\HWHUVL]OLÿLQHGHQL\OHKDVWD\D
EDúND ELU UDQGHYX YHULOGL 'Lú NRPSR]LW UH]LQ LOH
geçici olarak restore edildi.
Bir sonraki randevuda lokal anesteziden sonra
UXEEHU GDP \HUOHúWLULOGL YH UHVWRUDV\RQ NDOGþUþOGþ
3XOSD RGDVþ VX YH ('' XOWUDVRQLN Xo LOH DNWLYH
Resim 8
Resim 9
Resim 10
Resim 11
roots 15
1_2024
[18] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 12
Resim 13
HGLOPLúVRG\XPKLSRNORULWLOHGXUXODQGþ%LU
VRQUDNLDGþP(''XOWUDVRQLNXoODUþQ\DUGþPþ\OD
LVWKPXVWDQGDKDID]ODGHQWLQX]DNODúWþUPDNWþ%X
LúOHPGHQ VRQUD 0% NDQDOþQþQ Dÿ]þQGD ELU VWULS
SHUIRUDV\RQJ|]OHQGL 5HVLP %XDúDPDGDGDKD
ID]ODGHQWLQ\DSþVþX]DNODúWþUPDPD\DYH/HVV3UHS
(QGRSURWRNROQELUNH]GDKDX\JXODPD\DNDUDU
YHUGLP*HOLúPLúLUULJDV\RQSURVHGUQGHQVRQUD
VROV\RQODUþQ 0% YH 0% NDQDOODUþ DUDVþQGDNL
DNþúþoRNGDKDKþ]OþKDOHJHOGL0%YH'%NDQDOODUþ
3HUIHFW6KDSHHÿHLOHoDOþúPDX]XQOXÿXQD
NDGDU úHNLOOHQGLULOLUNHQ YH 3 NDQDO (QGRVWDU (
$]XUHHÿHOHU 3ROGHQW LOHER\XWXQDNDGDU
úHNLOOHQGLULOGL7PNDQDOODUVRG\XPKLSRNORULWYH('7$LOHLUULJHHGLOGL
0%NDQDOþHSRNVLUHoLQHHVDVOþELUNDQDOSDWþNXOODQþODUDNVþNPDWHNQLÿLLOH0%'%YH3NDQDOODU
LVHEXNDQDOSDWþYHVþFDNJXWDSHUNDLOHGHYDPOþ
GDOJD VþNþúWþUPD WHNQLÿL\OH GROGXUXOGX 5HVLP
Perforasyon, bir mineral trioksit agregat malzePHVL 5HVLP LOHNDSDWþOGþYHNRPSR]LWUH]LQLOH
|UWOG 5HVLP )DUNOþDoþODUGDQUDG\RJUDILOHU
DOþQGþYHEXQODUPH]LDON|NQDSLNDONþVPþQGDHN
ELU NDQDO SDWþ \ROX YH DSHNV oHYUHVLQGH ELU SXII
J|VWHUGL 5HVLP YH 0H]LDO N|NQ X\JXQ
úHNLOGH GROGXUXOGXÿXQX GRÿUXODPDN LoLQ KDVWD .,%7 WDUDPDVþQD VHYN HGLOGL
[19] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 16 a
Resim 16 b
LOH X]DNODúWþUþOGþ /HQWORQXQ XFX DoþÿD oþNDUþOGþ
1H \D]þN NL OHQWOR VLPDQGD GHÿLO NDQDOþQ úHNLOOHQGLULOPHPLú ELU NþVPþQGD NþUþOPþúWþ %X NþVþPGD
PXKWHPHOHQ WHGDYL JQ YLWDO SXOSD PHYFXWWX
oQN OHQWOR SDUoDVþQþQ WDPDPþ NDOVLIL\H GRNX
LOHoHYULOL\GLYHNRURQDOHÿULOLÿLQDUNDVþQGD\Gþ%X
VHYL\HGH VUHNOL VRG\XP KLSRNORULW DNþúþ
LOHGDNLNDER\XQFDOD]HUDNWLYDV\RQX\DSþOPDVþQDNDUDUYHULOGL.DOVLIL\HGRNXODUo|]OGYH
OHQWORoþNDUþOGþ7PSDUoDQþQoþNDUþOGþÿþQþGRÿUXODPDNLoLQSHULDSLNDOUDG\RJUDILDOþQGþ 5HVLP
gÿUPH UHIOHNVL QHGHQL\OH EX SURVHGU ROGXNoD ]RUGX .þUþN DOHW oþNDUGþNWDQ VRQUD
('7$ YH VRG\XP KLSRNORULW 6N\3XOVH LOH
$XWR6:((36 PRGXQGD LOD VDQL\HOLN ELUNDo
G|QJGH HWNLQOHúWLULOGL YH DoþNOþN ELU HO HÿHVL LOH
NRQWUROHGLOGL3HULDSLNDOUDG\RJUDILGHHÿHQLQ|QFHNLN|NNDQDOGROJXVXQXQWDKPLQHGLOHQX]XQOXÿXQGDQGDKDLOHUL\HJLWWLÿLQLJ|VWHUGL 5HVLP
'LúJHoLFLRODUDNNRPSR]LWUHVWRUDV\RQLOHNDSDWþOGþYHKDVWD\DLNLQFLELUUDQGHYXYHULOGL
ýNLQFL UDQGHYXGD WHGDYLQLQ E\N ELU NþVPþQGD
VRG\XPKLSRNORULW6N\3XOVH·þQ$XWR6:((36
PRGXQGD DNWLYH HGLOGL /D]HU XFXQXQ N|N NDQDOþ
Dÿ]þQþQ DOWþQD DQFDN N|N NDQDO GXYDUODUþQD GHÿPHGHQ \HUOHúWLULOPHVL oRN |QHPOL\GL %X *LRYDQQL
2OLYL WDUDIþQGDQ WDQþWþODQ WHNQLNOHULQ oRN |QHPOL
bir modifikasyonudur. Standart AutoSWEEPS aktiYDV\RQWHNQLÿLDNWLYDV\RQG|QJVVþUDVþQGDOD]HU
Resim 17
Resim 18
XFX NDQDO Dÿ]þQþQ ]HULQGH IDUNOþ \|QOHUH EDNDFDN
úHNLOGH LUULJDV\RQ VROV\RQODUþQþQ DNWLYH HGLOPHVLQL JHUHNWLULU $oþN ROPD\DQ NDQDOODU V|] NRQXVX
ROGXÿXQGDILEHULNDQDODÿ]þQþQDOWþQD\HUOHúWLUPHN
oRNGDKDHWNLOLROXU+HUEHúLODDOWþVRG\XPKLSRNORULWG|QJVQGHQVRQUD('7$NXOODQþOGþ+HU
AutoSWEEPS aktivasyon dizisinden sonra, kanallar
daha derin segmentlerde daha belirgin hale geldi.
.DQDO ERúOXÿXQX JHQLúOHWPHN LoLQ &3,/27 HÿHOHUL NXOODQþOGþ dDOþúPD X]XQOXÿXQD PP GDKD
XODúþOGþNWDQ VRQUD VWWH NDODQ DODQþ JHQLúOHWPHN
için roWDU\ HÿH NXOODQþOGþ %X SURVHGU JHOHQHNVHO
¶FURZQGRZQ VFRXWLQJ· JLEL J|UQHELOLU DQFDN
$XWR6:((36DNWLYDV\RQXLOHHOHÿHOHULLWPHG|QGUPHoHNPH KDUHNHWOHUL VDELW EDVþQoOD VDDW \|QQGH NXOODQPDGDQVDDWNXUPDKDUHNHWOHUL\OH
VDDW \|QQGH YH VDDW \|QQQ WHUVLQH
NDQDOþQGDKDGHULQNþVþPODUþQDoRNGDKDSDVLIELU
úHNLOGHXODúWþ%XGXUXPGDHÿULNDQDOODUGDKDWDOþ
\ROODUROXúWXUPDULVNLoRNGDKDD]GþUYHJLULú\ROXQXQ ROXúWXUXOPDVþ GDKD |QJ|UOHELOLUGLU 6RQ
RODUDN KHU LNL PH]LDO NDQDOGD DoþNOþN VDÿODQGþ YH
EXQX GRÿUXODPDN LoLQ ELU SHULDSLNDO UDG\RJUDIL
DOþQGþ 5HVLP 5DG\RJUDILGH KHU LNL HO HÿHVLQLQGH6úHNOLQGHNLHÿULOLÿHGRÿUXKDILIoHENOHUHNNDQDOþQGRÿDO\ROXQXQúHNLOOHQGLULOGLÿLQHWELU
úHNLOGH J|UOPHNWH\GL $XWR6:((36 DNWLYDV\RQX
LOH oRN X]XQ VUHOL LUULJDV\RQD UDÿPHQ GLVWDO NDQDOGDDoþNOþNVDÿODQDPDGþ+HULNLPH]LDONDQDOGD
(QGRVWDU($]XUHHÿHOHULLOHER\XWXQDNDGDUúHNLOOHQGLULOGL
Resim 19
Resim 20
roots 17
1_2024
[20] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 21
Resim 22
Resim 23
Resim 24
Resim 25
Resim 26
VRG\XP KLSRNORULW YH ('7$ LOH LUULJDV\RQGDQVRQUDNDQDOODUGHYDPOþGDOJDVþNþúWþUPDWHNQLÿLNXOODQþODUDNHSRNVLUHoLQHHVDVOþELUNDQDOSDWþYHVþFDNJXWDSHUNDLOHGROGXUXOGX.DQDO
GROJXVXQX NRQWURO HWPHN LoLQ SHULDSLNDO UDG\RJUDILDOþQGþ 5HVLP 3XOSDRGDVþILEHUSRVWODUOD
JoOHQGLULOPLú NRPSR]LW UHoLQH LOH GROGXUXOGX YH
KDVWD WEHUNOOHUL |UWHFHN GDLPL UHVWRUDV\RQ LoLQ
\|QOHQGLULOGL
_9DND
\DúþQGDNL ELU KDVWD QXPDUDOþ GLúLQ HQGRGRQWLNWHGDYLVLLoLQ'U:LWNRZVNL·QLQNOLQLÿLQH
\|QOHQGLULOGL$QDWRPLNGXUXPYHDÿþ]DoþNOþÿþQþQ
D]DOPþúROPDVþVHEHEL\OHJHOHQHNVHOELU\DNODúþP
]RUGX5DG\RJUDILDOþQGþYHDQDWRPLN\DSþODULQFHOHQGL 5HVLP %LUWHGDYLSURWRNROROXúWXruldu.
Resim 27
18 roots
1_2024
6HYNHGHQGLúKHNLPLWDUDIþQGDQELUJLULúNDYLWHVL
ROXúWXUXOPXúWX 3XOSD RGDVþQþQ J|UQWOHQPHVL
VþUDVþQGD 5HVLP SXOSDDUWþNODUþWHVSLWHGLOGL
.DQDODÿþ]ODUþQþGRÿUXELUúHNLOGHEHOLUOHPHNLoLQ
SXOSDRGDVþQþQWHPL]OHQPHVLJHUHNPHNWH\GL%X
KHU HQGRGRQWLN WHGDYL LoLQ VWDQGDUW ELU SURWRNROGUYHSXOSDRGDVþQGDQN|NNDQDOþERúOXÿXQD
GHEULVWDúþQPDPDVþLoLQoRN|QHPOLGLU%XSURVHGUQPGDOJDER\XQDVDKLSELU(U&U <6**
OD]HU :DWHUODVH%,2/$6( YH5)37XoNXOODQþODUDN\DSþOGþ 5HVLP GDNLNDVUHNOLDNWLYDV\RQ YH GDNLND GLQOHQPH úHNOLQGH X\JXODQPDVþ JHUHNHQ EX SURVHGUGHQ VRQUD 5HVLP
X\JXOD\þFþHQVWUPDQWDV\RQSURWRNROQHEDúODyabilir.
[21] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 28
Resim 29
Resim 30
Resim 31
3XOSD RGDVþ WDEDQþ WHPL]OHQGLNWHQ VRQUD
5HVLP YH HQGRGRQWLN G|QHU DOHWOHUOH
PHNDQLN HQVWUPDQWDV\RQ \DSþODELOLU %X YDNDGD HQVWUPDQWDV\RQ \DOQþ]FD 53,/27
HÿH 9': 5HVLP \DSþOGþ
[22] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 36
Resim 37
Resim 38
Resim 39
Resim 40
Resim 41
PDQWDV\RQYHEROLUULJDV\RQXQ\DQþVþUDGDUEHOHU
DUDVþQGD VROV\RQODUþQ OD]HU GHVWHNOL DNWLYDV\RQXQGDQ VRQUD (U&U <6** OD]HU YH 5)37 Xo
NXOODQþODUDNVRQELULUULJDV\RQYHDNWLYDV\RQSURWRNROJHUoHNOHúWLULOGL 5HVLPYH
.DQDOODU GROGXUXOPD\D KD]þU KDOH JHWLULOGL
5HVLPYH YH¶NDYLWHSLVWRQWHNQLÿL·NXOODQþODUDN9':6HDOEL\RVHUDPLNNDQDOSDWþ 9': LOH
GROGXUXOGX 5HVLP .DQDOGROJXVXVRQUDVþ
ELUSRVWRSHUDWLIUDG\RJUDILDOþQGþ 5HVLP
/D]HU GHVWHNOL HQGRGRQWL VD\HVLQGH X\JXOD\þFþ
QRUPDOGH PHNDQLN HQVWUPDQWDV\RQOD XODúþODPD\DQ ODWHUDO DQDWRPL\L X\JXQ ELU úHNLOGH LUULJH
HGHUHNGROGXUDELOPLúWLU(U&U <6**OD]HUOHDNWLYH
HGLOHQ LUULJDV\RQ VROV\RQODUþQþQ Kþ]þ VD\HVLQGH
NOLQLN EDúDUþ\D XODúPDN LoLQ PLQLPDO KD]þUOþN JHUHNPLúWLU
_9DND
\DúþQGDNLELUKDVWDGLVWDON|NWHNDQDOHQVWUPDQWDV\RQXYHNDQDOERúOXÿXQXQNRQXPXLOHLO-
Resim 42
Resim 43
20 roots
1_2024
JLOL VRUXQODU QHGHQL\OH NDQDO WHGDYLVL WHNUDUþ LoLQ
'U:LWNRZVNL·QLQNOLQLÿLQHVHYNHGLOGL5DG\RJUDILN
LQFHOHPH\DSþOGþ 5HVLP
*HoLFLUHVWRUDV\RQX]DNODúWþUþOGþNWDQYHNDYLWHGXYDUODUþEL\RPHNDQLNQHGHQOHUOHDOoDOWþOGþNWDQVRQUD
DSLNDOE|OJH\HXODúþOPD\DoDOþúþOGþ1H\D]þNNLGLVWDON|NWHDoþNOþNHOGHHWPHNLPNDQVþ]Gþ%XQHGHQOH
OD]HUGHVWHNOLHQGRGRQWLNXOODQþPþQDNDUDUYHULOGL
'LVWDON|NWHNLXODúþODELOLUWPERúOXNODUþQEDúODQJþoSUHSDUDV\RQX55(&,352&EOXH 9': HÿHVL
GLUHQoOHNDUúþODúDQDNDGDU\DSþOGþNWDQVRQUDOD]HU
GHVWHNOL LUULJDV\RQ SURWRNRO L]OHQGL 0H]LDO NDQDOODU NRQYDQVL\RQHO RODUDN DSLNDO E|OJH\H NDGDU
ER\XWXQGD9':527$7( 9': LOHúHNLOOHQdirildi.
(ULúLOHELOLU WP DODQODUþQ úHNLOOHQGLULOPHVLQLQ DUGþQGDQ VRG\XP KLSRNORULW LOH VUHNOL LUULJDV\RQ YH VUHNOL DNWLYDV\RQ úHNOLQGHNL VRQ LUULJDV\RQ SURWRNRO 5)37 XoOX (U&U <6**
OD]HUNXOODQþODUDNJHUoHNOHúWLULOGL 5HVLPYH
Resim 44
[23] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 45
ýUULJDV\RQ SURWRNROQQ WHPL]OLN DúDPDVþQGDQ
VRQUDN|NNDQDOVLVWHPLNDODQGHEULVDoþVþQGDQLQFHOHQGL 5HVLP YH
%X WHGDYL VþUDVþQGD GLVWDO N|NQ DSLNDO NþVPþQþQ PHNDQLN RODUDN úHNLOOHQGLULOPHVLQLQ LPNDQVþ]Oþÿþ QHGHQL\OH 9':6HDO NXOODQþODUDN ¶NDYLWH
SLVWRQ WHNQLÿL· LOH GROGXUXOPDVþQD NDUDU YHULOGL
5HVLP .DQDO GROJXVXQGDQ VRQUD
5HVLP N|N NDQDO VLVWHPLQLQ X\JXQ úHNLOGH
\þNDQGþÿþQþ YH ' WþNDoODQGþÿþQþ GRÿUXODPDN LoLQ
UDG\RJUDILNLQFHOHPH\DSþOGþ 5HVLPYH
_7DUWÕüPD
ýUULJDV\RQ DODQþQGD \HQL WHNQLN YH SURVHGUOHULQ
JHOLúWLULOPHVL JQON SUDWLÿLPL]L YH KDVWD VRQXoODUþQþ L\LOHúWLUPHNWHGLU ýUULJDV\RQ VROV\RQODUþQþQ
VRQLNYHXOWUDVRQLNDNWLYDV\RQX*HQWOH:DYHWHNQRORMLVL 6RQHQGR YH VRQ ]DPDQODUGD OD]HU GHV-
Resim 47
Resim 46
WHNOLDNWLYDV\RQJLELoHúLWOL\DNODúþPODUWDQþWþOPþúWþU
[24] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
Resim 49
'H 0RRU YH DUNDGDúODUþQþQ \DSWþÿþ ELU oDOþúPD\D
J|UH GHQWLQ GHEULV WþNDoODUþQþQ X]DNODúWþUþOPDVþ
SDVLI XOWUDVRQLN DNWLYDV\RQD Nþ\DVOD o NDW GDKD
Kþ]OþGþU
Resim 50
22 roots
1_2024
QP GDOJD ER\XQD VDKLS (U&U <6** OD]HU
QP (U <$* OD]HUH Nþ\DVOD GDKD GúN VX
HPLOLPNDWVD\þVþQDYHGROD\þVþ\OD\XPXúDNGRNXGD GDKD L\L SHQHWUDV\RQ GHULQOLÿLQH VDKLSWLU 6X
[25] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_Er:YAG ve Er,Cr:YSGG lazerler
ED]Oþ ELU RUWDPGD LUULJDV\RQ VROV\RQODUþ VX GD
LoHULU NDYLWDV\RQHWNLVLQGHQND\QDNODQDQKþ]OþVþYþ
KDUHNHWLQH ]RUODQDELOLU %X PDNDOHGH NXOODQþODQ
(U&U <6**OD]HUV·OLNHQHUMLDWþPODUþ\D\PDNWDGþU%DORQFXNROXúXPXJHQLúOHPHVLYHúHNOLoRÿXQOXNODNXOODQþODQXFDEDÿOþGþU%XDWþPWHNELU
DWþPGD V·OLN (U <$* DWþPþQGDQ GDKD D] JFH
VDKLSWLU$QFDNEXGXUXPXQNOLQLN|QHPLNRQXVXQGDQHWELUNOLQLNNDQþWEXOXQPDPDNWDGþU
(U&U <6**OD]HULOHLUULJDV\RQVROV\RQODUþQþELUNDo IDUNOþ GXUXPGD DNWLI KDOH JHWLUHELOLUL] 7LSLN
RODUDN 5)7 YH\D 5)7 NDQDO LoL Xo LOH NXOODQþOþU
DQFDN EX XoODU oRN LQFH YH NþUþOJDQGþU 'LÿHU ELU
o|]P SXOSD RGDVþQGDQ XoOD DNWLYDV\RQGXU
g]HOOLNOHWþNDOþELUNDQDOGROGXUXOPDPþúNDQDOYH\D
JHOHQHNVHO \|QWHPOH úHNLOOHQGLUPH \DSþOPDVþ LPNDQVþ]RODQNDQDOYDUOþÿþQGD5)37XFXQXQNXOODQþOPDVþL\LELUVHoLPGLU 5HVLP %XXoWLSLNELU
UDG\DODWHúOHPHXFXGHÿLOGLUDQFDNG]XFXQHGHQL\OHþúþQODPD\þKHPUDG\DORODUDNKHPGHNDQDOGDQDúDÿþGRÿUX\DSDU 5HVLP %XLUULJDV\RQ
VROV\RQODUþQþQDSLNDOE|OJH\LGDKDL\L\þNDPDVþQD
YHDNWLYDV\RQXQD\DUGþPFþROXU8\JXOD\þFþXo\DSþVþQDEDÿOþRODUDNNDQDOERúOXÿXQXQKD]þUODQPDVþ
LoLQNXOODQþODQWHNQLÿLQLUULJDV\RQVROV\RQODUþQþQ
RODVþ HNVWU]\RQXQX |QOHPHN LoLQ GHÿLúWLULOPHVL
JHUHNWLÿLQLGLNNDWHDOPDOþGþU
)RWRQD WDUDIþQGDQ JHOLúWLULOHQ (U <$* OD]HUOHUGH
EXOXQDQ3,36 IRWRQND\QDNOþIRWRDNXVWLNDNþú YH
$XWR6:((36PRGODUþELUNOLQLV\HQLQWPNDQDOODUGDNLLUULJDV\RQVROV\RQODUþQþD\QþDQGDDNWLYH
HWPHVLQHRODQDNWDQþUYHILEHULQXo\DOQþ]FDNDQDO
JLULúOHULQLQVWNþVPþQGDNLSXOSDRGDVþQD\HUOHúWLULOLU$\UþFDPHYFXWYHULOHUKþ]OþVROV\RQKDUHNHWL
YHEDORQFXNSDWODPDVþQþQDSLNDODODQGDGDKLOROPDN]HUHWPN|NNDQDOþERúOXÿXQGDD\QþDQGD
JHUoHNOHúWLULOGLÿLQL J|VWHUPHNWHGLU +HU LNL
PRGGDGDODWHUDONDQDOODUDWDKPLQLSHQHWUDV\RQ
X]XQOXÿXQXQ PP·GHQ ID]OD ROGXÿX NDQþWODQPþúWþU
$NWLYDV\RQ SURWRNRO LoLQ NXOODQþODELOHFHN IDUNOþ WLSWH ILEHU XoODU EXOXQPDNWDGþU 3,36 YH
$XWR6:((36 LoLQ |]HO RODUDN UHWLOHQOHU
YH PP G] XoOX YH UDG\DO ILEHU XoODUD VDKLS
3,36YH6:((3·OHUGLUdRNLQFHYHKDVVDVWþUODUEX
QHGHQOHNDOVLIL\HROPDPþúNDQDOODUGDNDEDUFþNODUþQN|NNDQDOERúOXÿXQXQKHU\HULQGHKþ]OþKDUHNHW
HWPHVLQL VDÿOD\DQ YH GDKD GD\DQþNOþ RODQ NRQLN
VDILUXFX 5HVLP NXOODQPD\þWHUFLKHGLyoruz. Bununla birlikte, kalsifiye kanallarda, daha
ID]OD HQHUML GRÿUXGDQ N|N NDQDOþQD LOHWLOHELOLU EX
QHGHQOHILEHUGDKDX]XQYHLQFHROPDOþGþU%|\OH
ELUGXUXPGDG]6:((36XFXNXOODQPD\þ
WHUFLKHGL\RUX] 5HVLP
_Sonuç
(U&U <6** YH (U <$* OD]HUOHULQ HQGRGRQWL\H WDQþWþOPDVþLOHHQGRGRQWLNWHGDYLGH\HQLELU\|QHOLP
EDúODPþúWþU 0HYFXW ELUoRN YHUL EX WU OD]HUOHULQ
NXOODQþPþQþQ NOLQLV\HQH oRN NDUPDúþN DQDWRPL\H
VDKLS YDNDODUGD |QJ|UOHELOLU N|N NDQDOþ WHGDYLVL
\DSPDGDKDNRQVHUYDWLIELUúHNLOOHQGLUPHSURWRNRO JHUoHNOHúWLUPH YH DSLNDO E|OJH\H DNWLYDV\RQ
FLKD]ODUþ\HUOHúWLUPHGHQODWHUDODQDWRPL\LWHPL]OHPH VRQLNYHXOWUDVRQLNDNWLYDV\RQOD\DSþOGþÿþJLEL
JLEL RODQDNODU VDÿODGþÿþQþ J|VWHUPHNWHGLU $\UþFD
NDOVLIL\H ELU N|N NDQDOþQGD NOLQLV\HQ KDWDOþ NDQDO
ROXúWXUPD ULVNLQL D]DOWDUDN DoþNOþN VDÿOD\DELOLU
\DUþ NDOVLIL\H ERúOXÿX WHPL]OH\HELOLU YH NDQDO SDWþQþQEXERúOXÿXGROGXUPDVþQDL]LQYHUHELOLU/D]HU
GHVWHNOL HQGRGRQWL LoLQ (U <$* YH\D (U&U <6**
OD]HULQNXOODQþOPDVþoRNXPXWYHULFLELUWHNQLNROXS
|QFHGHQo|]OHPH\HQED]þVRUXQODUþo|]HU/D]HU
GHVWHNOLHQGRGRQWLQLQJQONSUDWLNWHEDúDUþ\DJLGHQJHOHFHNWHNL\ROODUGDQELULROGXÿXQXNHVLQOLNOH
V|\OH\HELOLUL] DQFDNEXQXQGDKDID]ODNOLQLNWHVW
YHLQYLWURoDOþúPDLKWL\DFþYDUGþU
Kaynaklar
roots
BLOHWLâLP
Dr. Bartlomiej Karaś
0$;'(17
8O+DOOHUD
:URFODZ
Poland
NDUDVGHQW\VWD#JPDLOFRP
ZZZENDUDVFRP
Dr. Grzegorz Witkowski
:LWNRZVF\'HQWDO&OLQLF
8O.D]LPLHU]D-DURV]\ND
2OV]W\Q
Poland
JU]HJRU]ZLWNRZVNL#PHFRP
ZZZGHQWDONXUV\SO
_(GLW|U1RWX
5HIHUDQVODUþQ OLVWHVL LoLQ
lütfen bu QR kodunu taUDWþQ %X PDNDOH LON RODrak
roots—international
magazine of endodontics,
9RO VD\þVþQGD \D\þQODQPþúWþU
roots
B\D]DUKDNNÖQGD
Dr. Bartłomiej Karaś \ÖOÖQGD3RORQ\D·GDNL:URFODZ
7ÖShQLYHUVLWHVL·QGHQGLâKHNLPOLæLDODQÖQGDPH]XQROGX
.HQGLVL ELU HæLWLPFL YH PLQLPDO LQYD]LY HQGRGRQWL\H
RGDNODQDQ oRN VD\ÖGD \D\ÖQÖQ \D]DUÖGÖU 3ROVNLH
7RZDU]\VWZR6WRPDWRORJLF]QH·QLQ 3RORQ\D'Lâ+HNLPOHUL
%LUOLæL HQGRGRQWL E|OPQQ EDâNDQ \DUGÖPFÖVÖ YH
$YUXSD(QGRGRQWL'HUQHæLYH'Q\D/D]HU'Lâ+HNLPOLæL
)HGHUDV\RQX\HVLGLU'U.DUjś:URFODZ·GDHQGRGRQWLLOH
VÖQÖUOÖ|]HOELUGLâKHNLPOLæLPXD\HQHKDQHVLLâOHWPHNWHGLU
roots
B\D]DUKDNNÖQGD
Dr. Grzegorz Witkowsk, \ÖOÖQGD 3RORQ\D·GDNL
9DUâRYD7ÖShQLYHUVLWHVL·QGHQPH]XQROGX\ÖOÖQGDQ
EHUL 3RORQ\D·QÖQ 2OV]W\Q âHKULQGH HQGRGRQWL &$'&$0
YHHVWHWLNGLâKHNLPOLæLQHRGDNODQDQ|]HOELUPXD\HQHKDQHLâOHWPHNWHGLU7DQÖQPÖâELUXOXVODUDUDVÖNRQXâPDFÖGÖU
YH LOHUL HQGRGRQWL YH .,%7 &$'&$0 OD]HU GHVWHNOL HQGRGRQWL YH PLNURVNRSXQ JQON SUDWLNWH NXOODQÖPÖ ]HULQH oRN VD\ÖGD PDNDOHQLQ \D]DUÖGÖU *QON HQGRGRQWL SURWRNROOHULQL DoÖNODGÖæÖ Procedury Endodontyczne
4XLQWHVVHQFH3RORQ\D NLWDEÖQÖQ\D]DUÖGÖU$YUXSD
(QGRGRQWL'HUQHæLYH3ROVNLH7RZDU]\VWZR(QGRGRQW\F]QH
3RORQ\D(QGRGRQWL'HUQHæL \HVLGLU
roots 23
1_2024
[26] =>
ROOTS DERGISI-S-32 KAPAKLAR
,-¼/¼,5&6:(6-"/"#¼-¼3
OKLÜZYON
KURSU
%P»BM%J¿MFSEFO4BCJU )BSFLFUMJWF¼NQMBOUTU1SPUF[MFSF
PROF. DR. HANEFİ KURT
2NO»]\RQ.XUVXVHQWULNLOLĞNLND\GðQðQIDUNOðWHNQLNOHULOHDOðQPDVðDUWLN»ODWµUYH\»]DUNODUðQðQ
LQFHOHQPHVL\»]DUNðND\GðQðQDOðQPDVðHNVHQWULNRNO»]DOND\ðWODUðQDOðQPDVðYHEXND\ðWODUðQ
DUWLN»ODWµUHQDNOHGLOPHVLRFFOXVHQVHNXOODQðPðJLELSHN¦RNX\JXODPD\ðNDSVð\RU
02 HAZİRAN 2024
İSTANBUL
Hem estetik hem de fonksiyon açısından başarılı bir dental tedavinin
temel unsurlarından biri elbette
“oklüzyon”dur.
Doğal dişlerden sabit, hareketli ve
implantüstü protezlere uzanan geniş bir yelpazede; oklüzyonun tanımlanması, kayıt altına alınması
ve yönetilmesine dair uygulama
ağırlıklı bir kurs sizi bekliyor.
Kursiyer hekimler, sentrik ilişki
kaydının farklı teknikler ile alınması, artikülatör ve yüz arklarının
incelenmesi, yüz arkı kaydının
alınması, eksentrik oklüzal kayıtların alınması ve bu kayıtların artikülatöre nakledilmesi, occlusense
kullanımı gibi pek çok uygulamayı
bizzat deneyimleyerek tecrübe kazanıyor.
DrVesta.com | 0212 481 02 20
TME ve oklüzyon konusundaki
başarılı çalışmalarıyla tanınan Prof
Dr Hanefi Kurt, bilgi ve birikimini iki gün boyunca meslektaşlarla
paylaşıyor.
[27] =>
ROOTS DERGISI-S-32 KAPAKLAR
[28] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
3LVWRQWHNQLæL³N|NNDQDO
GROJXVXQD\HQLELU\DNODâÖP
Yazarlar_Dr. Grzegorz Witkowski & Bartłomiej Karaś, Polonya
Resim 1
_*LULü
ûLPGL\H NDGDU NDQDO GROJXVXQXQ DOWþQ VWDQGDUGþ
GHYDPOþþVþ\ODNRPSDNVL\RQWHNQLÿLROPXúWXU
$QFDNEXWHNQLÿLQX\JXODQPDVþ]RUGXUYHHNSDKDOþHNLSPDQJHUHNWLULU'LÿHUELUVHoHQHNLVHNDOVL\XPVLOLNDWED]OþNDQDOSDWODUþ &6%6·OHU LOH\HQL
NHúIHGLOHQWHNNRQGROJXWHNQLÿLGLU g]HOOLNOHUL
iyi bilinmektedir. Genel olarak, bu malzemeler bi\RORMLN RODUDN X\XPOXGXU WRNVLN GHÿLOGLU E]O-
Resim 2
Resim 3
26 roots
1_2024
PH]YHEL\RORMLNRUWDPGDNLP\DVDORODUDNVWDELOGLU
$\UþFD VHUWOHúPH VþUDVþQGD KLGURNVLDSDWLW
ROXúWXUPDYHGHQWLQLOHGROJXPDWHU\DOLDUDVþQGD
ELU EDÿ ROXúWXUPD \HWHQHÿLQH GH VDKLSWLUOHU
%XQXQOD ELUOLNWH EX WHNQLNOH LOJLOL PDNDOHOHULQ
HNVLNOLÿL YDUGþU YH DUDúWþUPDODU &6%6·OHUOH NRQVX]
GROJXWHNQLNOHULQHRGDNODQPþúWþU
%X PDNDOHGH N|N NDQDO GROJXVXQD \HQL ELU \DNODúþP RODQ ¶SLVWRQ REWXUDV\RQ WHNQLÿLQL· VXQPDN
YH NOLQLN GHQH\LPOHULPL]L SD\ODúDUDN oRÿX NOLQLN
GXUXPLoLQ|QHUPHNLVWL\RUX]%XWHNQLÿLQWHPHO
ID\GDVþ JWDSHUNDODU ROPDGDQ ELU ' WþNDoODPD
HOGH HGLOPHVLGLU %X GHULQ NDQDO D\UþPODUþ DSLNDO
E|OJHOHUGHNLEDVDPDNODUDSLNDOoOGHNLNþUþNDOHWOHUYHNDQDOWþNDQþNOþNODUþYHIDUNOþDQDWRPLOHUJLEL
GXUXPODUGDID\GDOþGþU
3LVWRQ WHNQLÿL EDVLW YH |QJ|UOHELOLUGLU 6RQ SUHSDUDV\RQYHLUULJDV\RQSURWRNROWDPDPODQGþNWDQ
VRQUD&6%6·OHULQVSHVLILN|]HOOLNOHULQHGHQL\OHNDQDO DúþUþ NXUXWXOPDPDOþGþU .DQDO SDWþQþQ VHUWOHú-
[29] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
Resim 4 a
Resim 4 b
Resim 5 a
Resim 5 b
Resim 5 c
Resim 6 a
Resim 6 b
Resim 6 c
Resim 6 d
PH UHDNVL\RQX LoLQ NDWDOL]|U RODUDN NDQDO ERúOXÿXQGDD]PLNWDUGDQHPNDOPDOþGþU8\JXODPDXFX
PDNVLPXP \HUOHúWLUPH VHYL\HVLQH JHWLULOGLÿLQGH
PDO]HPH\L QD]LNoH úþUþQJDGDQ GRÿUXGDQ NDQDO
ERúOXÿXQD X\JXOD\þQ (NVWU]\RQX |QOHPHN LoLQ
LÿQHQLQNDQDOGDVþNþúPDPDVþQDGLNNDWHGLQ.DQDO
ERúOXÿXQGDNL PDO]HPH\L J|UGNWHQ VRQUD LÿQH\L
oþNDUþQ YH NRURQDO NþVþPGD ELU WþNDo ROXúWXUPDN
LoLQVþFDNELUJWDSHUNDHNVWUGHUNXOODQþQ'DKD
VRQUDJWDSHUND·QþQNRURQDONþVPþQþVRÿXNSOXJJHULOHDSLNDOE|OJH\HGRÿUXLWLQPP·GHQID]OD
LWPH\LQ 5HVLP
Resim 6 e
_9DND
+DVWDYHQXPDUDOþGLúOHULQLQHQGRGRQWLN
WHGDYLVLLoLQ'U:LWNRZVNL·QLQNOLQLÿLQHVHYNHGLOGL
5HVLP 0XD\HQHGHQ VRQUD HQGRGRQWLN WHGDYL
X\JXODQPþúWþ 5HVLP QXPDUDOþGLúWHJLULú
NDYLWHVLVHYNHGHQGLúKHNLPLWDUDIþQGDQROXúWXUXOPXúWX 5HVLPD ·GHJLULúNDYLWHVLWDVDUODQGþ
YHX\JXODQGþ 5HVLPE %XDúDPDGDQVRQUD
QXPDUDOþGLúWH·HNDGDUYHQXPDUDOþGLúWH·HNDGDU9':527$7( 9': 5HVLPDF
LOHNDQDOERúOXÿXQXQKD]þUOþÿþ\DSþOGþ%LUVRQUDNL
Resim 7
Resim 8
roots 27
1_2024
[30] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
Resim 9
Resim 10 a
Resim 10 b
Resim 10 c
Resim 10 d
Resim 10 e
Resim 10 f
Resim 11 a
Resim 11 b
DGþPKHULNLGLúWH:YH+]·GH(U&U <6**
OD]HU %,2/$6( LOHJHUoHNOHúWLULOHQLUULJDV\RQSURWRNRO\G.DQDOODUNDQDOGROJXVXLoLQKD]þUODQGþ
QXPDUDOþGLúWHNDQDOGROJXVXWHNNRQYH&6%6
LOHQXPDUDOþGLúWHLVHSLVWRQWHNQLÿLLOH\DSþOGþ
5HVLPDH 7HGDYLGHQKHPHQVRQUDNRQWUROUDG\RJUDILVLoHNLOGL 5HVLP 7HGDYLGHQDOWþD\VRQUD
DOþQDQ WDNLS UDG\RJUDILVLQGH OH]\RQXQ L\LOHúPHVL
J|UOG 5HVLP
_9DND
+DVWDPH]LDONDQDOGDNLNþUþNHÿHQLQoþNDUþOPDVþYH
VRQHQGRGRQWLNLúOHPLoLQ'U:LWNRZVNL·QLQNOLQLÿLQHVHYNHGLOGL 5HVLP (ÿHQLQoþNDUþOPDVþQGDNL
]RUOXNODU YH SHUIRUDV\RQ ULVNL QHGHQL\OH KDVWD\D
HÿHQLQE\SDVVHGLOPHVL|QHULOGLYHKDVWDNDEXOHWWL
+HPPH]LDOKHPGHGLVWDO\|QOHUGHX\JXQúHNLOOHQGLUPH55(&,352&EOXH 9': 5HVLPDI
NXOODQþODUDN JHUoHNOHúWLULOGL %X DúDPDGDQ VRQUD
VRQLN DMLWDV\RQ YH VUHNOL LUULJDV\RQ LOH NDSVDPOþ
Resim 11 c
Resim 11 d
Resim 12 a
Resim 12 b
Resim 12 c
Resim 13
28 roots
1_2024
[31] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
Resim 14
Resim 15
Resim 16 a
Resim 16 b
Resim 16 c
Resim 16 d
Resim 17 a
Resim 17 b
Resim 17 c
Resim 17 d
Resim 18 a
Resim 18 b
Resim 19 a
Resim 19 b
Resim 20 a
Resim 20 b
Resim 20 c
Resim 20 d
Resim 21 a
Resim 21 b
Resim 21 c
Resim 21 d
roots 29
1_2024
[32] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
Resim 22
Resim 23 a
ELULUULJDV\RQSURWRNROX\JXODQGþ 5HVLPDG
.|N NDQDO VLVWHPL GDKD VRQUD NDQDO GROJXVX LoLQ
KD]þUODQGþ YH SLVWRQ WHNQLÿL NXOODQþODUDN GROGXUXOGX 5HVLP D²F %X WHNQLN PHNDQLN RODUDN
úHNLOOHQGLULOPH\HQ ERúOXNODUþ ELOH GROGXUDELOLU YH
|]HOOLNOHNDQDOERúOXÿXQGDNþUþNHÿHJLELELUHQJHO
ROGXÿXQGDNXOODQþPþoRNNROD\GþU 5HVLP
_9DND
.DQDOGD GHULQ ELU D\UþP |]HOOLNOH HULúLPLQ ULVNOL
YH\DVþQþUOþDODQþQROGXÿXGXUXPODUGDKHU]DPDQ
]RUGXU +DVWD UXWLQ ELU oUN X]DNODúWþUPD YH
UHVWRUDV\RQ SURVHGU LoLQ 'U :LWNRZVNL·QLQ GLú
PXD\HQHKDQHVLQHJHOGL 5HVLP %DúODQJþoUDG\RJUDILVLoHNLOGL 5HVLP ýONRODUDNoUNWHPL]OHQGL YH PH]LDO RODUDN VXEJLQJLYDO E|OJHGH GHULQ
oUNELUOH]\RQQHGHQL\OHJLQJLYHNWRPLGH\DSþOGþ
5HVLPDG ý]RODV\RQGDQVRQUDPH]LDOGXYDUþQ
UHVWRUDV\RQXVWDQGDUWSURWRNROHJ|UHJHUoHNOHúWLULOGL%XQGDQVRQUDJLULúNDYLWHVLXOWUDVRQLNXoODUOD
\HQLGHQúHNLOOHQGLULOGL 5HVLPDG 'DKDVRQUD
55(&,352&EOXHLOHD\UþPVHYL\HVLQHNDGDUúHNLOOHQGLUPH\DSþOGþYHNDQDOD\UþPþ5SLORW
9': 5HVLPDYHE LOHúHNLOOHQGLULOGL6RQLUULJDV\RQSURWRNROEROPLNWDUGDVþYþ VRG\XPKLSRNORULWYHVLWULNDVLWVRQGXUXODPDGLVWLOHVX\XQ
LOH 5HVLP DYHE LOH\DSþOGþ
30 roots
1_2024
Resim 23 b
.DQDOGROJXVXSLVWRQWHNQLÿLLOHUHVWRUDV\RQLVHNRPSR]LWPDO]HPHNXOODQþODUDNX\JXODQGþ 5HVLPD²G
+DVWDVRQUHVWRUDV\RQLoLQSURWH]X]PDQþQD\|QOHQGLULOGL6RQ.,%7WDUDPDVþQGDSLVWRQWHNQLÿLQLQDSLNDODODQGDNLGHULQD\UþPþQGROGXUXOPDVþQD\DUGþPFþ
ROGXÿXDoþNoDJ|UOG 5HVLPDG
_9DND
+DVWDQXPDUDOþGLúLQFHUUDKLROPD\DQNDQDO
WHGDYLVLWHNUDUþLoLQ'U.DUD ·þQNOLQLÿLQHVHYNHGLOGL 'Lú VHPSWRPDWLNWL YH UDG\RJUDILN LQFHOHPHGH
PH]LDO N|N oHYUHVLQGH SHULDSLNDO OH]\RQ WHVSLW
HGLOGL 3HULDSLNDO OH]\RQ QHW ELU úHNLOGH J|UOHELOL\RUGX DQFDN N|N NDQDOþQþQ úHNOL QHW GHÿLOGL
5HVLP 0XD\HQH.,%7J|UQWOHPHLOHGHWD\ODQGþUþOGþ.,%7WDUDPDVþQGDPH]LREXNNDONDQDOGD
LoUH]RUSVL\RQYHPH]LDON|NQDSLNDOE|OJHVLQGH
ELULVWKPXVYHDSLNDOLQIODPDWXDUN|NUH]RUSVL\RQXJ|UOG 5HVLPDYHE '|NPELUSRVWYH
SURWHWLNNURQGDGLNNDWHDOþQGþ
Hastaya cerrahi olmayan retreatment ve cerrahi
UHWUHDWPHQW ROPDN ]HUH LNL WHGDYL SODQþ VXQXOGX$ÿþ]LoLPXD\HQHGHSURWHWLNWHGDYLQLQNDOLWHVL
úSKHOLEXOXQGX 5HVLP .URQXQoþNDUþOPDVþQDYHFHUUDKLROPD\DQNDQDOWHGDYLVLWHNUDUþ\DSþOPDVþQDNDUDUYHULOGL
[33] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
Resim 24
Resim 25
Resim 26
Resim 27
Resim 28
Resim 29
Resim 30
Resim 31
Resim 32
Resim 33
Resim 34
Resim 35
Resim 36
Resim 37
Resim 38
/RNDODQHVWH]LX\JXODPDVþQGDQVRQUDNXURQ\NVHN GHYLUOL ELU HO DOHWL LOH NHVLOGL 5HVLP 3RVW
DoþÿD oþNDUþOGþ YH X]DNODúWþUþOGþ 5HVLP YH
PuOSD RGDVþ YH N|N NDQDO Dÿþ]ODUþ oDWODN YDUOþÿþ DoþVþQGDQ LQFHOHQGL 0XD\HQHGHQ VRQUD
JLQJLYHNWRPL\DSþOGþ 5HVLP YHELUUXEEHUGDP
.HUU 'HQWDO \HUOHúWLULOGL 5HVLP 5XEEHU
GDP JHoLFL ELU DNþúNDQ ELU PDO]HPH LOH NDSDWþOGþ 5HVLP 6þ]GþUPD]OþN VDÿODQGþNWDQ VRQUD
DOWþQFþ QHVLO VHOIDGKHVLYH SULPHU ve bonding ile
WDPDGH]\RQSURWRNROJHUoHNOHúWLULOGLYHSUHHQGRGRQWLN UHVWRUDV\RQ ROXúWXUXOGX 5HVLP
6LPDQYHN|NNDQDOGROJXPDWHU\DOOHULQLQNDOþQWþODUþ
HOPDVNDSOþXOWUDVRQLNXo :RRGSHFNHU 5HVLP
ile X]DNODúWþUþOGþ .DQDO DoþNOþÿþ HO HÿHOHUL 9':
LOH NROD\FD VDÿODQGþ YH NDQDOODU ·H NDGDU
G|QHU PDUWHQVLWLN HÿHOHU 3ROGHQW LOH úHNLOOHQGLULOGL ûHNLOOHQGLUPHQLQ KHU DúDPDVþQGD ('7$
9': 5HVLP LoHUHQND\JDQODúWþUþFþNUHPNXOODQþOGþ+HUHÿHGHQVRQUDNDQDOODU·OLNVRG\XPKLSRNORULW &HUNDPHG LOH\þNDQGþ.|NNDQDOODUþ VRQ ER\XWODUþQD XODúWþNWDQ VRQUD LUULJDV\RQ
SURWRNRO JHUoHNOHúWLULOGL 8OWUDVRQLN HÿH 0$1,
LOH DNWLYH HGLOHQ VRG\XP KLSRNORULW YH
VLWULNDVLW &(5.$0(' LOHoG|QJDUGþQGDQ\DNODúþNGDNLNDER\XQFDXOWUDVRQLNHÿH
LOHDNWLYDV\RQ\DSþOGþ 5HVLPYH +HULNLPH]LDONDQDODUDVþQGDNLVþYþDNþúþJ|UOHELOL\RUGX
roots 31
1_2024
[34] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_piston tekniği
%X DúDPDGD PH]LDO N|NWH EXOXQDQ UH]RUSVL\RQ
YHLVWKPXVYDUOþÿþLOHLOJLOLHQ|QHPOLNDUDUODUGDQ
ELULQLQ YHULOPHVL JHUHNL\RUGX %LU \DQGDQ SHULRGRQVL\XPOD EDÿODQWþOþ ROPD\DQ Lo UH]RUSVL\RQ
durumunda tercih edilen malzeme bir kanal dolgu
PDGGHVL RODQ JWDSHUNDGþU gWH \DQGDQ DSLNDO
LQIODPDWXDUN|NUH]RUSVL\RQXGXUXPXQGDPLQHUDO
WULRNVLW DJUHJDVþ 07$ YH\D ¶SXWW\· PDWHU\DOOHULQLQNXOODQþOPDVþWDYVL\HHGLOLUdRÿXGXUXPGDEX
LNLPDWHU\DOLQD\QþN|NWHNXOODQþOPDVþQGDELUVRUXQ
\RNWXUDQFDNEXYDNDGDNDQDOODU07$·\þUDKDWoD
NXOODQDPD\DFDNNDGDUGDUGþYHLVWKPXVXQGROGXUXOPDNDOLWHVLúSKHOLRODELOLUGL
%XDoþGDQEDNþOGþÿþQGDWULNDOVL\XPVLOLNDWED]OþELU
NDQDO SDWþ X\JXODPD\D \|QHOLN \HQL ELU \DNODúþP
XPXWYHULFLELUILNLUGL.DQDOSDWþGDKD|QFHWDULI
HGLOHQ úHNLOGH \HUOHúWLULOGL 3ODVWLN úþUþQJD 0(7$
%,20(' LoLQGH |QFHGHQ NDUþúWþUþOPþú NDQDO SDWþ
PH]LREXNNDO NDQDOD \HUOHúWLULOGL YH úþUþQJD PH]LROLQJXDO NDQDOþ GROGXUXODQD NDGDU LWLOGL 'LVWDO
NDQDO D\Uþ D\Uþ GROGXUXOGX +HU NDQDOD |QFHGHQ
þVþWþOPþú JWDSHUND HNVWUGHULQGHQ SLVWRQODU
\HUOHúWLULOGL YH VþFDN JWDSHUND SDVODQPD] oHOLN
HO NRQGHQVHUOHUL LOH KDILIoH VþNþúWþUþOGþ .DQDO GROJXVXQXQNDOLWHVLQLGHÿHUOHQGLUPHNLoLQSHULDSLNDO
UDG\RJUDILoHNLOGL%L\RVHUDPLNNDQDOSDWþUH]RUEH
ROPXúDSHNVWHQSHULDSLNDODODQDKDILIoHHNVWU]H
ROPXúWX 5HVLP .DQDO GROJXVXQGDQ VRQUD
BLOHWLâLP
roots
Dr. Bartlomiej Karaś
0$;'(17
8O+DOOHUD
:URFODZ
Poland
NDUDVGHQW\VWD#JPDLOFRP
ZZZENDUDVFRP
Dr. Grzegorz Witkowski
:LWNRZVF\'HQWDO&OLQLF
8O.D]LPLHU]D-DURV]\ND
2OV]W\Q
Poland
JU]HJRU]ZLWNRZVNL#PHFRP
ZZZGHQWDONXUV\SO
32 roots
1_2024
SXOSD RGDVþ YH NDQDO Dÿþ]ODUþ WHPL]OHQGL 5HVLP
5H]LQLoHULNOLELUILEHUSRVW\HUOHúWLULOGLYHJHoLFLSHPEHPDWHU\DOoþNDUþOGþ+DVWDVRQUHVWRUDV\RQ
LoLQSURWH]X]PDQþQD\|QOHQGLULOGL
ho \þO VRQUD NRQWURO UDQGHYXVXQD oDÿUþOGþ
3HULDSLNDOUDG\RJUDILYH.,%7WDUDPDVþSHULDSLNDO
GRNXQXQ L\LOHúWLÿLQL YH EL\RVHUDPLN NDQDO SDWþQGD KHUKDQJL ELU UH]RUSVL\RQ ROPDGþÿþQþ J|VWHUGL
5HVLP 'LúDVHPSWRPDWLNNDOPþúWþ
_Sonuç
%XPDNDOHGH|QHULOHQSLVWRQWHNQLÿLNDQDOERúOXÿXQXQGROGXUXOPDVþLoLQ|QJ|UOHELOLUYHHWNLOLELU
\|QWHPGLU 'DKD ID]OD DUDúWþUPD YH WDUWþúPD JHUHNWLUPHNWHGLU DQFDN |]HOOLNOH NDUPDúþN DQDWRPL
\DEDQFþ FLVLPOHU YH\D LON WHGDYL VþUDVþQGD SURVHGUHO KDWDODU JLEL ]RUOXNODUþ RODQ ULVNOL YDNDODUGD
XPXWYHULFLJ|UQPHNWHGLU
Kaynaklar
B\D]DUKDNNÖQGD
_(GLW|U1RWX
5HIHUDQVODUþQ OLVWHVL LoLQ
lütfen bu QR kodunu taUDWþQ %X PDNDOH LON RODrak
roots—international
magazine of endodontics,
9RO VD\þVþQGD \D\þQODQPþúWþU
roots
Dr. Grzegorz Witkowsk,\ÖOÖQGD3RORQ\D·GDNL9DUâRYD 7ÖS hQLYHUVLWHVL·QGHQ PH]XQ ROGX \ÖOÖQGDQ EHUL
3RORQ\D·QÖQ2OV]W\QâHKULQGHHQGRGRQWL&$'&$0YHHVWHWLNGLâKHNLPOLæLQHRGDNODQDQ|]HOELUPXD\HQHKDQHLâOHWPHNWHGLU7DQÖQPÖâELUXOXVODUDUDVÖNRQXâPDFÖGÖUYHLOHUL
HQGRGRQWLYH.,%7&$'&$0OD]HUGHVWHNOLHQGRGRQWLYH
PLNURVNRSXQJQONSUDWLNWHNXOODQÖPÖ]HULQHoRNVD\ÖGD
PDNDOHQLQ\D]DUÖGÖU*QONHQGRGRQWLSURWRNROOHULQLDoÖNODGÖæÖ Procedury Endodontyczne 4XLQWHVVHQFH 3RORQ\D
NLWDEÖQÖQ \D]DUÖGÖU $YUXSD (QGRGRQWL 'HUQHæL YH
3ROVNLH7RZDU]\VWZR(QGRGRQW\F]QH 3RORQ\D(QGRGRQWL
'HUQHæL \HVLGLU 'U :LWNRZVNL LOH JU]HJRU]ZLWNRZVNL#PHFRP DGUHVLQGHQ LOHWLâLPH
JHoLOHELOLU
B\D]DUKDNNÖQGD
roots
Dr. Bartłomiej Karaś \ÖOÖQGD3RORQ\D·GDNL:URF DZ
7ÖShQLYHUVLWHVL·QGHQGLâKHNLPOLæLDODQÖQGDPH]XQROGX
.HQGLVL ELU HæLWLPFL YH PLQLPDO LQYD]LY HQGRGRQWL\H
RGDNODQDQ oRN VD\ÖGD \D\ÖQÖQ \D]DUÖGÖU 3ROVNLH
7RZDU]\VWZR6WRPDWRORJLF]QH·QLQ 3RORQ\D'Lâ+HNLPOHUL
%LUOLæL HQGRGRQWL E|OPQQ EDâNDQ \DUGÖPFÖVÖ YH
$YUXSD(QGRGRQWL'HUQHæLYH'Q\D/D]HU'Lâ+HNLPOLæL
)HGHUDV\RQX\HVLGLU'U.DUjś:URFODZ·GDHQGRGRQWLLOH
VÖQÖUOÖ|]HOELUGLâKHNLPOLæLPXD\HQHKDQHVLLâOHWPHNWHGLU
[35] =>
ROOTS DERGISI-S-32 KAPAKLAR
[36] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
+HGHIHQGRGRQWLNPLNURFHUUDKL
Yazarlar_Dr. Hugo Sousa Dias, Prof. Paula Andrea Villa Machado ve Dr. Felipe Restrepo, Portekiz & Kolombiya
Resim 1 a
Resim 1 b
Resim 1 a-n: QÖQSUHRS.,%7WDUDPDVÖ$NVL\HO a)NRURQDO(b)YHVDJLWDO(c)J|UQWOHUPHVLDOYHGLVWDON|NOHULQDSLNDOoOVQQYHVDæODPEXNNDONRUWLNDONHPLæLQHWUDIÖQGDKLSRGHQV
DODQODUJ|VWHUGL.RUWLNDOSHQFHUHQLQVÖQÖUODUÖQÖEHOLUOH\HQâDEORQKHULNLN|NQDSLNDODODQÖQDGRæUXELUâHNLOGHXODâPDNLoLQWDVDUODQGÖ(d)0LNURFHUUDKLVÖUDVÖQGDâDEORQX\XPODQGÖ(e)
NRUWLNDOSHQFHUHQLQVÖQÖUODUÖNHPLN]HULQGHLâDUHWOHQGL(f)3LH]RWRPH&8%(/('DQJXOGXUYDVÖQDWDNÖOPÖâELUWHVWHUHNXOODQÖOGÖNHPLNNHVLOGLYHX]DNODâWÖUÖOGÖ(g&h)DSLNDODODQDXODâÖOGÖYH
DSLVHNWRPL\DSÖOGÖDSLNDONDYLWHSUHSDUDV\RQXLOHPHVLDOYHGLVWDON|NOHULQUHWURJUDGGROJXVX\DSÖOGÖ(i)6RQRODUDNNRUWLNDOSHQFHUH\HULQHNR\XOGXYHNROODMHQVQJHUOHUOHVWDELOL]HHGLOGL
(j)QROXGLâLQLâOHPLQKHPHQVRQUDVÖSRVWRSUDG\RJUDIÖ(k)åNL\ÖOOÖNWDNLSWH.,%7WDUDPDVÖDNVL\HO(l)VDJLWDO(m)YHNRURQDOJ|UQWOHU(n).
(QGRGRQWLNPLNURFHUUDKL (0& JHOHQHNVHOFHUUDKL
\DNODúþPODUODNþ\DVODQGþÿþQGDGDKDHWNLOLELUWHGDYL
KDOLQH JHOPLúWLU 7HNQLN JHOLúPHOHU GLNNDWH DOþQPDNVþ]þQ|]HOOLNOH]RUHULúLPOLVDÿODPNDOþQEXNNDO
NRUWLNDONHPLNYHDQDWRPLNHQJHOOLYDNDODUGDN|N
DSHNVLQLORNDOL]HHWPHN]RURODELOLU%XPDNDOHN|N
DSHNVLQH HULúLP DPDFþ\OD RVWHRWRPL\H UHKEHUOLN
HWPHN LoLQ WDVDUODQDQ ' EDVþOPþú ELU úDEORQXQ
NXOODQþPþ\OD\HQLELU\DNODúþPþDQODWPDNWDGþU
_*LULü
&$'&$0YH'EDVNþWHNQRORMLVLX\JXODPDODUþLON
RODUDN ·ODUGDJHOLúWLULOPLúYHGLúKHNLPOLÿLLoLQ
NXOODQþOPþúWþU%DúODQJþoWDEXWHNQLNVDELWUHVWRUDV\RQODUþQUHWLPLQGHNXOODQþOPþúDQFDNoRÿXQOXNOD
Resim 1 c
Resim 1 d
34 roots
1_2024
LPSODQWE|OJHVLKD]þUODPDYHLPSODQW\HUOHúWLUPH
LoLQNþODYX]úDEORQODUþQUHWLPLQGHRUDOFHUUDKLGH
X\JXODQPþúWþU *QP]GH.,%7·QLQ &%&7
SL\DVD\DVUOPHVLQGHQEHUL&$'&$0YH'EDVNþ\DNþQ]DPDQGDUHKEHUúDEORQODUþQNXOODQþPþQþQ
J|VWHULOGLÿL HQGRGRQWL GH GDKLO ROPDN ]HUH GLú
KHNLPOLÿLQGHoHúLWOLX\JXODPDODUDVDKLSWLU
%XúDEORQODUNDOVLIL\HNDQDOODUGDHQGRGRQWLNHULúLPL YH RVWHRWRPL\L \|QOHQGLUPHN LoLQ NXOODQþOþU
(0& FHUUDKL ROPD\DQ N|N NDQDO WHGDYLVL
YH\D NDQDO WHGDYLVL WHNUDUþQþQ EDúDUþVþ]OþÿþQGDQ
VRQUD NDOþFþ SHULDSLNDO SHULRGRQWLWLV WHGDYLVL LoLQ
VHoHQHNOHUGHQELULGLU <þOODULoLQGHHQGRGRQWLNHNLSPDQDOHWOHUYHPDO]HPHOHUL\LOHúWLULOPLúYH
[37] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
Resim 1 e
Resim 1 f
Resim 1 g
Resim 1 h
Resim 1 i
Resim 1 j
GDKD L\L WHNQLNOHU JHOLúWLULOPLúWLU %X JHOLúPHOHU
DSLNDO DQDWRPL\L GDKD L\L DQODPD\D RODQDN VDÿODPþúYHHQGRGRQWLNFHUUDKLQLQEDúDUþRUDQþQþDUWþUPþúWþU 'ROD\þVþ\OD GDKD HWNLOL ELU WHGDYL KDOLQH
JHOPLúWLU
(0&DQDWRPLNVþQþUODUYHSUHRSHUDWLIUDG\RJUDIODU\DGD.,%7|OoPOHULED]DOþQDUDNKHGHIOHQHQ
ELURVWHRWRPLYHN|NXFXUH]HNVL\RQXJHUHNWLULUYH
GHQWDO PLNURVNRS WDUDIþQGDQ VDÿODQDQ E\WPH
YHD\GþQODWPDQþQNXOODQþPþLOHPLNURDOHWOHULQGRÿUXNXOODQþPþQþELUOHúWLULU %XN|NDSLNDOOHULQLQGDKDNROD\WHúKLVLGDKDNoNRVWHRWRPLOHU
YHNRUWLNDONHPLNGHYDPOþOþÿþLOHGHQWDO\DSþODUþQYH
N|NER\XQXQNRUXQPDVþQDLPNDQYHUHQGDKDVþÿ
UH]HNVL\RQDoþODUþQDGDKDKDVVDVYH|QJ|UOHELOLU
HULúLPHL]LQYHULU $\UþFDGHQWDOPLNURVNRSODUþQ NXOODQþPþ LVWKPXVODU PLNURoDWODNODU ODWHUDONDQDOODUYHN|NXFXSUHSDUDV\RQXYHGROJXVX
Resim 1 k
roots 35
1_2024
[38] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
_9DND
7þEEL|\NV\HWHUVL]RODQ\DúþQGDNLNDGþQKDVWDGDKD|QFHWHGDYLHGLOHQVROPDQGLEXODUELULQFL
PRODU GLúLQH EDÿOþ RUWD GHUHFHGH DÿUþ VHEHEL\OH
NRQVOWH HGLOGL .,%7 |QFHNL WHGDYL VþUDVþQGD ELU
PHVLREXNNDO NDQDOþQ J|]GHQ NDoþUþOGþÿþQþ PHVLDO
YHGLVWDON|NOHULQDSLNDOOH]\RQGDQHWNLOHQGLÿLQLYH
EXNNDONRUWLNDONHPLÿLQVDÿODPROGXÿXQXJ|VWHUGL
Resim 1 l
Resim 1 m
Resim 1 n
|QFHVLUH]HNHHGLOHQN|NWHNL\]JHoOHULQWHVSLWLQH
RODQDNVDÿODU
7DQþ WHGDYL |QFHVL SODQODPD YH\D WHGDYL VRQUDVþ \D GD WDNLELQ GHÿHUOHQGLULOPHVLQGH NXOODQþODQ .,%7 JLEL PRGHUQ WDQþVDO WHNQLNOHUOH ELUOLNWH
(0&·GHNLJHOLúPHOHUGDKDJHOHQHNVHO\DNODúþPODUODNþ\DVODQGþÿþQGDGDKD\NVHNEDúDUþRUDQODUþLoLQ
NDWNþVDÿODPþúWþU
(0& VRQXoODUþQþ HWNLOH\HELOHFHN ED]þ SURJQRVWLN
IDNW|UOHU GLú SR]LV\RQX OH]\RQ WLSL N|N XFX SUHSDUDV\RQX GROJX PDWHU\DOL YH NRURQDO UHVWRUDV\RQGXU =RUHULúHELOLUOLNNDOþQEXNNDONHPLNYH
anatomik engeller (mental foramen, inferior alveRODUVLQLUYHPDNVLOOHUVLQV GDKDN|WVRQXoODUOD
LOLúNLOHQGLULOPLúWLU 3HULDSLNDONHPLN\þNþPþYHRVWHRWRPLQLQER\XWXGDDÿUþYHúLúOLNJLELSRVWRSHUDWLINRPSOLNDV\RQODUDVHEHSRODELOLU%XNNDONHPLN
WDEDNDVþKDODVDÿODPROGXÿX]DPDQRVWHRWRPLQLQ
ER\XWXDUWWþUþOPDHÿLOLPLQGHGLUoQNN|NDSHNVLQLQWDPORNDV\RQXQXEXOPDN]RUGXU
%XYDNDUDSRUXQGD\|QOHQGLULOPLúRVWHRWRPLLoLQ
'EDVNþúDEORQNXOODQDQ\HQLELUHQGRGRQWLNRVWHRWRPL\DNODúþPþVXQX\RUX]
36 roots
1_2024
.DQDOWHGDYLVLWHNUDUþLNLVHDQVWD\DSþOGþYH|QFHNL
GROJXPDWHU\DOLoþNDUþOþSoNDQDOWHPL]OHQGLNWHQ
YH úHNLOOHQGLULOGLNWHQ VRQUD NDQDO LoL SDQVXPDQ
RODUDN NDOVL\XP KLGURNVLW NXOODQþOGþ %LU KDIWD
VRQUDN|NNDQDOWHGDYLVLWDPDPODQGþýNLD\VRQUD VHPSWRPODU GHYDP HWWL YH NOLQLN PXD\HQHGH
GLNH\SHUNXV\RQGDDÿUþROGXÿXQXVDSWDQGþ SHULRGRQWDO VRQGDODPD GHULQOLÿL YH PRELOLWH QRUPDO
VþQþUODULoHULVLQGH\GL.,%7NHPLNL\LOHúPHVLEHOLUWLVL
J|VWHUPHGL 5HVLP DF QROX GLúLQ WDQþVþ
|QFHGHQ WHGDYL HGLOPLú VHPSWRPDWLN SHULDSLNDO
SHULRGRQWLWLVWLYHWHGDYLVHoHQHÿLUHKEHUOL(0&LGL
0DQGLEXODQþQ Dÿþ] LoL WDUDPDVþ 75,26 6KDSH
YHHOGHHGLOHQ67/GRV\DVþ%OXH6N\%LR\D]þOþPþQþ
NXOODQDUDNFHUUDKLUHKEHUWDVDUODPDNLoLQ.,%7WDUDPDVþQþQ',&20GRV\DODUþLOHELUOHúWLULOGL$SLNDO
DODQD GRÿUX RODUDN XODúPDN LoLQ NRUWLNDO SHQFHUHQLQVþQþUODUþQþEHOLUOH\HQELUúDEORQWDVDUODQGþYH
EDVþOGþ 5HVLPG
/RNDODQHVWH]LDOWþQGDWDPNDOþQOþNPXNRSHULRVWDO
IOHSNDOGþUþOGþYH3LH]RWRPH&8%(/('DQJXOGXUYD $&7(21 LOHNHVLOHQNRUWLNDOSHQFHUH\LLúDUHW
OHPHN LoLQ EDVþODQ úDEORQ NXOODQþOGþ oþNDUþOGþ
5HVLPHK YHVWHULOVDOLQHNR\XOGX$SLVHNWRPL
\DSþOGþ 5HVLP L YH PHVLDO NDQDOODU XOWUDVRQLN XoODUOD 16. N|N XFXQGDQ SUHSDUH HGLOGL YH
(QGR6HTXHQFH%&550)DVW6HW3XWW\ %UDVVHOHU
LOH GROGXUXOGX .RUWLNDO SHQFHUH JHUL \HUOHúWLULOGL
YH ERúOXNODU NROODMHQ VQJHUOHUOH VWDELOL]H HGLOGL
NROODMHQEDQW=LPPHU%LRPHW5HVLPMN YHIOHS
SUROHQ VWXU PDWHU\DOL NXOODQþODUDN NDSDWþOGþ
&RUSDXO
ýNL\þOOþNWDNLSWHNOLQLNPXD\HQHYH.,%7DSLNDOOH]\RQODUþQYHNRUWLNDONHPLÿLQVHPSWRPJ|VWHUPHGHQYHNRPSOLNDV\RQVX]L\LOHúPHVLQHGDLUNDQþWODU
J|VWHUGL 5HVLPOQ
_9DND
\DúþQGDNDGþQKDVWDGDKD|QFHWHGDYLJ|UPú
VDÿ PDNVLOOHU LNLQFL SUHPRODU GLúL\OH LOLúNLOL RUWD
úLGGHWWH DÿUþ VHEHEL\OH NRQVOWH HGLOGL 7þEEL |\NV\HWHUVL]GL.OLQLNPXD\HQHGHGLúLQGLNH\SHUNV\RQDKDILIGX\DUOþROGXÿXJ|UOG3HULRGRQWDO
VRQGDODPD GHULQOLÿL YH PRELOLWH QRUPDO VþQþUODU
[39] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
Resim 2 a
Resim 2 b
Resim 2 c
Resim 2 a-m: QROXGLâLQSUHRSUDG\RJUDI(a)YHSUHRS.,%7WDUDPDVÖVDJLWDO(b)YHDNVL\HOJ|UQWOHU (c)$æÖ]LoLWDUDPDGDQHOGHHGLOHQ67/GRV\DVÖ(d)QROXGLâLQNÖODYX]OX
HQGRGRQWLNWHGDYLVLLoLQSODQODQPÖââDEORQ(e)QROXGLâLQNÖODYX]OXHQGRGRQWLNWHGDYLVLLoLQEDVÖODQâDEORQ(f)7DPNDOÖQOÖNPXNRSHULRVWDOIOHSNDOGÖUÖOGÖ(g)ãDEORQX\XPODQGÖYH
NRUWLNDOSHQFHUHQLQVÖQÖUODUÖNHPLN]HULQGHLâDUHWOHQGL(h)QROXGLâLQDSLNDOE|OJHVLQH\DNÖQN|NWHQoÖNDQNÖUÖNDOHW(i)8]DNODâWÖUÖODQNÖUÖNDOHW(j)$SLVHNWRPLN|NXFXSUHSDUDV\RQXYH
7RWDO)LOO%&550)DVW6HW3XWW\LOHN|NXFXGROJXVX(k)'LNLOHQIOHS(l)åNL\ÖOOÖNWDNLSUDG\RJUDIÖ(m).
LoHULVLQGH\GL 3HULDSLNDO UDG\RJUDI N|NQ GþúþQD oþNPþú ELU NþUþN DOHW YDUOþÿþQþ RUWD\D oþNDUGþ
5HVLPD YHDPHOL\DW|QFHVL.,%7WDUDPDVþEXNNDO NHPLN WDEDNDVþQþQ VDÿODP ROGXÿXQX J|VWHUGL
5HVLPEYHF (QGRGRQWLNWHGDYLWHNUDUþEHúD\
|QFH X\JXODQPþúWþ QROX GLúLQ WDQþVþ GDKD
|QFHWHGDYLHGLOPLúVHPSWRPDWLNSHULDSLNDOSHULRGRQWLWLVWYHWHGDYLVHoHQHÿL\|QOHQGLULOPLú(0&LGL
0DNVLOODQþQDÿþ]LoLWDUDPDVþ 75,26 YHHOGHHGLOHQ
67/ GRV\DODUþ 5HVLP G 0HVKPL[HU $XWRGHVN
LOH PRGLIL\H HGLOHQ =LUNRQ]DKQ ,PSODQW3ODQQHU
\D]þOþPþ =LUNRQ]DKQ NXOODQþODUDN FHUUDKL UHKEHU
SODQODPDNLoLQ.,%7WDUDPDVþQþQ',&20GRV\DODUþ
LOHELUOHúWLULOGL$SLNDODODQDGRÿUXRODUDNXODúPDN
LoLQ NRUWLNDO SHQFHUHQLQ VþQþUODUþQþ EHOLUOH\HQ ELU
úDEORQWDVDUODQGþYHEDVþOGþ 5HVLPHYHI
/RNDO DQHVWH]L DOWþQGD EXNNDO NHPLÿLQ J|UQWOHQPHVLQL VDÿOD\DQ WDP NDOþQOþN PXNRSHULRVWDO
IOHS NDOGþUþOGþ 5HVLP J 3LH]RWRPH &8%( /('
DQJXOGXUYDLOHNHVLOHQNRUWLNDOSHQFHUH\LLúDUHWOH-
PHNLoLQ 5HVLPK EDVþODQúDEORQNXOODQþOGþYH
NþUþOPþúDOHWRUWD\DoþNDUþOGþ 5HVLPL YHX]DNODúWþUþOGþ 5HVLPM $SLVHNWRPLGHQVRQUDXOWUDVRQLN
XoODU NXOODQþODUDN $&7(21 N|N XFX SUHSDUDV\RQX \DSþOGþ YH 7RWDO )LOO %& 550 )DVW 6HW 3XWW\
).* LOH Vþ]GþUPD]OþN VDÿODQGþ 5HVLP N )OHS
SUROHQ VWXU PDWHU\DOL NXOODQþODUDN NDSDWþOGþ
5HVLPO 'LNLúOHUDPHOL\DWWDQVDDWVRQUDDOþQGþýNL\þOVRQUDKDVWDWDNLSUDG\RJUDILVLLoLQNOLQLÿLPL]HJHOGLGLúDVHPSWRPDWLNYHIRQNVL\RQGDLGL
5HVLPP
_7DUWÕüPD
(QGRGRQWLDODQþQGD'EDVNþWHNQRORMLVLQLQNXOODQþPþFHUUDKLUHKEHUOHUUHKEHUOLHQGRGRQWLNHULúLP
RWRMHQWUDQVSODQWDV\RQHÿLWLPPRGHOOHULYHNOLQLN
VLPODV\RQ LoLQ WDQþPODQPþú YH GLú KHNLPOLÿLQGH
JHoHUOLELUWHGDYLVHoHQHÿLKDOLQHJHOPLúWLU
/LWHUDWUGHKHQ]YDNDUDSRUXYHNOLQLN|QFHVLoDOþúPDVþQþUOþROVDGDUHKEHUOLFHUUDKLQLQJHOHQHNVHO
HULúLPHJ|UHGDKDGRÿUXYHEDúDUþOþELUWHNQLNROGXÿXJ|UOPHNWHGLU
Resim 2 d
roots 37
1_2024
[40] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
Resim 2 e
Resim 2 f
3HULDSLNDOFHUUDKLLoLQFHUUDKLUHKEHUOHULQNXOODQþPþN|NDSLNDOOHULQLQGDKDKDVVDVYHWXWDUOþORNDOL]DV\RQXLoLQLONRODUDN3LQVN\YHDUNWDUDIþQGDQ
RUWD\DDWþOGþ.OLQLN|QFHVLoDOþúPDGDRVWHRWRPLOHULQ SODQODQDQ DSLNDO KHGHIOHUH DSLNDO RUWDODPD
X]DNOþÿþFHUUDKLUHKEHUOHUOH PP 6'
YH VHUEHVW RVWHRWRPLOHUGH PP 6'
LGL
2]DPDQGDQEHUL'EDVNþNXOODQþPþQþQSHULDSLNDO
FHUUDKLGHDQWHULRUYHSRVWHRUGLúOHUGH\DUGþPFþELU
DUDoROGXÿXQXNDQþWOD\DQYDNDUDSRUODUþ\D\þQODQPþúWþU %XUHKEHUOL\DNODúþPRVWHRWRPL\HID\GDVDÿODUYHDQDWRPLN\DSþODUD]DUDUYHUPHULVNLQLHQD]DLQGLUHUHNN|NDSHNVOHULQLQ\HULQL
EHOLUOHPH\L NROD\ODúWþUþU $\UþFD WDúNþQ N|N GROJX
Resim 2 g
Resim 2 h
Resim 2 i
38 roots
1_2024
PDWHU\DOLQLQ oþNDUþOPDVþ LoLQ NHVLQ RODUDN \HULQL
VDSWDPDNDPDFþ\ODNXOODQþODELOLU
.RUWLNDO SHQFHUH WHNQLÿL NDSDN \DNODúþPþ
\þOþQGD .KRXU\ YH +HQVKHU WDUDIþQGDQ SHULDSLNDO
FHUUDKL\HWDQþWþOGþ$SLNDOE|OJH\HYHOH]\RQNRQXPXQDGDKDL\LJ|UQUONYHHULúLPHRODQDNVDÿODU
YHE\NUH]LGHONHPLNGHIHNWOHULQLQROXúXPXQX
HQJHOOHU
(0&GDKD|QJ|UOHELOLUYHJYHQLOLUELUWHGDYLVHoHQHÿLROPDVþQDUDÿPHQ PRODUYDNDODUGD\DGD
inferior alveolar sinire, maksiller sinüse ve greater
SDODWLQDUWHUHNRPúXN|NOHUJLELSRWDQVL\HORODUDNSUREOHPOLDQDWRPLN\DSþODUþQ\DNþQþQGDNLGLúOHULLoHUHQYDNDODUGDUH]HNVL\RQLoLQN|NXFXQXQ
\HULQLWHVSLWHWPHN]RUOD\þFþRODELOLU
&HUUDKLúDEORQODU|]HOOLNOH]RUYDNDODUGDID\GDOþGþU gQJ|UOHELOLUDoþODQPDoDSYHGHULQOLÿHVDKLS
ELURVWHRWRPLDODQþROXúWXUDUDNLDWURMHQLNKDVDUþQ
D]DOPDVþQD \DUGþPFþ ROXU (QGRGRQWLN
FHUUDKLGHQVRQUDEDúDUþN|NXFXGROJXVX\ODEDNWHULVþ]GþUPD]ELUN|NNDQDOVLVWHPLQHYHOH]\RQD
NRPúXSHULDSLNDOYHPDUMLQDONHPLNGRNXVXQGDNL
HNVLNOLNOHUHEDÿOþGþU 6RQXoRODUDNRVWHRWRPL
´PPNQ ROGXÿX NDGDU NoN DQFDN NOLQLN KHGHIOHUHXODúPDNLoLQJHUHNOLROGXÿXNDGDUE\Nµ
ROPDOþGþU oQN RVWHRWRPL ER\XWX LOH L\LOHúPH
Kþ]þ DUDVþQGD GLUHNW ELU LOLúNL YDUGþU 'DKD XIDN
RVWHRWRPL GDKD Kþ]Oþ L\LOHúPH 2VWHRWRPLQLQ
ER\XWXGDKDD]GHQH\LPOLNOLQLV\HQOHUWDUDIþQGDQ
DUWþUþOPDHÿLOLPLQGHGLU 6HUEHVWRVWHRWRPL
HVQDVþQGDLQVDQKDWDVþQþQVRQXFXRODUDNVDÿODP
NHPLN GRNXVXQXQ NDoþQþOPD] RODUDN X]DNODúWþUþOPDVþQD\RODoDQLGHDONRQXPGDQVDSPD\DúDQDELOLU
5HKEHU HúOLÿLQGH FHUUDKLQLQ NXOODQþPþ LOH LOLúNLOL
\DUDUODUKDNNþQGDELUILNLUELUOLÿLYDUGþU6DQDOJHUL\HG|QNSODQODPDFHUUDKLSURVHGUEDVLWOHúWLULUDPHOL\DWVUHVLQLNþVDOWþUKDVVDVL\HWLDUWþUþUYH
SRVWRSHUDWLI NRPSOLNDV\RQODUþ D]DOWþU
.þODYX]OXFHUUDKLGDKDD]GHQH\LPOLNOLQLV\HQOHULQ
]RUYDNDODUþWHGDYLHWPHOHULQHL]LQYHUPHSRWDQVL-
[41] =>
ROOTS DERGISI-S-32 KAPAKLAR
vaka raporu_mikro cerrahi
Resim 2 j
Resim 2 k
\HOLQHVDKLSWLUoQNLOHULG]H\FHUUDKLEHFHUL\H
LKWL\Do GX\PDNVþ]þQ |QJ|UOHELOLU VRQXoODU HOGH
HWPH\HRODQDNVDÿODU
$QFDN EX WHNQLN SUHRSHUDWLI SUHSDUDV\RQ LoLQ
|QHPOL ELU |ÿUHQPH HÿULVL LoHUHQ WHNQLN GHQH\LP
JHUHNWLULU %DVþODQ REMHOHULQ KDVVDVL\HWL
VDGHFH ' \D]þFþ\D EDÿOþ GHÿLOGLU D\UþFD .,%7 YH
LQWUDRUDOWDUDPDJ|UQWOHULQHYH&$'\D]þOþPþLOH
WDVDUþPFþQþQNDSDVLWHVLQHGHEDÿOþGþU *|UQW
HOGHHWPHLúOHPHYHUHWLPDúDPDODUþHVQDVþQGD
PLQLPDO KDWDODU RUWD\D oþNDELOLU %X WHNQLÿL
NXOODQPDNLoLQYDNDODUþX\JXQELUúHNLOGHVHoPHN
YHúDEORQX|]HQOHWDVDUODPDNJHUHNOLGLUgUQHÿLQ
PHWDOLN UHVWRUDV\RQ YDUOþÿþ .,%7 J|UQWOHULQGH
VDoþOPD\D YH EX VHEHSOH WDUDQDQ PRGHOGH KDWDOþ
VSHUSR]LV\RQODUþDUWþUPD\D\RODoDELOLU
$\UþFD UHKEHU HúOLÿLQGH PLNURFHUUDKL SUHRSHUDWLI
RODUDN]DPDQDOþFþGþUDQFDNGLMLWDOLúDNþúþVDÿODQGþNWDQ VRQUD ]DPDQþQ D]DODFDÿþ EHNOHQPHNWHGLU
'RV\DODUþELUOHúWLUPHLoLQJHUHNHQ\D]þOþPYH
DUDoODUþWHPLQHWPHWDVDUODPDYHFHUUDKLUHKEHULQ
'EDVþPþQþQGDJHUHNOLROPDVþ JHOHQHNVHO
\DNODúþPODNþ\DVODGþÿþQGDEXWHNQLÿLGDKD\NVHN
FUHWOHUHPDOHGHU .RUWLNDONHPLÿLQYH
GHQWDO\DSþODUþQNRUXQPDVþEXWHNQLÿLQELUDYDQWDMþRODUDNGHÿHUOHQGLULOHELOLUYHLODYHSODQODPDVUHVLYHPDOL\HWHKDNYHULOHELOLU
_Sonuç
Sonuçlar, rehberli endodontik cerrahinin gelecek
YDGHGHQ ELU \DNODúþP ROGXÿXQX J|VWHULU oQN
FHUUDKLSURVHGUEDVLWOHúWLULOPLúWLUYHWHGDYLYHULPOLOLÿLQLQL\LOHúWLULOGLÿLJ|UOPHNWHGLU2VWHRWRPLQLQ
ER\XWXQXPLQLPXPDLQGLUPH\H\DUGþPFþROXUYH
VDÿODP EXNNDO NHPLN WDEDNDVþ YH DQDWRPLN \DSþODUD \DNþQ RODQ YDNDODUGD N|N XoODUþQþQ \HULQL
EHOLUOHPH\L NROD\ODúWþUþU $\UþFD \XPXúDN YH VHUW
GRNXGDPLQLPDOKDVDUODN|NDSHNVLQLQ\HULQLGDKD
NROD\YHKþ]OþEHOLUOHPH\HYHLDWURMHQLN\DUDODQPD\þ D]DOWPD\D L]LQ YHULU 7P EXQODUD UDÿPHQ EX
NOLQLN\DNODúþPþJHoHUOLNþOPDNLoLQGDKDLOHULDUDúWþUPDYHGHQHPH\DSþOPDOþGþU
Resim 2 l
Resim 2 m
_(GLW|U1RWX
Bu makale, ilk olarak roots—international
magazine of endodontics,9ROVD\þ·GH
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üniversite_tanıtımı
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Biruni Üniversitesi’nde bilișsel gelișim ve performans artıșına yönelik, “BirDeHa” ve
“BirBilginOl” modelleri bașta olmak üzere 10 farklı eğitim yöntemi uygulanıyor. Diș Hekimliği Fakültesi
Endodonti Anabilim Dalı Bașkanı Doç. Dr. Tuna Kaplan’dan bașta Endodonti kürsüleri olmak üzere
üniversitelerindeki çalıșmaları dinledik. Doç. Dr. Kaplan, rejeneratif endodontik tedavilerdeki
gelișmelerin endodontinin önemini artırdığını söyledi.
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EDúþQGDGDKDKþ]OþYHGRÿUXWHúKLVLPNDQODUþJHOPHNWHGLU
[53] =>
ROOTS DERGISI-S-32 KAPAKLAR
PROF. DR. MUSTAFA RAMAZANOĞLU
|
DR. BECEN DEMİR
İLERİ İMPLANT
CERRAHİSİ
KURSU
KADAVRA UYGULAMALI
Onyedi yıllık
implantoloji eğitim
tecrübemiz ile oniki yıllık
kadavra uygulamalı kurs
tecrübemizi sentezledik
ve Türkiye’nin ilk “Kadavra
Uygulamalı İleri Seviye
İmplantoloji Kursu”nu
tasarladık.
Diș hekimliği bilimine
sevgilerimizle...
24-25
MAYIS 2024
İSTANBUL
DrVesta.com | 0212 481 02 20
Katılım Ücreti: 1.000 USD / 0212 481 02 20 • vyg.com.tr
[54] =>
ROOTS DERGISI-S-32 KAPAKLAR
kitap_PTC
'Lø7HNQLV\HQOHULLoLQ+DULND%LU.D\QDN
37&7HNQLN.LWDSODU6HULVL
PTC Teknik Kitaplar Serisi, diș teknisyenliği eğitiminde
kendisine ait, tescilli bir sistemin mucidi John Ness
tarafından hazırlandı. On ciltten olușan kitap setinde
arka ve ön dișlerin anatomisi, kuron ve köprü modelajı,
köprülerin șekillendirilmesi, porselen uygulaması ve
doğal protez yapımına dair bilinmesi gereken
her detay kapsamlı olarak ele alınıyor.
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[55] =>
ROOTS DERGISI-S-32 KAPAKLAR
kitap_inceleme
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åNL&LOWOLN(QGRGRQWL6HWL
Arnaldo Castellucci’nin 2 ciltlik Endodonti isimli eseri, Güneș Tıp
Kitabevi tarafından okurlara sunuluyor. Eser, resimlerinin yanı sıra klinik
vakaların 77 videosu ile destekleniyor.
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sunulmakta.
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Prof. Dr. Serhat Yalçın ve Dr. İrem Aktaș Bașaran’ın kaleme aldığı eser, çok değerli öğretim üyelerinin de
katkılarıyla temporomandibular eklem (TME) hastalıkları için önemli bir kaynak olușturuyor.
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tedavileriyle ilgili akademisyenlere de bir
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[56] =>
ROOTS DERGISI-S-32 KAPAKLAR
etkinlik_ajanda
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Asheville, North Carolina
https://aaoinfo.org/
H[RFDG,QVLJKWV
https://www.estheticacademy.org/
page/AAEDMeetings
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3HULRGRQWRORJ\
$QQXDO0HHWLQJ
(NLP².DVþP
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https://www.perio.org/ce-meetings/
future-aap-annual-meetings/
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www.ifea2024glasgow.com
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522766800,7
https://www.fdiworlddental.org/
world-dental-congress-2024
https://exocad.com/insights2024
https://worldsymposium.iti.org/
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Athens, Greece
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https://endosapiens.com/
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Bucharest, Romania
https://sser.ro/en/
8OXVODUDUDVÕ(QGRGRQWL
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Antalya, Türkiye
https://www.endodonti2024.org/
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https://uniteddentalshow.com/en/
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https://turkpedo2024.org/
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Antalya, Türkiye
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Berlin, Germany
https://www.dds.berlin/
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[57] =>
ROOTS DERGISI-S-32 KAPAKLAR
etkinlik_ajanda
7UN8OXVODUDUDVÕ(QGRGRQWL6HPSR]\XPX%HOHN·WH
Türk Endodonti Derneği, 10. Türk Uluslararası Endodonti
Sempozyumu’nu, 19 – 22 Mayıs 2024 tarihleri arasında Belek’de
gerçekleștirecek. Sempozyumda, endodonti dünyasındaki güncel
bilgiler, bilimsel gelișmeler değerlendirilecek.
_.þ\PHWOLNRQXúPDFþODUþQVXQXPODUþQDHY
VDKLSOLÿL \DSDFDN RODQ VHPSR]\XP NDWþOþPFþODUD%HOHN·WHVRV\DO\|Q\OHGHJoO
ELUEXOXúPDYDGHGL\RU'RVWOXNODUþQSHNLúHFHÿLEXELOLPVHOHWNLQOLN7UN(QGRGRQWL
$LOHVLQLQ JoOHQPHVLQH YH JHOHFHÿH JYHQOH EDNPDVþQD YHVLOH RODFDN (WNLQOLÿLQ
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$OID\DWH %XUoLQ $UþFDQ $OSD\ $KPHG
$EGHO5DKPDQ+DVKHP(UWXÿUXO.DUDWDú
Cangül Keskin, Bora Korkut, Mohammad
+RVVHþQ 1HNRRIDU YH 6HUKDW
[58] =>
ROOTS DERGISI-S-32 KAPAKLAR
yayın kuralları
5RRWV
[59] =>
ROOTS DERGISI-S-32 KAPAKLAR
[60] =>
ROOTS DERGISI-S-32 KAPAKLAR
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Cover
1 - 1
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Jenerik
3 - 3
view
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Içindekiler
6 - 6
view
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Vaka raporu
8 - 12
view
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Vaka raporu
14 - 25
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Vaka raporu
28 - 34
view
-
Vaka raporu
36 - 39
view
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Tanıtımı
40 - 45
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Güncel
46 - 48
view
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Tanıtımı
50 - 52
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
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