Cover / Jenerik / Içindekiler / Editörden / Dijital teknoloji / Inlay restorasyonlar / Nekrotik süt molarların / Rejeneratif endodontik tedavi / Fistülden oroantral fistüle / Rejeneratif / Tanıtımı / Güncel / Tanıtımı / Inceleme / Ajanda / Yayın kuralları
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6 - 6 viewEditörden
7 - 7 viewDijital teknoloji
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14 - 18 viewNekrotik süt molarların
20 - 25 viewRejeneratif endodontik tedavi
26 - 29 viewFistülden oroantral fistüle
30 - 34 viewRejeneratif
36 - 46 viewTanıtımı
48 - 49 viewGüncel
50 - 53 viewTanıtımı
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[1] =>
ROOTS DERGISI-S-29 KAPAKLAR
Sayı 29
international magazine of
2
2022 Türkiye Baskısı
_vaka raporu
Kalıcı Kuron Rezin ile
3D Üretilmiș Maksiller
Premolar Inlay
Restorasyonlar
Endodontide
Dijital Teknoloji
Kırık Kanal Aleti
Kaynaklı Fistülden
Oroantral Fistüle
ISSN 1307-7791
endodontics
[2] =>
ROOTS DERGISI-S-29 KAPAKLAR
[3] =>
ROOTS DERGISI-S-29 KAPAKLAR
roots_jenerik
2
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-29 KAPAKLAR
[5] =>
ROOTS DERGISI-S-29 KAPAKLAR
[6] =>
ROOTS DERGISI-S-29 KAPAKLAR
roots_içindekiler
sayfa 06
sayfa 12
| editörden
| ürün tanıtımı
05
46
'HæHUOL0HVOHNWDâODUÖP
sayfa 18
hUQ7DQÖWÖPÖ
_Doç. Dr. Taha Özyürek
| haberler
| vaka raporu
06
(QGRGRQWLGHGLMLWDOWHNQRORML
7UDYPDVRQUDVÖN|NNDQDOREOLWHUDV\RQXEXOXQDQ
GLâOHUGHGLQDPLNQDYLJDV\RQNXOODQDUDNJLULâ
VDæODPDNYHNDQDOâHNLOOHQGLUPHN
48
*5($7,67'HQWDO6HNW|U%XOXâWXUGX
48
'åã6å$'%DâNDQÖ(UNDQ8oDU )XDUÖPÖ]
'DKD*oO2ODFDN
49
'W6HUGDU6ÖUDODU·GDQ*5($7,67·\Hg]HO
6WDQG8S*|VWHULVL
49
*5($7,676|]O%LOGLUL
[7] =>
ROOTS DERGISI-S-29 KAPAKLAR
roots_editörden
'HæHUOL0HVOHNWDâODUÖP
_3DQGHPLQLQHWNLVLQLQJHoWLÿL\þOþQþQVRQVD\þVþLOHNDUúþQþ]GD\þ]3DQGHPLGHQ
VRQUD|]OHGLÿLPL]\]\]HELOJLSD\ODúþPODUþQþQ\DSþOGþÿþVHPLQHUOHUHNXUVODUDYHNRQJUHOHUHNDYXúWXN*HoWLÿLPL]7UN'LúKHNLPOLÿL%LUOLÿL8OXVODUDUDVþ.RQJUHVL,'(;
)XDUþYH8OXVODUDUDVþ*5($7,67.RQJUHVLYH)XDUþ·QDJ|VWHUGLÿLQL]\RÿXQLOJLELUELULPL]LQDVþO|]OHGLÿLPL]LQELUJ|VWHUJHVL\GL
roots7UNL\HHNLELRODUDNEXVUHGH\RÿXQoDOþúPDODUþPþ]þQDUDVþQGDGHUJLPL]LLKPDO
HWPHGLNYHEXVD\þ\þVL]OHULoLQKD]þUODGþN%LUELULQGHQGHÿHUOLDNDGHPLV\HQOHULQYHJHQo
PHVOHNWDúODUþPþ]þQNDWNþGDEXOXQGXÿXEXVD\þGDVL]OHULoLQNOLQLÿLQL]GH\DUDUODQDFDÿþQþ]
ELUoRNLSXFXEXOXQPDNWD
%X VUHoWH \DQþPGD RODQ YH D\Qþ ]DPDQGD GHUJLPL]LQ %LOLPVHO 'DQþúPD .XUXOX
%DúNDQOþÿþQþVWOHQHQ'Ro'U%XUoLQ$UþFDQ$OSD\·DYH\D]þHNLELPL]HJD\UHWOLoDOþúPDODUþQGDQGROD\þWHúHNNUHGHULP
+HSLQL]HNH\LIOLRNXPDODUGLOHULP
Doç. Dr. Taha Özyürek
Editör
roots
2_2022
5
[8] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_dijital teknoloji
(QGRGRQWLGHGLMLWDOWHNQRORML
7UDYPDVRQUDVÖN|NNDQDOREOLWHUDV\RQXEXOXQDQGLâOHUGHGLQDPLN
QDYLJDV\RQNXOODQDUDNJLULâVDæODPDNYHNDQDOâHNLOOHQGLUPHN
Yazar_Dr. Bartlomiej Karaś, Polonya
_*LULü
.|N NDQDO REOLWHUDV\RQX ..2 GLú WUDYPDVþQþQ
DUGþQGDQ GHQWDO SXOSDGD PH\GDQD JHOHQ NRPSOLNDV\RQODUGDQELULVLGLU$\Qþ]DPDQGDEXWUDYPD
VRQUDVþ SXOSD L\LOHúPHVLQLQ PHNDQL]PDODUþQGDQ
ELULVLGLU DQFDN WUDYPD VRQXFXQGD SXOSD QHNUR]X
GD ROXúDELOPHNWHGLU ..2 NOLQLN RODUDN HQ HUNHQ
WUDYPDVRQUDVþD\LOHD\DUDVþQGDWHVSLWHGLOHELOPHNWHGLU..2VNOHURWLN\DGDUHSHUDWLIGHQWLQ
JLEL VHUW GRNXODUþQ GHSR]LV\RQXQXQ ELU HWNLVLGLU
DQFDN..2·QXQDOWþQGD\DWDQPHNDQL]PDODUKHQ]
NHVLQOHúPHPLúWLU 2JLQQL YH DUN UDSRUODUþQD J|UH
WUDYPD VRQUDVþ LQFHOHQHQ YDNDQþQ ·X
SDUVL\HO REOLWHUDV\RQ ·L WRWDO REOLWHUDV\RQ
J|VWHUPLúWLU
[9] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_dijital teknoloji
Resim 4
Resim 5
ODUþQDJ|UH..2QHNUR]XYHSHULDSLNDOKDVWDOþNODU
QDGLU GH ROVXQ WUDYPDGDQ \þOODU VRQUD RUWD\D oþNDELOPHNWHGLU %DVWRV YH &RUWHV·H J|UH NXURQGDNL
UHQNOHQPHYDNDODUþQE\NoRÿXQOXÿXQGDEXOXQPDNWDGþUYHJHQHOOLNOH..2·QXQJ|UQHQLONVHPSWRPXROPDNWDGþU*HQHOOLNOHUHQNGHÿLúLPOHULNR\X
VDUþYHKDWWDJULROPDNWDGþU
..2·QXQSDWHQVLDOþQDPD\þúþQGDQND\QDNOþ\|QHWLPLKHNLPOHULoLQ]RUOD\þFþRODELOPHNWHGLU'RÿUX
ELU JLULú NDYLWHVL DoþOPDVþ GLú \DSþVþ oRN ID]OD
]D\þIODWþOPD\DFDN úHNLOGH YH N|N NDQDO JLULúLQLQ
lokalize edilmesi klinik tecrübe ile birlikte dental
RSHUDV\RQ PLNURVNREX JLEL LODYH HNLSPDQODU JHUHNWLUPHNWHGLU &DUYDOKR YH =XROR·\D J|UH GHQWDO
RSHUDV\RQ PLNURVNREX NXOODQþPþ SXOSD RGDVþ WDEDQþQGDNL WP NDQDO JLULúOHULQL ORNDOL]H HWPHNWH
ID\GDVDÿODPDNWDGþU%RYHGDYH.LVKHQVþQþUOþNDYLWHSUHSDUDV\RQXQXQGLúVL]X]XQG|QHPSURJQR]XDoþVþQGDQID\GDOþROGXÿXQXIDNDWWHGDYL|QFHVL
&%&7WDUDPDVþJLELLODYHGLDJQRVWLNIDNW|UOHUJHUHNWLUGLÿLQLEHOLUWPHNWHGLU
Resim 4:
1DYLGHQWFLKD]ÖQÖQNDOLEUDV\RQX
7DNLSoLOHUYHNDPHUDJ|VWHULOPHNWHGLU
Resim 5:
2SHUDV\RQVÖUDVÖQGD\D]ÖOÖP
J|UQWV
_'LQDPLN1DYLJDV\RQ
*QP]GH PRGHUQ WHNQRORMLQLQ JHOLúPHVLQH
EDÿOþRODUDNWHGDYLOHULQGDKDNRQVHUYDWLIYH|QJ|UOHELOLUJHUoHNOHúWLULOPHVLPPNQROPDNWDGþU%LU
VUF LoLQ *36QDYLJDV\RQ QH LVH KHNLP LoLQ GH
1DYLGHQW GLQDPLN QDYLJDV\RQ VLVWHPL &ODUR1DY
R DQODPD JHOPHNWHGLU 1DYLGHQW VWHUHRVNRSLN NDPHUDYHPDUNHU UHIHUDQV NUHOHULNXOODQPDNWDGþU
%|\OHFH NDPHUD KHNLP KDUHNHWOHULQL WDNLS HGHELOPHNWHGLU %XQXQOD ELUOLNWH VLVWHP KDVWDQþQ &%&7
WDUDPDVþQD YH 1DYLGHQW \D]þOþPþQþQ WDVDUODGþÿþ
Resim 6 a
Resim 6 b
Resim 7 a
Resim 7 b
Resim 8 a
Resim 8 b
Resim 9 a
Resim 9 b
Resim 6 a ve b: *LULâNDYLWHVLKD]ÖUOÖæÖQÖQLONDâDPDVÖ(a)&%&7NRQWUROVDJLWWDOG]OHP(b)*LULâNDYLWHVLQLQDoÖVÖJ|UQPHNWHGLUResim 7 a ve b:.DQDOJLULâLQLDUD\DQHODOHWL
Resim 8 a ve b:6RQSUHSDUDV\RQ(a)HOSOXJJHUÖLOHJLULâNDYLWHVLJHQLâOLæLYHN|NNDQDOJLULâOHULQLQNRQWUROHGLOPHVL(b)Resim 9 a ve b:'ROXPGDQ|QFHNDQDOÖQNXUXODQPDVÖ
roots
2_2022
7
[10] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_dijital teknoloji
Resim 10 a
GLMLWDOELUUHKEHUHLKWL\DoGX\PDNWDGþU5HKEHUWDVDUODQGþNWDQVRQUDKHNLPKDVWDQþQGLúLQL|]HOELUDUDo
DVD WKHZDQG NXOODQDUDN&%&7LOHNDOLEUHHGHFHN
úHNLOGHND\GHWPHOLGLU'LúLQND\GþQþQDUGþQGDQKHNLPIUH]LYHG|QHUDOHWLLOJLOLLúDUHWoLOHUHJ|UHNDOLEUH
HWPHOLGLU+D]þUODQDQUHKEHUL]OHPHQRNWDODUþYHNDPHUDQþQGLQDPLNWDNLELLOHELUOLNWHGLúKHNLPLIUH]LQ
NHVLQSR]LV\RQXYHDQJXODV\RQXQXPP·OLN
JHFLNPHOHUOH ELOJLVD\DU HNUDQþQGD J|UQWOHPHNWHGLU 0HYFXW YHULOHUH J|UH HNLSPDQþQ KDVVDVL\HWL
PP YH ·GLU %|\OHFH HQGRGRQWLN WHGDYL LoLQ
NXOODQþODQ &$'&$0 UHWLPL UHKEHUOHUGHQ DQODPOþ
G]H\GH GDKD \NVHN KDVVDVL\HW J|VWHUPHNWHGLU
$QFDN SURVHGUQ KDVVDVL\HWLQLQ KHNLPH J|UH
IDUNOþOþNROXúWXUDELOHFHÿLJ|]DUGþHGLOPHPHOLGLU
Resim 10 b
_9DND
Resim 11 a
\DúþQGDNDGþQKDVWDNOLQLÿHPDNVLOOHUVDÿELULQFL
NHVHUGLúLQGHDÿUþYHUHQNOHQPHúLND\HWOHULLOHEDúYXUPXúWXU 5HVLP 7þEELJHoPLúLVRUXOGXÿXQGD
\DNODúþN \þO |QFHVLQGH ELU WUDYPD |\NV GLOH
JHWLUPLúWLU +DVWDQþQ JHQHO GLú KHNLPL WDUDIþQGDQ
\DSþODQUDUG\RJUDILNPXD\HQHGH..2WHVSLWHGLOPLúWLU%LU&%&7WDUDPDVþQDYHHQGRGRQWLNWHGDYL\H\|QOHQGLULOPLúWLU
Resim 11 b
Resim 12
Resim 13
Resim 10 a ve b: *WDSHUNDLOHGROXP(a)YHNRQWUROUDG\RJUDIÖ(b)Resim 11 a ve b:2NO]DONRQWURO(a)YH
NRPSR]LWNDSDPDQÖQUDG\RJUDILNNRQWURO(b)Resim 12:&%&7NRQWUROVDJLWWDOG]OHP.|NNDOÖQOÖæÖ|OoP
SUHSDUDV\RQER\XWODUÖQÖGRæUXODPÖâWÖU3HULDSLNDOGRNXODUGDL\LOHâPHJ|UOPHNWHGLUResim 13:&%&7NRQWURO
VDJLWWDOG]OHP.|NQX]XQDoÖVÖJLULâNDYLWHVLQLQDoÖVÖYHN|NNDQDOSUHSDUDV\RQODUÖJ|UOPHNWHGLU
Resim 14
Resim 15 a
Resim 16 a
Resim 16 b
Resim 16 c
Resim 17 a
.RQVOWDV\RQVþUDVþQGD&%&7WDUDPDVþYRNVHOER\XWXPPRODQ &' &DUHVWUHDP LOHJHUoHNOHúWLULOPLúWLU&%&7WDUDPDVþQGD\NVHNRUDQGD
NDOVLIL\H ELU SXOSD RGDVþ YH QHUHGH\VH J|UQPH]
ELUN|NNDQDO\ROXWHVSLWHGLOPLúWLU 5HVLP +DVWD
WHGDYL VþUDVþQGD GLúLQ \DSþVDO RODUDN NRUXQPDVþQþ
VDÿOD\DQ\HQLYHID\GDOþWHNQRORMLKDNNþQGDELOJLOHQGLULOPLúWLU
Resim 15 b
Resim 17 b
Resim 15 c
Resim 17 c
Resim 14: %DâODQJÖoGXUXPXQXQDæÖ]LoLJ|UQWV6DæVDQWUDONHVHUGHJ|UQUUHQNOHQPHResim 15 a-c:&%&7WDUDPDVÖVDJLWWDO(a ve b)YHNRURQDOG]OHPOHU(c)3XOSDNDQDOREOLWHUDV\RQXKHULNLGLâWHGHJ|UQPHNWHGLUYHVRONHVHUGHSHULDSLNDOOH]\RQEXOXQPDNWDGÖU6DæNHVHUGHLQWHUQDOUH]RUSVL\RQGDQâSKHOHQLOPHNWHGLUResim 16 a-c:6DæNHVHULoLQVDQDOUHKEHU
SODQODPDVÖ3UHSDUDV\RQXQDoÖYHGHULQOLæLJ|UOPHNWHGLUResim 17 a-c:6RONHVHULoLQVDQDOUHKEHUSODQODPDVÖ3UHSDUDV\RQXQDoÖYHGHULQOLæLJ|UOPHNWHGLU
8 roots
2_2022
[11] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_dijital teknoloji
Resim 18 a
Resim 18 b
Resim 18 a ve b:
&%&7NRQWUROVDJLWWDOG]OHP
*LULâNDYLWHVLQLQDoÖVÖKHULNLGLâLoLQ
GHJ|UOPHNWHGLU
Resim 19 a ve b:
'ROXP|QFHVLQGHNDQDOODUÖQ
NXUXWXOPDVÖ(a)*LULâNDYLWHVLQLQ
VRQâHNOL(b)
Resim 20 a ve b:
*WDSHUNDLOHGROXP(a ve b)YH
NRQWUROUDG\RJUDIÖ(c)
Resim 19 a
Resim 20 a
Resim 21 a ve b:
2NO]DONRQWURO (a)YHNRPSR]LW
NDSDPDQÖQNRQWUROUDG\RJUDIÖ(b)
Resim 19 b
Resim 20 b
Resim 20 c
7HGDYL|QFHVLQGH&%&7WDUDPDVþ\D]þOþPDDNWDUþOPþúYHVDQDOUHKEHUSODQODQPþúWþU 5HVLP 7HGDYL
VUHVLQFH1DYLGHQW\D]þOþPþG|QHUDOHWLWDNLSHGHUNHQKHNLPLQKDUHNHWOHULLOHSODQODQPþúUHKEHUDUDVþQGDELUNRUHODV\RQVDÿODGþÿþQGDQGROD\þEXSODQODPD DúDPDVþ HQ |QHPOL EDVDPDNODUGDQ ELULVLGLU
(ÿHU GHULQOLN \D GD \|Q UHKEHU ]HULQGH VDSDUVD
N|NSHUIRUDV\RQXLoLQ\NVHNULVNEXOXQPDNWDGþU
Resim 21 a
.OLQLN SURVHGU VUHVLQFH oHQH L]OH\LFLVL KDVWDQþQ GLúLQH \HUOHúWLULOPLú YH |Oo PDWHU\DOL LOH VDELWOHúWLULOPLúWLU +DVWDQLQ GLú SR]LV\RQX ND\Gþ YH
&%&7 LOH NDOLEUDV\RQX DVD WKH ZDQG HNLSPDQþ
LOH JHUoHNOHúWLULOPLúWLU )UH] L]OH\LFLVL HO DOHWL LODYH
HGLOPLúWLU YH HO DOHWL YH IUH]LQ NDOLEUDV\RQX NDOLEUDV\RQ FLKD]þ LOH JHUoHNOHúWLULOPLúWLU 5HVLP
7PND\þWYHNDOLEUDV\RQSURVHGUOHULQLQDUGþQGDQ
KDVWD GLú YH UHKEHU JLULú NDYLWHVL SUHSDUDV\RQX
Resim 21 b
LoLQ KD]þUODQPþúWþU *LULú NDYLWHVL (QGR*XLGH IUH]L
66:KLWH'HQWDO LOH1DYLGHQW\D]þOþPþQþQ\DUGþPþ
LOHKD]þUODQPþúWþU+HNLPLoLQHQ]RUOD\þFþGXUXPHú
]DPDQOþRODUDN\NVHNKþ]OþG|QHUDOHWOHGLú]HULQGHoDOþúþUNHQELU\DQGDQGDIUH]DoþVþQþELOJLVD\DU
HNUDQþQGD NRQWURO HWPHNWLU %X GXUXP LON SURVHGUOHUGHSRWDQVL\HONRRUGLQDV\RQVRUXQODUþWHúNLO
HWPHNWHGLU 5HVLP
roots
2_2022
9
[12] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_dijital teknoloji
+D]þUODQDQ UHKEHUGH LVWHQHQ IUH]OHPH GHULQOLÿLQH
XODúþOGþÿþQGDJLULúNDYLWHVLQGHNLGRÿUXOXÿX|OoPHN
LoLQLNLQFLELU&%&7DOþQPþúWþU 5HVLP *|UQW\H
J|UH JLULú NDYLWHVLQLQ DoþVþ SDODWDOH GRÿUX KDILI
GHÿLúLNOLNJ|VWHUPLúWLUYHN|NNDQDOþQD.WLSL
HÿH .HQGR9': 5HVLP LOHJLULúVDÿODQPþúWþU
.|N NDQDO úHNLOOHQGLUPHVL (QGRVWDU ( $]XUH
3ROGHQW LOH ·H NDGDU JHUoHNOHúWLULOPLúWLU
ûHNLOOHQGLUPH SURWRNROOHULQLQ DUGþQGDQ N|N NDQDO JLULúL HO SOXJJHU·þ LOH NRQWURO HGLOPLúWLU
YH ·GHQ E\N DPD ·GHQ NoN ROGXÿX J|UOPúWU 5HVLP ýUULJDV\RQ SURWRNRO
VRG\XP KLSRNORULW YH VLWULN DVLW LOH
JHUoHNOHúWLULOPLúWLU+HULNLVROV\RQGD(''<VRQLN
XoODUþ 9': LOH DNWLYH HGLOPLúWLU EXQD HN RODUDN
VRG\XP KLSRNORULW HOHPHQWV IUHH .HUU FLKD]þ LOH
NDQDO LoL þVþWPD\D WDEL WXWXOPXúWXU .DQDOODU NDÿþWNRQODULOHNXUXWXOPXúWXU 5HVLP YHGHYDPOþ
þVþWHNQLÿLNXOODQþODUDNVþFDNJWDSHUNDLOHGROXP
JHUoHNOHúWLULOPLúWLU $UGþQGDQ NRQWURO UDG\RJUDIþ DOþQPþúWþU 5HVLP *LULú NDYLWHVL NRPSR]LW
PDWHU\DOLLOHNDSDWþOPþúWþUYHEDúNDELUUDG\RJUDI
DOþQPþúWþU 5HVLP
.RQWURO UDQGHYX WHGDYLGHQ G|UW D\ VRQUD JHUoHNOHúPLúWLU3HULDSLNDOGRNXODUGDL\LOHúPHJ|UOPúWU9RNVHOER\XWODUþQD PP EDÿOþRODUDN
&%&7·GH OLPLWDV\RQODU EXOXQVD GD JLULú NDYLWHVL
PP PP RODUDN EXOXQPXú YH WHGDYL
VUHFLQGHNL |OoPOHU GRÿUXODQPþúWþU 5HVLP
%XQXQODELUOLNWHJLULúNDYLWHVLQLQYHN|NNDQDOSUHSDUDV\RQXQXQGDD\QþDoþGDROGXÿXN|NQX]XQ
DNVþQD SDUDOHO VH\UHWWLÿL YH N|N PHUNH]LQGH NRQXPODQGþÿþGRÿUXODQPþúWþU 5HVLP
_9DND
B\D]DU
KDNNÖQGD
roots
Dr. Bartlomiej Karas
0$;'(17
8O+DOOHUD
²:URFODZ
3RODQG
NRQWDNW#ENDUDVFRP
10 roots
2_2022
2WX] \DúþQGD NDGþQ KDVWD VRO PDNVLOOHU VDQWUDO
NHVHU GLúLQGH VUHNOL DÿUþ úLNk\HWL LOH NOLQLÿH EDúYXUPXúWXU%XQXQODELUOLNWHKDVWDWUDYPDKLND\HVL
EXOXQDQ NHVHU GLúOHULQLQ HVWHWLÿLQGHQ PHPQXQ
GHÿLOGLU 5HVLP &%&7PXD\HQHVL &'LOH
JHUoHNOHúWLULOPLúWLU 5HVLP &%&7WDUDPDVþVRO
VDQWUDONHVHUGLúWHSHULDSLNDOOH]\RQYHNHVHU\]H\GHQLWLEDUHQPP·OLNELU..2YDUOþÿþQþRUWD\D
NR\PXúWXU 6RO NHVHU GLúLQ N|N VDÿ NHVHU GLúLQ
N|NQHJ|UH\DNODúþNPPGDKDNþVDGXUXPGDGþU
YHEXGXUXPDSLNDOHQIODPDWXDUN|NUH]RUSVL\RQXQDLúDUHWHWPHNWHGLU%XQXQODELUOLNWHVDÿVDQWUDONHVHUGLúWHNHVHU\]H\GHQLWDEDUHQPP·OLN
ELU..2EXOXQPDNWDGþUYHN|NQRUWDE|OJHVLQGH
G]HQVL] ELU J|OJH WHVSLW HGLOPLúWLU %X J|UQW
LQWHUQDOUH]RUSVL\RQXGúQGUPúWU3HULDSLNDO
DODQGDOH]\RQEXOXQPDPDNWDGþU+HULNLGLúWHGH
SHULDSLNDODODQGDNLNDQDOJHQLúOLNOHULVDQWUDONHVHUOHUGHNLWLSLNJHQLúOLNWHQGDKDGDUJ|UOPúWU
7HGDYLGHQ|QFH&%&7WDUDPDVþ\D]þOþPD\NOHQPLú
YH VDQDO UHKEHU SODQODQPþúWþU 5HVLP YH
7PND\þWYHNDOLEUDV\RQSURVHGUOHUL|QFHNLYDNDGDROGXÿXJLELJHUoHNOHúWLULOPLúWLU
*LULúNDYLWHVL(QGR*XLGHIUH]LLOH\D]þOþP\DUGþPþ\ODDoþOPþúWþU+D]þUODQDQUHKEHUGHNLGHULQOLÿHXODúþOGþÿþQGDELUEDúND&%&7WDUDPDVþJLULúNDYLWHVLQLQ
GRÿUXOXÿX|OoPHNDPDFþ\ODDOþQPþúWþU 5HVLP
&%&7 WDUDPDVþQGD JLULú NDYLWHVLQLQ DoþVþQþQ GRÿUXROGXÿXIDNDWGHULQOLNWH\HWHUVL]NDOþQGþÿþWHVSLW
HGLOPLúWLU (QGR*XLGH IUH]L YH 1DYLGHQW JLULú NDYLWHVLQL \HQLGHQ úHNLOOHQGLUPHN DPDFþ\OD WHNUDU
NXOODQþOPþúWþU.DQDOGDSDWHQVLVDÿODQGþNWDQVRQUD
.HÿHLOHoDOþúPDER\XWHVSLWHGLOPLúWLU6Dÿ
NHVHU GLúLQ NDQDOþ (QGRVWDU ( $]XUH LOH ·H
YHVROVDQWUDOGLúLQNDQDOþ·HNDGDUúHNLOOHQGLULOPLúWLU +HU LNL NDQDOGD GD LUULJDV\RQ SURWRNRO VRG\XP KLSRNORULW YH VLWULN DVLW
LOH X\JXODQPþúWþU 6ROV\RQODU (''< VRQLN XoODUþ
LOH DNWLYH HGLOPLú YH HN RODUDN VRG\XP KLSRNORULW
HOHPHQWVIUHHFLKD]þLOHNDQDOLoHULVLQGHþVþWþOPþúWþU
.DQDOODUNDÿþWNRQODULOHNXUXODQPþú 5HVLP YH
GHYDPOþþVþWHNQLÿLNXOODQþODUDNVþFDNJWDSHUNDLOH
GROXP VDÿODQPþúWþU $UGþQGDQ NRQWURO UDG\RJUDIþ
DOþQPþú 5HVLP YHNRPSR]LWNDSDPDVDÿODQDUDNRNO]DOX\XPNRQWUROHGLOPLúWLU 5HVLP
_Sonuç
Endodontide dinamik navigasyon yeni ve henüz
NHúIHGLOPHPLú ELU WHNQRORML ROVD GD EXUDGDNL o
úLGGHWOL..2YDNDVþQGDNLNXOODQþPHQGRGRQWLLoLQ
WHNQRORMLQLQNXOODQþPþQGDXPXWYDDGHWPHNWHGLU
%X WHNQRORML LOHUL DUDúWþUPDODU JHUHNWLUVH GH J|UQGÿ NDGDUþ\OD KHNLPOHUH ..2 YDNDODUþQGD YH
FHUUDKL ROPD\DQ UHWUHDWPHQW YDNDODUþQGD GHVWHN
ROPDNWDGþU %XQXQOD ELUOLNWH WHNQRORMLQLQ NXOODQþPþLOHELUOLNWHSHULVHUYLNDOGHQWLQJLELGLúLQ\DSþVDO
EWQOÿQQNRUXQPDVþQþVDÿOD\DQNþVþWOþNDYLWH
KD]þUOþÿþQGD NROD\OþN VDÿODPDNWDGþU 6RQXo RODUDN HQGRGRQWLGH 1DYLGHQW JLEL GLMLWDO WHNQRORMLOHU
GDKDVþNNXOODQþOPDOþYHGDKDID]ODYHULHOGHHGLOHUHN..2JLELYDNDODUþQWHGDYLVLQGHJHOHFHNWH\HQL
VWDQGDUWODUROXúWXUXOPDOþGþU
_(GLW|U1RWX
Bu makale ilk olarak roots—international magazine
RI HQGRGRQWLFV YRO VD\þ ·GH \D\þQODQPþúWþU
[13] =>
ROOTS DERGISI-S-29 KAPAKLAR
[14] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_inlay restorasyonlar
.DOÖFÖNXURQUH]LQLOH'
UHWLOPLâPDNVLOOHUSUHPRODU
LQOD\UHVWRUDV\RQODU
Yazar_Dr. Edouard Lanoiselée, Fransa
Resim 1
Resim 2
Resim 3
Resim 4
_*LULü
'LMLWDO GLú KHNLPOLÿL WHNQLN YH PDWHU\DOOHUL JHOHQHNVHO \|QWHPOHUL SHN oRN DoþGDQ JHULGH EþUDNPþúWþU 'LMLWDO HNLSPDQODU |]HOOLNOH KDVWD KHNLP
YH ODERUDWXYDU DUDVþQGDNL EDÿODQþUOþÿþ YH LOHWLúLPL
kuvvetlendirmektedir. Bununla birlikte restoratif
GLúKHNLPOLÿLLoLQ\HQLGHQWDOPDWHU\DOOHULQJHOLúWLULOPHVLLOHGDKDNþVDWHVOLPVUHOHULYH\NVHNNDOLWHGHUHVWRUDV\RQODUþQPDOL\HWOHULUQLQGúUOPHVL
PPNQROPXúYH\HQLLPNDQODURUWD\DoþNPþúWþU
%XJQ Dÿþ] LoL WDUD\þFþODU YH ' \D]þFþ VLVWHPOHU NXOODQþP NROD\Oþÿþ LOH ELUOLNWH \NVHN G]H\-
Resim 5
12 roots
2_2022
[15] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_inlay restorasyonlar
Resim 6
Resim 7
Resim 8
Resim 9
GH SHUIRUPDQV J|VWHUPHNWHGLU )RUP % SULQWHU
)RUPODEV KHP X]PDQODUD KHP GH \HQL EDúOD\DQODUDWDNoDOþúWþUIRUPDWþ\ODNROD\OþNVDÿOD\DUDN
EXQD |UQHN RODUDN YHULOHELOLU .DOþFþ .XURQ 5H]LQ
)RUPODEV ·GH SL\DVD\D VUOHQ ELU UHVWRUDWLIPDWHU\DOGLUYHGDKDGúNPDOL\HWOHUOH\NVHN
NDOLWHGH NDOþFþ WHN SDUoD GHQWDO UHVWRUDV\RQODUþQ
UHWLOPHVLQLPPNQNþOPDNWDGþU
Burada sunulan klinik vakada inlay restoras\RQ UHWLPL LoLQ LQGLUHNW &$'&$0 Lú DNþúþ DGþP
DGþPJ|VWHULOPHNWHGLUgQFHDÿþ]LoL|OoDOþQPþúWþU YH YHULOHU SURWH] ODERUDWXYDUþQD DNWDUþOPþúWþU
Resim 10
Resim 1:
%DâODQJÖoNOLQLNGXUXP
Resim 2:
3UHSDUDV\RQGDQVRQUDGLâOHU
Resim 3:
3UHSDUDV\RQVÖQÖUWDNLELQLQJ|UOGæ
PDNVLOOHUWDUDPD
Resim 4:
6L\DKEH\D]|OoNRQWURO
Resim 5:
'LQDPLNRNO]\RQND\GÖ VSHVLILN
KDUHNHW
Resim 6-11:
,QOD\WDVDUÖPÖ
Resim 11
roots 13
2_2022
[16] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_inlay restorasyonlar
5HVWRUDV\RQ EXUDGD WDVDUODQPþú YH .DOþFþ .XURQ
5H]LQL NXOODQþODUDN )RUUP %·GH ' RODUDN UHWLOPLúWLU5HVWRUDV\RQODUNOLQLÿHJHULJ|QGHULOPLúYH
DGH]LY VLPDQWDV\RQ LoLQ KD]þUODQPþúWþU $UGþQGDQ
WHGDYLKDVWD\DX\JXODQPþúWþU
_9DND5DSRUX
+LSRWLURLGLWHGDYLDOWþQGDRODQ\DúþQGDNLNDGþQ
KDVWD QXPDUDOþ GLú E|OJHVLQGH VRÿXN KDVVDVL\HWL VHEHEL\OH NOLQLÿLPL]H NRQVOWH HGLOPLúWLU
.OLQLNPXD\HQHGHQXPDUDOþGLúWHEXOXQDQGHQWDODPDOJDPGDRNO]RGLVWDONþUþNWHVSLWHGLOPLúWLU
5HVLP YHQXPDUDOþGLúOHULQUHVWRUDV\RQODUþQþQ GD D\Qþ ]DPDQGD \DSþOGþÿþ |ÿUHQLOPLúWLU
YHEXGLúOHUGHGHVþ]þQWþEXOXQPDNWDGþU7HVWOHULQ
DUGþQGDQ QXPDUDOþ GLúH JHUL G|QúHELOLU SXOSLWLV WDQþVþ NRQPXúNHQ YH QXPDUDOþ GLúOHU
KHUKDQJLELUSXOSDOLúDUHWYHUPHPLúWLU
Resim 12
7HGDYL SODQþ QXPDUDOþ GLúWHNL DPDOJDP UHVWRUDV\RQXQ X]DNODúWþUþOPDVþ YH GLUHNW NRPSR]LW
UHVWRUDV\RQLOH\HQLOHQPHVLQLYHQXPDUDOþ
GLúOHULoLQLVH'UHWLOHQNRPSR]LWUH]LQUHVWRUDV\RQODUþ LQOD\ LoHUPHNWHGLU7HGDYLQLQLNLVHDQVWD
WDPDPODQPDVþ SODQODQPþúWþU 3UHSDUDV\RQ YH VLPDQWDV\RQVHDQVODUþ
$PDOJDPGROJXODUX]DNODúWþUþOPþúWþU$PDOJDPGDQ
ND\QDNODQDQUH]LGHOUHQNOHQPH\L|UWPHNYHXQGHUFXWDODQODUþGROGXUPDNLoLQNDYLWHOHUNRPSR]LW
LOH GROGXUXOPXúWXU QXPDUDOþ GLú GLUHNW NRPSR]LW UH]LQ WHNQLÿL LOH GROGXUXOPXúWXU ýQGLUHNW
UHVWRUDV\RQODUþQ J|OJHOHUL YH QXPDUDOþ
GLúOHULQGROJXODUþLoLQVHoLOHQJ|OJHWDUDIþQGDQEHOLUOHQPLúWLU .RPSR]LW GROJXODU EDNWHUL\HO NRQWDPLQDV\RQULVNLQHYHRODVþSXOSDOKDVVDVL\HWHNDUúþ
NRUXPDVDÿODPDNWDGþU
Resim 13
$UGþQGDQ GLúOHU LQOD\ LoLQ NXOODQþODQ NDOLEUH HGLOPLúIUH]OHUOHSUHSDUHHGLOPLúWLU 5HVLP &LODQþQ
DUGþQGDQ75,26 6KDSH NXOODQþODUDNKHPVWDWLNKHPGHGLQDPLNRODUDNDÿþ]LoL|OoDOþQPþúWþU
5HVLPYH 2NO]\RQGRÿUXOXÿXQXVDÿODPDN
LoLQKDVWDQþQPDQGLEXODUKDUHNHWOHULND\GHGLOPLúWLU 5HVLP $UGþQGDQ ND\þWODU JYHQOL 6KDSH
&RPPXQLFDWH ZHE SRUWDOþ NXOODQþODUDN SURWH]
ODERUDWXYDUþQD DNWDUþOPþúWþU $UJRDW 3URWKHVHV
'HQWDLUHV ýNLQFL VHDQVWD NROD\ X]DNODúWþUþOPDVþ DPDFþ\OD HVQHN NRPSR]LWWHQ /X[DWHPS,QOD\
'0* &KHPLVFK3KDUPD]HXWLVFKH )DEULN JHoLFL
UHVWRUDV\RQODUUHWLOPLúWLU
Resim 14
Resim 12: 3UH)RUP·GDEDVNÖKD]ÖUOÖæÖResim 13:,QOD\NDUDNWHUL]DV\RQXResim 14 ve 15:,QOD\OHULQ\]H\SUHSDUDV\RQODUÖ
Resim 15
14 roots
2_2022
[17] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_inlay restorasyonlar
5HVWRUDV\RQODU 'HQWDO 6\VWHP \D]þOþPþQGD
6KDSH 5HVLP PRGHOOHQPLúWLU 'LMLWDO WDVDUþPþQ WDPDPODQPDVþQþQ DUGþQGDQ LQOD\ODU 67/
IRUPDWþQD G|QúWUOPú YH 3UH)RUP \D]þOþPþQD
)RUPODEV 5HVLP DNWDUþOPþúWþUYH.DOþFþ.XURQ
5H]LQ 6KDGH$ LOHUHWLOPLúWLU$UGþQGDQUHVWRUDV\RQODUU ER\DPD 237,*/$=( *& YH FLODODPD
LOHNDUDNWHUL]HHGLOPLúYHVLPDQDV\RQLoLQNOLQLÿH
J|QGHULOPLúWLU 5HVLP
NXOODQþOPþúWþU.RPúXGLúGLÿHU\]H\OHULQDGH]LYYH
VLPDQ LOH NRQWDPLQH ROPDPDVþ LoLQ 37)( LOH L]ROH
HGLOPLúWLU $GH]LY DNWLI RODUDN \]H\OHUH VUOHUHN
X\JXODQPþúWþU YH DUGþQGDQ o|]FOHUL XoXUPDN
LoLQ NXUX KDYD VþNþOPþúWþU 3URWHWLN UHVWRUDV\RQD GD DGH]LY X\JXODQPþúWþU YH KDVVDV ELU úHNLOGH
*HoLFL UHVWRUDV\RQODUþQ X]DNODúWþUþOPDVþQþQ DUGþQGDQLQOD\OHUJLULúYHDGDSWDV\RQNRQWUROLoLQ
GHQHQPLúWLU6RQUDVþQGDLQWHUQDO\]H\OHULDúDPDGD KD]þUODQPþúWþU 5HVLP YH 0HNDQLN
UHWDQVL\RQ LoLQ PLNURNXPODPD P DOPLQD
UH]LGHO DOPLQD SDUWLNOOHULQLQ WHPL]OHQPHVL YH
VLODQWDV\RQ *0XOWL 35,0(5 *& *]HOFH NXUXODPDQþQDUGþQGDQSULPHUWHNWDEDNDRODUDNX\JXODQPþúWþU YH ID]ODVþ KDYD LOH X]DNODúWþUþOPþúWþU
6RQUDVþQGDUHVWRUDV\RQELUþVþWþFþ\DVLODQDNWLYDV\RQXDPDFþLOH\HUOHúWLULOPLúWLU
$UGþQGDQ VLPDQWDV\RQ DúDPDVþQD JHoLOPLúWLU
gQFH GHQWDO ODVWLN |UWOHU LOH oDOþúPD DODQþ G]HQOHQPLúWLU%|\OHFHLOJLOLE|OJHDÿþ]LoHULVLQGHNL
QHPGHQ NRUXQPXú YH J|UQUON DUWþUþOPþúWþU
.DYLWHOHU PLNURNXPODPD\D P DOPLQD WDEL
WXWXOPXúWXU .XPODPD NRPSR]LWL EDÿODQPD LoLQ
yeniden aktive etmektedir ve kaviteyi muhtemel
JHoLFL VLPDQWDV\RQ DMDQþQGDQ YH UHVWRUDV\RQGDQ
WHPL]OHPHNWHGLU 5HVLP $OPLQD SDUWLNOOHULQL X]DNODúWþUPDN LoLQ EROFD \þNDPD \DSþOPþúWþU
%X GXUXP DGH]\RQ GHÿHUOHULQL GúUHELOPHNWHGLU0LQHGHVDQL\HGHQWLQGHVDQL\HRODFDN
úHNLOGH IRVIRULN DVLW X\JXODQPþúWþU 5HVLP
$VLWOHPH LOH PLNURPHNDQLN DQDKWDU VLVWHPL ROXúPDNWDYHEDÿODQPD\]H\OHULQLQWHPL]OLÿLQLQELWLPLNROD\ODúPDNWDGþU 5HVLP
6LPDQWDV\RQLoLQoLIWSROLPHUL]H NLP\DVDOYHþúþNOD
QLYHUVDOVLPDQWDV\RQDMDQþ *&(0/LQN)RUFH*&
Resim 18
Resim 16
Resim 17
Resim 19
Resim 16: 'Lâ\]H\SUHSDUDV\RQODUÖResim 17:)RVIRULNDVLWX\JXODPDVÖResim 18:<]H\X\JXODPDODUÖVRQUDVÖGLâSUHSDUDV\RQODUÖ0LNURNXPODPDYHDVLWOHPHQLQHWNLVLRODUDN\]H\OHUGHPDWELUJ|UQWPHYFXWWXUResim 19: QXPDUDOÖGLâLQLQOD\VLPDQWDV\RQX
roots 15
2_2022
[18] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_inlay restorasyonlar
Resim 20
Resim 21
Resim 22
Resim 23
Resim 20: QXPDUDOÖGLâLQLQOD\VLPDQWDV\RQXResim 21:8\XPJ|UQWVResim 22:2SHUDV\RQDODQÖDOWÖQGDFLODODPDResim 23:2NO]\RQNRQWUROYHFLODODPDDUGÖQGDQVRQJ|UQW
B\D]DUKDNNÖQGD
roots
Dr. Edouard Lanoiselee )UDQVD 1R]D\·GD ELU HNLS LoHULVLQGHJHQHOGLâKHNLPOLæL\DSPDNWDGÖU\ÖOÖQGD)UDQVD
1DQWHVhQLYHUVLWHVL·QGHQPH]XQROPXâYHSURWH]DODQÖQGD
oRNVD\ÖGDVHUWLILNDODUHOGHHWPLâWLU0H]XQROGXæXQGDQEHUL
IDNOWHLOHED]HQ|æUHQFLOHULQNOLQLNJ|]OHPFLVLED]HQOLVDQV
VHYL\HVLQGH WHRULN HæLWPHQOLN \DSDUDN EDæÖQÖ NRUXPXâWXU
hQLYHUVLWHGHHVWHWLNGLâKHNLPOLæLGLSORPDSURJUDPÖELULQFL
GHUHFH X]PDQOÖN SURJUDPÖ YH \NVHN HæLWLP VHUWLILNDV\RQ
SURJUDPODUÖQGD HæLWPHQOLN \DSPDNWDGÖU 'U /DQRLVHOHH
1DQWWHVhQLYHUVLWHVL'Lâ+HNLPOLæL)DNOWHVL·QGHHæLWLPYH
DUDâWÖUPDPHUNH]LQGHHæLWLPFLDVLVWDQRODUDNJ|UHYDOPÖâWÖU \ÖOÖQGDQEX\DQD&$'&$0VLVWHPOHULQLQNXOODQÖFÖVÖGÖUYHNRQIHUDQVODUGDHVWHWLN
GLâKHNLPOLæLYHGLMLWDOLâDNÖâODUÖKDNNÖQGDNRQXâPDODU\DSPDNWDGÖU
KD]þUODQDQNDYLWH\H\HUOHúWLULOPLúWLU 5HVLP %LU
IþUoD \DUGþPþ\OD ID]ODOþN VLPDQODU X]DNODúWþUþOPþúWþU
YH VDQL\H ER\XQFD UHVWRUDV\RQ IRWRSROLPHUL]H
HGLOPLúWLUýNLQFLLQOD\GHD\QþSURWRNROLOH\HUOHúWLULOPLúWLU 5HVLP %XUDGD\LQHIRWRSROLPHUL]DV\RQ
|QFHVLQGHID]ODOþNVLPDQELUIþUoD\DUGþPþ\ODX]DNODúWþUþOPþúWþU'DKDVRQUDLNLLQOD\GHWPWDUDIODU
GDQ GDNLND VUH\OH IRWRSROLPHUL]H HGLOPLúWLU
5HVLP 6LOLNRQ FLODOD\þFþODU )RRWVLH VSLUDO
.RPHW 5HVLP NXOODQþODUDN EDúODQJþo FLOD-
16 roots
2_2022
ODPDVþ \DSþOPþúWþU 5XEEHU GDP X]DNODúWþUþOPþú
RNO]\RQNRQWUROHGLOPLúYHVRQFLODODPD\DSþOPþúWþU
5HVLP (VWHWLN HQWHJUDV\RQ WDWPLQ HGLFL ER\XWODUGDGþU +DVWD DOWþ D\ VRQUD WDNLS LoLQ \HQLGHQ
J|UOHELOLU
_Sonuç
.DOþFþ .XURQ 5H]LQ LQOD\ X\JXODPDODUþ LoLQ NRPSR]LW EORNODUD PNHPPHO ELU DOWHUQDWLIWLU +HP
PRUIRORMLKHPGHUHQNDoþVþQGDQ'UHWLPWDWPLQ
HGLFLHVWHWLNVRQXoVXQDQHNRQRPLNELUo|]PGU
.RPSR]LW EORNODU ELU SDUoD LoLQ FLYDUþQGDIL\DWODQGþUþOþUNHQP/'EDVNþPDWHU\DOLLOH
LQOD\EDúþQDIL\DW·\DNDGDUGúHELOPHNWHGLU
%XUDGD SURWH] ODERUDWXYDUþ LOH LúELUOLÿL LoHULVLQGH
DQODWþODQLúDNþúþNOLQLNWHGLUHNW&$'&$0oHUoHYHsinde tümüyle tamamlanabilmektedir.
_(GLW|U1RWX
%X PDNDOH LON RODUDN ' SULQWLQJ³LQWHUQDWLRQDO
PDJD]LQH RI GHQWDO SULQWLQJ WHFKQRORJ\ YRO
VD\þ·GH\D\þQODQPþúWþU
[19] =>
ROOTS DERGISI-S-29 KAPAKLAR
[20] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
1HNURWLNVWPRODUODUÖQ
N|NNDQDOWHGDYLVL²WHNHæH
UHVLSRUNDV\RQVLVWHPLNXOODQPDN
Yazarlar_Dr. Benjamín Rodríguez & Dr. Jenner Argueta, Guatemala
_*LULü
3XOSHNWRPL oUN \D GD WUDYPD VHEHEL LOH JHUL
G|QúPV] RODUDN HQIHNWH RODQ \D GD FDQOþOþÿþQþ\LWLUPLúSXOSDGRNXVXQXQYDUOþÿþQGDX\JXODQDQN|NNDQDOSURVHGUGU.|NNDQDOþQGDNL
SXOSD GRNXVX X]DNODúWþUþOþU YH NDQDO VþNOþNOD HO
DOHWOHUL \D GD G|QHU DOHWOHUOH úHNLOOHQGLULOLU
%X SURWRNRO QRUPDO GLú GúPHOHUL YH DOWþQGDQ
NDOþFþGLúVUPHOHULJHUoHNOHúWLÿLQGH\DGDX]XQ
G|QHPGLúUHWDQVL\RQX|QFHOLNOLKHGHIROGXÿXQGDVWDQGDUWWHGDYLGLUYHJ]HOL\LOHúPHVRQXoODUþ
YHUPHNWHGLU
7þSNþNDOþFþGLúOHUGHROGXÿXJLELVWGLúOHULQGHGH
N|N NDQDOODUþQGD X\JXQ ELU GH]HQIHNVL\RQD HULúPHN NULWLN ELU KHGHIWLU 1HNURWLN VW PRODUODU
HUNHQoHNLPLDODQND\EþQDQHGHQROPDNWDYHE|\OHFH G]HQVL] DUN X]XQOXÿX YH DOWWDQ JHOHQ GLúLQ
VUPHVLQGHJHFLNPHJLEL|QHPOLDÿþ]VDÿOþÿþHQGLúHOHULQLJQGHPHJHWLUPHNWHGLU %|\OHFHHQGLNH
ROGXÿXQGDúLGGHWOLSXOSDGDKLOLQGHVWGLúOHULQGH
SXOSHNWRPL WHGDYL VHoHQHÿL RODUDN GHÿHUOHQGLULOPHOLGLU
)DNDW oRN VD\þGD N|NOHU IDUNOþ G]H\OHUGH DSLNDO
UH]RUSVL\RQODU ELUOHúPLú N|NOHU PDNVLOOHU PRODUODUGD LNL PH]L\REXNNDO LNL GLVWREXNNDO NDQDOþQ
YDUOþÿþLVWKPXVODUJLELPRUIRORMLNRODUDNNRPSOHNV
GXUXPODUGDQ|WUNOLQLNELU]RUOXNROXúPDNWDGþU
'H]HQIHNVL\RQ SURWRNROQGH HO \D GD G|QHU
DOHWOHULQ NXOODQþOGþÿþ EL\RPHNDQLN SUHSDUDV\RQ
LOH ELUOLNWH VþNOþNOD VRG\XP KLSRNORULW
1D2&O YH('7$EXOXQPDNWDGþU %XQDHN
RODUDNoRFXNODUþQGHQWDOWHGDYLOHUVUHFLQGHDQNVL\HWHYHVWUHVHHÿLOLPOLROGXNODUþELOLQPHNWHGLU
%|\OHFHL\LX\JXODQDQSHGLDWULNGDYUDQþú\|QHWLPLYHWHNQLNOHULQLQHQGRGRQWLNDODQDDNWDUþOPDVþ
LOH VUHFLQ GDKD EDVLW YH GDKD NþVD VUHOL ROPDVþ
VDÿODQPDOþGþU
18 roots
2_2022
Paslanmaz çelik el aletleri geleneksel olarak ve
ED]þ DoþODUGDQ EDúDUþOþ ELU úHNLOGH VW PRODUODUþQ
SXOSHNWRPL SURVHGUOHULQGH NXOODQþOPþúWþU
%XQDUDÿPHQNXOODQþPODUþQGDULMLGLWHOHULQGHQ|WUSHNoRNVDNþQFDODUþGDPHYFXWWXU7PEXQODU
NDQDOODUGD X\JXQ úHNLOGH UHKEHUOLN VDÿODPD\þ YH
EDVDPDN ROXúXPX YH SHUIRUDV\RQ JLEL SURVHGUHO KDWDODUþQGDQ NDoþQPD\þ ]RUODúWþUPDNWDGþU
5RWDU\ G|QHU DOHW LOH úHNLOOHQGLUPH GDKD VRQUD
WDQþPODQPþú YH SHGLDWULN HQGRGRQWL SUDWLÿLQGH
oRN ID\GDOþ EXOXQPXúWXU 'DKD D] ]DPDQ
DOPDNWD WHNQLÿH GDKD D] EDÿþPOþ ROPDNWD YH HO
DOHWOHUL LOH JQGHP RODQ KDWDODUþQ RODVþOþÿþQþ GúUPHNWHGLU6RQXoWDG|QHUDOHWLOHúHNLOOHQGLUPH
GDKDL\LELUNRQLNDODQVDÿOD\DUDNGDKDVWQELU
REWUDV\RQ SURWRNROQ PPNQ NþOPDNWDGþU
$QFDN EX VLVWHPOHU QHUHGH\VH KHU ]DPDQ
daha uzun bir sekans gerektirmekte ve sonuçta
URWDV\RQHO KDUHNHWWHQ GROD\þ PDWHU\DO \RUJXQOXÿX LOH HÿH NþUþOPDVþ \D GD GLVWRUVL\RQX RODVþOþÿþ
DUWPDNWDGþU
(QGRGRQWL DODQþQGDNL GHYDPOþ JHOLúPHOHU VUHNOL
GLúOHULQ N|N NDQDO WHGDYLVLQGH UHVLSURNDV\RQ KDUHNHWL\DSDQHQVWUPDQODUþQYDUOþÿþLOHVRQXoODQPþúWþU 6DDW \|QQGH YH VDDW \|QQQ WHUVLQGH
KDUHNHWOHULQ ROXúXPX HQVWUPDQþQ GHQWLQ GXYDUþQGD GDKD D] VþNþúPDVþQþ VDÿODPDNWD YH G|QPH
\RUJXQOXÿX VRQXFXQGD HQVWUPDQ NþUþOPDVþQþ
D]DOWPDNWDGþU 5HVLSURNDV\RQ HQVWUPDQODUþWPN|NNDQDOSUHSDUDV\RQXLoLQWHNELUDOHWLQ
NXOODQþPþQþGHVWHNOHPHNWHGLU'DKDD]]DPDQDOGþÿþQGDQ GDKD X]XQ LUULJDV\RQ SURWRNRO L]OHQHELOPHNWHGLUýOHULYHJHULPP·OLNDPSOLWGGHYH
KDILIDSLNDOEDVþQoX\JXOQDQJDJDODPDKDUHNHWLLOH
ELU HQVWUPDQWDV\RQ G|QJV X\JXODQPDNWDGþU
+HUELUG|QJGHN|NNDQDOþVROV\RQODULOH\þNDQPDNWDYHHÿHQLQ\LYOHULGHQWLQNDOþQWþODUþGHEULVYH
SXOSDGRNXVXQGDQWHPL]OHQPHOLGLU
[21] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
6WPRODUSXOSHNWRPLOHUL]HULQH\DSþODQDUDúWþUPDODUODHOGHHGLOHQVRQXoODUUHVLSURNDV\RQLOHoDOþúDQHQVWPDQODUþQNXOODQþPþQþGHVWHNOHPHNWHGLU
%XHQVWUPDQODUL\LWHPL]OLNYHúHNLOOHQGLUPH|]HOOLNOHUL J|VWHUPHNWH NþVDOPþú úHNLOOHQGLUPH VUHVL
EHOLUWPHNWH YH VW GLú SUHSDUDV\RQX LoLQ ID\GDOþ
ROGXÿX J|UOPHNWHGLU $QFDN VW PRODU
SXOSHNWRPLVLQGH5HÿH 5(&,352&9': NXOODQþODQELULQYLYRoDOþúPD\DGDYDNDUDSRUXQDUDVWODQPDPþúWþU%XPDNDOHGH5(&,352&$//KDUHNHWL
LOHoDOþúDQHÿHQLQNXOODQþOGþÿþSXOSDQHNUR]XYH
SHULDSLNDOKDVWDOþNWDQþOþVWPRODUþQEXOXQGXÿX
YDNDVHULVLVXQXODFDNWþU
_3XOSHNWRPL3URVHGU
7PKDVWDODUþQHEHYH\QOHUL \DGD\DVDOVRUXPOXODUþ SURVHGU SURJQR] KDNNþQGD ELOJLOHQGLULOPLú
YH\D]þOþRQDPDOþQPþúWþU7PSXOSHNWRPLSURVHGUOHULRQ\þOOþNELUVWPRODUSXOSDWHGDYLVLWHFUEHVLQHVDKLSELUHQGRGRQWLVWWDUDIþQGDQJHUoHNOHúWLULOPLúWLU7PYDNDODUSXOSDQHNUR]XWDQþVþQD
VDKLSYLWDOROPD\DQGLúOHUGLU5DG\RJUDIODUDSLNDO
\D GD IXUNDO DODQGD NHPLN ND\EþQþ SXOSD RGDVþQþ
GDLoLQHDODQúLGGHWOLoUNOHULYHHQD]þQGDQN|N
\]H\LQLQ oWH LNLVLQLQ NDOGþÿþQþ RUWD\D NR\PDNWDGþU 7P oRFXNODU NRRSHUHGLU YH KHUKDQJL ELU
VLVWHPLNKDVWDOþÿD\DGD|]HOLOJLLKWL\DFþQDVDKLS
GHÿLOGLU7DNLS]DPDQþD\LOHD\DUDVþQGDGþU
7HGDYLSURWRNRODúDÿþGDNLDGþPODUGDJHUoHNOHúWLULOPLúWLU
/RNDO DQHVWHWLN NDUSO FP /LGRNDLQ
KLGURNORULG DGUHQDOLQ \DYDúoDHQMHNWH HGLOPLú YH QHJDWLI DVSLUDV\RQ NRQWURO
VDÿODQPþúWþU
.OHPSYHODVWLN|UWLOHWDPL]RODV\RQDOWþQGD
JLULúNDYLWHVL\NVHNKþ]OþURQGIUH]LOHRSHUDV\RQ PLNURVNREX 20 (FOHULV DOWþQGD
DoþOPþúWþUYHDUGþQGDQHOPDVIUH]LOHJLULúG]HQOHQPLúWLU
.DQDOODU '* HQGRGRQLN HNVSORUHU
+X)ULHG\ \DUGþPþ LOH DUDQPþú YH NDQDOODUD
. WLSL HÿH 6\EURQ(QGR .HUU LOH JLULú
VDÿODQPþúWþU
.DQDO X]XQOXNODU HOHNWURQLN DSHNV ORFDWRU
5RRW=[,,0RULWD NXOODQþODUDNEHOLUOHQPLúYH
SHULDSLNDO UDG\RJUDI LOH WH\LW HGLOPLúWLU (OGH
HGLOHQ|OoGHQPPGúOHUHNoDOþúPDER\X
WHVSLWHGLOPLúWLU
ýUULJDV\RQ JDXJH FP /XHU NLOLWOL HQGRGRQWLN HQMHNW|UOHUL 3ODVW&DUH LOH oDOþúPD ER\XQGDQ PP NþVD YH SDVLI ELU úHNLOGH
1D2&O·QLQ DNWDUþOPDVþ LOH JHUoHNOHúWLULOPLúWLU
.|NNDQDOSUHSDUDV\RQXPPX]XQOXÿXQGDNL5HÿHLOHUHWLFLWDOLPDWODUþQDJ|UHUHVLSURNDV\RQ KDUHNHWL LOH 9':6,/9(5 5(&,352&
9': 5(&,352&$//PRGXQGDDSLNDOEDVþQo
X\JXODPDGDQ PP·OLN DPSOLWGOHUGH JLW
JHOKDUHNHWLLOHHÿHQLQoDOþúPDER\XQDJYHQOHJLGHFHÿLúHNLOGHJHUoHNOHúWLULOPLúWLU
'Lú\DSþVþQþ]D\þIODWPDPDNDPDFþLOHNDQDOGXYDUODUþQDODWHUDONXYYHW\DGDIþUoDODPDKDUHNHWLJHUoHNOHúWLULOPHPLúWLU
6RQ LUULJDV\RQ SURWRNROQGH FP alkol ve
FP('7$ GN YHDUGþQGDQFP alNROFP1D2&OFPVDOLQEXOXQPDNWDGþU
6RQUDVþQGDNDÿþWNRQODU 0HWD%LRPHG LOHNDQDONXUXOXÿXVDÿODQPþúWþU
7R]OLNLW IRUPXQGDNL oLQNR RNVLW |MHQRO
=2( 3URTXLGHQW JWD SHUND NRQ
0HWD %LRPHG NXOODQþODUDN NDQDOD DNWDUþOPþúWþU8FXQGDNLoDSWDQGROD\þDSLNDOoDOþúPD
ER\XQGDQ ELUD] GDKD NþVD NDODUDN PDWHU\DOLQ
HNVWU]\RQX|QOHQPLúWLU
2EWUDV\RQXQ NDOLWHVLQL |OoPHN LoLQ DUD UDG\RJUDIDOþQPþúWþU(ÿHUGDKDID]ODNRQGHQ]DV\RQ JHUHNOL J|UOUVH GDKD VHUW NþYDPGD ELU
Resim 3
Resim 1
Resim 2
Resim 4
VAKA 1—Resim 1: %DâODQJÖoGXUXPXResim 2:'HULQNDYLWHYHIXUNDODODQGDNHPLNND\EÖResim 3:NDQDOODWHUDONDQDOGROXPXResim 4:D\OÖNNRQWUROIXUNDODODQGDNHPLNGHSR]LV\RQXQXJ|VWHUPHNWHGLU
roots 19
2_2022
[22] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
VAKA 2—
Resim 5:
%DâODQJÖoGXUXPX
ãLGGHWOLoUNYHEXNNDODEVH
Resim 6:
'|UWX]XQN|NNDQDOÖWHVSLWHGLOPLâWLU
Resim 7:
'ROXPYHJHoLFLUHVWRUDV\RQ
Resim 8:
2QG|UWD\OÖNNRQWUROWDNLSHGHQ
HUSVL\RQLOHUOHPHVLQLQQRUPDO
âHNLOGHGHYDPÖQÖJ|VWHUPHNWHGLU
Resim 9:
6RQGHæHUOHQGLUPHGHVDæOÖNOÖGLâHWL
GRNXVXQXQNOLQLN\DQVÖPDVÖ
Resim 7
Resim 5
Resim 6
Resim 8
PLNWDU GDKD =2( VWHULO SDPXN SHOHW LOH KDILI
EDVNþLOHJ|QGHULOPLúWLU
.DYLWHGHNL DUD REWUDV\RQ =2(·QLQ ]HULQH
FDPL\RQRPHUVLPDQ .HWDF&HP(DV\PL[0
(63( NXOODQþODUDNJHUoHNOHúWLULOPLúWLU
ýNLQFL UDQGHYX JQ VRQUD JHUoHNOHúPLú YH
EX VHDQVWD KDVWDOþÿþQ KHUKDQJL ELU LúDUHW YH
VHPSWRPX NDOPDGþÿþ GRÿUXODQDUDN SDVODQPD] oHOLN NXURQ DGDSWH HGLOPLú YH WR]OLNLW
formundaki cam iyonomer siman (Ketac Cem
(DV\PL[ LOHVLPDQWHHGLOPLúWLU
_9DND 5HVLP
\þO YH D\ \DúþQGD RODQ Nþ] KDVWD PDQGLEXODU
VDÿLNLQFLVWD]þVþQGDJQOHUFHGHYDPHGHQDÿUþ
úLNk\HWL EHOLUWPLúWLU .OLQLN PXD\HQHGH EXNNDO
JLQJLYDO úLúOLN YH IDVL\DO EDúODQJþo |GHPL J|]OHQPLúWLU'LúLQRNO]DOLQGHGHULQELUoUNWHVSLW
HGLOPLúWLU3XOSDQHNUR]XYHVHPSWRPDWLNDSLNDO
DEVHWDQþVþNRQPXúWXU $NXW HQIHNVL\RQX NRQWURO
DOWþQD DOPDN LoLQ KDVWD\D UHoHWH G]HQOHQPLú YH
DQWLEL\RWLN WHGDYLVLQLQ DUGþQGDQ LNLQFL UDQGHYXVX
SODQODQPþúWþUýNLQFLVHDQVWDDÿUþRUWDGDQND\EROPXú YH EXNNDO DEVH SDUVL\HO RODUDN o|]OPúWU
3XOSHNWRPLYHUHVWRUDV\RQ\DSþOPDVþQDNDUDUYHULOPLúWLU 2EWUDV\RQ PDWHU\DOLQLQ HNVWU]\RQX
J|]OHQPLúWLU D\OþN NRQWUROGH KDVWDOþÿþQ NOLQLN
\DGDUDG\RJUDILNEXOJXODUþQDVDSWDQPDPþúWþUYH
IXUNDODODQGDNHPLNGHSR]LV\RQXJ|]OHQPLúWLU
20 roots
2_2022
Resim 9
_9DND 5HVLP
\þO D\ \DúþQGDNL HUNHN KDVWD PDQGLEXODU VRO
ELULQFLVWD]þVþQGDKHUKDQJLELUúLNk\HWJ|VWHUPH\HQ úLGGHWOL GLú oUÿ LOH NOLQLÿH EDúYXUPXúWXU
3HUNV\RQGD YH EXNNDO JLQJLYDQþQ SDOSDV\RQXQGDKDILIELUNRQIRUVX]OXNWHVSLWHGLOPLúWLU%XNNDO
DEVH J|UOHQ GLúWH PRELOLWH EXOXQPDPDNWDGþU
5DG\RJUDIWD LQWHUUDGLNOHU DODQGD JHQLú NHPLN
ND\EþJ|UOPúWU'LúSXOSDQHNUR]XYHDVHPSWRPDWLN DSLNDO DEVH WDQþVþ DOPþúWþU 3XOSHNWRPL
LúOHPLQH EDúODQPþú YH LNLQFL VHDQVWD KDVWDOþÿþQ
KHUKDQJL ELU EXOJXVXQD VDSWDQPD\þQFD SDVODQPD] oHOLN NXURQ \HUOHúWLULOPLúWLU D\OþN WDNLSWH
KHUKDQJL ELU NOLQLN SDWRORML\H VDSWDQPDPþúWþU YH
REWUDV\RQ PDWHU\DOLQLQ HNVWU]\RQXQD UDÿPHQ
VUHNOLSUHPRODUGLúOHULQVUPHNWHROGXÿXJ|UOPúWU
_9DND 5HVLP
\DúþQGDNLHUNHNKDVWDJQOHUVUHQKDILIG]H\GHDÿUþúLNk\HWLLOHEDúYXUPXúWXU0DQGLEXODUVRO
ELULQFL VW D]þGD JHQLú YH GHULQ ELU oUN J|UOPúWU'LúHWLQGHKHUKDQJLELUúLúOLNJ|UOPHVHGH
GLú DÿUþOþ SHUNV\RQ VRQXFX YHUPLúWLU 5DG\RJUDI
oUÿQ úLGGHWLQL RUWD\D NR\PXúWXU IDNDW oHYUH NHPLN \DSþVþQGD GHÿLúLNOLNOHU J|UOPHPLúWLU
3XOSHNWRPL WHGDYL RODUDN WHUFLK HGLOPLúWLU *LULú
NDYLWHVL DoþOGþÿþQGD SXOSD QHNUR]X WDQþVþ NRQPXúWXUYHoNDQDOWHVSLWHGLOPLúYHJLULúVDÿODQ-
[23] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
Resim 11
Resim 10
Resim 12
Resim 13
VAKA 3—Resim 10: %DâODQJÖoUDG\RJUDIÖResim 11: 'ROXPYHVRQUHVWRUDV\RQResim 12:D\OÖNNRQWUROGHoLQNRRNVLW|MHQROQ\DYDâUH]RUSVL\RQXQDUDæPHQQRUPDOHUSVL\RQ
J|UOPHNWH Resim 13: 6RQGHæHUOHQGLUPHGHVDæOÖNOÖGLâHWLGRNXVXQXQNOLQLN\DQVÖPDVÖ
PþúWþUJQVRQUDLNLQFLVHDQVWDGLúLQWP\OH
DVHPSWRPDWLNROGXÿXJ|UOQFHSDVODQPD]oHOLN
NXURQLOHUHVWRUHHGLOPLúWLUD\OþNNRQWUROGHGLúLQWP\OHIRQNVL\RQGDYHVDÿOþNOþROGXÿþXWHVSLW
HGLOPLúWLU
ROGXÿX J|UOPú YH SDVODQPD] oHOLN NXURQ LOH
UHVWRUDV\RQX VDÿODQPþúWþU D\OþN NRQWUROGH
GLúWH KHUKDQJL ELU VHPSWRP J|UOPHPLúWLU YH
QRUPDOGLúVUPHVUHFLUDG\RJUDILOHWHVSLWHGLOPLúWLU
_9DND 5HVLP
_9DND 5HVLP
\þOD\\DúþQGDNLHUNHNKDVWDPDQGLEXODUVROELULQFLVWPRODUGLúLQGHVUHNOLYHVSRQWDQJQOHU
VUHQDÿUþúLNk\HWLLOHEDúYXUPXúWXU+HUKDQJLELU
IDVL\DO|GHP\DGDEXNNDOGLúHWLúLúOLÿLEXOXQPDPDNWDGþU'HULQoUNJ|]OHQPLúWLUIDNDWPRELOLWH
\DGDFHSWHGHULQVRQGDODPDEXOXQPDPDNWDGþU
5DG\RJUDIWD oUN OH]\RQXQXQ SXOSD RGDVþQD
XODúWþÿþ YH IXUNDO DODQGD EDúODQJþo NHPLN KDVDUþQþQ PH\GDQD JHOGLÿL J|UOPúWU 3XOSHNWRPL
WHGDYL VHoHQHÿL RODUDN WHUFLK HGLOPLúWLU dUN
OH]\RQXQXQWHPL]OHQPHVLVþUDVþQGDSXOSDHNVSR]HROPXúWXUIDNDWKHUKDQJLELUNDQDPDJ|UOPHPLúWLU 3XOSD QHNUR]X WDQþVþ NRQPXúWXU ýNL PH]L\DO YH LNL GLVWDO NDQDO J|UOPúWU YH GROXPX
VDÿODQPþúWþU ýNLQFL VHDQVWD GLúLQ DVHPSWRPDWLN
\þOD\\DúþQGDNLHUNHNKDVWDPDNVLOOHUVROELULQFLVWPRODUGLúLQGHEXNNDOVLQV\ROXLOHLOLúNLOL
GHULQ GLVWDO LQWHUSURNVLPDO oUN LOH NOLQLÿH EDúYXUPXúWXU +DVWDQþQ KHUKDQJL ELU DÿUþ KLND\HVL
EXOXQPDPDNWDYHDVHPSWRPDWLNWLU3XOSDQHNUR]XYHVSUDWLISHULDSLNDOSHULRGRQWLWLVWDQþVþNRQPXúWXUhoNDQDOJ|]OHQPLúYHGROXPLoLQSUHSDUH
HGLOPLúWLU=2(LOHDSLNDOGHHNVWU]\RQJ|UOPúWUJQVRQUDKDVWDQþQDVHPSWRPDWLNROGXÿX
YHVLQV\ROXQXQNDSDQGþÿþJ|UOPúWUYHGLúLQ
SDVODQPD]oHOLNNXURQLOHUHVWRUHHGLOPHVLQHNDUDU
YHULOPLúWLUD\VRQUDVþQGD\DSþODQNRQWUROGH|QFHGHQ UDG\ROXVHQVL J|UOHQ PH]LDO DSLNDO DODQGD
L\LOHúPHJ|]OHQPLúYHKDVWDOþÿDGDLUKHUKDQJLELU
LúDUHWYHEXOJXWHVSLWHGLOPHPLúWLU
Resim 15
Resim 14
Resim 16
Resim 17
Resim 18
VAKA 4—Resim 14: ãLGGHWOLoUNResim 15:%DâODQJÖoUDG\RJUDIÖKDUDSROPXâSXOSDRGDVÖQÖJ|VWHUPHNWHResim 16:'ROXPYHG|UWN|NNDQDOÖ
Resim 17:2WX]D\OÖNNRQWUROResim 18:6RQGHæHUOHQGLUPHGHVDæOÖNOÖGLâHWLGRNXVXQXQNOLQLNJ|UQWV
roots 21
2_2022
[24] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
Resim 19
Resim 21
Resim 20
Resim 22
Resim 23
VAKA 5—Resim 19: %DâODQJÖoGXUXPX,QWHUSURNVLPDOoUNResim 20:$SLNDONHPLNND\EÖJ|UOHQEDâODQJÖoUDG\RJUDIÖResim 21: hoN|NNDQDOÖQÖQGROXPXYHVRQUHVWRUDV\RQ
Resim 22:2WX]D\OÖNNRQWUROGHJ|UOHQPH]LDOYHGLVWDON|NHWUDIÖQGDNLNHPLNL\LOHâPHVLResim 23:6RQGHæHUOHQGLUPHGHJ|UOHQVDæOÖNOÖGLâHWLQLQNOLQLNJ|UQWV
_7DUWÕüPD
'LúoUNOHULGQ\DGDJHQLúELUSUHYDODQVDVDKLS
KD\DWþQHUNHQG|QHPOHULQGHQLWLEDUHQGHQWLV\RQX
HWNLOH\HQYHKDVVDVQIXVWDGHQWDOHÿLWLPHNVLNOLÿL
YHNDOLWHOLVDÿOþNKL]PHWOHULQHHULúLPVþQþUODUþQGDQ
GROD\þGDKDVþNJ|UOHQELUSDWRORMLGLU 'RÿDO
GLúGL]LVLQLNRUXPDNLoLQoRFXNOXNG|QHPLQGHDODQ
ND\EþQGDQ NDoþQPDN JHUHNOLOLÿL oRN L\L ELOLQPHNWHGLU8\JXQDODQODUþQND\EHGLOPHVLNDOþFþGLúOHULQ
PDOSR]LV\RQXQD QXWULV\RQXQ NRQXúPD \HWHQHÿLQLQ|]JYHQLQYHGLÿHUSHNoRNIDNW|UQ]DUDU
J|UPHVLQH VHEHS RODELOPHNWHGLU 6W PRODU
GLúOHULQSXOSHNWRPLVLN|NNDQDOVLVWHPLQLQEDNWHUL\HOLQYD]\RQXQXQGDQND\QDNODQDQSXOSDGHQWLQ
NRPSOHNVL YH SHULRGRQWDO KDVWDOþNODUþQ HWNLOHGLÿL
GLúOHULWHGDYLHGHUHNGRÿDOVWGLúGL]LVLQLNRUXPD\þKHGHIOHPHNWHGLU
*HQHORODUDNGLúWHGDYLOHULQHEDÿOþDQNVL\HWHYHVWUHV
\D\JþQROVDGD|]HOOLNOHSHGLDWULNHQGRGRQWLNX\JXODPDODUþ V|] NRQXVX ROGXÿXQGD EX NRQX |]HOOLNOH
GHÿHUOHQGLULOPHOLGLU (WNLQHQGRGRQWLNWHNQLNOHULQDUDúWþUþOPDVþYHX\JXODQPDVþN|NNDQDOVLVWHPLDQDWRPLVLQLQN|NNDQDOHQVWUPDQWDV\RQXQXQ
dezenfeksiyon ve dolum tekniklerinin ve koronal
UHVWRUDV\RQXQ |QHPLQLQ DQODúþOPDVþQD EDÿOþGþU
.|NNDQDOHQVWUPDQWDV\RQXV|]NRQXVX
ROGXÿXQGDHOHÿHWHNQLNOHULJHQLúELUNXOODQþPDVDKLSROVDGD|]HOOLNOHVþQþUOþWHFUEH\HVDKLSKHNLPOHU
WDUDIþQGDQ NXOODQþOGþÿþQGD ]DPDQ DOþFþ NRQIRUVX]
SURVHGUHOKDWDODUDDoþNROPDNWDGþU '|QHU
22 roots
2_2022
DOHWOHUOH HQVWUPDQWDV\RQ NDQDOOþ úHNLOOHQGLUPH
\ROXPX]X GHÿLúWLUPLúWLU YH LUULJDV\RQ VROV\RQODUþQþQN|NNDQDOVLVWHPLQGHGDKDX\JXQKDUHNHWLQL
VDÿOD\DFDNúHNLOGHX\JXQELUJHRPHWULGHGDKDKþ]Oþ
ELU JHQLúOHWPH \DSDELOPHPL]L VDÿODPþúWþU
(QVWUPDQ WDVDUþPþ QLNHOWLWDQ\XP DODúþPODU YH
KDUHNHW WLSL J|] |QQGH EXOXQGXUXOPDOþGþU oQN
EXIDNW|UOHUHQVWUPDQSHUIRUPDQVþQþGLUHNWRODUDN
etkilemektedir.
3HGLDWULN GLú KHNLPOLÿLQGH NROWXNWD JHoHQ VUH
GHÿHUOHQGLULOPHOLGLUoQNEXVUHNþVDOGþNoDKDVWDQþQ DQNVL\HWHVLQL \|QHWPHN NROD\ODúPDNWD YH
KDVWDGDKDUDKDWKLVVHWPHNWHGLU7HNHÿHUHVLSURNDV\RQHQVWUPDQVLVWHPOHULSHGLDWULNHQGRGRQWLN
WHGDYLGH ID\GDOþ ROPDNWDGþU oQN N|N NDQDO JHRPHWULVLX\JXQúHNLOGHJHQLúOHWLOPHNWHLUULJDV\RQ
VROV\RQXQXQN|NNDQDOX]XQOXÿXER\XQFDGDÿþOþPþQþVDÿOD\DELOHFHNL\LELUIRUPVDÿODQPDNWDYH
URWDU\YHPDQXHOHQVWUPDQWDV\RQDJ|UHGDKDD]
]DPDQJHUHNPHNWHGLU $QFDNELOGLÿLPL]NDGDUþ\ODUHVLSURNDV\RQDOHWOHULQLQVWPRODU
SXOSHNWRPLVLQGHNXOODQþOGþÿþLQYLYRDUDúWþUPDHNVLNOLÿLEXOXQPDNWDGþU
0RJKDGGDP YH DUN GHQH\VHO oDOþúPDODUþQGD
5(&,352& YH 0WZR 9': DOHWOHULQL VW PRODUGD WHPL]OLN HWNLQOLÿL YH HQVWUPDQWDV\RQ ]DPDQþ
EDÿODPþQGD NDUúþODúWþUPþúWþU 6RQXoWD SXOSHNWRPL LoLQ 5(&,352& JLEL VLVWHPOHULQ NXOODQþPþQþQ
ID\GDOþ ROGXÿXQX EXOPXúODUGþU 5DPD]DQL YH DUN
[25] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_nekrotik süt molarların
LQ YLWUR oDOþúPDODUþQGD LNL URWDU\ VLVWHP LOH ELUOLNWH
5(&,352&VLVWHPLQLVWPRODUODUþQPH]LREXNNDONDQDOODUþQGDoDOþúPþúODUGþU %XQDJ|UH5(&,352&
VLVWHPLQKþ]OþYHL\LELUWHPL]OLNYHúHNLOOHQGLUPHVDÿODGþÿþEHOLUOHQPLúWLU%XoDOþúPDODUVWGLúGL]LVLQGH
5(&,352&VLVWHPLQNXOODQþPþQþWDYVL\HHWPHNWHGLU
UþQGDQGþU 5DSRUODQPD\DQ YDNDODUþPþ]þQ WHUDS|WLN
EDúDUþVþEXYDNDVHULVLQGHNLWUHQGLVUGUPHNWHGLU
3DVODQPD]oHOLNNXURQODU\NVHNoUNULVNLQHVDKLS
oRFXNODUGDYHSXOSDWHGDYLVLJ|UHQGLúOHUGHWHUFLK
HGLOHQ UHVWRUDV\RQ úHNOLGLU %XQXQ WHGDYLQLQ X]XQ
G|QHPEDúDUþVþQþHWNLOHGLÿLGúQOPHNWHGLU
Moraes ve ark. bir in vitro düzenekte maksiller süt
VDQWUDONHVHUGLúLQ'\D]þOPþúSURWRWLSL]HULQGH
oDOþúPþúODUGþU 6RQXo RODUDN 5(&,352& VLVWHPLQ 5 HÿHVLQLQ '\D]þOPþú PRGHO ]HULQGH
HQVWUPDQWDV\RQGDHWNLOLROGXÿXQXEXOPXúODUGþU
2SHUDV\RQPLNURVNREXQXQNXOODQþPþYHPLNURVNRS
NXOODQþPþQGDWHFUEHOLELUKHNLPLQWHGDYLOHULJHUoHNOHúWLUPHVLD\QþúHNLOGHEXVRQXoODUDHWNLHGHELOPHNWHGLUdRFXNGLúKHNLPOLÿLQGHGHQWDOPLNRVNRS
|QHPVHQPHPHNWH YH ROGXNoD D] NXOODQþOPDNWDGþU
IDNDW VW PRODUODUGD NDQDOODUþ ORNDOL]H HWPHNWHNL ID\GDVþ DoþNWþU YH PLNURVNRS NXOODQþPþ GLú KHNLPOLÿLQGH JLWWLNoH VWDQGDUW KDOH JHOPHNWHGLU
(UJRQRPLGHNLL\LOHúPHGHWHNUDUOD\DQNDVJHULOLPOHUL ROPDGDQ GDKD X]XQ VUH oDOþúPD\þ PPNQ
NþOPDNWDYHSRVWUDOVRUXQODUþQ|QQHJHoPHNWHdir. Randomize klinik deneylere odaklanan, daha
X]XQ WDNLS VUHOL GDKD ID]OD YDNDQþQ \HU DOGþÿþ
oDOþúPDODUDLKWL\DoGX\XOPDNWDGþU5(&,352&EOXH
JLEL \HQL WDVDUþPODU YH PHWDOOUMLN NDUDNWHULVWLNOHU
RUWD\DNR\DQ\HQLUHVLSURNDV\RQDOHWOHULVWPRODU
SXOSHNWRPLVLQGHNXOODQþPID\GDVþVDÿOD\DELOPHNWH
YHEXVHEHSWHQDUDúWþUþOPDVþJHUHNPHNWHGLU
7\DJLYHDUNLQYLYRoDOþúPDODUþQGDVWPRODUSXOSHNWRPLOHULQGHURWDU\VLVWHPLOH5(&,352&VLVWHPL
NDUúþODúWþUPþúYHHÿHVLVWHPLQLQGLÿHUED]þIDNW|UOHU
LOHELUOLNWHoRFXNGDYUDQþúþQDRODQPXKWHPHOHQHWNLVLQLGHÿHUOHQGLUPLúOHUGLU .OLQLNSHUIRUPDQVDGDLUHOGHHWWLNOHULVRQXoODU|QFHNLoDOþúPDODUGDQ
IDUNOþGHÿLOGLU6RQXoWDHÿHVLVWHPWHUFLKLQLQoRFXN
GDYUDQþúODUþQþDQODPOþG]H\GHHWNLOHPHGLÿLQLEHOLUWPLúOHUGLU
'DO]HOOYHDUNPDQXHO0WZRYH5(&,352&EOXHHÿHOHUL 9': HQVWUPDQWDV\RQ HWNLQOLÿL EDÿODPþQGD
GHÿHUOHQGLUGLNOHULELUPLNUR&7oDOþúPDVþJHUoHNOHúWLUPLúWLU+HPELUOHúPLúKHPGHELUOHúPHPLúVWPRODUN|NOHULDUDVþQGDWHPL]OLNYHúHNLOOHQGLUPHHWNLQOLÿL
EDÿODPþQGDDQODPOþIDUNOþOþNODUWHVSLWHGLOPLúWLU
(N RODUDN UHVLSURNDV\RQ VLVWHPOHUL NXOODQþOGþÿþQGD
GDKD ID]OD SURVHGUHO KDWDODU ROGXÿXQX WHVSLW HWPLúOHUGLU%XVRQEXOJX|QFHNLoDOþúPDODUDYHEL]LP
NOLQLNWHFUEHPL]HWH]DWOþNWHúNLOHWPHNWHGLU+HUQH
NDGDUEL]5(&,352&EOXHVLVWHPLQNOLQLNSHUIRUPDQVþQþJ|UPHVHNGHEXVLVWHP5(&,352&VLVWHPLQJHRPHWULNWDVDUþPþYHKDUHNHWLQLSD\ODúPDNWDGþU
%DUDVXROYHDUNLQYLWURoDOþúPDODUþQGDVWGLúOHULQGHHODOHWOHULURWDU\YHUHVLSURNDODOHWOHULPLNUR&7·GH
úHNLOOHQGLUPH \HWHQHÿL EDÿODPþQGD NDUúþODúWþUPþúWþU
(OGHHWWLNOHULVRQXoODUGD5HÿHVLLOHN|NNDQDOþQþQRUWDoOVQGHGDKDID]ODNDQDOWUDQVSRUWDV\RQXQXWHVSLWHWPLúOHUGLU%XQXQODELUOLNWH5(&,352&
VLVWHPLQGH PDQXHO HQVWUPDQWDV\RQD J|UH GDKD
NþVDELUúHNLOOHQGLUPHVUHVLQLJ|]OHPOHPLúOHUGLU
%LOGLÿLPL]NDGDUþ\ODEL]LP\D\þQþPþ]5HÿHVLQLQ
VW PRODU SXOSHNWRPLVLQGH NXOODQþOGþÿþ LON LQ YLYR
VHQDU\RGXU 8]XQ G|QHP WDNLSOHU RUWDODPDGD L\L
VRQXoODURUWD\DNR\PDNWDGþU%XEHúYDNDN|NNDQDO
VLVWHPLQLQUHNRQWDPLQDV\RQXQDIþUVDWYHUPH\HFHN
úHNLOGHX\JXQELUVLPDQWDV\RQ]DPDQGDSDVODQPD]
oHOLN NXURQODU LOH UHVWRUH HGLOPLúWLU <þOODU LoHULVLQGHNL NOLQLN WHFUEHPL] EXUDGD DNWDUþODQ YDNDODUþ
DúPDNWDGþUIDNDWEXEHúYDNDQþQSD\ODúþOPDVHEHEL
X]XQG|QHPWDNLSOHULQLQEXOXQPDVþYHX\JXQúHNLOGH SDVODQPD] oHOLN UHVWRUDV\RQODUD VDKLS ROPDOD-
_(GLW|U1RWX
5HIHUDQVOLVWHVL\D\þPFþGDQLVWHQHELOLU%XPDNDOH
ilk olarak roots—international magazine of endoGRQWLFVYROVD\þ·GH\D\þQODQPþúWþU
roots
B\D]DUKDNNÖQGD
Dr. Benjamín Rodríguez*XDWHPDOD·GD*XDWHPDOD&LW\·GHNL8QLYHUVLGDG)DQVLVFR0DUURTXLQ·GHQGLâKHNLPOLæLGHUHFHVLQL 8QLYHUVLGDG GH 6DQ &DUORV GH *XDWHPDOD·GDQ HQGRGRQWLDODQÖQGD06FXQYDQÖQÖHOGHHWPLâWLU \ÖOÖQGD
DOWÖ\ÖOOÖNHQGRGRQWLNNOLQLNSUDWLæLQLQDUGÖQGDQåVSDQ\D·GDNL
8,&%DUFHORQD·GDRUDOYHPDNVLOORIDVL\DOUDG\RORMLOLVDQVVWHæLWLPLQLWDPDPODPÖâWÖU
roots
B\D]DUKDNNÖQGD
Dr. Jenner Argueta*XDWHPDOD·GD*XDWHPDOD&LW\·GHNL8QLYHUVLGDGGH6DQ&DUORVGH*XDWHPDOD·GDQKHPGLâKHNLPOLæLOLVDQVÖQÖKHPGHHQGRGRQWLDODQÖQGD06FXQYDQÖQÖHOGH
HWPLâWLU *XDWHPDOD XOXVDO ELOLP YH WHNQRORML NRQVOQGH
VHUWLILNDOÖ DUDâWÖUPDFÖ YH *XDWHPDOD &LW\·GHNL 8QLYHUVLGDG
0DULDQR *DOYH] GH *XDWHODPD·GD HQGRGRQWL HæLWPHQLGLU
$%' 1HZ
[26] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_rejeneratif endodontik tedavi
.|NJHOLâLPLWDPDPODQPÖâDOW
PRODUGLâWHUHMHQHUDWLIHQGRGRQWLN
WHGDYL 2OJXVXQXPX
Yazar_Öğr. Gör. Utku Can Kemeç, Türkiye
_*LULü
'LúOHU N|N JHOLúLPOHUL HVQDVþQGD oUN WUDYPD
veya dental anomaliler sebebiyle nekrotik hale
JHOHELOLU%XQDEDÿOþRODUDNGDN|NJHOLúLPOHULER]XODELOLU (QGRGRQWLN WHGDYL\H LKWL\Do GX\DQ
ROJXQODúPDPþú GDLPL GLúWH JHUoHNOHúWLULOHELOHFHN
RODVþ WHGDYLOHU DUDVþQGD SXOSDQþQ WHúKLV HGLOGLÿL
WDPRODUDNROXúPDPþúELUN|NQDSLNDOE|OJHVLQGH
NDOVLIL\HELUDSLNDOEDUL\HULQLQGNVL\RQSURVHGU
RODQ DSHNVLILNDV\RQD VDKLEL] $SHNVLILNDV\RQ
LOH WHGDYL HGLOPLú JHQo VUHNOL GLúOHULQ N|N \DSþODUþQGDNL ]D\þIOþÿD EDÿOþ RODUDN ]DPDQOD VHUYLNDO
N|N NþUþNODUþQGD DUWþú PH\GDQD JHOGLÿL UDSRUODQPþúWþU 5HMHQHUDWLI HQGRGRQWL N|N GHQWLQL YH
SXOSDGHQWLQ NRPSOHNVLQL QHNUR]H ROPXú GDLPL
GLúOHUGH IL]\RORMLN RODUDN \HQLGHQ ROXúWXUDELOPHN
LoLQ WDVDUODQPþú EL\RORMLN WHPHOOL ELU SURVHGUGU
5HMHQHUDWLI(QGRGRQWLN3URVHGUOHU 5(3 JQP]GH LPPDWU QHNURWLN GLúOHULQ WHGDYLVLQGH
VþNOþNODNXOODQþOPDNWDGþU
[27] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_rejeneratif endodontik tedavi
Resim 1 a
Resim 1 b
Resim 1 c
Resim 1: a)7HâKLVUDG\RJUDILVLb)3RVW2SNRQWUROUDG\RJUDILVLc)$\WDNLSUDG\RJUDILVL
QHNURWLN SXOSD DUWþNODUþ HNVNDW|U LOH WHPL]OHQPLú
·OLN 1D2&O LOH HQIHNWH GRNXQXQ GHEULGPDQþ
\DSþOPþúWþU.|NNDQDOODUþQGDNLDoþNOþNQXPDUDOþ.WLSLHOHÿHVL ).*'HQWDLUH LOHNRQWUROHGLOPLúWLU dDOþúPD ER\XQXQ KHVDSODQPDVþQGD DSHNV
EXOXFX 5RRW=; 0RULWD NXOODQþOPþúWþU&LKD]þQ
QRNWDVþQD NDGDU NDQDO DOHWL LOHUOHWLOPLú EX QRNWD
|OoOHUHNEXER\GDQPPGDKDNþVDRODFDNúHNLOGHoDOþúPDER\XKHVDSODQPþúWþU.|NNDQDOúHNLOOHQGLUPHVLLoLQ;3HQGR6KDSHU ).*'HQWDLUH
G|QHUDOHWLNXOODQþOPþúWþUUSPYHWRUTXH
GHÿHUOHULQH D\DUODQDQ HQGRPRWRU ).* 'HQWDLUH
N|N NDQDOþQGD VDELW ELU QRNWDGD NDOPD\DFDN úHNLOGH\XNDUþYHDúDÿþ\|QGHKDUHNHWOHUOHX\JXODQPþúWþU.|NNDQDOþNRURQDORUWDYHDSLNDORODUDNo
E|OPKDOLQGHúHNLOOHQGLULOPLúYHKHUE|OJHGHÿLúLPLQGHQ|QFHHÿHNDQDOGDQoþNDUWþODUDNWHPL]OHQPLúKHUNDQDOPO·OXN1D2&OLOH\þNDQPþúWþU(QGRPRWRUXQGDKLOLDSHNVEXOXFXVXGDLúOHP
HVQDVþQGDDoþNEþUDNþOPþúDSLNDOHXODúWþÿþQGDHÿH
JHULG|QPHKDUHNHWL\DSDFDNúHNLOGHD\DUODPDODU
\DSþOPþúWþU
.|N NDQDO úHNLOOHQGLUPHVLQLQ WDPDPODQPDVþQþQ
DUGþQGDQKHUELUNDQDO·OXN1D2&OLOHP/
GDNLND YH P/ VWHULO VDOLQ LOH LUULJH HGLOPLúWLU
ýUULJDV\RQODU \DQGDQ GHOLNOL NDSDOþ XoOX LÿQHOHU LOH oDOþúPD ER\XQGDQ PP·\H LÿQHOHULQ \HU
OHúWLULOPHVL\OH \DSþOPþúWþU .DQDOODUþQ VWHULO
SDSHUSRLQWOHU LOH NXUXODQPDVþQþQ DUGþQGDQ KD]þUODQDQ WR]OLNLW .DOVL\XP +LGURNVLW .+ PHGLNDPDQþ N|N NDQDOODUþQD VWHULO JXWWD SHUNDODU LOH
WDúþQPþúWþU .DQDO Dÿþ]ODUþQþQ WHIORQ EDQW LOH |U-
WOPHVLQLQ DUGþQGDQ GLú &DYLW (63(3UHPLHU LOH
JHoLFLRODUDNUHVWRUHHGLOPLúWLU
hoKDIWDVRQUDNLLNLQFLUDQGHYXGDKDVWDQþQPHYFXWVHPSWRPODUþQGDD]DOPDJ|UOVHGHVHPSWRPODUþQ WDPDPHQ JHoPHPHVLQGHQ |WU LON VHDQV
X\JXODQDQ LUULJDV\RQ SURWRNRO WHNUDUODQPþú YH
KDVWD\D WHNUDU KDIWD VRQUDVþQD UDQGHYX YHULOPLúWLU
hoQF UDQGHYXGD KDVWDQþQ WP úLND\HWOHULQLQ
JHoPHVLQLQ |ÿUHQLOPHVL\OH HSLQHIULQ LoHUPH\HQ
Resim 2:
3HULDSLNDOGHQROXâWXUXODQ
NDQDPDQÖQPLQHVHPHQWVÖQÖUÖQGD
GXUGXUXOPDVÖVRQUDVÖROXâDQSÖKWÖ
J|UQP
Resim 2
roots 25
2_2022
[28] =>
ROOTS DERGISI-S-29 KAPAKLAR
vaka raporu_rejeneratif endodontik tedavi
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ROOTS DERGISI-S-29 KAPAKLAR
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ROOTS DERGISI-S-29 KAPAKLAR
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[33] =>
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YDNDGDSHULDSLNDOFHUUDKLLúOHPLVþUDVþQGDPH]LREXNNDO N|NQ XFXQGDNL OH]\RQXQ ROGXNoD \D\JþQ
ROGXÿXJ|]OHPOHQGL%XQHGHQOHDOHWLQKDQJLúDUWODUGDNþUþOGþÿþELOLQPHGLÿLQGHQWHGDYLSURJQR]XQX
úDQVD EþUDNPDPDN DGþQD N|NQ UH]HNVL\RQXQD
karar verildi.
%X YDNDGD ROD\þ GDKD NRPSOLNH KDOH JHWLUHQ GXUXP SHULDSLNDO FHUUDKL VþUDVþQGD RURDQWUDO ILVWO
PH\GDQD JHOPHVL\GL hVW oHQH RUDO FHUUDKL LúOHPOHULQGH DQDWRPLN NRPúXOXNODUþ YH IL]\RORMLN
IRQNVL\RQODUþ QHGHQL\OH PDNVLOOHU VLQV E|OJHVLQH
|]HQJ|VWHULOPHOLGLU6LQVHEDÿOþNRPSOLNDV\RQODUþQEDúþQGDRURDQWUDOILVWOJHOLU%XNRPSOLNDV\RQ
LPSODQW GLú oHNLPL oHQH\] E|OJHVL WUDYPDVþ
NLVW\DGDWP|UUH]HNVL\RQXJLELPHNDQLNHWNLOHUOHROXúDELOHFHÿLJLELVLQVHNRPúXGLúOHULQN|NOHrinde meydana gelen kronik enfeksiyonlar sonucu
GD JHOLúHELOLU 2URDQWUDO ILVWO YDUOþÿþQGD
WHUFLK HGLOHQ WHGDYL \DNODúþPþQþ NRPSOLNDV\RQXQ
HWL\RORMLVLSHUIRUDV\RQXQoDSþSHUIRUDV\RQXQGHULQOLÿLFHUUDKLVDKDQþQYHVLQVQHQIHNVL\RQGXUXPX EHOLUOHU PP·GHQ NoN SHUIRUDV\RQ
YDUOþÿþQGD VSRQWDQ RODUDN NHQGLOLÿLQGHQ L\LOHúPH
PH\GDQDJHOHELOLU %XROJXGDGDSHUIRUDV\RQ
oDSþQþQNoNROPDVþQHGHQL\OHVWXUJLELFHUUDKL
LúOHPOHUH JHUHN GX\XOPDPþú YH E|OJH NHQGLOLÿLQGHQ L\LOHúPH\H EþUDNþOPþúWþU +DVWDQþQ \þOOþN WDNLELQGH GLú DVHPSWRPDWLN YH IRQNVL\RQHO RODUDN
LúOHYLQLVUGUPHNWHGLU
_Sonuç
%DúDUþVþ]NDQDOWHGDYLVLYDUOþÿþQGDLONGHÿHUOHQGLULOPHVLJHUHNNULWHUOHUDUDVþQGDDQDWRPLNYDU\DV\RQODUYHNDQDOGH]HQIHNVL\RQXQXHQJHOOH\HQNDQDOþQ
EORNDMþQDVHEHSRODQNþUþNNDQDODOHWOHULJHOLU.þUþN
Resim 5:
+DVWDGDQ\ÖOWDNLSDPDFÖ\ODVRQUD
DOÖQDQSDQRUDPLNUDG\RJUDIL
Resim 5
roots 31
2_2022
[34] =>
ROOTS DERGISI-S-29 KAPAKLAR
olgu sunumu_fistülden oroantral fistüle
NDQDO DOHWL YDUOþÿþQGD WHGDYL \RO KDULWDQþ]þ HVDV
RODUDN NDQDO DOHWLQLQ \HUL KDVWDQþQ VHPSWRPODUþ
YHSHULDSLNDOGXUXPEHOLUOHU%XDPDoODKHU]DPDQ
LONRODUDNRUWRJUDG\ROODWHGDYLúDQVþGHQHQPHOLGLU
Gerekli duyulan durumda cerrahi yol seçilebilir.
_.D\QDNODU
[35] =>
ROOTS DERGISI-S-29 KAPAKLAR
[36] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
5HMHQHUDWLIHQGRGRQWLN
X\JXODPDODU
Yazar_Dt. Çağla Yeloğlu, Türkiye
_g]HW
.|N JHOLúLPL WDPDPODQPDPþú ELU GLúWH oUN \D
da travma nedeniyle meydana gelebilecek olan
SXOSD QHNUR]X GLúLQ N|N JHOLúLPLQLQ GXUPDVþQD
YH N|N NDQDOþ GHQWLQ GXYDUODUþQþQ LQFH NDOPDVþQD
VHEHSRODELOLU%XWUGLúOHULQHQGRGRQWLNWHGDYLVL
DoþN DSHNV YH LQFH GHQWLQ GXYDUþ VHEHEL\OH NROD\
GHÿLOGLU $SHNVLILNDV\RQ WHGDYLVL LOH N|N JHOLúLPLQLQ GHYDP HWPHVL GHQWLQ GXYDUODUþQþQ NDOþQODúPDVþYHDSLNDOGDUDOþPþQHOGHHGLOPHVLKHGHIOHQLU
$QFDNGLúSXOSDVþQþQUHYLWDOL]DV\RQXVDÿODQDPD]
.DOVL\XP KLGURNVLW LOH JHUoHNOHúWLULOHQ JHOHQHNVHO
DSHNVLILNDV\RQ \DNODúþPþQþQ X]XQ ]DPDQ DOPDVþ
QHWLFHVLQGHNþUþOPDULVNLQLQDUWPDVþ07$JLELEL\RX\XPOXPDO]HPHOHULOH\DSþODQWHNVHDQVDSHNVLILNDV\RQ WHGDYLVL LOH GHQWLQ GXYDUODUþQþQ LQFH
NDOPDVþ YH N|N JHOLúLPLQLQ GHYDP HWWLULOHPHPHVL
QHWLFHVLQGH JQP]GH UHMHQHUDWLI HQGRGRQWLN
WHGDYLOHU|QSODQDoþNPþúWþU
_$QDKWDU .HOLPHOHU 5HMHQHUDWLI HQGRGRQWL
Revaskülarizasyon,
_5HMHQHUDV\RQD*HQHO%DNÕü
5HMHQHUDWLI GLú KHNLPOLÿLQLQ DPDFþ GLú GRNXODUþQþQYHEXQODUþQGHVWHN\DSþODUþQþQEL\RORMLNRODUDN
GHÿLúWLULOPHVLQL VDÿODPDNWþU 5HMHQHUDWLI GLú KHNLPOLÿL EL\RORMLN WHGDYLOHUGH GRNX PKHQGLVOLÿL
SUHQVLSOHULQL NXOODQDUDN N|N KFUHOHU E\PH
IDNW|UOHUL YH LVNHOHOHU LOH HNVLN GRNXODUþQ LúOHYVHO
RODUDN\HQLOHQPHVLQLVDÿODPDNWDGþU 5HMHQHUDWLI
GLú KHNLPOLÿL E\PH YH EL\RORMLN UHMHQHUDV\RQX
Kþ]ODQGþUDQYH\DLQGNOH\HQIDUNOþODúPDIDNW|UOHULQL X\JXOD\DQ EL\RORMLN WHPHOOL ELU WHGDYL ROPDVþ
QHGHQL\OHJQP]GHSRSOHUKDOHJHOPLúWLU
\þOþQGD+HUPDQQ·þQNDOVL\XPKLGURNVLWPDWHU\DOL X\JXOD\DUDN \DSWþÿþ YLWDO DPSXWDV\RQ WHGDYLVLGLúKHNLPOLÿLQGHX\JXODQDQUHMHQHUDWLILúOHPOHULQEDúODQJþFþRODUDNNDEXOHGLOPHNWHGLU
·GH 1\JDDUG2VWE\ HQGRGRQWLN WHGDYL J|U-
34 roots
2_2022
Pú QHNURWLN SXOSDOþ YH DSLNDO OH]\RQOX DSLNDO
JHOLúLPL WDPDPODQPþú GLúOHULQ N|NOHULQLQ DSLNDO
oOVQGH\HQLYDVNODUL]HGRNXROXúXPXQXQLQGNOHQHELOGLÿLQLJ|VWHUPLúWLU
\þOþQGD LVH ,ZD\D YH DUN DSLNDO N|N JHOLúLPLWDPDPODQPDPþúQHNURWLNSXOSDOþELUNoND]þ
GLúLQGH N|N NDQDO GXYDUODUþQþQ PLQHUDOL]H GRNX
LOHNDOþQODúWþÿþQþYHN|NJHOLúLPLQLQGHYDPHWWLÿLQL
J|VWHUPLúOHUGLU %X SURVHGU UHYDVNODUL]DV\RQRODUDNWDQþPODPþúODUGþU
5HMHQHUDWLI HQGRGRQWL N|N JHOLúLPL WDPDPODQPDPþúGLúOHULQN|NJHOLúLPLQLQWDPDPODQPDVþYH
DSLNDONDSDQPDVþQþQVDÿODQPDVþDPDFþ\ODGHQWLQ
YHN|N\DSþODUþGDGDKLOROPDN]HUHSXOSDGHQWLQ
NRPSOHNVLQLQKFUHOHULQLD\QþN|NHQHVDKLSFDQOþ GRNXODUOD GHÿLúWLUPHN LoLQ WDVDUODQDQ EL\RORMLN
ED]OþSURVHGUOHURODUDNWDQþPODQDELOLU
.|N JHOLúLPL WDPDPODQPDPþú GLúOHULQ WHGDYLOHULQGHNOLQLNRODUDNED]þSUREOHPOHU\DúDQDELOLU%X
SUREOHPOHU
_ .|NNDQDOODUþQþQWHPL]OHQPHVLPHNDQLNúHNLOlendirilmesi ve dezenfeksiyonundaki zorluklar,
_ .DOþQOþÿþ\HWHUL]YHNþUþOPDGLUHQFLGúNGHQWLQ
GXYDUODUþQþQN|NNDQDODUþQþQGROGXUXOPDVþHVQDVþQGDNþUþOPDLKWLPDOL
_ .|NYHNXURQRUDQþQþQNþVDROPDVþ
_ ýOHULGH JHUHNOL GXUXPGD N|N NDQDOþ WHGDYLVL
WHNUDUþ\DSþOPDVþQþQ]RUOXNODUþRODUDNVþUDODQDELOLU
.|N JHOLúLPL WDPDPODQPDPþú GLúOHULQ DSHNVLILNDV\RQ DGþ YHULOHQ JHOHQHNVHO WHGDYLOHULQGH N|N
NDQDOODUþQþQ WHPL]OHQPHVLQLQ DUGþQGDQ NDOVL\XP
KLGURNVLW JLEL VHUW GRNX ROXúXPXQX X\DUDQ PDWHU\DOOHU NXOODQDUDN DSLNDO GDUDOþP ROXúWXUXOPDVþ
KHGHIOHQLU .DOVL\XP KLGURNVLW LOH JHUoHNOHúWLULOHQJHOHQHNVHODSHNVLILNDV\RQ\DNODúþPþQþQX]XQ
]DPDQDOPDVþQHWLFHVLQGHNþUþOPDULVNLQLQDUWPDVþ
07$ JLEL EL\RX\XPOX PDO]HPHOHU LOH \DSþODQ WHN
VHDQV DSHNVLILNDV\RQ WHGDYLVL LOH GHQWLQ GXYDUOD-
[37] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
Resim 1 a
Resim 1 c
Resim 1:
.|NXFXDoÖNYHSHULDSLNDOOH]\RQOX
QR·OXGLâLQ
Resim 1 d
Resim 1 b
Resim 1 e
UþQþQLQFHNDOPDVþYHN|NJHOLúLPLQLQGHYDPHWWLULOHPHPHVL 5HVLP QHWLFHVLQGHJQP]GHUHMHQHUDWLIHQGRGRQWLNWHGDYLOHU|QSODQDoþNPþúWþU
2ULMLQLQHJ|UH
_ (PEUL\RQLNN|NKFUHOHU
_ (ULúNLQN|NKFUHOHU
5HMHQHUDWLI HQGRGRQWLN WHGDYLOHU DUDVþQGD N|N
NDQDOODUþQþQ UHYDVNODUL]DV\RQX HULúNLQ N|N KFUH WHGDYLVL SXOSD LPSODQWDV\RQX LVNHOH LPSODQWDV\RQX HQMHNWH HGLOHELOLU LVNHOH X\JXODPDVþ o
ER\XWOXKFUH\D]þOþPþYHJHQWHGDYLVL\HUDOPDNWDGþU5HMHQHUDWLIHQGRGRQWLNSURVHGUOHUDUDVþQGD
NOLQLNRODUDNVþNOþNODUHYDVNODUL]DV\RQWHGDYLVLX\JXODQPDNWDGþU 'LÿHU WHGDYL VHoHQHNOHULQLQ NOLQLN
olarak rutinde uygulanabilmesi için daha fazla
oDOþúPD\DLKWL\DoYDUGþU
.D\QDÿþQDJ|UH
_ 2WRORJ $\QþNLúLGHQHOGHHGLOLU
_ $OORMHQLN $\QþWUGHQGRQ|UGHQHOGHHGLOLU
_ ;HQRJHQLF %DúND ELU WUQ GRQ|UQGHQ HOGH
edilir.
_ 6\QJHQLF *HQHWLNRODUDN|]GHúRUJDQL]PDODUdan elde edilir.
_5HMHQHUDWLI(QGRGRQWLGH3UHNOLQLN
dDOÕüPDODU
_.|N+FUHOHU
dHúLWOLGLÿHUKFUHYH\DGRNXWUOHULQHIDUNOþODúDQ
SURJHQLW|U KFUHOHULQL VUHNOL RODUDN E|OPH YH
UHWPH \HWHQHÿLQH VDKLS RODQ KDVDUOþ GRNXODUþQ
\HQLOHQPHVLQL VDÿOD\DQ KFUHOHUH N|N KFUH GHQLU ·WH 'XDLOLEL YH DUN N|N KFUHOHUL
´'úN VD\þODUGD EXOXQDQ VDNLQ KFUH SRSODV\RQODUþµRODUDNWDQþPODPþúODUGþU
ýQVDQ GLúL PLQH GHQWLQ VHPHQW YH SXOSD GRNXVXQGDQ ROXúXU 0LQH DPHOREODVW KFUHOHUL WDUDIþQGDQGHQWLQRGRQWREODVWKFUHOHULWDUDIþQGDQYH
VHPHQWVHPHQWREODVWKFUHOHULWDUDIþQGDQ\DSþOþU
.|NKFUHOHUEXG|UWGRNXWUQQKHSVLQHIDUNOþODúDELOLU
.|NKFUHOHURULMLQLQHND\QDÿþQDYHSRWDQVL\HOLQH
J|UHJUXSWDVþQþIODQGþUþOþU
a)%DâODQJÖoUDG\RJUDILVL
b)3DODWLQDOE|OJHGHILVWOYDUOÖæÖ
c)&%&7GH\DWD\NHVLWWHSHULDSLNDO
OH]\RQXQ\DUDWWÖæÖNHPLNND\EÖ
d)%LWLPUDG\RJUDILVL
e)3DODWLQDOE|OJHGHNDSDQDQILVWO
3RWDQVL\HOLQHJ|UH
_ 7RWLSRWHQW 7PHPEUL\RQLNYHHNVWUDHPEUL\RQLNKFUHWLSOHULQLD\þUWHGHELOLU
_ 3OXULSRWHQW (PEUL\RQLN PHPEUDQþQ KFUHOHUL
GþúþQGDNLWPKFUHWLSOHULQLD\þUWHGHELOLU
_ 0XOWLSRWHQW %LUGHQ ID]OD ROJXQ KFUH\H G|QúHELOLU
_ 8QLSRWHQW 6DGHFHELUKFUHWLSLQLD\þUWHGHELOLU
'HQWDON|NKFUHOHUGLúSXOSDVþYHGLúoHYUHVLGRNXODUGDQL]ROHHGLOHELOLUOHU%DúDUþ\ODL]ROHHGLOPLú
GLúN|NKFUHVLJUXEXYDUGþU
'HQWDOSXOSDN|NKFUHOHUL
'36&
'Lú SXOSDVþ GHQWDO SXOSD N|N KFUHOHUL RODUDN
DGODQGþUþODQ ELU N|N KFUH SRSODV\RQX LoHULU
'36&·OHU\HULQHJHoHQRGRQWREODVWKFUHOHULJLEL
GHQWLQ PDWULNVLQL VHQWH]OHU YH VDOJþODUODU %X QHGHQOHRGRQWREODVWRLGKFUHOHURODUDNGDDQþOþUODU
ýONRODUDN\þOþQGD*URQWKRVYHDUNWDUDIþQGDQ oHNLOHQ \LUPL \Dú GLúOHULQLQ SXOSDVþQGDNL HNWRPH]HQNLPDO N|N KFUHOHULQGHQ L]ROH HGLOPLúWLU
[38] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
UDELOGLNOHULJ|VWHULOPLúWLU
ýQVDQGLúOHULQGHSXOSDGRNXVXQXQHQIHNWHROPDVþ
SXOSD GRNXVXQXQ LOWLKDSODQPDVþ YH GLú DÿUþVþ\OD
VRQXoODQþU$ÿUþ\þJLGHUPHNLoLQGLúKHNLPLQLQN|N
NDQDOþ WHGDYLVL \DSPDVþ JHUHNLU %X LúOHPOH DÿUþ
JLGHULOLUDQFDNGLúLQFDQOþOþÿþSXOSDQþQoþNDUþOPDVþ
QHGHQL\OH ND\EHGLOLU 5HMHQHUDWLI SURVHGUOHU
LOHGLúSXOSDVþQGDQHOGHHGLOHQN|NKFUHOHUSXOSD
EHQ]HULGRNXODUROXúWXUDELOLU %XSXOSDEHQ]HUL
GRNXODUSROLJOLNROLNDVLWWHQROXúDQ\DSD\PDWULNVOHUH HNLOPLú '36&·OHU NXOODQþODUDN LQYLWUR RODUDN
WDVDUODQDELOLU.|NKFUHOHUSXOSDEHQ]HULGRNXYH
GHQWLQ NRPSOHNVLQH IDUNOþODúDELOLU YH LOWLKDSOþ ELU
GLúLQHQIHNWHROPXúSXOSDGRNXVX\HQLROXúWXUXODQSXOSDEHQ]HULELUGRNX\ODGHÿLúLU
6WGLüOHULQGHQHOGHHGLOHQN|N
KFUHOHU 6+('
0H]HQNLPDO SURJHQLW|UOHULQ VW NHVLFL GLúOHULQLQ
SXOSDVþQGDQ L]ROH HGLOHELOGLÿL J|UOPúWU %X
KFUHOHU 6+(' RODUDN DGODQGþUþOPþú YH Q|URQODUD
DGLSRVLWOHUHYHRGRQWREODVWODUDIDUNOþODúDELOPHNWHGLU6+('KFUHOHULNHPLNYH\DGHQWLQROXúXPXQX
VDÿOD\DELOPHNWHGLU
[39] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
Resim 2 a
Resim 2 b
Resim 2 c
Resim 2:
QXPDUDOÖGLâHX\JXODQDQ
UHYDVNODUL]DV\RQWHGDYLVLYHGLâLQ
WDNLEL
Resim 2 d
Resim 2 f
Resim 2 e
a).OLQLNRODUDNVHPSWRPDWLNRODQ
QROXGLâLQEDâODQJÖoUDG\RJUDILVL
b) QROXGLâLQDOHWOLUDG\RJUDILVL
c).|NNDQDOÖQÖQ\ÖNDQPDVÖ
d).|NNDQDOÖQÖQNXUXODQPDVÖ
e) 0LQHVHPHQWVÖQÖUÖQGDNLNDQDPD
f)%H\D]07$·QÖQ\HUOHâWLULOPHVL
g)5HYDVNODUL]DV\RQWHGDYLVLVRQUDVÖ
YDNDQÖQ\ÖOWDNLSUDG\RJUDILVL
Resim 2 g
_5HMHQHUDWLI(QGRGRQWLGH.OLQLN
dDOÕüPDODU
SURVHGUGHNXOODQþODFDNRODQLODoYHDQWLEL\RWLNOHUHDOHUMLVLROPD\DQKDVWDODUGDHQGLNHGLU
_.|N.DQDOODUÕQÕQ5HYDVNODUL]DV\RQX
5HYDVNODUL]DV\RQ QHNURWLNSXOSDOþYHN|NJHOLúLPLQLWDPDPODPDPþúGLúOHUGHSXOSDERúOXÿXQGDNL
GDPDUODQPD\þ \HQLGHQ ROXúWXUDUDN N|N JHOLúLPLQLQ GHYDP HWPHVLQL VDÿOD\DQ LGHDO ELU WHGDYL
\|QWHPLGLU 5HMHQHUDWLI HQGRGRQWLN WHGDYL
QHNURWLN SXOSDOþ YH N|N JHOLúLPL WDPDPODQPDPþú
GLúOHUILQDOUHVWRUDV\RQXLoLQSRVWNRUX\JXODPDVþ
JHUHNWLUPH\HQ GLúOHU X\XPOX KDVWD YH HEHYH\Q
5HYDVNODUL]DV\RQSURWRNROOHULQGHLONJQGHQEHUL
WHN N|NO GLúOHUH \RÿXQODúþOPDNWDGþU %XQXQOD
EHUDEHU E\N D]þ GLúOHULQGH GH EDúDUþOþ VRQXoODU
ELOGLUHQ oDOþúPDODU PHYFXWWXU 1RVUDW YH
DUNDOWoHQHELULQFLE\ND]þGLúOHULQLQEDúDUþ\OD
WHGDYL HGLOGLÿL YDND UDSRUX ELOGLUPLúOHUGLU
%XYDNDUDSRUXQGD\]H\|]HOOLNOHULQLQ07$·GDQ
IDUNOþ RODUDN LQVDQ GHQWLQLQH EHQ]HPHVL YH N|N
KFUHOHULQ IDUNOþODúPDVþQþ GHVWHNOH\HELOPHVL QH-
roots 37
2_2022
[40] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
GHQL\OH 07$ \HULQH NDOVL\XPOD ]HQJLQOHúWLULOPLú
NDUþúþP &(0 NXOODQPþúODUGþU &(0·LQ UHYDVNODUL]DV\RQGD Vþ]GþUPD]OþN LoLQ X\JXQ EL\RPDWHU\DO
ROGXÿX YH ]HULQH \HUOHúWLULOHFHN RODQ LODYH FDP
L\RQRPHULQGDKDEDúDUþOþELUNXURQDOVþ]GþUPD]OþN
VDÿODGþÿþQþ|QHVUPúOHUGLU$UDúWþUPDFþODUUDGyografik incelemeler sonucunda vakalardan biriQLQPHVLDON|NQGHWDWPLQHGLFLROPD\DQVRQXoODU
HOGH HWPLú YH EXQX NoN oDSOþ PHVLDO NDQDOODUGD LQGNOHQHQ \HWHUVL] NDQDPD\D EDÿODPþúODUGþU
%X YDNDODU UHMHQHUDWLI HQGRGRQWLN SURVHGUOHULQ
WHNN|NOGLúOHUOHVþQþUOþNDOPDPDVþJHUHNWLÿLQLYH
oRN N|NO GLúOHUGH GRÿUX VWUDWHMLOHULQ L]OHQPHVL
GXUXPXQGD L\L \DQþWODU DOþQDELOHFHÿLQL J|VWHUPHNWHGLU'DUPHVLDOYH\DEXNNDON|NNDQDOODUþ\OD
XÿUDúþUNHQGLNNDWOLROXQPDVþYHLVNHOHROXúXPXQX
NROD\ODúWþUPDN LoLQ HN |QOHPOHU DOþQPDVþ JHUHNHELOLU 7URPERVLWWHQ ]HQJLQ SOD]PD 353 EX |]HO
GXUXPODUGDL\LELUDOWHUQDWLIRODELOLU
/LWHUDWUGH\HUDOPþúLQYLWURYHLQYLYRoDOþúPDODUþQ þúþÿþQGD UHYDVNODUL]DV\RQ X\JXODPDVþ |QFHVLQGH GHÿHUOHQGLULOPHVL JHUHNHQ ED]þ NULWHUOHU
YDUGþU
_$SHNV*HQLüOLõLYH.|N*HOLüLP$üDPDVÕ
.|NJHOLúLPLWDPDPODQPDPþúVUHNOLGLúOHUGHDSLNDO IRUDPHQ JHQLúOLÿL LOH X\JXODQDQ UHYDVNODUL]DV\RQ WHGDYLVLQLQ EDúDUþVþ DUDVþQGD ELU EDÿODQWþ
ROGXÿX J|VWHULOPLúWLU +HU QH NDGDU DSLNDO
JHQLúOLÿLQPLNWDUþKDOHQELUWDUWþúPDNRQXVXROVD
GD JHQHO NDQþ UHMHQHUDWLI HQGRGRQWLN SURVHGUOHU
LoLQDSLNDOIRUDPHQJHQLúOLÿLQLQPPYH\DGDKD
JHQLúROPDVþ\|QQGHGLU
_+DVWDQÕQ
[41] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
NXOODQþODFDN RODQ 7$3·QLQ PJP/·GHQ GDKD
\NVHN NRQVDQWUDV\RQGD ROPDPDVþ JHUHNLU
7$3NDQDOLoHULVLQGHNLSDWRMHQEDNWHULOHULQRUWDGDQ
NDOGþUþOPDVþQGD ROGXNoD HWNLOLGLU $\Qþ ]DPDQGD
SXOSDGRNXVXWDUDIþQGDQL\LWROHUHHGLOLU .|N
KFUHVDÿNDOþPþYHSUROLIHUDV\RQXLoLQHOYHULúOLGLU
7$3·QLQNXOODQþOGþÿþYDNDODUGDNXURQXQUHQNOHQPHVLQLHQD]DLQGLUPHNLoLQSDWþQPLQHVHPHQW
ELUOHúLPLQLQDSLNDOLQGHNDOGþÿþQGDQHPLQROXQPDOþGþU %LU GLÿHU DUD VHDQV PHGLNDPHQWL RODQ
NDOVL\XPKLGURNVLWSDWþLVHNDOVL\XPKLGURNVLWWR]XQXQVWHULOVXLOHHúLWRUDQGDNDUþúWþUþOPDVþ\ODHOGH
HGLOLU .DOVL\XPKLGURNVLW6&$3·OHULQVDÿNDOþPþ
YHSUROLIHUDV\RQXLoLQHOYHULúOLGLU 6&$3VDÿNDOþPþDoþVþQGDQNDOVL\XPKLGURNVLWX\JXODQPDVþ
7$3X\JXODQPDVþQDJ|UHGDKDDYDQWDMOþGþU
Resim 3 a
Resim 3 b
.DQDO LoL PHGLNDPHQW X\JXODPDVþQþQ DUGþQGDQ
NDYLWHPPNDOþQOþÿþQGDELUJHoLFLUHVWRUDV\RQ
PDWHU\DOLLOHNDSDWþOþUYHKDIWDNDGDUEHNOHQLU
_úNLQFL6HDQV
ýONWHGDYL\HDOþQDQ\DQþWGHÿHUOHQGLULOLU.DOþFþHQIHNVL\RQ EHOLUWLOHUL \D GD VHPSWRPODUþ YDUVD HN
olarak alternatif antimikrobiyal tedavi seçenekleri
GúQOU (QIHNVL\RQ EHOLUWLOHUL \RNVD SURWRNROH
GHYDPHGLOLU<]GHNRQVDQWUDV\RQGDYD]RNRQVWUNW|UV]PHSLYDNDLQLOHORNDODQHVWH]LX\JXODQþU
*HoLFL UHVWRUDV\RQ X]DNODúWþUþOþU 3XOSD RGDVþQGDNLDUWþNODUþWHPL]OHPHNLoLQVWHULOVDOLQNXOODQþOþU'DKDVRQUDP/('7$LOHN|NNDQDOODUþ
EROYHQD]LNoH\þNDQþUYHNXUXODQþU 7PN|N
NDQDOþQþQPLQHVHPHQWELUOHúLPLVHYL\HVLQHNDGDU
NDQODGROGXUXOPDVþDPDFþ\OD|QFHGHQHÿLPYHULOPLú . WLSL HÿH\H DSLNDO IRUDPHQGHQ PP WDúDFDNúHNLOGHURWDV\RQX\JXODQþU.DQDPDPP
NDOþQOþÿþQGD UHVWRUDV\RQ PDWHU\DOLQLQ \HUOHúWLULOPHVLQH L]LQ YHUHFHN úHNLOGH N|NQ NXURQDO oOVQGHGXUGXUXOXU 5HVLPH 2OXúWXUXODQEX
NDQDPDN|NNDQDOERúOXÿXQGDIDUNOþODúPDPþúN|N
KFUHOHULQ ELULNLPLQL VDÿODU .DQDO LoLQGH ELU
NDQ SþKWþVþ EXOXQGXÿXQGDQ GROD\þ PLNURRUJDQL]PDODUþQNXURQDOE|OJHGHQN|NNDQDOþQDVþ]PDVþQþ
|QOHPHN LoLQ ELU NXURQDO EDUL\HU \HUOHúWLULOLU
*HUHNLUVHROXúDQNDQSþKWþVþQþQ]HULQH&ROOD3OXJ
&ROODFRWH&ROOD7DSHJLELUH]RUEHRODELOHQELUPDWULNVYHNXDIDMPDWHU\DOLRODUDNEH\D]07$&D 2+
\HUOHúWLULOHELOLU 5HVLPI PP·OLNELUFDPL\RQRPHUWDEDNDVþNXDIDMPDWHU\DOL]HULQHX\JXODQþUYHVDQL\HER\XQFDþúþNODVHUWOHúWLULOLU.XDIDM
PDWHU\DOLRODQNXOODQþODELOHQ07$GLúWHUHQNGHÿLúLNOLÿLQH VHEHS RODELOLU (VWHWLN HQGLúHQLQ ROGXÿX GLúOHUGH 07$·\D DOWHUQDWLI RODUDN %LRGHQWLQH
6HSWRGRQW/DQFDVWHG3$$%' JLELELUPDWHU\DO
X\JXODQPDVþ GúQOHELOLU .HVHU YH NoN D]þ
GLúOHULQGH &ROODWDSH &ROOD3OXJ NXOODQPDVþ YH
Resim 3 c
Resim 3 d
PP UH]LQ PRGLIL\H FDP L\RQRPHU 50*, X\JXODQPDVþQþQ DUGþQGDQ NRPSR]LW X\JXODQþU %\N
D]þGLúOHULQGHYH\DPHWDOGHVWHNOLSRUVHOHQNXURQ
\DSþOPþú GLúOHUGH LVH &ROODWDSH &ROOD3OXJ NXOODQþOPDVþ YH PP 07$ X\JXODQPDVþQþQ DUGþQGDQ
rezin modifiye cam iyonomer ile restore edilmesi
GúQOPHOLGLU
Resim 3:
QXPDUDOÖGLâLQUHYDVNODUL]DV\RQ
WHGDYLVLQGHQVRQUDN|NNDQDO
GXYDUODUÖQÖQNDOÖQOÖæÖQÖQDUWPDVÖYH
N|NJHOLâLPLQLQGHYDPHWPHVL
a)%DâODQJÖoUDG\RJUDILVL
b)5HYDVNODUL]DV\RQWHGDYLVLQGHQ
KHPHQVRQUDDOÖQDQUDG\RJUDIL
c)D\WDNLSUDG\RJUDILVL
d)\ÖOWDNLSUDG\RJUDILVL
_7DNLS
7DNLS VUHFLQGH GLú NOLQLN YH UDG\RJUDILN RODUDN
PXD\HQHHGLOLU$ÿUþúLúOLNYHVLQV\ROXROXúXPX
GHÿHUOHQGLULOLU *HQHOOLNOHELULQFLYHLNLQFLVHDQVODU
DUDVþQGD J|UOU 3HULDSLNDO UDG\ROXVHQWOLN N|N
NDQDO GXYDUODUþQGDNL NDOþQODúPD N|N X]XQOXÿXQGDNLDUWþúYHGLúLQFDQOþOþÿþWDNLSHGLOLU$SLNDOGHNL
UDG\ROXVHQVLQLQJHQHOOLNOHWHGDYLGHQD\VRQUDD]DOGþÿþJ|]OHQLU 5HVLPJ .|NNDQDOþGXYDUODUþQþQ NDOþQODúPDVþ LVH N|N X]XQOXÿXQGDNL EHOLUJLQDUWþúWDQ|QFHYHWHGDYLGHQJHQHOOLNOHD\
VRQUD J|]OHPOHQLU $UGþQGDQ N|N X]XQOXÿXQGDNL
DUWþúL]OHQLU6RQRODUDNSXOSDQþQYLWDOLWHVLGHÿHUOHQGLULOLU
roots 39
2_2022
[42] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
*HQHO RODUDN UDG\RJUDILN WDNLSWH úX UDG\RJUDILN
VRQXoODUþQDOþQPDVþRODVþGþU
_ .|NNDQDOþGXYDUODUþQþQNDOþQOþÿþQþQDUWPDVþYH
N|NJHOLúLPLQLQGHYDPHWPHVL 5HVLP
_ $SLNDOIRUDPHQLQNDSDQPDVþDQFDNN|NJHOLúLPLQLQGHYDPHWPHPHVL 5HVLP
_ $SLNDOIRUDPHQLQDoþNNDOPDVþDQFDNN|NJHOLúLPLQLQGHYDPHWPHVL 5HVLP
_ .|NNDQDOþERúOXÿXQXQúLGGHWOLNDOVLILNDV\RQX
5HVLP
_ .XURQDO UHVWRUDV\RQ LOH N|N DSHNVL DUDVþQGDNL NDQDOGD VHUW GRNX EDUL\HUL ROXúPDVþ
5HVLP
/LWHUDWUGH UHYDVNODULDV\RQ SURWRNROQ LQFHOH\HQELUoRNoDOþúPDPHYFXWWXU5HYDVNODUL]DV\RQ
SURVHGUOHULQGHKLoúHNLOOHQGLUPH\DSþOPDPDVþ\D
GDPLQLPDOG]H\GHúHNLOOHQGLUPH\DSþOPDVþ|QHULOLU /LQYHDUNEDúDUþVþ]OþNODVRQXoODQDQUHMHQHUDWLIHQGRGRQWLNWHGDYLOHU]HULQGH\DSWþNODUþ
KLVWRORMLNYHKLVWREDNWHUL\RORMLNLQFHOHPHOHUVRQXFXQGD EDNWHULOHULQN|NNDQDOþQþQDSLNDONþVPþQGD
EL\RILOPROXúWXUDUDNGHQWLQWEOOHULQHQIX]HWWLÿLQL J|VWHUPLú YH EX EXOJXODUD GD\DQDUDN N|N
JHOLúLPLQLQ VDÿODQDELOPHVL LoLQ EDNWHULOHULQ N|N
NDQDOþQGDQX]DNODúWþUþOPDVþYHN|NNDQDOODUþQþQELU
PLNWDUPHNDQLNRODUDNúHNLOOHQGLULOPHVLQLQJHUHNOL
RODELOHFHÿLQLVDYXQPXúODUGþU
5HYDVNODUL]DV\RQ SURWRNROQGH N|N NDQDOþQþQ
\þNDQPDVþ LoLQ ('7$ YH 1D2&O NXOODQþOPDNWDGþU
[43] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
YX]XQDJ|UHKHUELULQGHQHúLWRUDQGDNDUþúWþUþOPDOþ
5HVLP E YH NRQVDQWUDV\RQX 6&$3 FDQOþOþÿþQþ
VUGUHELOPHVLLoLQPJP/·\LJHoPH\HFHNúHNLOGHD\DUODQPDOþGþU
7$3·QLQHQE\NGH]DYDQWDMODUþQGDQELUL\DUDWWþÿþ
UHQNOHQPH YH N|N NDQDOODUþQGDQ X]DNODúWþUþODELOLUOLÿLQLQLPNkQVþ]ROXúXGXU$UVODQYHDUNIDUNOþ\þNDPDSURWRNROOHULLOH7$3·QLQN|NNDQDOþQGDQX]DNODúWþUþODELOLUOLÿLQLLQFHOHPLúYHGLVWLOHVX1D2&O
1D2&O HWDQRO ('7$ YH
1D2&O LOH ELUOLNWH SDVLI XOWUDVRQLN LULJDV\RQ
NXOODQþPþQþQ 7$3·\L N|N NDQDOþQGDQ WDPDPHQ
X]DNODúWþUDPDGþÿþQþELOGLUPLúOHUGLU
TAP ve kalsiyum hidroksitin SCAP üzerindeki etkiOHULGHIDUNOþOþNJ|VWHUPHNWHGLU5XSDUHOYHDUNNDOVL\XPKLGURNVLWoODQWLEL\RWLNSDWþLNLOLDQWLEL\RWLNSDWþYHDXJPHQWLQLQ6&$3]HULQGHNLHWNLOHULQL
LQFHOHGLNOHULoDOþúPDODUþQGD\DOQþ]FDNDOVL\XPKLGURNVLW NXOODQþODQ JUXSWD N|N KFUH SUROLIHUDV\RQX
J|]OHPOHQGLÿLQLELOGLUPLúOHUGLU %XoDOþúPDQþQ
VRQXoODUþ$OWKXPDLU\YHDUNLOHGHX\XPXGXU
$OWKXPDLU\ YH DUN PJP/ NRQVDQWUDV\RQXQGD NXOODQþODQ 7$3·QLQ DSLNDO SDSLOOD N|N KFUHOHULQLQ FDQOþ NDOPDVþQþ HQJHOOHGLÿLQL NDOVL\XP
KLGURNVLWLQLVHEXN|NKFUHOHULQFDQOþOþÿþQþYHoRÿDOPDVþQþWHúYLNHWWLÿLQLVDSWDPþúODUGþU
7$3X\JXODPDVþQDEDÿOþRODUDNPH\GDQDJHOHELOHFHNHQE\NSUREOHPOHUGHQELULGHUHQNOHQPHGLU
&KHHNYHDUNNDUþúþPELOHúHQOHULDUDVþQGDEXOXQDQ
bir tetrasiklin türevi olan minosiklinin uzun süreli
RUDO NXOODQþPGDQ VRQUD GLú UHQNOHQPHVLQH QHGHQ
ROGXÿXQXELOGLUPLúOHUGLU .LPYHDUNQHNURWLN
SXOSDOþELUGLúLQUHYDVNODUL]DV\RQXLoLQ7$3NXOODQþPþQþWDNLEHQKDIWDVRQUDUHQNGHÿLúLNOLÿLPH\GDQDJHOGLÿLQLYHEXQXQDQDQHGHQLQLQPLQRVLNOLQ
ROGXÿXQX ELOGLUPLúOHUGLU $\Qþ oDOþúPDGD DQWLEL\RWLNNDUþúþPþQþL]ROHHWPHNLoLQNXOODQþODQGHQWLQ
EDÿOD\þFþ PDGGHOHULQ UHQN GHÿLúLPLQL |QOHPHGH
NþVPHQEDúDUþOþROGXÿXQX|QHVUPúOHUGLU
Shah ve ark. ise revaskülarizasyon tedavisi uyguODGþNODUþ ROJXGD NDQDO LoL PHGLNDPHQW RODUDN
IRUPRNUH]RONXOODQPþúODUGþU%XYDNDGDUXEEHU
GDPL]RODV\RQXQXWDNLEHQN|NNDQDOODUþQþ\þNDPþú
YH IRUPRNUH]RO HPGLULOPLú SDPXN SHOHWL SXOSD
RGDVþQD\HUOHúWLUHUHNJHoLFLUHVWRUDV\RQPDWHU\DOL
LOHNDSDWPþúODUGþU$oþNSUODQDNþQWþRODQROJXODUGD LON VHDQV GLúOHULQ SXOSD RGDVþQD IRUPRNUH]ROHPGLULOPLúSDPXNSHOHW\HUOHúWLUPLúYH
VDDWER\XQFDGUHQDMLoLQDoþNEþUDNPþúODUGþU'LúLQ
DVHPSWRPDWLN YH N|N NDQDOODUþQþQ NXUX ROGXÿX
WHVSLW HGLOGLÿLQGH UHYDVNODUL]DV\RQ SURWRNRO
X\JXODQPþúWþU (QIHNVL\RQXQ GHYDP HWWLÿL YH NDQDOGDQGUHQDMþQPHYFXWROGXÿXGXUXPODUGDNDQDO
Resim 4 a
Resim 4 b
Resim 4 c
Resim 4 d
Resim 4: QXPDUDOÖGLâLQUHYDVNODUL]DV\RQWHGDYLVLQGHQVRQUDDSLNDOIRUDPHQLQLQNDSDQPDVÖDQFDNN|NJHOLâLPLQLQ|QHPOL|OoGHGHYDPHWPHPHVL a)%DâODQJÖoUDG\RJUDILVL b)5HYDVNODUL]DV\RQWHGDYLVLQGHQKHPHQ
VRQUDDOÖQDQUDG\RJUDIL c)D\WDNLSUDG\RJUDILVL d)D\WDNLSUDG\RJUDILVL
Resim 5 a
Resim 5 b
Resim 5 c
Resim 5 d
Resim 5: QXPDUDOÖ GLâLQ N|N JHOLâLPLQLQ GHYDP HWPHVL DQFDN DSLNDO IRUDPHQLQ DoÖN NDOPDVÖ a) %DâODQJÖo
UDG\RJUDILVL b) 5HYDVNODUL]DV\RQ WHGDYLVLQGHQ KHPHQ VRQUD DOÖQDQ UDG\RJUDIL c) D\ WDNLS UDG\RJUDILVL
d) D\WDNLSUDG\RJUDILVL
LoLPHGLNDPHQWX\JXODPDVþWHNUDUODPþúYHVRQUDNL
VHDQVWD UHYDVNODUL]DV\RQ WHGDYL EDVDPDNODUþQþ X\JXODPþúODUGþU 7HGDYL VRQXFXQGD LQFHOHQHQ
ROJXGDQ ·LQGH NOLQLN EHOLUWL YH VHPSWRPODUþQ WDPDPHQ G]HOGLÿLQL YH SHULDSLNDO OH]\RQODUþQ DQODPOþ GHUHFHGH L\LOHúWLÿLQL J|]OHPOHPLúOHUGLU 2OJXODUþQ KLoELULQGH |QFHGHQ YDU RODQ DSLNDO
SDWRORML ND\QDNOþ DÿUþ HQIHNVL\RQXQ WHNUDUþ YH\D
UDG\RJUDILN RODUDN DSLNDO OH]\RQXQ JHQLúOHPHVLQL
J|]OHPOHPHPLúOHUGLU
Nagata ve ark. revaskülarizasyon tedavisinde TAP
YHNORUKHNVLGLQLNDUúþODúWþUPDOþRODUDNNXOODQPþúODU-
roots 41
2_2022
[44] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
Resim 6 a
Resim 6 b
Resim 6 c
Resim 6 d
Resim 6: QXPDUDOÖGLâLQN|NNDQDOÖERâOXæXQXQâLGGHWOLNDOVLILNDV\RQX a)%DâODQJÖoUDG\RJUDILVL b)5HYDVNODUL]DV\RQWHGDYLVLQGHQKHPHQVRQUDDOÖQDQUDG\RJUDIL c)D\WDNLSUDG\RJUDILVL d)D\WDNLSUDG\RJUDILVL
Resim 7 a
Resim 7 b
GþU%XLNLPHGLNDPHQWLDSLNDOIRUDPHQGHQPP
JHULGH RODFDN úHNLOGH N|N NDQDOODUþQD \HUOHúWLUPLú
YH JQ VUH\OH N|N NDQDOþQGD EHNOHWPLúOHUGLU
+HU LNL JUXSWD GD JLULú NDYLWHOHULQL NRPSR]LW LOH
NDSDWPþú YH GLÿHU VHDQVWD N|N NDQDOþ LoHULVLQGHNL
DUD VHDQV PHGLNDPHQWOHULQL VDOLQ o|]HOWLVL LOH N|N
NDQDOþQGDQX]DNODúWþUPþúODUGþUhoGDNLNDER\XQFD
P/ ('7$ LOH \DSþODQ \þNDPDQþQ DUGþQGDQ
UHYDVNODUL]DV\RQ SURVHGUOHULQL X\JXODPþúWþU %X
oDOþúPDGDNLROJXODUþQWDNLSVUHVL LOH D\DUDVþQGDGþU.OLQLNGHÿHUOHQGLUPHGHKHULNLJUXSWDGD
VHPSWRPODUGD VSRQWDQDÿUþSHUNV\RQYHSDOSDV\RQGDDÿUþILVWOYDUOþÿþYHúLúOLN D]DOPDYHFDQOþOþN
WHVWOHULQGH SXOSD GX\DUOþOþÿþ ROGXÿXQX J|]OHPOHPLúOHUGLU7$3YH&+;JUXSODUþQGDVþUDVþ\ODGLúWH
YHGLúWH N|NX]XQOXÿXQGDDUWþú
YHKHULNLJUXEXQGLúLQGHODWHUDOGHQWLQGXYDUODUþQGDNDOþQODúPDJ|]OHPOHPLúOHUGLU
.|N NDQDO GXYDUODUþQþQ GH]HQIHNVL\RQX LoLQ oO
DQWLEL\RWLN SDWþQþQ \DQþ VþUD &D 2+ de kullaQþOPþúWþU &HKUHOL YH DUN \DúODUþ DUDVþQGDNL
KDVWDODUþQ N|N JHOLúLPL WDPDPODQPDPþú QHNURWLN
SXOSDOþWRSODPDGHWELULQFLE\ND]þGLúLQLQN|N
NDQDOODUþQþ1D2&OLOH\þNDPþúYHN|NNDQDOODUþQþQNXURQDOoWHELUOLNE|OPQH&D 2+ yerOHúWLUPLúOHUGLU%H\D]07$X\JXODPDVþLOHNXURQDO
E|OPGHVþ]GþUPD]OþNVDÿODPþúODUGþU7HGDYLHGLOHQ
GLúOHUGHQ WDQHVLQH GDKD |QFH EDúND KHNLP WDUDIþQGDQ N|N NDQDOþ HQVWUPDQWDV\RQX \DSþOPþúWþU2QD\OþNWDNLSVUHVLQGHQVRQUDWPGLúOHUGH
WDP RODUDN SHULDSLNDO L\LOHúPH GHQWLQ GXYDUODUþQGD NDOþQODúPD ROGXÿXQX J|]OHPOHPLúOHUGLU
.OLQLN VHPSWRPODUþQ ROPDPDVþ\OD EHUDEHU DSLNDO
JHOLúLPLQGHYDPHWWLÿLQLJ|UPúOHUGLU'DKD|QFH
N|N NDQDOODUþQGD HQVWUPDQWDV\RQ \DSþOPDPþú
ELULQFLE\ND]þGLúL D\GDVRÿXNWHVWLQHSR]LWLI \DQþW YHUPLúWLU dDOþúPDQþQ VRQXFXQGD N|N
NDQDOODUþQþQNXURQDOoWHELULQGH&D 2+ ara seDQVPHGLNDPHQWLNXOODQþODUDN\DSþODQUHYDVNODUL]DV\RQSURVHGUHLOHN|NJHOLúLPLWDPDPODQPDPþú
QHNURWLN SXOSDOþ E\N D]þ GLúOHULQGH EDúDUþ HOGH
HGLOHELOGLÿLQLJ|UPúOHUGLU
_5HMHQHUDWLI(QGRGRQWLN7HGDYLOHUGH
$SLNDO)RUDPHQ*HQLüOLõLQLQgQHPL
5HMHQHUDWLI HQGRGRQWLN WHGDYLOHULQ EDúDUþVþ LoLQ
DSLNDO IRUDPHQ JHQLúOLÿL WDUWþúPD NRQXVXGXU
*HQHOLQDQoDSLNDODoþNOþÿþQJHQLúOLÿLQLQNDQDNþúþQþQGHUHFHVLQLNDODQGRNXQXQ|]HOOLNOHULQLYHUHMHQHUDWLISRWDQVL\HOLQLEHOLUOH\HUHNWHGDYLVRQXFXQX
HWNLOHGLÿL\|QQGHGLU
Resim 7 c
Resim 7 d
Resim 7: QXPDUDOÖGLâLQNXURQDOE|OJHVLQGHNL07$WÖNDFÖLOHN|NDSHNVLDUDVÖQGDNLNDQDOGDVHUWGRNXEDUL\HUL RN ROXâPDVÖ a)%DâODQJÖoUDG\RJUDILVL b)5HYDVNODUL]DV\RQWHGDYLVLQGHQKHPHQVRQUDDOÖQDQUDG\RJUDIL
c)D\WDNLSUDG\RJUDILVL d)\ÖOWDNLSUDG\RJUDILVL
42 roots
2_2022
.OLQJ YH DUN DSLNDO IRUDPHQ JHQLúOLÿL UDG\RJUDILN RODUDN PP·GHQ ID]OD LVH UHYDVNODUL]DV\RQWHGDYLVLQLQEDúDUþVþQþQDUWDFDÿþQþEHOLUWPLúWLU
$QGUHDVHQ YH DUN GD IRUDPHQ JHQLúOLÿLQLQ
[45] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
Resim 8:
7$3HâLWRUDQGDPLQRVLNOLQ
PHWURQLGD]ROYHVLSURIORNVDVLQLoHULU
Resim 2 a åoHULæLQGHNLPLQRVLNOLQ
QHGHQL\OHVDUÖELUUHQNDOÖU
Resim 2 b
Resim 8 a
Resim 8 b
PP·GHQ GDKD D] ROGXÿX GXUXPODUGD GLúLQ UHYDVNODUL]DV\RQúDQVþQþQROPDGþÿþQþ|QHVUPúOHUGLU /DXUH\VYHDUNLVHEXEXOJXODUþQDNVLQH
DSLNDO IRUDPHQ JHQLúOLÿLQLQ WHGDYL EDúDUþVþQGD
EHOLUOH\LFL ELU IDNW|U ROPDGþÿþQþ |QH VUPúOHUGLU
3DU\DQL YH .LP GH \DSWþNODUþ YDND VHULVLQGH
EHQ]HUVRQXoODUHOGHHWPLúYHDSLNDOIRUDPHQJHQLúOLÿLQLQ PP ROGXÿX GXUXPODUGD GD UHYDVNODUL]DV\RQWHGDYLVLLOHEDúDUþOþVRQXoODUDOþQGþÿþ
ELOGLULOPLúOHUGLU
6HPHQWYHSHULRGRQWDOOLJDPHQW 3'/ ROXúXmu.
6HPHQWSHULRGRQWDOOLJDPHQW 3'/ YHNHPLN
ROXúXPX
.HPLNYHNHPLNLOLÿLROXúXPX
_5HMHQHUDWLI(QGRGRQWLN7HGDYLOHUGH
5HMHQHUH2ODQ'RNXg]HOOLNOHULYH
'Lü9LWDOLWHVL
_5HMHQHUDWLI(QGRGRQWLN7HGDYLQLQ
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[46] =>
ROOTS DERGISI-S-29 KAPAKLAR
derleme_rejeneratif
Resim 9:
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roots
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[47] =>
ROOTS DERGISI-S-29 KAPAKLAR
PROF. DR. UFUK TATLI
DR. BECEN DEMİR
İLERİ SEVİYE
İMPLANTOLOJİ
EĞİTİMİ
KADAVRA UYGULAMALI
Onbeș yıllık
implantoloji eğitim
tecrübemiz ile onbir yıllık
kadavra uygulamalı kurs
tecrübemizi sentezledik
ve Türkiye’nin ilk “Kadavra
Uygulamalı İleri Seviye
İmplantoloji Kursu”nu
tasarladık.
Diș hekimliği bilimine
sevgilerimizle...
06-07
MAYIS 2023
İSTANBUL
DrVesta.com | 0212 481 02 20
Katılım Ücreti: 1.250 USD / 0212 481 02 20 • vyg.com.tr
[48] =>
ROOTS DERGISI-S-29 KAPAKLAR
ürün_tanıtımı
B'(17,67(·úON'LüWHQúWLEDUHQ
[49] =>
ROOTS DERGISI-S-29 KAPAKLAR
ürün_tanıtımı
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Öncü Dental Tel: 444
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[50] =>
ROOTS DERGISI-S-29 KAPAKLAR
haber_güncel
*5($7,67'HQWDO6HNW|U%XOXøWXUGX
18. GREATIST Uluslararası Diș Hekimliği Kongresi ve Fuarı, önde gelen isimlerin katıldığı bir tören ile
21 Ekim 2022’de açıldı. Kurdele töreninde, İDO Bașkanı Berna Aytaç, İstanbul Diș Teknisyenleri Odası
Bașkanı Muharrem Değerli ve DİȘSİAD Bașkanı Erkan Uçar gibi değerli isimler vardı.
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17. İDEX - İstanbul Ağız - Diș Sağlığı, Cihaz ve Ekipmanları Fuarı’nda,
4 günde 200 milyon Dolar’ın üzerinde iș hacmi olușturuldu. DİȘSİAD
Bașkanı Erkan Uçar, 2023 fuarı için organizatör değișikliğine gidildiğini
duyurarak, “Fuarımız daha güçlü olacak, hep birlikte İDEX’in en iyi
organizasyonlarından birisini gerçekleștireceğiz” dedi.
_
[51] =>
ROOTS DERGISI-S-29 KAPAKLAR
haber_güncel
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Diș hekimliği mesleğinin yanı sıra Türkiye’de ve dünyanın birçok ülkesinde
stand-up
gösterileri yapan Dt. Serdar Sıralar, GREATIST 2022 Kongresi’nin
s
en renkli ve neșeli sunumunu gerçekleștirdi. Sıralar’ın “Diș Hekimi Olmak” isimli
özel stand-up gösterisi izleyenleri kahkahalara boğdu.
öze
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[52] =>
ROOTS DERGISI-S-29 KAPAKLAR
haber_güncel
(QGRGRQWLQLQ8VWDODUÕ*5($7,67·GH\GL
18. GREATIST Kongresi ve Fuarı, 21-23 Ekim 2022 tarihlerinde bir çatı etkinlik olarak birçok
bilimsel etkinlik ve kurs programlarına ev sahipliği yaptı. Bilimsel șölene dönüșen etkinlik,
bașta Öncü Akademi Sempozyumu ve eğitimleri olmak üzere, katılımcılara endodonti konusunda
saygın isimlerle bulușma ve kurs alma fırsatı verdi.
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2_2022
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kursu,
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[53] =>
ROOTS DERGISI-S-29 KAPAKLAR
haber_güncel
trüman ve teknikleri anlamak, sunumun
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[54] =>
ROOTS DERGISI-S-29 KAPAKLAR
üniversite_tanıtımı
+HUGLâVRQELUâDQVÖKDNHGHU
Üniversitelerin endodonti kürsülerini tanıttığımız sayfalarımızın bu sayıdaki konuğu, Erciyes Üniversitesi
Diș Hekimliği Fakültesi Endodonti Anabilim Dalı ve AD. Bașkanı Prof. Dr. Hüseyin Sinan Topçuoğlu.
Prof. Dr. Topçuoğlu, her dișin son bir șansı hak ettiğini hatırlatıp meslektașlarına, sabır ve bilgi gerektiren
bu branșta ilerlemek için yenilikleri takip etmeyi öneriyor.
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52 roots
2_2022
[55] =>
ROOTS DERGISI-S-29 KAPAKLAR
üniversite_tanıtımı
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roots 53
2_2022
[56] =>
ROOTS DERGISI-S-29 KAPAKLAR
kitap_inceleme
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5HVWRUDWLI7HGDYL5HKEHUL
Jo E. Frencken’in imzasını tașıyan “Minimal Girișimsel Diș Hekimliği ile Atravmatik Restoratif Tedavi Sanatı
ve Bilimi” isimli kitap, Prof. Dr. Ece Eden’in Çeviri Editörlüğü ile artık Türkçe. Vestiyer Yayın Grubu etiketiyle
sunulan kitap, Covid-19’un diș hekimliği mesleğinde neden olduğu değișimde, hekimlerin yardımcısı olacak.
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uygulama olan Atravmatik Restoratif
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[57] =>
ROOTS DERGISI-S-29 KAPAKLAR
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[58] =>
ROOTS DERGISI-S-29 KAPAKLAR
yayın kuralları
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[59] =>
ROOTS DERGISI-S-29 KAPAKLAR
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ROOTS DERGISI-S-29 KAPAKLAR
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Table of contents
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Cover
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Jenerik
3 - 3
view
-
Içindekiler
6 - 6
view
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Editörden
7 - 7
view
-
Dijital teknoloji
8 - 12
view
-
Inlay restorasyonlar
14 - 18
view
-
Nekrotik süt molarların
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view
-
Rejeneratif endodontik tedavi
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-
Fistülden oroantral fistüle
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Rejeneratif
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Tanıtımı
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Güncel
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Tanıtımı
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Inceleme
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Ajanda
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Yayın kuralları
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/ Jenerik
/ Içindekiler
/ Editörden
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/ Inlay restorasyonlar
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/ Fistülden oroantral fistüle
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