ÖZET
Amaç:
Bu çalışmanın amacı, belirli bir Türk popülasyonunda yapılmış endodontik tedavilerin kalitesinin yanı sıra, yapılmış işlemsel hatalar ve dişlerin periapikal durumu ile koronal restorasyonların başarısının retrospektif olarak değerlendirilmesidir.
Yöntemler:
Bu çalışma için, 500 hastanın konik ışınlı bilgisayarlı tomografi (KIBT) görüntüleri incelenmiştir. Bu hastalara ait 10500 diş radyografik görüntü incelenmiş ve toplam 1185 dişte kanal tedavisi yapılmış olduğu görülmüştür. Kök kanal tedavilerinin ve koronal restorasyonların kalitesi ile bu dişlerin periapikal durumu tek tek incelenmiştir. Periapikal durum KIBT uyarlanmış peiapikal indeks skorlama sistemine göre iki gözlemci tarafından değerlendirilmiş ve elde edilen tüm veriler, istatistiksel olarak kikare testi kullanılarak analiz edilmiştir.
Bulgular:
İncelenen dişlerin %44,9’unda periapikal bölgede lezyon olmadığı görülmüştür. İşlemsel hata (kırık alet, bulunamamış kanal varlığı, perforasyon oluşumu, basamak oluşumu, kısa veya taşkın kanal dolumu) yapılmış dişlerde, daha yüksek oranda periapikal lezyon varlığı tespit edilmiştir (p<0,05). Ayrıca, yeterli koronal restorasyona sahip dişlerde apikal periodontitis insidansının daha düşük olduğu bulunmuştur (p<0,05). Bunun yanı sıra post varlığının periapikal durumu etkilemediği görülmüştür.
Sonuç:
Koronal restorasyonun kalitesinin, kök kanal tedavisinin başarısını ve dişin periapikal durumunu önemli ölçüde etkilediği görülmüştür.
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