ÖzAmaç: Çalışmamızın amacı, bir üniversite hastanesine başvuran geriatrik hastaların popülasyonunu ve kök kanal tedavilerinin insidansını değerlendirmektir.Gereç ve yöntem: Ocak, Şubat ve Mart 2019'da Marmara Üniversitesi Diş Hekimliği Fakültesi'ne başvuran hasta sayısı elde edilmiştir. Bu hastalar arasından 65 yaş ve üzeri olan hastalar belirlenmiştir. Hastalar cinsiyete ve yaşa göre temelde iki gruba ayrılmıştır. Daha sonra bu hastalar içerisinden 65 yaş üstü 50 hasta rastgele seçilmiştir. Yaş kategorisinde genç yaşlılar (65-74), yaşlılar (75-84), çok yaşlılar (85 ve üstü) bulunmaktadır. Her hastanın panoramik röntgenleri tek bir araştırmacı tarafından incelenmiş ve kök kanal tedavileri tespit edilmiştir.Bulgular: Toplam 2762 hasta yeni giriş yapmıştır. Bu hastalar içerisinde 185 birey geriatrik hastadır. Gruplar; 65-69, 70-74, 75-79 yaş arası hastalardan oluşmaktadır. 65-69 yaş arası 100 bireyin 36'sını kadın, 64'ünü erkek hastalar oluşturmaktadır. 70-74 yaş arası 61 bireyin 26'sı kadın 35'i erkektir. 75-79 yaş arası 19 hastanın ise 9'u kadın 10'u erkektir. Fakülteye son 3 ayda 80 yaş ve üzeri sadece 5 hasta girişi olduğu görülmüştür. Rastgele seçilen 50 geriatrik hasta içerisinde ise 65 yaşından büyük 50 hastadan 22'si erkek, 28'i kadındı. 65-74 yaş grubuna ait birey sayısı 39, 75-84 yaş grubuna ait birey sayısı 9, 85 yaş ve üzeri birey sayısı ise 2'dir. Gruplarda kanal tedavisi görmüş hastaların sayısı sırasıyla 18, 5 ve 1'dir. Sonuç:Hastaların yaşı arttıkça kök kanal tedavilerinin sayısı azalmaktadır. Bu durumun sebebinin, toplumumuzda artan yaşla birlikte ağızdaki diş sayısının azalması olabileceğini düşünmekteyiz. AbstractAim: The aim of our study was to assess the number of root canal treatments amongst geriatric patients admitted to a university hospital.Materials and methods: The number of patients admitted to Marmara University Faculty of Dentistry in January, February and March 2019 was obtained. Among these patients, patients aged 65 years and over were identified. Patients were basically divided into two groups according to gender and age. Age categories were 65-69, 70-74 and 75-79.Then fifty patients over the age of 65 were selected randomized. The patients were subdivided into two categories; according to gender and age. The age category included young olds (65-74), old olds (75-84), oldest olds (85 and over). The panoramic x-rays of each patient were examined by a single operator and root canal treatments were detected.Results: A total of 2762 patients have just admitted. Among these patients, 185 were geriatric. Groups; It consists of patients between the ages of 65-69, 70-74, 75-79. Of the 100 patients aged 65-69 years, 36 were female and 64 were male. Of the 61 patients aged 70-74, 26 were female and 35 were male. Of the 19 patients aged 75-79, 9 were female and 10 were male. In the last 3 months, only 5 patients aged 80 and over were admitted to the faculty.Amongst 50 selected patients who were over the age of 65, 22 were male and 28 were female. The number of young olds were 39, old olds we...
Introduction:External cervical resorption (ECR) is the loss of dental hard tissue as a result of odontoclastic action; it usually begins on the cervical region of the root surface of the teeth. The etiology and predisposing factors are not very clear. The aim of this case report is to show the management of maxillary right canine diagnosed with ECR.Case Report: A 54-year old female patient was referred to our clinic with the history of dentin hypersensitivity in maxillary right anterior area. Radiographic examination revealed a radiolucent lesion located on the cervical third of maxillary right canine. The tooth was clinically asymptomatic. The patient did not report any traumatic history. CBCT scans revealed the extent of the resorption cavity and confirmed the diagnosis of the lesion.Due to perforation of the resorption into the root canal space, the access cavity was opened and temporarily occluded with a gutta-percha point. Then the surgical repair of the resorptive defect was carried out without blocking the root canal with filling material. A mucoperiosteal flap was elevated to clean the granulamatous tissue. The lesion was apparent after complete degranulation of soft tissue. It was repaired with MTA-Angelus (Angelus, Londrina, PR, Brazil), a glass ionomer and a composite resin. The flap was replaced and sutured. Once the ECR cavity was restored, then endodontic treatment was completed in the same appointment. The root canal was obturated with gutta percha and root canal sealer by cold lateral condensation. Conclusion:In the 9-month follow-up examination, the tooth including ECR defect was completely asymptomatic and functional.Early detection is necessary for successful management and outcome of ECR. CBCT should be considered for the assessment and/or management of ECR.
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