Revizija endodontskog punjenja

master's thesis

• Title (english): Endodontic retreatment
• Author: Ema Šetka
• Mentor: Anja Baraba (mentor)
• Committee member: Anja Baraba (predsjednik povjerenstva)
• Committee member: Eva Klarić Sever (član povjerenstva)
• Committee member: Samir Čimić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Endodontics and Restorative Dentistry); Zagreb
• Defense date and country: 2018-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

U slučaju neuspjeha endodontskog liječenja, indicirana je revizija endodontskog punjenja. Uzroci neuspjeha mogu biti različiti, a potvrđuju se kliničkom i radiološkom dijagnostikom. Revizija korijenskih kanala podrazumijeva uklanjanje materijala za punjenje korištenih u primarnom endodontskom liječenju. Materijali za punjenje se mogu ukloniti ručnim i strojnim tehnikama instrumentacije, a mogu se koristiti i organska otapala.
U ovom radu prikazan je klinički slučaj revizije endodontskog punjenja strojnom reciprocitetnom tehnikom instrumentacije bez upotrebe otapala. Indikacija za reviziju je postavljena zbog pojave sinus trakta u području vestibuluma iznad gornjeg desnog središnjeg sjekutića i radiolucencije vidljive na rtg snimci u periapikalnom području.
U prikazanom slučaju primijenjena je tehnika instrumentacije recipročnim pokretom koja ubrzava i olakšava postupak uklanjanja prethodnog punjenja prateći i dalje izvornu anatomiju korijenskog kanala. Nakon provedene revizije, kod pacijentice je nakon tjedan dana došlo do zatvaranja sinus trakta što govori u prilog uspješne revizije endodontskog liječenja. Međutim, potrebno je daljnje praćenje pacijentice klinički i radiološki kako bi se potvrdilo da je zub i dalje asimpotmatski i da periapikalna lezija cijeli.

Abstract (english)

In the case of endodontic treatment failure, an endodontic retreatment is indicated. Causes of failure are different, and may be confirmed by clinical examination and radiological analysis. Nonsurgical endodontic retreatment involves removal of the root canal filling material used in primary endodontic treatment. Root canal filling materials can be removed by hand or rotary instrumentation techniques; and organic solvents can also be used.
This thesis presents a clinical case of nonsurgical endodontic retreatment using rotary files in reciprocating movement without the use of solvents. The retreatment was performed due to intraoral sinus tract in the area of the upper right central incisor and the periapical radiolucency on x-ray.
In this case report, a rotary technique using reciprocating movement was used for endodontic retreatment which enabled fast and easy removal of the existing root canal filling and perserving the original anatomy of the root canal. One week after the retreatment procedure sinus tract dissapeared, suggesting a successful endodontic retreatment. However, further clinical and radiological follow-up of the patient is needed to confirm that the tooth is still asymptomatic and that the periapical lesion is healing.

• Keywords: revizija endodotskog punjenja; strojna tehnika instrumentacije
• Keywords (english): nonsurgical endodontic retreatment; rotary instrumentation tehnique
• Language: croatian
• URN:NBN: urn:nbn:hr:127:135674
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-01-02 10:35:53