Kök Rezorpsiyonlarına Genel Bir Bakış, Dış Servikal Kök Rezorpsiyonunun İncelenmesi
Synopsis
Odontoklastik hücre aktivitesi sonucu oluşan dişteki sert doku kaybı kök rezorpsiyonu olarak adlandırılır. Bur durum süt dişlerinde fizyolojik bir süreçken daimi dişlerde genelde patolojiktir. Kök rezorpsiyonunun en sık görülen nedeni travma olmakla birlikte lokal veya sistemik olmak üzere birçok sebebi bulunabilir. Rezorpsiyonlar iç ve dış kök rezorpsiyonları olarak ayrılır. Dış kök rezorpsiyonu, sement veya sement-dentin birleşim bölgesinde bir yıkımla başlar ve geri dönüşümsüzdür. Sıklıkla kadınlarda ve 21-30 yaşları arasında görülür. Dış kök rezorpsiyonunda dişler vital veya devital olabilir ve genelde semptomsuz olduğu için tesadüfen teşhis edilirler. İç kök rezorpsiyonu klastik hücre aktivasyonu ile kanal duvarlarındaki dentin tübülleri ve intraradiküler dentinin semente doğru ilerleyici yıkımıdır. Bu rezorpsiyon olgunlaşmamış dişlerde daha sık görülür çünkü bu dişlerin dentin tabakası ince ve dentin tübülleri geniştir. Dış servikal kök rezorpsiyonu sıklıkla suprakrestal olarak dişlerin servikalinde ve epitelyal ataçmanın apikalinde başlar. Yıkıcı ve ilerleyici yapısından dolayı sıklıkla diş yapısında ciddi bir kayba neden olur. Servikal çürük ya da iç kök rezorpsiyonu ile karıştırılıp yapılan uygunsuz tedaviler sonucu diş kaybı ile karşılaşılabilir. Genelde pulpa vitaldir, çok komplike vakalarda vitalitesi etkilenebilmektedir. Sungingival konumundan dolayı tedaviyi planlarken ve materyal seçimi yaparken iyi bir sızdırmazlığa ek olarak biyouyumlu olan, biyolojik olarak nötr ve onarımı teşvik eden, periradiküler dokuların rejenerasyonuna destek olan, doku sıvıları ile çözünmeyen materyallerin kullanılması önemlidir.
References
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Shanon Patel NS. The ins and outs of root resorption. Br Dent J. doi: 10.1038/sj.bdj.2018.352
Tronstad L. Root resorption - etiology, terminology and clinical manifestations. Dent Traumatol. 1988 Dec;4(6):241–52. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.1988.tb00642.x
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Heithersay GS. Clinical endodontic and surgical management of tooth and associated bone resorption. Int Endod J. 1985 Jun 28;18(2):72–92. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2591.1985.tb00425.x
Patel S, Ricucci D, Durak C, Tay F. Internal Root Resorption: A Review. J Endod. 2010 Jul;36(7):1107–21. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0099239910002451
Garg N, Garg A, Ne RF, Witherspoon DE, Gutmann JL. Tooth Resorption. Quintessence Int. 1999 Jan;30(1):507–507. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10323155
Nilsson E, Bonte E, Bayet F, Lasfargues JJ. Management of internal root resorption on permanent teeth. Int J Dent. 2013;2013. doi: 10.1155/2013/929486
Wedenberg C. Development and Morphology of Internal Resorption in Teeth: A Study in Humans, Monkeys and Rats. 1987;
Benenati FW. Root resorption: types and treatment. Gen Dent. 1997;45(1):42–5.
Türkmen C, Günday M, Sazak H, Türkmen C. A scanning electron microscopic study of external root resorption in replanted dog teeth. J Endod. 1995 May;21(5):269–71. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0099239906809969
Heithersay G, GS Heithersay. Management of tooth resorption. Aust Dent J. 2007 Mar;52:S105–21. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1834-7819.2007.tb00519.x
Oliveira B, Santos A, de Mendonça D, Sousa DL, Jeová J, Neto S, et al. Root resorption after dental traumas: classification and clinical, radiographic and histologic aspects. RSBO. 2011;8.
Barrett EJ, Kenny DJ. Avulsed permanent teeth: a review of the literature and treatment guidelines. Dent Traumatol. 1997 Aug;13(4):153–63. Available from: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.1997.tb00031.x
Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Vol. 6, Stomatology Edu Journal. 2019. 279 p. doi: 10.25241/stomaeduj.2019.6(4).bookreview.3
Andreasen JO. Periodontal healing after replantation of traumatically avulsed human teeth: Assessment by mobility testing and radiography. Acta Odontol Scand. 1975 Jan 2;33(6):325–35. Available from: http://www.tandfonline.com/doi/full/10.3109/00016357509004637
Andreasen JO, Hjorting-Hansen E. O. Replantation of Teeth. I. Radiographic and Clinical Study of 110 Human Teeth Replanted After Accidental Loss. Acta Odontol Scand. 1966 Jan 2;24(3):263–86. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356609028222
Malueg LA, Wilcox LR, Johnson W. Examination of external apical root resorption with scanning electron microscopy. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 1996 Jul;82(1):89–93. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1079210496803830
Andreasen JO, Hjørting-Hansen E. Replantation of Teeth. II. Histological Study of 22 Replanted Anterior Teeth in Humans. Acta Odontol Scand. 1966 Jan 2;24(3):287–306. Available from: http://www.tandfonline.com/doi/full/10.3109/00016356609028223
Fuss Z, Tsesis I, Lin S. Root resorption - diagnosis, classification and treatment choices based on stimulation factors. Dent Traumatol. 2003 Aug;19(4):175–82. Available from: http://doi.wiley.com/10.1034/j.1600-9657.2003.00192.x
Patel S, Mavridou AM, Lambrechts P, Saberi N. External cervical resorption-part 1: histopathology, distribution and presentation. Int Endod J. 2018 Nov;51(11):1205–23. Available from: https://onlinelibrary.wiley.com/doi/10.1111/iej.12942
Mavridou AM, Hauben E, Wevers M, Schepers E, Bergmans L, Lambrechts P. Understanding External Cervical Resorption in Vital Teeth. J Endod. 2016 Dec;42(12):1737–51. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0099239916303429
Heithersay GS. Invasive cervical resorption: an analysis of potential predisposing factors. Quintessence Int (Berlin, Ger 1999). 1999;30(2):83–95. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10356560
Mavridou AM, Bergmans L, Barendregt D, Lambrechts P. Descriptive Analysis of Factors Associated with External Cervical Resorption. J Endod. 2017 Oct;43(10):1602–10. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0099239917307045
Jeng PY, Lin LD, Chang SH, Lee YL, Wang CY, Jeng JH, et al. Invasive Cervical Resorption—Distribution, Potential Predisposing Factors, and Clinical Characteristics. J Endod. 2020;46(4):475–82. doi: 10.1016/j.joen.2020.01.011
Patel S, Lambrechts P, Shemesh H, Mavridou A. European Society of Endodontology position statement: External Cervical Resorption. Int Endod J. 2018 Dec 26;51(12):1323–6. Available from: https://onlinelibrary.wiley.com/doi/10.1111/iej.13008
Kikuta J, Yamaguchi M, Shimizu M, Yoshino T, Kasai K. Notch Signaling Induces Root Resorption via RANKL and IL-6 from hPDL Cells. J Dent Res. 2015 Jan 5;94(1):140–7. Available from: http://journals.sagepub.com/doi/10.1177/0022034514555364
Alhashimi N, Frithiof L, Brudvik P, Bakhiet M. Orthodontic tooth movement and de novo synthesis of proinflammatory cytokines. Am J Orthod Dentofac Orthop. 2001 Mar;119(3):307–12. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0889540601707524
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107-118
Published
April 16, 2024
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Çoban Öksüzer M, Şanal Çıkman A. Kök Rezorpsiyonlarına Genel Bir Bakış, Dış Servikal Kök Rezorpsiyonunun İncelenmesi. In: Yoldaş O, editor. Güncel Endodonti Çalışmaları V (Bahar) [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 107-18. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3063/chapter/13416
