30 Ekim 2022 Kitap bölümü Açık Erişim

Öcal, Fikri; Dayı, Burak

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    "description": "<p>Dentin ile &ccedil;evrili olan pulpa dokusu, apikal foramenler arac\u0131l\u0131\u011f\u0131 ve kan dola\u015f\u0131m\u0131 yoluyla di\u015fin canl\u0131l\u0131\u011f\u0131n\u0131 destekler ve beslenmesinde anahtar rol oynar (Avery &amp; Chiego, 2006). Apikal foramen arac\u0131l\u0131\u011f\u0131 ile pulpaya ula\u015fan kan damarlar\u0131 besin sa\u011flar ve at\u0131k &uuml;r&uuml;nleri &ccedil;\u0131kar\u0131r. Sinir a\u011f\u0131 a\u011fr\u0131 yoluyla zararl\u0131 uyaranlar\u0131n varl\u0131\u011f\u0131n\u0131 g&ouml;sterir (Hargreaves, Goodis, &amp; Tay, 2012). Pulpadaki dendritik h&uuml;creler, makrofajlar, T-lenfositler ve di\u011fer ba\u011f\u0131\u015f\u0131kl\u0131k h&uuml;creleri, mikroorganizmalar\u0131n istilas\u0131n\u0131 &ouml;nler (Gunnar Bergenholtz, H&ouml;rsted-Bindslev, &amp; Reit, 2013). &Ccedil;&uuml;r&uuml;\u011f&uuml;n ilerlemesi ya da pulpay\u0131 i&ccedil;eren k\u0131r\u0131klardan sonra, bakteriyel bir enfeksiyon ve bunu takiben pulpada enflamatuar yan\u0131t meydana gelebilmektedir. Pulpa odas\u0131nda i&ccedil; bas\u0131n&ccedil; &ouml;nemli &ouml;l&ccedil;&uuml;de artarak \u015fiddetli a\u011fr\u0131 ile pulpal dokunun iskemisine neden olur (Hargreaves et al., 2012). Hastalar\u0131 a\u011fr\u0131dan kurtarmak ve pulpal enfeksiyonu ortadan kald\u0131rmak i&ccedil;in sonunda pulpektomi ile pulpa &ccedil;\u0131kar\u0131l\u0131r (Gunnar Bergenholtz et al., 2013). Pulpektomi yap\u0131lmazsa, kan dola\u015f\u0131m\u0131nda bozulma, ard\u0131ndan pulpa nekrozu ve periapikal hastal\u0131k geli\u015fir (Heyeraas &amp; Kvinnsland, 1992). Non-vital di\u015flerde d\u0131\u015f uyaranlara kar\u015f\u0131 diren&ccedil;, alg\u0131 kayb\u0131 ve imm&uuml;n fonksiyonun kayb\u0131 olur. Di\u015fin yap\u0131sal elemanlar\u0131n\u0131n kayb\u0131 ve dolay\u0131s\u0131yla elastik mod&uuml;l&uuml;ndeki de\u011fi\u015fim sonucu k\u0131r\u0131lganl\u0131k meydana gelir (Gunnar Bergenholtz et al., 2013). Ek olarak, non-vital bir di\u015fin imm&uuml;n fonksiyonlar\u0131 bask\u0131lan\u0131r ve s\u0131kl\u0131kla bakteriler taraf\u0131ndan yeniden enfekte olur. Direkt kuafaj tedavisinin veya pulpal rejenerasyon tedavisinin geli\u015fimi ile beraber &ccedil;ok say\u0131da k&ouml;k kanal tedavisi ve di\u015f &ccedil;ekiminin &ouml;n&uuml;ne ge&ccedil;ebilmek m&uuml;mk&uuml;n olmaktad\u0131r.</p>", 
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    "title": "D\u0130\u015e PULPA KUAFAJI TEDAV\u0130S\u0130NDE KULLANILAN VE KULLANIM POTANSIYEL\u0130NE SAH\u0130P MATERYALLER: DERLEME"
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