{"id":9042,"date":"2026-10-26T03:03:10","date_gmt":"2026-10-26T00:03:10","guid":{"rendered":"https:\/\/ulubeydental.com\/yirmilik-dis\/"},"modified":"2026-10-26T03:03:10","modified_gmt":"2026-10-26T00:03:10","slug":"yirmilik-dis","status":"publish","type":"post","link":"https:\/\/ulubeydental.com\/tr\/yirmilik-dis\/","title":{"rendered":"Yirmilik Di\u015f: A\u011fr\u0131, G\u00f6m\u00fcl\u00fc Di\u015f ve Ne Zaman \u00c7ekilmesi Gerekir?"},"content":{"rendered":"\n<style>\n  .ub-clinical-post {\n    font-family: -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", Arial, sans-serif;\n    color: #1e293b;\n    line-height: 1.85;\n    font-size: 17px;\n    max-width: 940px;\n    margin: 0 auto;\n    padding: 10px 0;\n  }\n  .ub-clinical-post p {\n    margin-bottom: 1.6rem;\n    color: #334155;\n  }\n  .ub-clinical-post h2 {\n    color: #0f172a;\n    font-size: 1.8rem;\n    font-weight: 700;\n    margin-top: 3.2rem;\n    margin-bottom: 1.25rem;\n    line-height: 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  font-size: 1.15rem;\n    color: #0f172a;\n  }\n\n  \/* FAQS *\/\n  .ub-faq-item {\n    border: 1px solid #e2e8f0;\n    border-radius: 8px;\n    padding: 20px 24px;\n    margin-bottom: 14px;\n    background: #ffffff;\n  }\n  .ub-faq-q {\n    font-weight: 700;\n    color: #0f172a;\n    font-size: 1.08rem;\n    margin-bottom: 8px;\n  }\n  .ub-faq-a {\n    color: #475569;\n    font-size: 0.95rem;\n    line-height: 1.75;\n    margin: 0;\n  }\n\n  \/* REFERENCES *\/\n  .ub-references {\n    background: #f8fafc;\n    border: 1px solid #e2e8f0;\n    border-radius: 8px;\n    padding: 24px 28px;\n    margin-top: 3.5rem;\n    font-size: 0.86rem;\n    color: #64748b;\n  }\n  .ub-references h4 {\n    color: #1e293b;\n    margin: 0 0 14px 0;\n    font-size: 0.95rem;\n    text-transform: uppercase;\n    letter-spacing: 0.05em;\n  }\n  .ub-references ol { margin: 0; padding-left: 20px; }\n  .ub-references li { margin-bottom: 10px; }\n  .ub-references strong { color: #334155; }\n\n  \/* LINKS *\/\n  .ub-internal-link {\n    color: #0284c7;\n    font-weight: 600;\n    text-decoration: underline;\n  }\n  .ub-internal-link:hover { color: #0369a1; }\n  .ub-external-link {\n    color: #475569;\n    text-decoration: underline;\n    font-size: 0.9em;\n  }\n\n  \/* ADDITIONS (CU drafts 2026-10-25) *\/\n  .ub-table caption { caption-side: top; text-align: left; font-weight: 700; color: #0f172a; padding: 12px 18px; font-size: 0.95rem; background: #f8fafc; }\n  .ub-table-note { font-size: 0.84rem; color: #64748b; margin: -1.6rem 0 2rem 0; }\n  .ub-quick-answer { font-size: 1.02rem; color: #14532d; margin: 0 0 6px 0; }\n  @media (max-width: 600px) {\n    .ub-clinical-post { font-size: 16px; }\n    .ub-clinical-post h2 { font-size: 1.45rem; }\n    .ub-toc-list { grid-template-columns: 1fr; }\n    .ub-cta-card { padding: 26px 18px; }\n    .ub-table th, .ub-table td { padding: 10px 12px; }\n  }\n\n  .ub-emergency { border:2px solid #dc2626; background:#fef2f2; border-radius:10px; padding:14px 18px; margin:0 0 1.6rem 0; color:#7f1d1d; }\n<\/style>\n\n<div class=\"ub-clinical-post\">\n\n  <!-- BYLINE. Yaln\u0131z yazar sat\u0131r\u0131; t\u0131bbi i\u00e7erik kontrol\u00fc sat\u0131r\u0131 YOK (rulebook \u00a71.2: REVIEW-LOG.csv'de tarihli sat\u0131r olmadan eklenmez). -->\n  <div class=\"ub-byline-card\">\n    <div>\n      <span class=\"ub-badge\">Belirtiler ve durumlar<\/span>\n      <span class=\"ub-badge ub-badge-gold\">Yirmilik di\u015f<\/span>\n    <\/div>\n    <div style=\"margin-top: 12px; line-height: 1.7;\">\n      <strong>Yazar:<\/strong> <a href=\"https:\/\/ulubeydental.com\/tr\/dis-hekimlerimiz\/\" class=\"ub-internal-link\">Di\u015f Hekimi Ali Cem Ulubey<\/a> \u00b7 Ulubey Dental Clinic, Antalya<br>\n      <strong>Son g\u00fcncelleme:<\/strong> 26.10.2026<br>\n      <strong>\u0130\u00e7erik edit\u00f6r\u00fc:<\/strong> Dt. Ali Cem Ulubey \u00b7 <a href=\"mailto:info@ulubeydental.com\">info@ulubeydental.com<\/a>\n    <\/div>\n  <\/div>\n\n  <!-- AC\u0130L DURUM BLO\u011eU (rulebook \u00a73.3 TR, birebir; CTA yok) -->\n  <div class=\"ub-emergency\" role=\"note\">G\u00f6ze veya boyna yay\u0131lan \u015fi\u015flik, nefes alma\/yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, y\u00fcksek ate\u015f veya durmayan kanama acil durumdur: 112&#8217;yi aray\u0131n.<\/div>\n  <p style=\"font-size:0.92rem;color:#64748b;\">Bu sayfa genel bilgilendirmedir; muayenenin yerini tutmaz.<\/p>\n\n  <!-- KISA CEVAP -->\n  <div class=\"ub-ai-summary-box\">\n    <div class=\"ub-ai-summary-header\">K\u0131sa cevap<\/div>\n    <p class=\"ub-quick-answer\">Yirmilik di\u015fler (20&#8217;lik di\u015f, ak\u0131l di\u015fi), a\u011fz\u0131n en arkas\u0131ndaki \u00fc\u00e7\u00fcnc\u00fc b\u00fcy\u00fck az\u0131 di\u015fleridir. Genellikle ergenli\u011fin sonunda veya yirmili ya\u015flar\u0131n ba\u015f\u0131nda s\u00fcrerler; ancak \u00e7o\u011fu zaman yerleri yetmez ve g\u00f6m\u00fcl\u00fc kal\u0131r ya da yar\u0131m s\u00fcrerler<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Bu durum a\u011fr\u0131ya, di\u015f eti enfeksiyonuna (perikoronit), \u00e7\u00fcr\u00fc\u011fe, di\u015f eti hastal\u0131\u011f\u0131na, kiste veya apseye yol a\u00e7abilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Sorun \u00e7\u0131karan bir yirmilik di\u015f genellikle \u00e7ekilir; sorun \u00e7\u0131karmayan bir yirmilik di\u015f ise genellikle yerinde b\u0131rak\u0131l\u0131r ve kontrollerde izlenir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup><sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>. Karar r\u00f6ntgenle planlan\u0131r<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>; alt \u00e7enede k\u00f6k sinire yak\u0131nsa 3D tomografi (CBCT) anatomiyi g\u00f6sterir, ancak tek ba\u015f\u0131na sinir yaralanmas\u0131 riskini azaltmaz<sup><a href=\"#kaynak-4\">[4]<\/a><\/sup>. Antalya Muratpa\u015fa&#8217;daki klini\u011fimizde g\u00f6m\u00fcl\u00fc yirmilik di\u015fler de dahil olmak \u00fczere yirmilik di\u015f \u00e7ekimi yap\u0131l\u0131r.<\/p>\n    <div class=\"ub-ai-summary-grid\">\n      <div class=\"ub-ai-summary-item\"><strong>Sorun yok mu?<\/strong><span>Genellikle yerinde b\u0131rak\u0131l\u0131r ve izlenir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. \u0130ngiltere&#8217;nin sa\u011fl\u0131k k\u0131lavuzu kurumu NICE, g\u00f6m\u00fcl\u00fc yirmilik di\u015flerin cerrahi \u00e7ekimini hastal\u0131k bulgusu olan durumlarla s\u0131n\u0131rlar<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>\u0130\u015flem s\u00fcresi<\/strong><span>Lokal anestezi alt\u0131nda \u00e7o\u011fu zaman birka\u00e7 dakika, en fazla yakla\u015f\u0131k 40 dakika<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>\u0130yile\u015fme<\/strong><span>2 haftaya kadar biraz a\u011fr\u0131 ve \u015fi\u015flik; genellikle 1\u20132 g\u00fcn sonra azalmaya ba\u015flar<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>Kuru soket<\/strong><span>Rutin \u00e7ekimlerde %1\u20135, cerrahi yirmilik di\u015f \u00e7ekimlerinde %30&#8217;un \u00fczerinde<sup><a href=\"#kaynak-5\">[5]<\/a><\/sup>.<\/span><\/div>\n    <\/div>\n  <\/div>\n  <div class=\"ub-toc-box\">\n    <div class=\"ub-toc-title\">Bu rehberde<\/div>\n    <ul class=\"ub-toc-list\">\n      <li><a href=\"#yirmilik-dis-nedir\">1. Yirmilik di\u015f nedir?<\/a><\/li>\n      <li><a href=\"#gomulu-yirmilik-dis\">2. G\u00f6m\u00fcl\u00fc ve yar\u0131m s\u00fcrm\u00fc\u015f yirmilik di\u015fler<\/a><\/li>\n      <li><a href=\"#belirtiler\">3. Belirtiler ve ne zaman di\u015f hekimine gitmeli?<\/a><\/li>\n      <li><a href=\"#cekilmeli-mi\">4. \u00c7ekilmeli mi, kalmal\u0131 m\u0131? Bilimsel veriler<\/a><\/li>\n      <li><a href=\"#rontgen-ve-tomografi\">5. R\u00f6ntgen, tomografi ve sinir<\/a><\/li>\n      <li><a href=\"#cekim-nasil-yapilir\">6. \u00c7ekim nas\u0131l yap\u0131l\u0131r?<\/a><\/li>\n      <li><a href=\"#iyilesme\">7. \u0130yile\u015fme ve \u00e7ekim sonras\u0131 bak\u0131m<\/a><\/li>\n      <li><a href=\"#riskler\">8. Olas\u0131 komplikasyonlar<\/a><\/li>\n      <li><a href=\"#klinigimizde\">9. Klini\u011fimizde yirmilik di\u015f tedavisi<\/a><\/li>\n      <li><a href=\"#sss\">10. S\u0131k sorulan sorular<\/a><\/li>\n      <li><a href=\"#kaynaklar\">11. Kaynaklar<\/a><\/li>\n    <\/ul>\n  <\/div>\n\n  <h2 id=\"yirmilik-dis-nedir\">Yirmilik di\u015f nedir?<\/h2>\n  <p>Yirmilik di\u015fler (\u00fc\u00e7\u00fcnc\u00fc b\u00fcy\u00fck az\u0131lar), \u00fcst ve alt \u00e7enenin her iki yan\u0131nda en arkada yer alan ve en son geli\u015fen di\u015flerdir. Genellikle ergenlikte veya yirmili ya\u015flar\u0131n ba\u015f\u0131nda s\u00fcrmeye ba\u015flarlar, ancak her ya\u015fta sorun \u00e7\u0131karabilirler<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"gomulu-yirmilik-dis\">G\u00f6m\u00fcl\u00fc ve yar\u0131m s\u00fcrm\u00fc\u015f yirmilik di\u015fler<\/h2>\n  <p>Bir yirmilik di\u015fin tam olarak s\u00fcrecek yeri olmayabilir. Ba\u015fka bir di\u015f taraf\u0131ndan engellenebilir (g\u00f6m\u00fcl\u00fc di\u015f) ya da k\u0131smen di\u015f etiyle \u00f6rt\u00fcl\u00fc kalabilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Her iki durumda da temizlik zorla\u015f\u0131r ve \u015funlara yol a\u00e7abilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>a\u011fr\u0131 ve \u015fi\u015flik;<\/li>\n    <li>di\u015fin \u00e7evresindeki di\u015f etinin enfeksiyonu (perikoronit);<\/li>\n    <li>yemek s\u0131k\u0131\u015fmas\u0131;<\/li>\n    <li>yirmilik di\u015fte veya \u00f6n\u00fcndeki di\u015fte \u00e7\u00fcr\u00fck;<\/li>\n    <li>di\u015f eti hastal\u0131\u011f\u0131;<\/li>\n    <li>di\u015fin \u00e7evresinde s\u0131v\u0131 birikmesi (kist);<\/li>\n    <li>di\u015f apsesi.<\/li>\n  <\/ul>\n  <p>G\u00f6m\u00fcl\u00fc di\u015f, y\u00f6n\u00fcne ve derinli\u011fine g\u00f6re tan\u0131mlan\u0131r: di\u015f \u00f6ne do\u011fru e\u011fik, yatay veya dik durabilir; yaln\u0131zca di\u015f etiyle (yumu\u015fak doku g\u00f6m\u00fcl\u00fcl\u00fc\u011f\u00fc) ya da k\u0131smen veya tamamen kemikle \u00f6rt\u00fcl\u00fc olabilir. Tamamen kemik i\u00e7inde g\u00f6m\u00fcl\u00fc bir di\u015f, yaln\u0131zca di\u015f etiyle \u00f6rt\u00fcl\u00fc bir di\u015fe g\u00f6re genellikle daha kapsaml\u0131 bir cerrahi gerektirir.<\/p>\n  <!-- IMAGE SLOT (designer, T-748 TR version): yirmilik-dis-gomulu-tipleri.svg \u00b7 alt=\"\u00d6ne e\u011fik, yatay ve dik konumda; di\u015f eti veya kemikle \u00f6rt\u00fcl\u00fc ve yar\u0131m s\u00fcrm\u00fc\u015f alt yirmilik di\u015flerin \u00e7izimi\" \u00b7 caption: Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. G\u00f6m\u00fcl\u00fc di\u015f y\u00f6n\u00fcne ve derinli\u011fine g\u00f6re tan\u0131mlan\u0131r. \u00dczerinde di\u015f eti kapa\u011f\u0131 olan yar\u0131m s\u00fcrm\u00fc\u015f bir di\u015fi temizlemek zordur. \u00b7 note: G\u00d6RSEL YUVASI: EN wisdom-teeth-impaction-types.svg metinleri \u0130ngilizce \u2192 designer TR etiketli kopya \u00fcretir. \u00b7 enable after upload: <figure class=\"wp-block-image size-full ud-diagram\"><img src=\"SRC\" width=\"640\" height=\"962\" loading=\"lazy\" decoding=\"async\" alt=\"\u00d6ne e\u011fik, yatay ve dik konumda; di\u015f eti veya kemikle \u00f6rt\u00fcl\u00fc ve yar\u0131m s\u00fcrm\u00fc\u015f alt yirmilik di\u015flerin \u00e7izimi\" style=\"width:100%;max-width:640px;height:auto\"><figcaption class=\"wp-element-caption\">Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. G\u00f6m\u00fcl\u00fc di\u015f y\u00f6n\u00fcne ve derinli\u011fine g\u00f6re tan\u0131mlan\u0131r. \u00dczerinde di\u015f eti kapa\u011f\u0131 olan yar\u0131m s\u00fcrm\u00fc\u015f bir di\u015fi temizlemek zordur.<\/figcaption><\/figure> -->\n\n  <h2 id=\"belirtiler\">Belirtiler ve ne zaman di\u015f hekimine gitmeli?<\/h2>\n  <p>Bir yirmilik di\u015f hi\u00e7bir belirti vermeyebilir. Belirti verdi\u011finde \u00e7o\u011fu zaman a\u011fz\u0131n arkas\u0131nda a\u011fr\u0131l\u0131, \u015fi\u015f bir di\u015f eti, di\u015fleri kapat\u0131rken a\u011fr\u0131, a\u011f\u0131zda k\u00f6t\u00fc tat, yemek s\u0131k\u0131\u015fmas\u0131 veya a\u011fz\u0131 a\u00e7makta g\u00fc\u00e7l\u00fck fark edilir. Bu belirtiler ortaya \u00e7\u0131karsa bir di\u015f hekimine g\u00f6r\u00fcn\u00fcn; di\u015f hekimi yirmilik di\u015flerin konumunu g\u00f6rmek i\u00e7in r\u00f6ntgen \u00e7ekebilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/p>\n  <div class=\"ub-callout-box\">\n    <div class=\"ub-callout-title\">Ne zaman acildir?<\/div>\n    <p>Yana\u011fa, \u00e7enenin alt\u0131na, g\u00f6ze veya boyna do\u011fru yay\u0131lan \u015fi\u015flik, yutma veya nefes almada g\u00fc\u00e7l\u00fck ya da y\u00fcksek ate\u015f acil bak\u0131m gerektirir: 112&#8217;yi aray\u0131n.<\/p>\n  <\/div>\n  <p>Yar\u0131m s\u00fcrm\u00fc\u015f bir yirmilik di\u015fin \u00e7evresindeki di\u015f eti enfeksiyonu olan perikoronit s\u0131k tekrarlar. NICE, \u00f6zellikle \u015fiddetli de\u011filse ilk ata\u011f\u0131n tek ba\u015f\u0131na cerrahi i\u00e7in bir gerek\u00e7e say\u0131lmamas\u0131 gerekti\u011fini, ikinci ve sonraki ataklar\u0131n ise uygun bir gerek\u00e7e oldu\u011funu belirtir<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"cekilmeli-mi\">Yirmilik di\u015f \u00e7ekilmeli mi, kalmal\u0131 m\u0131? Bilimsel veriler<\/h2>\n  <p>Sorun \u00e7\u0131karan yirmilik di\u015fler genellikle \u00e7ekilir. Sorun \u00e7\u0131karmayan yirmilik di\u015fler ise ayr\u0131 bir sorudur:<\/p>\n  <ul>\n    <li><strong>NHS (\u0130ngiltere ulusal sa\u011fl\u0131k hizmeti):<\/strong> sorun \u00e7\u0131karmayan bir yirmilik di\u015f genellikle yerinde b\u0131rak\u0131l\u0131r ve rutin kontrollerde izlenir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/li>\n    <li><strong>NICE (\u0130ngiltere):<\/strong> hastal\u0131k bulgusu olmayan g\u00f6m\u00fcl\u00fc yirmilik di\u015flerin koruyucu ama\u00e7la \u00e7ekilmesine son verilmeli; cerrahi \u00e7ekim, hastal\u0131k bulgusu olan hastalarla s\u0131n\u0131rland\u0131r\u0131lmal\u0131d\u0131r<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/li>\n    <li><strong>Cochrane (2020):<\/strong> belirti ve hastal\u0131k bulgusu olmayan g\u00f6m\u00fcl\u00fc yirmilik di\u015flerin \u00e7ekilmesi mi yoksa b\u0131rak\u0131lmas\u0131 m\u0131 gerekti\u011fine karar vermek i\u00e7in kan\u0131t yetersizdir. Di\u015fi b\u0131rakmak, kom\u015fu ikinci b\u00fcy\u00fck az\u0131 di\u015finde uzun vadede di\u015f eti hastal\u0131\u011f\u0131 riskinin daha y\u00fcksek olmas\u0131yla ili\u015fkili olabilir; ancak bu kan\u0131t\u0131n kesinli\u011fi \u00e7ok d\u00fc\u015f\u00fckt\u00fcr. Yazarlar, hastan\u0131n de\u011ferleri ve klinik deneyim temelinde birlikte karar verilmesini, di\u015f b\u0131rak\u0131l\u0131rsa d\u00fczenli klinik kontrol yap\u0131lmas\u0131n\u0131 \u00f6nerir<sup><a href=\"#kaynak-3\">[3]<\/a><\/sup>.<\/li>\n  <\/ul>\n  <div class=\"ub-table-wrapper\" id=\"yirmilik-dis-cekim-nedenleri\">\n    <table class=\"ub-table\">\n      <caption>NICE&#8217;\u0131n g\u00f6m\u00fcl\u00fc yirmilik di\u015fin \u00e7ekilmesi i\u00e7in sayd\u0131\u011f\u0131 nedenler<\/caption>\n      <thead>\n        <tr><th scope=\"col\">Durum<\/th><th scope=\"col\">NICE listesinden \u00f6rnekler<\/th><\/tr>\n      <\/thead>\n      <tbody>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Di\u015fte \u00e7\u00fcr\u00fck veya sinir sorunu<\/th><td>Onar\u0131lamayan \u00e7\u00fcr\u00fck; tedavi edilemeyen pulpa veya k\u00f6k ucu hastal\u0131\u011f\u0131<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Enfeksiyon<\/th><td>Sel\u00fclit, apse, osteomiyelit; tekrarlayan perikoronit<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Di\u015fin veya kom\u015fu di\u015fin hasar g\u00f6rmesi<\/th><td>\u0130\u00e7 veya d\u0131\u015f rezorpsiyon; di\u015fin k\u0131r\u0131lmas\u0131<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Kist ve t\u00fcm\u00f6rler<\/th><td>Di\u015f kesesinin (folik\u00fcl) kist veya t\u00fcm\u00f6r dahil hastal\u0131\u011f\u0131<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Ba\u015fka bir tedavi<\/th><td>Bir cerrahiyi veya \u00e7ene rekonstr\u00fcksiyonunu engelleyen ya da t\u00fcm\u00f6r \u00e7\u0131karma alan\u0131nda kalan di\u015f<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n      <\/tbody>\n    <\/table>\n  <\/div>\n  <p class=\"ub-table-note\">Kaynak: NICE TA1 [2]. Plak birikimi bir risk etkenidir, ancak tek ba\u015f\u0131na cerrahi i\u00e7in bir gerek\u00e7e de\u011fildir<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"rontgen-ve-tomografi\">R\u00f6ntgen, tomografi ve sinir<\/h2>\n  <p>Panoramik r\u00f6ntgen d\u00f6rt yirmilik di\u015fin tamam\u0131n\u0131, a\u00e7\u0131lar\u0131n\u0131 ve k\u00f6klerini g\u00f6sterir. Alt \u00e7enede k\u00f6kler, alt duda\u011fa, \u00e7eneye ve di\u015flere his veren alt \u00e7ene sinirine (inferior alveolar sinir) yak\u0131n olabilir. R\u00f6ntgen yak\u0131n bir ili\u015fki d\u00fc\u015f\u00fcnd\u00fcr\u00fcyorsa, 3D tomografi (CBCT) bu ili\u015fkiyi \u00fc\u00e7 boyutta g\u00f6sterir.<\/p>\n  <p>Tomografi bir planlama arac\u0131d\u0131r, bir g\u00fcvence de\u011fildir. Yedi randomize \u00e7al\u0131\u015fmay\u0131 inceleyen 2022 tarihli bir sistematik derleme, y\u00fcksek riskli alt yirmilik di\u015f cerrahisinde tomografi eklemenin sinir yaralanmas\u0131n\u0131 rutin olarak azaltmad\u0131\u011f\u0131na dair orta kaliteli kan\u0131t bulmu\u015ftur<sup><a href=\"#kaynak-4\">[4]<\/a><\/sup>. De\u011feri, cerrahiden \u00f6nce anatomiyi g\u00f6stermesindedir: b\u00f6ylece risk size anlat\u0131labilir, yakla\u015f\u0131m planlanabilir ve y\u00fcksek riskli vakalarda do\u011fru ortam se\u00e7ilebilir.<\/p>\n  <!-- IMAGE SLOT (designer, T-748 TR version): yirmilik-dis-sinir-tomografi.svg \u00b7 alt=\"K\u00f6kleri alt \u00e7ene sinirine yak\u0131n yirmilik di\u015f ve r\u00f6ntgen, tomografi ve sevk ad\u0131mlar\u0131\" \u00b7 caption: Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. Tomografi cerrahiden \u00f6nce anatomiyi g\u00f6sterir; sinir yaralanmas\u0131n\u0131 rutin olarak azaltmaz (sistematik derleme, 2022). Her cerrahi veya giri\u015fimsel i\u015flemde sonu\u00e7lar ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebilir. \u0130\u015flem \u00f6ncesinde hekiminizden detayl\u0131 g\u00f6r\u00fc\u015f alman\u0131z \u00f6nerilir. \u00b7 note: G\u00d6RSEL YUVASI: EN wisdom-teeth-nerve-cbct.svg metinleri \u0130ngilizce \u2192 designer TR etiketli kopya \u00fcretir. \u00b7 enable after upload: <figure class=\"wp-block-image size-full ud-diagram\"><img src=\"SRC\" width=\"640\" height=\"890\" loading=\"lazy\" decoding=\"async\" alt=\"K\u00f6kleri alt \u00e7ene sinirine yak\u0131n yirmilik di\u015f ve r\u00f6ntgen, tomografi ve sevk ad\u0131mlar\u0131\" style=\"width:100%;max-width:640px;height:auto\"><figcaption class=\"wp-element-caption\">Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. Tomografi cerrahiden \u00f6nce anatomiyi g\u00f6sterir; sinir yaralanmas\u0131n\u0131 rutin olarak azaltmaz (sistematik derleme, 2022). Her cerrahi veya giri\u015fimsel i\u015flemde sonu\u00e7lar ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebilir. \u0130\u015flem \u00f6ncesinde hekiminizden detayl\u0131 g\u00f6r\u00fc\u015f alman\u0131z \u00f6nerilir.<\/figcaption><\/figure> -->\n\n  <h2 id=\"cekim-nasil-yapilir\">Yirmilik di\u015f \u00e7ekimi nas\u0131l yap\u0131l\u0131r?<\/h2>\n  <p>Yirmilik di\u015fi di\u015f hekiminiz \u00e7ekebilir ya da sizi bir hastaneye, klini\u011fe veya ba\u015fka bir muayenehaneye y\u00f6nlendirebilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. B\u00f6lgeyi uyu\u015fturmak i\u00e7in genellikle lokal anestezi (b\u00f6lgesel uyu\u015fturma) yap\u0131l\u0131r<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Ba\u015fl\u0131ca ad\u0131mlar \u015funlard\u0131r<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ol>\n    <li>Di\u015f etiyle \u00f6rt\u00fcl\u00fcyse di\u015f eti a\u00e7\u0131l\u0131r.<\/li>\n    <li>Di\u015f yuvas\u0131 geni\u015fletilir.<\/li>\n    <li>Di\u015f tek par\u00e7a h\u00e2linde \u00e7\u0131kar\u0131l\u0131r ya da 2 veya 3 par\u00e7aya b\u00f6l\u00fcnerek al\u0131n\u0131r.<\/li>\n    <li>Gerekirse di\u015f eti eriyen diki\u015fle kapat\u0131l\u0131r.<\/li>\n  <\/ol>\n  <p>\u0130\u015flem \u00e7o\u011fu zaman yaln\u0131zca birka\u00e7 dakika s\u00fcrer ve 40 dakikay\u0131 ge\u00e7memelidir; genellikle ayn\u0131 g\u00fcn evinize d\u00f6nersiniz<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"iyilesme\">\u0130yile\u015fme ve \u00e7ekim sonras\u0131 bak\u0131m<\/h2>\n  <p>\u00c7o\u011fu ki\u015fi yirmilik di\u015f \u00e7ekiminden sonraki g\u00fcn ola\u011fan i\u015flerine d\u00f6nebilir; daha zor bir \u00e7ekimden sonra 1\u20133 g\u00fcn i\u015fe ara vermek gerekebilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. 2 haftaya kadar \u015funlar olabilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>1\u20132 g\u00fcn sonra azalmaya ba\u015flamas\u0131 gereken biraz a\u011fr\u0131 ve \u015fi\u015flik;<\/li>\n    <li>yanakta morarma;<\/li>\n    <li>a\u011fr\u0131l\u0131 ve gergin bir \u00e7ene;<\/li>\n    <li>\u00e7i\u011fnerken ve yutarken rahats\u0131zl\u0131k.<\/li>\n  <\/ul>\n  <p>NHS&#8217;nin \u00e7ekim sonras\u0131 \u00f6nerileri<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>rahat\u00e7a \u00e7i\u011fneyebilene kadar yumu\u015fak veya s\u0131v\u0131 yiyecekler yiyin;<\/li>\n    <li>yaray\u0131 nazik \u00e7alkalamayla temiz tutun, di\u011fer di\u015flerinizi yaraya de\u011fdirmeden dikkatle f\u0131r\u00e7alay\u0131n;<\/li>\n    <li>kanarsa temiz bir bez veya pamukla b\u00f6lgeye en az 10 dakika bast\u0131r\u0131n;<\/li>\n    <li>sert veya k\u0131t\u0131r yiyecekler ve kuruyemi\u015f, \u00e7ekirdek gibi yaraya s\u0131k\u0131\u015fabilecek yiyecekler yemeyin;<\/li>\n    <li>sigara i\u00e7meyin; alkolden ve \u00e7ok s\u0131cak i\u00e7eceklerden ka\u00e7\u0131n\u0131n.<\/li>\n  <\/ul>\n  <p>\u00c7ekim sonras\u0131 a\u011fr\u0131 i\u00e7in Amerikan Di\u015f Hekimleri Birli\u011fi&#8217;nin (ADA) bir k\u0131lavuzu, ilk se\u00e7enek olarak opioid olmayan ila\u00e7lar\u0131, \u00f6zellikle tek ba\u015f\u0131na ya da parasetamolle birlikte iltihap giderici a\u011fr\u0131 kesicileri (NSA\u0130\u0130) g\u00f6sterir<sup><a href=\"#kaynak-7\">[7]<\/a><\/sup>. Yaln\u0131zca di\u015f hekiminizin re\u00e7ete etti\u011fi ilac\u0131 ya da kutusunda yazd\u0131\u011f\u0131 \u015fekilde kullan\u0131n.<\/p>\n  <!-- link \u2192 https:\/\/ulubeydental.com\/tr\/dis-cekimi-sonrasi\/ (U-6.2 TR) yay\u0131na girince: \"Her \u00e7ekim i\u00e7in ayr\u0131nt\u0131l\u0131 bak\u0131m: di\u015f \u00e7ekimi sonras\u0131 rehberimiz.\" -->\n\n  <h2 id=\"riskler\">Olas\u0131 komplikasyonlar<\/h2>\n  <p>Yirmilik di\u015f \u00e7ekimi genellikle basit bir i\u015flemdir; yine de komplikasyonlar olabilir ve di\u015f hekiminiz bunlar\u0131 \u00f6nceden anlatmal\u0131d\u0131r<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li><strong>Kuru soket:<\/strong> kan p\u0131ht\u0131s\u0131 d\u00fczg\u00fcn olu\u015fmaz veya yerinden \u00e7\u0131kar<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Rutin \u00e7ekimlerin %1\u20135&#8217;inde, cerrahi olarak \u00e7ekilen yirmilik di\u015flerin ise %30&#8217;undan fazlas\u0131nda bildirilmi\u015ftir<sup><a href=\"#kaynak-5\">[5]<\/a><\/sup>; sigara i\u00e7enlerde olas\u0131l\u0131k \u00fc\u00e7 kat\u0131ndan fazlad\u0131r<sup><a href=\"#kaynak-6\">[6]<\/a><\/sup>. Ayr\u0131nt\u0131lar kuru soket rehberimizdedir.<!-- link \u2192 https:\/\/ulubeydental.com\/tr\/kuru-soket\/ (N-S10 TR) yay\u0131na girince --><\/li>\n    <li><strong>Enfeksiyon:<\/strong> antibiyotik gerekebilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/li>\n    <li><strong>Sinir hasar\u0131:<\/strong> dilde, dudakta veya \u00e7enede uyu\u015fma ya da kar\u0131ncalanma yapar; genellikle d\u00fczelir, ancak haftalar veya aylar s\u00fcrebilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/li>\n  <\/ul>\n  <p>Kanama durmuyorsa, a\u011fr\u0131 ve \u015fi\u015flik \u015fiddetliyse ya da k\u00f6t\u00fcle\u015fiyor ve a\u011fr\u0131 kesiciler i\u015fe yaram\u0131yorsa veya a\u011fr\u0131ya a\u011f\u0131zda k\u00f6t\u00fc tat, y\u00fcksek ate\u015f ya da halsizlik e\u015flik ediyorsa acil di\u015f randevusu isteyin<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"klinigimizde\">Klini\u011fimizde yirmilik di\u015f tedavisi<\/h2>\n  <p>Di\u015f Hekimi Ali Cem Ulubey ve Di\u015f Hekimi Surur Ulubey kendi hastalar\u0131n\u0131 muayene eder ve tedavi eder; tedavinizi iki hekim bizzat planlar, yapar ve takip eder; tedavi a\u015famalar\u0131 aras\u0131nda vakan\u0131z ba\u015fka bir hekime devredilmez. G\u00f6m\u00fcl\u00fc di\u015fler dahil yirmilik di\u015f \u00e7ekimi klinikte yap\u0131l\u0131r.<\/p>\n  <ul>\n    <li><strong>De\u011ferlendirme:<\/strong> her hastam\u0131za muayene ve panoramik r\u00f6ntgen. Alt yirmilik di\u015f sinire yak\u0131nsa, sinirle ili\u015fkisi di\u015f hekimlerimizin de\u011ferlendirdi\u011fi 3D tomografi (CBCT) ile kontrol edilir.<\/li>\n    <li><strong>Y\u00fcksek riskli vakalar:<\/strong> sinir a\u00e7\u0131s\u0131ndan y\u00fcksek risk ta\u015f\u0131yan g\u00f6m\u00fcl\u00fc yirmilik di\u015fler tercihen bir \u00fcniversite di\u015f hekimli\u011fi fak\u00fcltesine y\u00f6nlendirilir. Bunu herhangi bir planlama yap\u0131lmadan \u00f6nce size s\u00f6yleriz.<\/li>\n    <li><strong>Basit ve cerrahi \u00e7ekim:<\/strong> yar\u0131m s\u00fcrm\u00fc\u015f ve g\u00f6m\u00fcl\u00fc yirmilik di\u015fler lokal anestezi alt\u0131nda \u00e7ekilir. Diki\u015f gerekti\u011finde ince (4-0) eriyen diki\u015f kullan\u0131r, m\u00fcmk\u00fcn oldu\u011funda diki\u015fleri 7.\u20138. g\u00fcnde al\u0131r\u0131z.<\/li>\n    <li><strong>\u0130la\u00e7lar:<\/strong> basit bir \u00e7ekimde antibiyotik gerekmez; cerrahi \u00e7ekimden sonra antibiyotik re\u00e7ete ederiz. A\u011fr\u0131 i\u00e7in genellikle diklofenak, naproksen veya deksketoprofen gibi, ki\u015fiye g\u00f6re se\u00e7ilen bir iltihap giderici a\u011fr\u0131 kesici (NSA\u0130\u0130) re\u00e7ete edilir; re\u00e7eteye ve kullanma talimat\u0131na uyun.<\/li>\n    <li><strong>Sigara:<\/strong> m\u00fcmk\u00fcn oldu\u011funca erken, ideal olarak en az 4 hafta \u00f6nce b\u0131rak\u0131n; b\u0131rakam\u0131yorsan\u0131z g\u00fcnde en fazla 6\u20138 sigaraya indirmenizi isteriz. \u00c7ekimden sonra yara kapanana kadar, en az 1 hafta sigara i\u00e7meyin.<\/li>\n    <li><strong>Randevu:<\/strong> tek bir \u00e7ekim tek randevuda yap\u0131l\u0131r.<\/li>\n  <\/ul>\n  <p>\u00dccret, muayene ve r\u00f6ntgen sonras\u0131, tedaviden \u00f6nce yaz\u0131l\u0131 olarak bildirilir. Dolgu, kanal tedavisi ve di\u015f ta\u015f\u0131 temizli\u011fi gibi di\u011fer tedaviler i\u00e7in <a href=\"https:\/\/ulubeydental.com\/tr\/genel-dis-hekimligi\/\" class=\"ub-internal-link\">genel di\u015f hekimli\u011fi<\/a> sayfam\u0131za bakabilirsiniz.<\/p>\n\n  <h2 id=\"sss\">S\u0131k sorulan sorular<\/h2>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Yirmilik di\u015fler her zaman \u00e7ekilmeli mi?<\/h3>\n    <p class=\"ub-faq-a\">Hay\u0131r. NHS&#8217;ye g\u00f6re sorun \u00e7\u0131karmayan bir yirmilik di\u015f genellikle yerinde b\u0131rak\u0131l\u0131r ve rutin kontrollerde izlenir; NICE de g\u00f6m\u00fcl\u00fc yirmilik di\u015flerin cerrahi \u00e7ekimini hastal\u0131k bulgusu olan durumlarla s\u0131n\u0131rlar. 2020 tarihli bir Cochrane derlemesi, belirti vermeyen di\u015fler i\u00e7in iki y\u00f6nde de yeterli kan\u0131t bulamam\u0131\u015f ve d\u00fczenli kontrolle birlikte ortak karar verilmesini \u00f6nermi\u015ftir.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Yirmilik di\u015f \u00e7ekimi ne kadar s\u00fcrer?<\/h3>\n    <p class=\"ub-faq-a\">NHS&#8217;ye g\u00f6re \u00e7ekim \u00e7o\u011fu zaman yaln\u0131zca birka\u00e7 dakika s\u00fcrer ve 40 dakikay\u0131 ge\u00e7memelidir. Genellikle ayn\u0131 g\u00fcn evinize d\u00f6nersiniz. Tamamen kemikle \u00f6rt\u00fcl\u00fc veya sinire yak\u0131n bir di\u015f daha fazla planlama gerektirir; bu y\u00fczden \u00f6nce r\u00f6ntgen, gerekti\u011finde 3D tomografi (CBCT) \u00e7ekilir.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Yirmilik di\u015f \u00e7ekiminden sonra iyile\u015fme ne kadar s\u00fcrer?<\/h3>\n    <p class=\"ub-faq-a\">\u00c7o\u011fu ki\u015fi ertesi g\u00fcn ola\u011fan i\u015flerine d\u00f6ner; daha zor bir \u00e7ekimden sonra 1\u20133 g\u00fcn i\u015fe ara vermek gerekebilir. A\u011fr\u0131 ve \u015fi\u015flik 2 haftaya kadar s\u00fcrebilir, ancak 1\u20132 g\u00fcn sonra azalmaya ba\u015flamal\u0131d\u0131r. 2. veya 3. g\u00fcnden sonra artan a\u011fr\u0131 kuru soket a\u00e7\u0131s\u0131ndan kontrol edilmelidir.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Yirmilik di\u015f \u00e7ekimi sinire zarar verebilir mi?<\/h3>\n    <p class=\"ub-faq-a\">Verebilir. NHS, dilde, dudakta veya \u00e7enede uyu\u015fma ya da kar\u0131ncalanmayla seyreden sinir hasar\u0131n\u0131 olas\u0131 bir komplikasyon olarak sayar; genellikle d\u00fczelir, ancak haftalar veya aylar s\u00fcrebilir. Alt yirmilik di\u015f sinire yak\u0131nsa bunu 3D tomografi (CBCT) ile kontrol ederiz; y\u00fcksek riskli vakalar tercihen bir \u00fcniversite di\u015f hekimli\u011fi fak\u00fcltesine y\u00f6nlendirilir.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">G\u00f6m\u00fcl\u00fc yirmilik di\u015f \u00e7ekimi i\u00e7in hastaneye gitmem gerekir mi?<\/h3>\n    <p class=\"ub-faq-a\">\u00c7o\u011fu zaman gerekmez. G\u00f6m\u00fcl\u00fc di\u015fler dahil yirmilik di\u015f \u00e7ekimi klini\u011fimizde lokal anestezi alt\u0131nda yap\u0131l\u0131r ve tek bir \u00e7ekim tek randevuda tamamlan\u0131r. K\u00f6k sinire \u00e7ok yak\u0131nsa ve risk y\u00fcksekse, planlamadan \u00f6nce bunu size s\u00f6yler ve sizi tercihen bir \u00fcniversite di\u015f hekimli\u011fi fak\u00fcltesine y\u00f6nlendiririz.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Perikoronit nedir?<\/h3>\n    <p class=\"ub-faq-a\">Perikoronit, yaln\u0131zca k\u0131smen s\u00fcrm\u00fc\u015f bir yirmilik di\u015fin \u00e7evresindeki di\u015f etinin enfeksiyonudur. A\u011fz\u0131n arkas\u0131nda a\u011fr\u0131l\u0131, \u015fi\u015f bir di\u015f eti, a\u011f\u0131zda k\u00f6t\u00fc tat ve di\u015fleri kapat\u0131rken a\u011fr\u0131 yapar. NICE, \u015fiddetli de\u011filse ilk ata\u011f\u0131n tek ba\u015f\u0131na cerrahi i\u00e7in bir neden olmad\u0131\u011f\u0131n\u0131, tekrarlayan ataklar\u0131n ise neden oldu\u011funu belirtir.<\/p>\n  <\/div>\n\n  <!-- CTA: acil olmayan randevu; acil durum blo\u011fundan ayr\u0131 (rulebook \u00a73.3). -->\n  <div class=\"ub-cta-card\">\n    <div class=\"ub-cta-title\">Acil olmayan randevu<\/div>\n    <div class=\"ub-cta-desc\">Yirmilik di\u015finizi kontrol ettirmek i\u00e7in WhatsApp&#8217;tan foto\u011fraf veya r\u00f6ntgen g\u00f6nderebilir ya da Pazartesi\u2013Cumartesi 09:00\u201319:00 aras\u0131nda klini\u011fimize gelebilirsiniz. Mesajlar genellikle 4 saat i\u00e7inde yan\u0131tlan\u0131r; pazar g\u00fcn\u00fc klinik kapal\u0131d\u0131r ve WhatsApp yaln\u0131zca acil durumlar i\u00e7indir. A\u011fr\u0131 veya \u015fi\u015flik i\u00e7in <a href=\"https:\/\/ulubeydental.com\/tr\/antalya-acil-dis-hekimi\/\" class=\"ub-internal-link\">Antalya&#8217;da acil di\u015f hekimi<\/a> sayfam\u0131za bak\u0131n. Kesin tan\u0131 ve tedavi plan\u0131 muayene ve r\u00f6ntgen sonras\u0131nda netle\u015fir.<br><small>\u00c7a\u011flayan Mh., Bar\u0131naklar Blv., \u00d6zen 2 Apt. No: 109A, Muratpa\u015fa\/Antalya (Lara b\u00f6lgesi) \u00b7 Otopark imk\u00e2n\u0131 mevcuttur. \u00b7 Pazartesi\u2013Cumartesi 09:00\u201319:00<\/small><\/div>\n    <div class=\"ub-cta-actions\">\n      <a href=\"https:\/\/wa.me\/905403240004?text=Merhaba%2C%20yirmilik%20di%C5%9Fimi%20kontrol%20ettirmek%20istiyorum.\" class=\"ub-btn-whatsapp\" target=\"_blank\" rel=\"noopener noreferrer\">WhatsApp&#8217;tan yaz\u0131n (+90 540 324 00 04)<\/a>\n      <a href=\"tel:+905403240004\" class=\"ub-btn-secondary\">Bizi aray\u0131n: +90 540 324 00 04<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"ub-references\" id=\"kaynaklar\">\n    <h4>Kaynaklar (\u0130ngilizce)<\/h4>\n    <ol>\n      <li id=\"kaynak-1\"><strong>NHS.<\/strong> Wisdom tooth removal (son inceleme 12 Haziran 2024; eri\u015fim 25 Ekim 2026). <a href=\"https:\/\/www.nhs.uk\/tests-and-treatments\/wisdom-tooth-removal\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">www.nhs.uk\/tests-and-treatments\/wisdom-tooth-removal<\/a><\/li>\n      <li id=\"kaynak-2\"><strong>National Institute for Health and Care Excellence (NICE).<\/strong> Guidance on the extraction of wisdom teeth. Technology appraisal guidance TA1. Yay\u0131n 27 Mart 2000 (eri\u015fim 25 Ekim 2026). <a href=\"https:\/\/www.nice.org.uk\/guidance\/ta1\/chapter\/1-Recommendations\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">www.nice.org.uk\/guidance\/ta1\/chapter\/1-Recommendations<\/a><\/li>\n      <li id=\"kaynak-3\"><strong>Ghaeminia H, Nienhuijs ME, Toedtling V, et al.<\/strong> Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. <em>Cochrane Database Syst Rev<\/em>. 2020;5:CD003879. PMID 32368796. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32368796\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/32368796<\/a><\/li>\n      <li id=\"kaynak-4\"><strong>Robbins J, Smalley KR, Ray P, Ali K.<\/strong> Does the addition of cone-beam CT to panoral imaging reduce inferior dental nerve injuries resulting from third molar surgery? A systematic review. <em>BMC Oral Health<\/em>. 2022;22(1):466. PMID 36329417. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36329417\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/36329417<\/a><\/li>\n      <li id=\"kaynak-5\"><strong>Daly BJ, Sharif MO, Jones K, Worthington HV, Beattie A.<\/strong> Local interventions for the management of alveolar osteitis (dry socket). <em>Cochrane Database Syst Rev<\/em>. 2022;9:CD006968. PMID 36156769. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36156769\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/36156769<\/a><\/li>\n      <li id=\"kaynak-6\"><strong>Ku\u015bnierek W, Brzezi\u0144ska K, Nijakowski K, Surdacka A.<\/strong> Smoking as a risk factor for dry socket: a systematic review. <em>Dent J (Basel)<\/em>. 2022;10(7):121. PMID 35877395. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35877395\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/35877395<\/a><\/li>\n      <li id=\"kaynak-7\"><strong>Carrasco-Labra A, Polk DE, Urquhart O, et al.<\/strong> Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in adolescents, adults, and older adults. <em>J Am Dent Assoc<\/em>. 2024;155(2):102-117.e9. PMID 38325969. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38325969\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/38325969<\/a><\/li>\n    <\/ol>\n    <p style=\"margin:12px 0 0 0;\">Bu yaz\u0131 genel hasta bilgilendirmesidir; klinik muayenenin ve r\u00f6ntgenin yerini tutmaz. Her cerrahi veya giri\u015fimsel i\u015flemde sonu\u00e7lar ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebilir. \u0130\u015flem \u00f6ncesinde hekiminizden detayl\u0131 g\u00f6r\u00fc\u015f alman\u0131z \u00f6nerilir.<\/p>\n  <\/div>\n\n<\/div>\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@graph\": [\n  {\n   \"@type\": \"MedicalWebPage\",\n   \"@id\": \"https:\/\/ulubeydental.com\/tr\/yirmilik-dis\/#webpage\",\n   \"url\": \"https:\/\/ulubeydental.com\/tr\/yirmilik-dis\/\",\n   \"name\": \"Yirmilik Di\u015f (20'lik Di\u015f): A\u011fr\u0131, G\u00f6m\u00fcl\u00fc Di\u015f ve Ne Zaman \u00c7ekilmeli?\",\n   \"headline\": \"Yirmilik Di\u015f (20'lik Di\u015f): A\u011fr\u0131, G\u00f6m\u00fcl\u00fc Di\u015f ve Ne Zaman \u00c7ekilmeli?\",\n   \"description\": \"Yirmilik di\u015f neden a\u011fr\u0131r, g\u00f6m\u00fcl\u00fc 20'lik di\u015f ne zaman \u00e7ekilir? R\u00f6ntgen, tomografi ve sinir, \u00e7ekim ve iyile\u015fme. Antalya Muratpa\u015fa'dan bir di\u015f hekimi anlat\u0131yor.\",\n   \"inLanguage\": \"tr\",\n   \"isPartOf\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#website\"\n   },\n   \"author\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#dr-ali-cem-ulubey\"\n   },\n   \"publisher\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#organization\"\n   },\n   \"datePublished\": \"2026-10-26\",\n   \"dateModified\": \"2026-10-26\",\n   \"medicalAudience\": {\n    \"@type\": \"MedicalAudience\",\n    \"audienceType\": \"Patient\"\n   },\n   \"about\": {\n    \"@type\": \"MedicalCondition\",\n    \"name\": \"G\u00f6m\u00fcl\u00fc yirmilik di\u015f\",\n    \"alternateName\": [\n     \"20'lik di\u015f\",\n     \"Ak\u0131l di\u015fi\",\n     \"G\u00f6m\u00fcl\u00fc \u00fc\u00e7\u00fcnc\u00fc b\u00fcy\u00fck az\u0131 di\u015fi\"\n    ],\n    \"signOrSymptom\": [\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u00c7enenin arkas\u0131nda a\u011fr\u0131\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"Di\u015fin \u00e7evresinde di\u015f eti enfeksiyonu (perikoronit)\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u015ei\u015flik\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"Yemek s\u0131k\u0131\u015fmas\u0131\"\n     }\n    ],\n    \"possibleTreatment\": [\n     {\n      \"@type\": \"MedicalProcedure\",\n      \"name\": \"Yirmilik di\u015f \u00e7ekimi\"\n     },\n     {\n      \"@type\": \"MedicalProcedure\",\n      \"name\": \"Rutin kontrollerde izleme\"\n     }\n    ]\n   },\n   \"citation\": [\n    \"https:\/\/www.nhs.uk\/tests-and-treatments\/wisdom-tooth-removal\/\",\n    \"https:\/\/www.nice.org.uk\/guidance\/ta1\/chapter\/1-Recommendations\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/32368796\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/36329417\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/36156769\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/35877395\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/38325969\/\"\n   ]\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/ulubeydental.com\/tr\/yirmilik-dis\/#sss\",\n   \"isPartOf\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/tr\/yirmilik-dis\/#webpage\"\n   },\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Yirmilik di\u015fler her zaman \u00e7ekilmeli mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Hay\u0131r. NHS'ye g\u00f6re sorun \u00e7\u0131karmayan bir yirmilik di\u015f genellikle yerinde b\u0131rak\u0131l\u0131r ve rutin kontrollerde izlenir; NICE de g\u00f6m\u00fcl\u00fc yirmilik di\u015flerin cerrahi \u00e7ekimini hastal\u0131k bulgusu olan durumlarla s\u0131n\u0131rlar. 2020 tarihli bir Cochrane derlemesi, belirti vermeyen di\u015fler i\u00e7in iki y\u00f6nde de yeterli kan\u0131t bulamam\u0131\u015f ve d\u00fczenli kontrolle birlikte ortak karar verilmesini \u00f6nermi\u015ftir.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Yirmilik di\u015f \u00e7ekimi ne kadar s\u00fcrer?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"NHS'ye g\u00f6re \u00e7ekim \u00e7o\u011fu zaman yaln\u0131zca birka\u00e7 dakika s\u00fcrer ve 40 dakikay\u0131 ge\u00e7memelidir. Genellikle ayn\u0131 g\u00fcn evinize d\u00f6nersiniz. Tamamen kemikle \u00f6rt\u00fcl\u00fc veya sinire yak\u0131n bir di\u015f daha fazla planlama gerektirir; bu y\u00fczden \u00f6nce r\u00f6ntgen, gerekti\u011finde 3D tomografi (CBCT) \u00e7ekilir.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Yirmilik di\u015f \u00e7ekiminden sonra iyile\u015fme ne kadar s\u00fcrer?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"\u00c7o\u011fu ki\u015fi ertesi g\u00fcn ola\u011fan i\u015flerine d\u00f6ner; daha zor bir \u00e7ekimden sonra 1\u20133 g\u00fcn i\u015fe ara vermek gerekebilir. A\u011fr\u0131 ve \u015fi\u015flik 2 haftaya kadar s\u00fcrebilir, ancak 1\u20132 g\u00fcn sonra azalmaya ba\u015flamal\u0131d\u0131r. 2. veya 3. g\u00fcnden sonra artan a\u011fr\u0131 kuru soket a\u00e7\u0131s\u0131ndan kontrol edilmelidir.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Yirmilik di\u015f \u00e7ekimi sinire zarar verebilir mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Verebilir. NHS, dilde, dudakta veya \u00e7enede uyu\u015fma ya da kar\u0131ncalanmayla seyreden sinir hasar\u0131n\u0131 olas\u0131 bir komplikasyon olarak sayar; genellikle d\u00fczelir, ancak haftalar veya aylar s\u00fcrebilir. Alt yirmilik di\u015f sinire yak\u0131nsa bunu 3D tomografi (CBCT) ile kontrol ederiz; y\u00fcksek riskli vakalar tercihen bir \u00fcniversite di\u015f hekimli\u011fi fak\u00fcltesine y\u00f6nlendirilir.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"G\u00f6m\u00fcl\u00fc yirmilik di\u015f \u00e7ekimi i\u00e7in hastaneye gitmem gerekir mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"\u00c7o\u011fu zaman gerekmez. G\u00f6m\u00fcl\u00fc di\u015fler dahil yirmilik di\u015f \u00e7ekimi klini\u011fimizde lokal anestezi alt\u0131nda yap\u0131l\u0131r ve tek bir \u00e7ekim tek randevuda tamamlan\u0131r. K\u00f6k sinire \u00e7ok yak\u0131nsa ve risk y\u00fcksekse, planlamadan \u00f6nce bunu size s\u00f6yler ve sizi tercihen bir \u00fcniversite di\u015f hekimli\u011fi fak\u00fcltesine y\u00f6nlendiririz.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Perikoronit nedir?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Perikoronit, yaln\u0131zca k\u0131smen s\u00fcrm\u00fc\u015f bir yirmilik di\u015fin \u00e7evresindeki di\u015f etinin enfeksiyonudur. A\u011fz\u0131n arkas\u0131nda a\u011fr\u0131l\u0131, \u015fi\u015f bir di\u015f eti, a\u011f\u0131zda k\u00f6t\u00fc tat ve di\u015fleri kapat\u0131rken a\u011fr\u0131 yapar. NICE, \u015fiddetli de\u011filse ilk ata\u011f\u0131n tek ba\u015f\u0131na cerrahi i\u00e7in bir neden olmad\u0131\u011f\u0131n\u0131, tekrarlayan ataklar\u0131n ise neden oldu\u011funu belirtir.\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Belirtiler ve durumlar Yirmilik di\u015f Yazar: Di\u015f Hekimi Ali Cem Ulubey \u00b7 Ulubey Dental Clinic, Antalya Son g\u00fcncelleme: 26.10.2026 \u0130\u00e7erik edit\u00f6r\u00fc: Dt. Ali Cem Ulubey \u00b7 info@ulubeydental.com G\u00f6ze veya boyna yay\u0131lan \u015fi\u015flik, nefes alma\/yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, y\u00fcksek ate\u015f veya durmayan kanama acil durumdur: 112&#8217;yi aray\u0131n. Bu sayfa genel bilgilendirmedir; muayenenin yerini tutmaz. K\u0131sa cevap Yirmilik di\u015fler&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_joinchat":[],"footnotes":""},"categories":[315],"tags":[],"class_list":["post-9042","post","type-post","status-publish","format-standard","hentry","category-hasta-rehberi"],"taxonomy_info":{"category":[{"value":315,"label":"Hasta Rehberi"}]},"featured_image_src_large":false,"author_info":{"display_name":"Dt. 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