“牛牙症”:一项牙髓病学挑战:病例报告
"Taurodontism" an endodontic challenge: a case report.
作者信息
Bharti Ramesh, Chandra Anil, Tikku Aseem P, Wadhwani Kulvindar K
机构信息
Department of Conservative Dentistry and Endodontics, CSM Medical University, Lucknow, India.
出版信息
J Oral Sci. 2009 Sep;51(3):471-4. doi: 10.2334/josnusd.51.471.
Taurodontism can be defined as a change in tooth shape caused by the failure of the Hertwig's epithelial sheath diaphragm to invaginate at the proper horizontal level. An enlarged pulp chamber, apical displacement of the pulpal floor, and no constriction at the level of the cementoenamel junction are the characteristic features. Permanent molars are most commonly affected. Endodontic treatment of a taurodont tooth is challenging and requires special handling because of the proximity and apical displacement of the roots. Here, we report a case in which endodontic treatment of the maxillary right first molar with taurodontism was performed. In this case, the maxillary right second molar and maxillary left first and second molars were also taurodont teeth.
牛牙症可定义为由赫特维希上皮根鞘隔膜未能在适当水平向内凹陷引起的牙齿形状改变。其特征性表现为髓腔扩大、髓室底向根尖移位以及在牙骨质牙釉质界水平无缩窄。恒牙磨牙最常受累。由于牙根靠近且向根尖移位,牛牙症牙齿的根管治疗具有挑战性,需要特殊处理。在此,我们报告一例上颌右第一磨牙牛牙症的根管治疗病例。在该病例中,上颌右第二磨牙以及上颌左第一和第二磨牙也为牛牙症牙齿。