Janani Maryam, Rahimi Saeed, Shahi Shahriar, Aghbali Amirala, Zand Vahid
Department of Endodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran Endod J. 2011 Summer;6(3):133-5. Epub 2011 Aug 15.
A 28-year old patient was referred for endodontic treatment of his left mandibular second molar. The patient had no history of systemic diseases and his chief complaint was spontaneous pain in left posterior region of mandible. Clinically, there was a deep caries in the left mandibular second molar. Radiographic examination of this tooth revealed a long crown containing large pulp chamber and two short roots with a apically located furcation, indicating hypertaurodontism. After coronal access preparation, five orifices were found including mesiolingual, mesiobuccal, distobuccal, mid-distal and distolingual. Subsequent to root canal preparation, a modified filling technique was used for canal obturation. After one year the treated tooth was symptom free.
一名28岁患者因左下颌第二磨牙接受根管治疗而前来就诊。该患者无全身疾病史,其主要诉求是下颌左侧后部自发疼痛。临床上,左下颌第二磨牙有深龋。对该牙进行的影像学检查显示,牙冠长,髓腔大,两根短,根分叉位于根尖,提示牛牙样牙。开髓后,发现五个根管口,包括近中舌侧、近中颊侧、远中颊侧、远中中部和远中舌侧。根管预备后,采用改良充填技术进行根管充填。一年后,治疗的牙齿无症状。