Jadhav Ganesh Ranganath
Department of Conservative Dentistry and Endodontics, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
J Conserv Dent. 2014 Mar;17(2):192-5. doi: 10.4103/0972-0707.128046.
It is important to assess the root canal morphology and its variations before initiating the endodontic procedure. This is because the inability to clean the complete root canal system forms the seat for the persistent infection which ultimately leads to endodontic treatment failure. This case reports the use of dental operating microscope for the successful endodontic management of a two rooted and three canaled mandibular canine with the fractured instrument in the middle canal of a 38-year-old healthy Asian woman. This case report highlights the need to use the dental operating microscope and ultrasonics in locating the elusive canal orifices. It is important to note the internal and external root canal morphological variations before starting the endodontic treatment without any pre-operative assumptions about the usual anatomy of the toot.
在开始牙髓治疗之前,评估根管形态及其变异情况很重要。这是因为无法清洁整个根管系统会形成持续感染的病灶,最终导致牙髓治疗失败。本病例报告了一名38岁健康亚洲女性下颌双根三根管尖牙中根管内器械折断,使用牙科手术显微镜成功进行牙髓治疗的情况。本病例报告强调了在定位难以捉摸的根管口时使用牙科手术显微镜和超声的必要性。在开始牙髓治疗前,重要的是要注意根管的内部和外部形态变异,而不要对牙齿的正常解剖结构有任何术前假设。