Parashar Saumya-Rajesh, Kowsky R Dinesh, Natanasabapathy Velmurugan
Department of Endodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
J Conserv Dent. 2017 Jan-Feb;20(1):50-53. doi: 10.4103/0972-0707.209074.
This article aims to report a unique case with aberrant root canal anatomy exhibiting "Y-" and "J"-shaped canal pattern in a mandibular second molar. Anatomic complexities may pose challenges for endodontic treatment. Before performing endodontic treatment, the clinician should be aware of the internal anatomy of the tooth being treated and should recognize anatomic aberrations if present. Presence of unusual anatomy may call for modifications in treatment planning. This report describes in detail about a mandibular second molar tooth associated with two paramolar tubercles having a peculiar "Y-" and "J-"shaped canal anatomy detected with the aid of cone beam computed tomography, which has never been reported in the dental literature. The proposed treatment protocol for the endodontic management of the same has also been discussed.
本文旨在报告一例独特病例,该下颌第二磨牙根管解剖结构异常,呈现“Y”形和“J”形根管形态。解剖结构的复杂性可能给根管治疗带来挑战。在进行根管治疗前,临床医生应了解所治疗牙齿的内部解剖结构,若存在解剖变异应能够识别。异常解剖结构的存在可能需要对治疗计划进行调整。本报告详细描述了一颗下颌第二磨牙,其伴有两个磨牙旁结节,借助锥形束计算机断层扫描检测到具有独特的“Y”形和“J”形根管解剖结构,这在牙科文献中从未有过报道。同时还讨论了针对该病例的根管治疗建议方案。