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上颌中切牙双生牙内陷的根管治疗

Endodontic management of double dens invaginatus in maxillary central incisor.

作者信息

Koteeswaran Vishnupriya, Chandrasekaran Sooriaprakas, Natanasabapathy Velmurugan

机构信息

Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India.

出版信息

J Conserv Dent. 2018 Sep-Oct;21(5):574-577. doi: 10.4103/JCD.JCD_93_18.

DOI:10.4103/JCD.JCD_93_18
PMID:30294124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6161532/
Abstract

This case report deals with the successful endodontic treatment of double dens invaginatus in maxillary left central incisor. Dens invaginatus is a rare developmental anomaly that is challenging to diagnose and treat. A patient reported with unesthetic appearance and previously attempted endodontic treatment of tooth #21. Cone beam computed tomography revealed the presence of a complex invagination communicating with the periodontium. A combination of techniques enhanced the debridement of the complex invagination. Obturation was performed using warm vertical compaction. The patient was asymptomatic during the follow-up period of 12 months.

摘要

本病例报告讲述了对上颌左中切牙双牙内陷进行成功根管治疗的过程。牙内陷是一种罕见的发育异常,诊断和治疗颇具挑战性。一名患者因牙齿外观不佳前来就诊,且之前对21号牙进行过根管治疗尝试。锥形束计算机断层扫描显示存在与牙周组织相通的复杂内陷。多种技术相结合增强了对复杂内陷的清创。采用热垂直加压法进行根管充填。在12个月的随访期内,患者无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/6161532/229d5af56f71/JCD-21-574-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/6161532/f47a29284edb/JCD-21-574-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/6161532/229d5af56f71/JCD-21-574-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/6161532/f47a29284edb/JCD-21-574-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/6161532/229d5af56f71/JCD-21-574-g002.jpg

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本文引用的文献

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Apical Extrusion of Irrigants in Immature Permanent Teeth by Using EndoVac and Needle Irrigation: An In Vitro Study.
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Restor Dent Endod. 2023 Apr 27;48(2):e17. doi: 10.5395/rde.2023.48.e17. eCollection 2023 May.
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