Arora Suraj, Gill Gurdeep Singh, Setia Priyanka, Abdulla Anshad Mohamed, Sivadas Ganapathy, Vedam Vaishnavi
Department of Restorative Dentistry, College of Dentistry, King Khalid University, Abha, Asir Province, Saudi Arabia.
Department of Conservative Dentistry & Endodontics, JCD Dental College, Sirsa, Haryana, India.
Case Rep Dent. 2018 Oct 8;2018:7594147. doi: 10.1155/2018/7594147. eCollection 2018.
This article aims at providing an insight to the clinical modifications required for the endodontic management of severely dilacerated mandibular third molar. A 35-year-old patient was referred for the root canal treatment of the mandibular left third molar. An intraoral periapical radiograph revealed a severe curvature in both the canals. A wide trapezoidal access was prepared following the use of intermediate-sized files for apical preparation. Owing to increased flexibility, Hero Shaper NITI files were used for the biomechanical preparation and single cone obturation was carried out. Third molars owing to their most posterior location-limited access coupled with a severe curvature pose utmost clinical challenges require meticulous skill, advanced technology, and patience to achieve success.
本文旨在深入探讨严重弯曲的下颌第三磨牙根管治疗所需的临床调整。一名35岁患者因下颌左侧第三磨牙根管治疗前来就诊。口腔根尖片显示两根管均严重弯曲。在使用中等尺寸锉进行根尖预备后，制备了宽梯形入路。由于增加了柔韧性，使用了Hero Shaper镍钛锉进行生物力学预备，并进行了单锥充填。第三磨牙因其最靠后的位置、有限的入路以及严重的弯曲，给临床带来极大挑战，需要精湛的技术、先进的技术和耐心才能取得成功。
