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使用纤维桩对具有两个根管的下颌中切牙骨折进行美学处理。

Aesthetic management of a fractured mandibular central incisor with two canals using fibre post.

作者信息

Abhisek Guria, Bharath Makonahalli Jaganath, Sahadev Chickmagaravalli Krishnegowda, Patil Sanjayagouda B

机构信息

Department of Conservative Dentistry and Endodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India.

Prosthodontics, Sri Hasanamba Dental College and Hospital, Hassan, Karnataka, India

出版信息

BMJ Case Rep. 2020 Mar 12;13(3):e232231. doi: 10.1136/bcr-2019-232231.

Abstract

Mandibular incisors show variations in their root canal anatomy from regular pattern in some cases. Magnification plays a vital role to identify those unusual canal morphologies. A certain modification in access cavity preparation is required to locate those extra canals. Not only the functional restoration but also aesthetic harmony should be restored while treating anterior teeth. In these cases, post space preparation should be done with extra care to prevent vertical root fracture. This case report illustrates the importance of proper radiograph and magnification in the successful identification and management of complex canal systems in mandibular incisors.

摘要

下颌切牙的根管解剖结构在某些情况下会偏离常规模式。放大技术对于识别这些异常的根管形态起着至关重要的作用。需要对开髓腔制备进行一定的调整,以找到那些额外的根管。在前牙治疗时,不仅要恢复功能,还要恢复美观。在这些情况下,根管预备时应格外小心,以防止牙根纵裂。本病例报告说明了合适的影像学检查和放大技术在下颌切牙复杂根管系统的成功识别与处理中的重要性。

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本文引用的文献

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Root canal morphology of mandibular incisors in a Jordanian population.约旦人群下颌切牙的根管形态
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Root canal anatomy of the human permanent teeth.人类恒牙的根管解剖结构。
Oral Surg Oral Med Oral Pathol. 1984 Nov;58(5):589-99. doi: 10.1016/0030-4220(84)90085-9.

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