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揭开复杂性的面纱:一例双根下颌尖牙治疗的病例报告

Demystifying the Complexity: A Case Report on the Management of Mandibular Canine with Two Roots.

作者信息

Bhaskar Akhilesh, Kumar Rega, Nawal Ruchika R, Talwar Sangeeta

机构信息

Conservative Dentistry & Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND.

出版信息

Cureus. 2020 Feb 21;12(2):e7072. doi: 10.7759/cureus.7072.

DOI:10.7759/cureus.7072
PMID:32226673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7093938/
Abstract

Mandibular canine often presents with only one root and one root canal in most of the cases. However, approximately 15% of the mandibular canines have two root canals and even less frequently two distinct roots. This article presents a case of root canal treatment in mandibular canine with two roots and two root canals. Meticulous cleaning and shaping followed by three-dimensional filling help in the successful treatment of such anatomical aberrations. Failure to do so may lead to post-treatment disease and further complications.

摘要

在大多数情况下,下颌尖牙通常只有一个牙根和一个根管。然而,约15%的下颌尖牙有两个根管,有两个独立牙根的情况则更为少见。本文介绍了一例下颌尖牙有两个牙根和两个根管的根管治疗病例。细致的清理、预备以及三维充填有助于成功治疗此类解剖变异。若未做到这些,可能会导致治疗后疾病及进一步的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/05f889f266d8/cureus-0012-00000007072-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/40328c6b97d6/cureus-0012-00000007072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/cda2c442f560/cureus-0012-00000007072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/75eb50350872/cureus-0012-00000007072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/05f889f266d8/cureus-0012-00000007072-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/40328c6b97d6/cureus-0012-00000007072-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/cda2c442f560/cureus-0012-00000007072-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/75eb50350872/cureus-0012-00000007072-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb1/7093938/05f889f266d8/cureus-0012-00000007072-i04.jpg

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本文引用的文献

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BMC Res Notes. 2018 Feb 8;11(1):111. doi: 10.1186/s13104-018-3226-8.
2
Mandibular Canines with Two Roots and Two Root Canals: Case Report and Literature Review.具有双根和双根管的下颌尖牙:病例报告与文献综述
Case Rep Dent. 2017;2017:8459840. doi: 10.1155/2017/8459840. Epub 2017 Sep 13.
3
Root Canal Morphology of Mandibular Canine in an Iranian Population: A CBCT Assessment.伊朗人群下颌尖牙的根管形态:CBCT评估
Iran Endod J. 2017 Winter;12(1):78-82. doi: 10.22037/iej.2017.16.
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Mandibular Canine with Two Roots and Two Root Canals - A Rare Case.下颌双根双根管尖牙——罕见病例
J Clin Diagn Res. 2016 Sep;10(9):ZJ07-ZJ08. doi: 10.7860/JCDR/2016/20766.8474. Epub 2016 Sep 1.
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Failure of endodontic treatment: The usual suspects.牙髓治疗失败:常见原因。
Eur J Dent. 2016 Jan-Mar;10(1):144-147. doi: 10.4103/1305-7456.175682.
6
Endodontic management of bilateral mandibular canine with type two canals configuration.双侧下颌尖牙双根管形态的根管治疗
Contemp Clin Dent. 2015 Oct-Dec;6(4):544-7. doi: 10.4103/0976-237X.169856.
7
Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment.根管治疗过程中固有现象的文献复习:根管内玷污物流出
Int Endod J. 2014 Mar;47(3):211-21. doi: 10.1111/iej.12137. Epub 2013 May 25.
8
Microcomputed tomography analysis of the root canal morphology of single-rooted mandibular canines.单根下颌尖牙根管形态的微计算机断层扫描分析
Int Endod J. 2013 Sep;46(9):800-7. doi: 10.1111/iej.12061. Epub 2013 Feb 12.
9
The anatomy of two-rooted mandibular canines determined using micro-computed tomography.利用微计算机断层扫描技术确定下颌双根犬齿的解剖结构。
Int Endod J. 2011 Jul;44(7):682-7. doi: 10.1111/j.1365-2591.2011.01879.x. Epub 2011 Mar 30.
10
Irrigation in endodontics.牙髓病学中的冲洗
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