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下颌第一磨牙根管形态异常的牙髓治疗

Endodontic Management of a Mandibular First Molar with Unusual Canal Morphology.

作者信息

Hashem Ahmed Abdel Rahman, Ahmed Hany Mohamed Aly

机构信息

Department of Endodontics, Ain Shams University School of Dentistry; Future University School of Dentistry, Cairo, Egypt.

Department of Conservative Dentistry, Universiti Sains Malaysia School of Dental Sciences, Kelantan, Malaysia.

出版信息

Eur Endod J. 2017 Feb 16;2(1):1-4. doi: 10.5152/eej.2017.17042. eCollection 2017.

DOI:10.5152/eej.2017.17042
PMID:33403327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7757944/
Abstract

A comprehensive knowledge and understanding of root canal anatomical variations are essential for successful root canal treatment. Mandibular molar teeth show considerable variations in their external and internal radicular morphology that require special attention from dental practitioners to provide the best clinical outcomes to the patients. This report aims to present root canal treatment of a mandibular first molar that has six separate root canals (three root canals in the mesial roots and three in the distal roots [236 M3 D3]). This report points out the importance of proper exploration for identifying additional canals in mandibular molars.

摘要

全面了解和认识根管解剖变异对于成功进行根管治疗至关重要。下颌磨牙的牙根外部和内部形态存在相当大的变异,牙科医生需要特别关注,以便为患者提供最佳临床效果。本报告旨在介绍一例下颌第一磨牙的根管治疗,该牙有六条独立的根管(近中根三条根管,远中根三条根管[236 M3 D3])。本报告指出了在下颌磨牙中正确探查以识别额外根管的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5967/7757944/ce219eb1ae91/EEJ-2-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5967/7757944/9a41c4fbefdf/EEJ-2-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5967/7757944/ce219eb1ae91/EEJ-2-5-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5967/7757944/9a41c4fbefdf/EEJ-2-5-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5967/7757944/ce219eb1ae91/EEJ-2-5-g002.jpg

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本文引用的文献

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A new system for classifying root and root canal morphology.一种新的根管形态分类系统。
Int Endod J. 2017 Aug;50(8):761-770. doi: 10.1111/iej.12685. Epub 2016 Oct 17.
2
Endodontic management of a mandibular first molar with six root canal systems.具有六个根管系统的下颌第一磨牙的根管治疗
J Conserv Dent. 2015 Sep-Oct;18(5):419-22. doi: 10.4103/0972-0707.164060.
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Accessory roots and root canals in human anterior teeth: a review and clinical considerations.人类前牙的副根管和根管:综述与临床考量
一种用于研究和临床实践中牙根及根管系统分类的新系统的优势与应用
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Management of six root canals in mandibular first molar.下颌第一磨牙六根管的处理
Case Rep Med. 2015;2015:827070. doi: 10.1155/2015/827070. Epub 2015 Jan 5.
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Cone beam computed topographic evaluation and endodontic management of a rare mandibular first molar with four distal canals.锥形束计算机断层扫描评估及根管治疗一例罕见的下颌第一磨牙四根管病例
Case Rep Dent. 2014;2014:306943. doi: 10.1155/2014/306943. Epub 2014 Dec 1.
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Micro-computed tomographic analysis of the root canal morphology of the distal root of mandibular first molar.下颌第一磨牙远中根根管形态的显微计算机断层扫描分析
J Endod. 2015 Feb;41(2):231-6. doi: 10.1016/j.joen.2014.09.024. Epub 2014 Nov 12.
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Prevalence of middle mesial canals in mandibular molars after guided troughing under high magnification: an in vivo investigation.高倍放大引导下磨开后下颌磨牙近中中根管的患病率:一项体内研究
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Mandibular first molar with six root canals: a rare entity.下颌第一磨牙有六条根管:一种罕见情况。
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