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双侧单根下颌第一磨牙的罕见病例。

A Rare Occurrence of Bilateral Single-Rooted Mandibular First Molar.

作者信息

Ujariya Urvashi, Bharatiya Rajendra, Kothari Anjali, Shah Viraj, Parikh Mishri, Pandey Kruti, Mehta Dhara, Amin Nishi

机构信息

Department of Conservative Dentistry, AMC Dental College and Hospital, Ahmedabad, Gujarat, India.

出版信息

Case Rep Dent. 2022 May 29;2022:1175630. doi: 10.1155/2022/1175630. eCollection 2022.

DOI:10.1155/2022/1175630
PMID:35677208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9168195/
Abstract

It is essential to have an in-depth knowledge of root and root canal anatomy to prevent any iatrogenic errors. Many studies and case reports are present in the literature related to the anatomy of mandibular first molars, but most of them are on an extra number of roots and root canals. There are few studies related to a lower number of roots and root canals, but the occurrence of bilateral mandibular first and second molars with the presence of root fusion resulting in a single root is very rare. This case report presents the nonsurgical endodontic management of the left and right mandibular first molars with the presence of a single root confirmed using a CBCT and treated by placing an apical MTA plug followed by backfill using thermoplasticised gutta percha.

摘要

深入了解牙根和根管解剖结构对于防止任何医源性错误至关重要。文献中有许多关于下颌第一磨牙解剖结构的研究和病例报告,但其中大多数是关于额外数量的牙根和根管。关于牙根和根管数量较少的研究较少,而双侧下颌第一和第二磨牙出现根融合导致单一根的情况非常罕见。本病例报告介绍了使用CBCT确认存在单一根的左右下颌第一磨牙的非手术根管治疗管理,通过放置根尖MTA充填物,然后用热塑牙胶进行回填治疗。

相似文献

1
A Rare Occurrence of Bilateral Single-Rooted Mandibular First Molar.双侧单根下颌第一磨牙的罕见病例。
Case Rep Dent. 2022 May 29;2022:1175630. doi: 10.1155/2022/1175630. eCollection 2022.
2
Morphology of mandibular first molars analyzed by cone-beam computed tomography in a Korean population: variations in the number of roots and canals.韩国人群中通过锥形束计算机断层扫描分析下颌第一磨牙的形态:牙根和根管数量的变异
J Endod. 2013 Dec;39(12):1516-21. doi: 10.1016/j.joen.2013.08.015. Epub 2013 Sep 27.
3
Evaluation of Root and Root Canal Morphology of Mandibular First and Second Molars in a Greek Population: A CBCT Study.希腊人群下颌第一和第二磨牙牙根及根管形态的评估:一项锥形束计算机断层扫描研究
Eur Endod J. 2019 Jul 18;4(2):62-68. doi: 10.14744/eej.2019.19480. eCollection 2019.
4
Anatomical variations and bilateral symmetry of roots and root canal system of mandibular first permanent molars in Saudi Arabian population utilizing cone- beam computed tomography.利用锥形束计算机断层扫描技术研究沙特阿拉伯人群下颌第一恒磨牙牙根及根管系统的解剖变异和双侧对称性
Saudi Dent J. 2019 Oct;31(4):481-486. doi: 10.1016/j.sdentj.2019.04.001. Epub 2019 Apr 6.
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Root canal morphology and variations in mandibular second molar teeth of an Indian population: an in vivo cone-beam computed tomography analysis.印度人群下颌第二磨牙根管形态及变异:体内锥形束 CT 分析。
Clin Oral Investig. 2017 Dec;21(9):2801-2809. doi: 10.1007/s00784-017-2082-6. Epub 2017 Mar 9.
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Endodontic management of a mandibular first molar with four canals in a distal root by using cone-beam computed tomography: a case report.使用锥形束计算机断层扫描技术对下颌第一磨牙远中根四根管的根管治疗:病例报告
J Oral Maxillofac Res. 2014 Apr 1;5(1):e5. doi: 10.5037/jomr.2014.5105. eCollection 2014 Jan.
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Prevalence and morphometric analysis of three-rooted mandibular first molars in a Brazilian subpopulation.巴西亚人群中三根下颌第一磨牙的患病率及形态计量分析。
J Appl Oral Sci. 2016 Sep-Oct;24(5):535-542. doi: 10.1590/1678-775720150511.
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Cone beam computed tomography evaluation and endodontic management of permanent mandibular second molar with four roots: A rare case report and literature review.锥形束计算机断层扫描评估及四根管下颌第二恒磨牙的根管治疗:一例罕见病例报告及文献综述
J Conserv Dent. 2014 Jul;17(4):385-8. doi: 10.4103/0972-0707.136518.
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Endodontic treatment of mandibular molars with atypical root canal anatomy: reports of 4 cases.下颌磨牙非典型根管解剖结构的根管治疗:4例报告
Gen Dent. 2015 May-Jun;63(3):67-70.

本文引用的文献

1
Mandibular first molar with single root and single root canal.下颌第一磨牙,单根单根管。
J Conserv Dent. 2015 Jul-Aug;18(4):346-8. doi: 10.4103/0972-0707.159757.
2
Mandibular first molar with a single root and single canal.下颌第一磨牙,单根单根管。
Case Rep Dent. 2014;2014:159846. doi: 10.1155/2014/159846. Epub 2014 Feb 20.
3
Variable permanent mandibular first molar: Review of literature.可变恒下颌第一磨牙:文献综述
J Conserv Dent. 2013 Mar;16(2):99-110. doi: 10.4103/0972-0707.108176.
4
Radix entomolaris in mandibular first molars in Indian population: a review and case reports.印度人群下颌第一磨牙中的磨牙根:综述与病例报告
Case Rep Dent. 2012;2012:595494. doi: 10.1155/2012/595494. Epub 2012 Oct 22.
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Endodontic management and cone-beam computed tomography evaluation of seven maxillary and mandibular molars with single roots and single canals in a patient.患者 7 颗上颌和下颌单根单管磨牙的牙髓病学处理和锥形束 CT 评估。
J Endod. 2011 Jan;37(1):103-9. doi: 10.1016/j.joen.2010.09.001. Epub 2010 Nov 12.
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Root anatomy and canal configuration of the permanent mandibular first molar: a systematic review.下颌第一恒磨牙的根管解剖和形态:系统评价。
J Endod. 2010 Dec;36(12):1919-31. doi: 10.1016/j.joen.2010.08.055. Epub 2010 Oct 16.
7
Mandibular first molar having an unusual mesial root canal morphology with contradictory cone-beam computed tomography findings: a case report.下颌第一磨牙近中根管形态异常,锥形束 CT 检查结果矛盾:一例报告。
J Endod. 2010 Oct;36(10):1712-6. doi: 10.1016/j.joen.2010.06.024. Epub 2010 Aug 14.
8
Maxillary first molar with seven root canals diagnosed with cone-beam computed tomography scanning: a case report.上颌第一磨牙 7 根管的锥形束 CT 扫描诊断:1 例报告。
J Endod. 2010 May;36(5):915-21. doi: 10.1016/j.joen.2009.12.015. Epub 2010 Mar 19.
9
Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging.应用锥形束 CT 影像识别下颌第一磨牙的独立近中颊根管。
J Endod. 2010 Mar;36(3):542-5. doi: 10.1016/j.joen.2009.11.008. Epub 2010 Jan 15.
10
Management of a patient with a taurodont, single-rooted molars associated with multiple dental anomalies: a spiral computerized tomography evaluation.伴有多种牙齿异常的牛牙样单根磨牙患者的管理:螺旋计算机断层扫描评估
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Aug;108(2):e81-6. doi: 10.1016/j.tripleo.2009.04.014.