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下颌第一磨牙六根管:远中根和近中中根管病例报告

Mandibular First Molar with Six Canals: Case Report of Radix Entomolaris and Middle Mesial Canal.

作者信息

Batista Antonio, Lucato-Budziak Maria Carolina, da Costa Michelotto André Luiz, da Silva Neto Ulisses Xavier

机构信息

Department of Restorative Dentistry and Endodontics, Federal University of Parana, Curitiba, Brazil.

Department of Endodontics, School of Health and Biosciences, PUCPR, Curitiba, PR, Brazil.

出版信息

Iran Endod J. 2021;16(1):65-70. doi: 10.22037/iej.v16i1.31842.

DOI:10.22037/iej.v16i1.31842
PMID:36704408
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9709878/
Abstract

The purpose of this article is to report a successful endodontic treatment of a mandibular first molar with six canals; three root canals in the mesial root, two root canals in the distal root, and one radix entomolaris. The incidence of two anatomical variations presented in this report, middle mesial canal and radix entomolaris, is generally low. Knowledge of the internal anatomy of the root canals and their possible variations, and use of magnification, such as the operating microscope or loupes, can increase the chances of finding additional canals, contributing to the success of endodontic treatment.

摘要

本文旨在报告一例下颌第一磨牙六根管的成功根管治疗病例;近中根有三根根管,远中根有两根根管,以及一根远中腭根。本报告中呈现的两种解剖变异,即近中中根管和远中腭根,发生率通常较低。了解根管的内部解剖结构及其可能的变异,并使用放大设备,如手术显微镜或放大镜,可增加发现额外根管的几率,有助于根管治疗的成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/76a5bc405280/IEJ-16-65-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/b674c129e3ba/IEJ-16-65-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/4a53a5a4bf35/IEJ-16-65-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/76a5bc405280/IEJ-16-65-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/b674c129e3ba/IEJ-16-65-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/4a53a5a4bf35/IEJ-16-65-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d04/9709878/76a5bc405280/IEJ-16-65-g003.jpg

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Iran Endod J. 2025;20(1):e4. doi: 10.22037/iej.v20i1.46099. Epub 2025 Jan 1.

本文引用的文献

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Radiographic Indications of Vertucci Type V Configuration in the Distal Root of Mandibular Molars: A Case Series.下颌磨牙远舌根 Verrucci Ⅴ型结构的 X 线表现:病例系列。
J Endod. 2019 Apr;45(4):453-458. doi: 10.1016/j.joen.2018.12.010. Epub 2019 Feb 13.
2
Magnification in endodontics: A review of its application and acceptance among dental practitioners.牙髓病学中的放大技术:牙科从业者对其应用及接受情况的综述
Eur J Dent. 2018 Oct-Dec;12(4):610-616. doi: 10.4103/ejd.ejd_248_18.
3
Morphology and prevalence of middle canals in the mandibular molars: A systematic review.
下颌磨牙中根管的形态与发生率:一项系统评价
J Oral Maxillofac Pathol. 2018 May-Aug;22(2):216-226. doi: 10.4103/jomfp.JOMFP_194_17.
4
Cone-beam computed tomographic analysis on root and canal morphology of mandibular first permanent molar among multiracial population in Western European population.西欧多民族人群下颌第一恒磨牙牙根及根管形态的锥形束计算机断层扫描分析
Eur J Dent. 2018 Jul-Sep;12(3):434-438. doi: 10.4103/ejd.ejd_116_18.
5
Cone-beam computed tomography analysis on root and canal morphology of mandibular first permanent molar among multiracial population in East Coast Malaysian population.马来西亚东海岸多民族人群下颌第一恒磨牙牙根及根管形态的锥形束计算机断层扫描分析
Eur J Dent. 2018 Jul-Sep;12(3):410-416. doi: 10.4103/ejd.ejd_82_18.
6
Mandibular mesial root canal morphology using micro-computed tomography in a Brazilian population.巴西人群中使用显微计算机断层扫描技术观察下颌近中根管形态
Aust Endod J. 2019 Apr;45(1):51-56. doi: 10.1111/aej.12265. Epub 2018 Apr 3.
7
Endodontic Management of Radix Entomolaris in Second Molar.第二磨牙远中根的牙髓治疗
Contemp Clin Dent. 2018 Jan-Mar;9(1):137-139. doi: 10.4103/ccd.ccd_821_17.
8
Middle Mesial and Middle Distal Canals in Mandibular First Molar.下颌第一磨牙的近中根管中段和远中根管中段
J Contemp Dent Pract. 2018 Feb 1;19(2):233-236. doi: 10.5005/jp-journals-10024-2242.
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Rom J Morphol Embryol. 2017;58(3):1083-1089.
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Anatomical profile of the mesial root of the Burmese mandibular first molar with Vertucci's type IV canal configuration.具有韦尔图奇IV型根管形态的缅甸下颌第一磨牙近中根的解剖学特征
J Oral Sci. 2017 Dec 27;59(4):469-474. doi: 10.2334/josnusd.16-0604. Epub 2017 Nov 17.