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上颌第一磨牙双侧远中颊根双根管1例报告

Bilateral Presence of Two Distobuccal Canals in Maxillary First Molars: A Case Report.

作者信息

Saberi Eshaghali, Ahmadi Mahboobe

机构信息

Oral and Dental Diseases Research Center, Department of Endodontics, Dental School, Zahedan University of Medical Sciences, Zahedan, Iran.

Department of Endodontics, Dental School, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

Iran Endod J. 2019 Summer;14(3):232-234. doi: 10.22037/iej.v14i3.24708.

DOI:10.22037/iej.v14i3.24708
PMID:36814941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9940022/
Abstract

This article describes the diagnosis and treatment of bilaterally maxillary first molars with two canals in their distobuccal roots. A 13-year-old male came to the clinic with a severe pain of tooth #14. In the first session, after access and finding the main canals and the second mesio-buccal (MB2) canal, another canal was noticed in the distobuccal root. All teeth were examined and a severe decay was observed in the left maxillary first molar. After preparing the access cavity, another orifice was found between the palatal and distobuccal canals. The presence of the second distobuccal canal was confirmed using an apex locator and radiography.

摘要

本文描述了双侧上颌第一磨牙远中颊根双根管的诊断与治疗。一名13岁男性因14号牙剧痛前来就诊。在第一次就诊时,开髓并找到主根管和第二近中颊根管(MB2)后,发现远中颊根还有另一个根管。检查所有牙齿,发现左上第一磨牙有严重龋坏。制备开髓洞形后,在腭侧和远中颊侧根管之间发现另一个根管口。使用根尖定位仪和X线片证实了第二远中颊根管的存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b71/9940022/a23d49c8d1ba/IEJ-14-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b71/9940022/f863a4f02bcd/IEJ-14-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b71/9940022/a23d49c8d1ba/IEJ-14-232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b71/9940022/f863a4f02bcd/IEJ-14-232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b71/9940022/a23d49c8d1ba/IEJ-14-232-g002.jpg

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本文引用的文献

1
Maxillary First Molars with 2 Distobuccal Canals: A Case Series.上颌第一磨牙有 2 个远颊根管:病例系列。
J Endod. 2017 Nov;43(11):1925-1928. doi: 10.1016/j.joen.2017.07.004. Epub 2017 Sep 28.
2
Root Canal Morphology and Configuration of 179 Maxillary First Molars by Means of Micro-computed Tomography: An Ex Vivo Study.通过显微计算机断层扫描对179颗上颌第一磨牙根管形态和结构的离体研究
J Endod. 2015 Dec;41(12):2008-13. doi: 10.1016/j.joen.2015.09.007. Epub 2015 Oct 28.
3
Two symmetrical maxillary first molars with two disto-buccal root canals.
两颗对称的上颌第一磨牙,各有两条远中颊根根管。
Iran Endod J. 2006 Summer;1(2):73-7. Epub 2006 Jul 1.
4
Evaluation of root canal configuration of maxillary molars in a Brazilian population using cone-beam computed tomographic imaging: an in vivo study.使用锥形束计算机断层扫描成像评估巴西人群上颌磨牙的根管形态:一项体内研究。
J Endod. 2014 Feb;40(2):173-6. doi: 10.1016/j.joen.2013.10.002. Epub 2013 Nov 9.
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Morphology of maxillary first and second molars analyzed by cone-beam computed tomography in a korean population: variations in the number of roots and canals and the incidence of fusion.锥形束计算机断层扫描分析韩国人群上颌第一、二磨牙的形态:牙根和根管数量的变异及融合的发生率。
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Cyclic fatigue and torsional resistance of two new nickel-titanium instruments used in reciprocation motion: Reciproc versus WaveOne.往复运动中两种新型镍钛器械的循环疲劳和抗扭性能:Reciproc 与 WaveOne。
J Endod. 2012 Apr;38(4):541-4. doi: 10.1016/j.joen.2011.11.014. Epub 2011 Dec 23.
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Cone beam computed tomography (CBCT) in endodontics.牙髓病学中的锥形束计算机断层扫描(CBCT)
Dent Update. 2010 Jul-Aug;37(6):373-9. doi: 10.12968/denu.2010.37.6.373.
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Cone-beam computed tomography study of root and canal morphology of maxillary first and second molars in an Indian population.上颌第一、二磨牙根管及形态的锥形束 CT 研究。
J Endod. 2010 Oct;36(10):1622-7. doi: 10.1016/j.joen.2010.07.006. Epub 2010 Aug 30.
9
Endodontic therapy using magnification devices: a systematic review.使用放大设备的牙髓治疗:系统评价。
J Dent. 2010 Apr;38(4):269-75. doi: 10.1016/j.jdent.2010.01.008. Epub 2010 Feb 1.
10
Root canal morphology of permanent maxillary teeth in the Han nationality in Chinese Guanzhong area: a new modified root canal staining technique.中国关中地区汉族恒牙上颌牙的根管形态:一种新的改良根管染色技术
J Endod. 2009 May;35(5):651-6. doi: 10.1016/j.joen.2009.02.010.