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一例原发性第一磨牙双侧根分叉病变采用病变消除与组织修复治疗的罕见病例。

An Unusual Case of Bilateral Radix Entomolaris Treated With Lesion Sterilization and Tissue Repair in Primary First Molars.

作者信息

Parakh Himani, Thosar Nilima R, Khubchandani Monika

机构信息

Pediatric and Preventive Dentistry, Sharard Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Dec 20;15(12):e50837. doi: 10.7759/cureus.50837. eCollection 2023 Dec.

DOI:10.7759/cureus.50837
PMID:38249183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10797219/
Abstract

Morphological dental anomalies such as supernumerary roots are rare in primary teeth. Their location, frequency, and associated peculiar root canal morphology should be known to a pediatric dentist. It is crucial to carefully examine intraoral radiographs to ensure that such variations do not go undetected. Such variances must be identified to ensure complete cleaning and filling of all root canals. Negligence in treating all canals can result in recurrent infection or treatment failure. Understanding the anatomical variation of the tooth like radix entomolaris (RE), is important for successful dental treatment. This report presents a rare case of bilateral RE of primary mandibular first molars in middle childhood treated with lesion sterilization and tissue repair.

摘要

多生牙等牙齿形态异常在乳牙中较为罕见。儿童牙医应了解其位置、发生率以及相关的特殊根管形态。仔细检查口腔内X光片以确保不遗漏此类变异至关重要。必须识别出这些变异,以确保所有根管得到彻底清洁和充填。治疗时疏忽所有根管可能导致反复感染或治疗失败。了解像磨牙根(RE)这样的牙齿解剖变异对于成功的牙科治疗很重要。本报告介绍了一例儿童中期双侧下颌第一乳磨牙出现RE的罕见病例,采用病变消毒和组织修复进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/6f5193e8f9f0/cureus-0015-00000050837-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/98b0938b5905/cureus-0015-00000050837-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/651960c08417/cureus-0015-00000050837-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/164eca4a4c60/cureus-0015-00000050837-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/1fc4ec32fe51/cureus-0015-00000050837-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/148b4de24992/cureus-0015-00000050837-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/6f5193e8f9f0/cureus-0015-00000050837-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/98b0938b5905/cureus-0015-00000050837-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/651960c08417/cureus-0015-00000050837-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/164eca4a4c60/cureus-0015-00000050837-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/1fc4ec32fe51/cureus-0015-00000050837-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/148b4de24992/cureus-0015-00000050837-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5917/10797219/6f5193e8f9f0/cureus-0015-00000050837-i06.jpg

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本文引用的文献

1
A Systematic Review and Meta-Analysis of Nonvital Pulp Therapy for Primary Teeth.乳牙非活髓治疗的系统评价与Meta分析
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Lesion Sterilization and Tissue Repair-Current Concepts and Practices.病变清除与组织修复——当前概念与实践
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Bilateral radix entomolaris with primary and permanent mandibular first molars.双侧下颌磨牙根与乳恒牙下颌第一磨牙相关。
BMJ Case Rep. 2013 Jul 12;2013:bcr2013200018. doi: 10.1136/bcr-2013-200018.
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In vivo evaluation of lesion sterilization and tissue repair in primary teeth pulp therapy using two antibiotic drug combinations.使用两种抗生素药物组合对乳牙牙髓治疗中病变消毒和组织修复的体内评估。
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Endodontic treatment of primary teeth using a combination of antibacterial drugs.使用抗菌药物组合对乳牙进行根管治疗。
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In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline.从感染的牙根牙本质中提取的细菌对环丙沙星、甲硝唑和米诺环素混合物的体外抗菌敏感性。
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