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一例关于上颌第二磨牙有两个独立腭根的临床病例。

A clinical case concerning an extraordinary maxillary second molar having two separate palatal roots.

作者信息

Kottur Aishwarya A, Mujeeb Abdul, Snigdha Niher Tabassum Siddiqua, Karobari Mohmed Isaqali

机构信息

Department of Conservative Dentistry and Endodontics S.J.M Dental College And Hospital Chitradurga Karnataka India.

Department of Dental Research, Center for Global health Research, Saveetha Institute of Medical and Technical Sciences Saveetha Medical College and Hospitals, Saveetha University Chennai Tamil Nadu India.

出版信息

Clin Case Rep. 2024 May 6;12(5):e8893. doi: 10.1002/ccr3.8893. eCollection 2024 May.

Abstract

KEY CLINICAL MESSAGE

Main objective of root canal therapy is to locate all the canals, cleaning and shaping, and obturation to obtain fluid tight seal. Failure to locate all canals can lead to the failure of root canal therapy.

ABSTRACT

Variation of pulp aperture, among teeth with multiple roots, constitutes recurring issue during diagnosing and completing efficient endodontic procedures. Understanding normal anatomy features and associated likely modifications is critical in the effective execution of the dental procedure, since the inability to effectively treat simply one canal may end up into endodontic unsuccessful therapy. The paper covers a procedure whereby the root pattern and canals of the maxillary second molar were modified employing an operative microscope and verified with cone-beam computed tomography (CBCT). Cone-beam computed tomography revealed that the maxillary second molar containing two different palatal roots and canals and two distinct buccal roots and canals. This Research paper presents and investigates the morphological difference observed on the maxillary second molar in order to guarantee the effectiveness of root canal treatment examined utilizing imaging techniques like CBCT.

摘要

关键临床信息

根管治疗的主要目标是找到所有根管,进行清理、塑形以及充填,以实现液体密闭性封闭。未能找到所有根管会导致根管治疗失败。

摘要

在多根牙中,髓腔孔的变异是诊断和完成高效牙髓治疗过程中反复出现的问题。了解正常解剖特征以及相关的可能变异对于有效实施牙科手术至关重要,因为无法有效治疗哪怕一根根管最终都可能导致牙髓治疗失败。本文介绍了一种通过手术显微镜对上颌第二磨牙的牙根形态和根管进行改良并通过锥形束计算机断层扫描(CBCT)进行验证的方法。锥形束计算机断层扫描显示上颌第二磨牙包含两个不同的腭根和根管以及两个不同的颊根和根管。本研究论文展示并研究了在上颌第二磨牙上观察到的形态差异,以便确保利用CBCT等成像技术进行的根管治疗的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5c/11074374/cbd42bb8e290/CCR3-12-e8893-g002.jpg

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