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上颌第二磨牙五根管的根管治疗:一例报告及文献综述

Endodontic Treatment of a Maxillary Second Molar With Five Canals: A Case Report and a Literature Review.

作者信息

Liu He, Hao Jing, Shen Ya

机构信息

Oral Biological and Medical Sciences, University of British Columbia, Vancouver, CAN.

Conservative and Endodontic Dentistry, Hangzhou Stomatology Hospital, Hangzhou, CHN.

出版信息

Cureus. 2024 Apr 27;16(4):e59179. doi: 10.7759/cureus.59179. eCollection 2024 Apr.

Abstract

A thorough understanding of both common and uncommon root canal anatomies is crucial for the success of root canal treatments, as missing a canal can lead to treatment failure. Although the maxillary second molar typically features three canals, the occurrence of five canals, particularly a mesial buccal third canal (MB3) canal in the mesiobuccal root, is extremely rare. This case report documents such a rare occurrence in a maxillary second molar with five canals. With the assistance of a dental operating microscope, all canals were successfully located, and root canal preparation, irrigation, and filling were accomplished. This case report underscores the significance of in-depth knowledge of root canal anatomy and the invaluable aid of a dental operating microscope in achieving successful root canal treatments.

摘要

全面了解常见和不常见的根管解剖结构对于根管治疗的成功至关重要,因为遗漏根管可能导致治疗失败。尽管上颌第二磨牙通常有三个根管,但出现五个根管,特别是近中颊根中有一个近中颊第三根管(MB3)的情况极为罕见。本病例报告记录了上颌第二磨牙出现五个根管这一罕见情况。在牙科手术显微镜的辅助下,所有根管均被成功定位,并完成了根管预备、冲洗和充填。本病例报告强调了深入了解根管解剖结构的重要性以及牙科手术显微镜在成功进行根管治疗中所提供的宝贵帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44cd/11130562/feba5b1bfe97/cureus-0016-00000059179-i01.jpg

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