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根管解剖结构存在罕见形态变异的恒牙下颌牙的牙髓治疗——病例报告

Endodontic Management of Permanent Mandibular Teeth having Rare Morphological Variations in Root Canal Anatomy-A Case Report.

作者信息

Yadav Monica, Ojha Supriya S, Raj Shweta, Jain Gaurav, Shukla Preeti, Misra Pradyumna

机构信息

Department of Conservative Dentistry and Endodontics, Saraswati Dental College and Hospital, Lucknow, Uttar Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 4):S4173-S4175. doi: 10.4103/jpbs.jpbs_1315_24. Epub 2024 Dec 12.

DOI:10.4103/jpbs.jpbs_1315_24
PMID:39926787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11805214/
Abstract

By completing an optimal root canal treatment, endodontic therapy aims to repair the damaged periapical area by removing microorganisms and their by-products from the infected root canal space. Nonetheless, a number of variables, such as understanding the architecture of root canals, precise diagnosis and treatment planning, and subsequent management of any anatomical variation in the affected tooth, all have a significant impact on the outcome of an endodontic procedure. There may always be differences, even though research indicates that most permanent human dentition has a similar root canal architecture. Therefore, it is critical to detect these morphological changes since failing to do so might have unfavorable effects and affect how well the medication is administered. Ignorance of anatomical variance, leading to a missing canal, is one of the most frequent causes of endodontic failure. In this case study, uncommon clinical symptoms in mandibular teeth-which are typically single-rooted-are discussed along with the endodontic treatment that followed.

摘要

通过完成最佳的根管治疗,牙髓治疗旨在通过从感染的根管空间中清除微生物及其副产物来修复受损的根尖周区域。尽管如此,许多变量,如了解根管的结构、精确的诊断和治疗计划,以及对患牙任何解剖变异的后续处理,都对牙髓治疗程序的结果有重大影响。即使研究表明大多数人类恒牙具有相似的根管结构,但总是可能存在差异。因此,检测这些形态变化至关重要,因为未能做到这一点可能会产生不利影响并影响治疗效果。忽视解剖变异导致根管遗漏是牙髓治疗失败最常见的原因之一。在本病例研究中,讨论了下颌牙(通常为单根牙)中不常见的临床症状以及随后的牙髓治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/a46db2dcf4d7/JPBS-16-4173-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/fa38f2437a67/JPBS-16-4173-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/5608ea867a29/JPBS-16-4173-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/594c3df3bd3b/JPBS-16-4173-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/a46db2dcf4d7/JPBS-16-4173-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/fa38f2437a67/JPBS-16-4173-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/5608ea867a29/JPBS-16-4173-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/594c3df3bd3b/JPBS-16-4173-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db46/11805214/a46db2dcf4d7/JPBS-16-4173-g004.jpg

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引用本文的文献

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J Pharm Bioallied Sci. 2025 Jun;17(Suppl 2):S2004-S2006. doi: 10.4103/jpbs.jpbs_222_25. Epub 2025 Jun 18.

本文引用的文献

1
A critical analysis of laboratory and clinical research methods to study root and canal anatomy.对研究根管解剖结构的实验室和临床研究方法的批判性分析。
Int Endod J. 2022 Apr;55 Suppl 2:229-280. doi: 10.1111/iej.13702. Epub 2022 Mar 31.
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Interpretation of Root Canal Anatomy of Maxillary and Mandibular Permanent Canines in Saudi Subpopulation: A Cone-Beam Computed Tomography (CBCT) Study.沙特亚人群上颌和下颌恒尖牙根管解剖结构的解读:一项锥形束计算机断层扫描(CBCT)研究
Int J Dent. 2021 Feb 12;2021:5574512. doi: 10.1155/2021/5574512. eCollection 2021.
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Prevalence of a Second Root and Canal in Mandibular and Maxillary Canines in a Saudi Arabian Population: A Cone-beam Computed Tomography Study.
沙特阿拉伯人群下颌和上颌尖牙第二牙根和根管的患病率:一项锥形束计算机断层扫描研究
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Failure of endodontic treatment: The usual suspects.牙髓治疗失败:常见原因。
Eur J Dent. 2016 Jan-Mar;10(1):144-147. doi: 10.4103/1305-7456.175682.
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Characterization of successful root canal treatment.成功根管治疗的特征
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Microcomputed tomography analysis of the root canal morphology of single-rooted mandibular canines.单根下颌尖牙根管形态的微计算机断层扫描分析
Int Endod J. 2013 Sep;46(9):800-7. doi: 10.1111/iej.12061. Epub 2013 Feb 12.
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Root canal treatment in mandibular canines with two roots: a report of two cases.下颌双根尖的下颌尖牙根管治疗:两例报告
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