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锥形束计算机断层扫描分析与双侧牛牙症罕见病例的修复

Cone-beam Computed Tomography Analysis and Rehabilitation of a Rare Case of Bilateral Taurodontism.

作者信息

Nandan Monika, Singh Harmeet, Khatak Gautam, Singh Akshdeep

机构信息

Dental Department, A.B.V.I.M.S. and Dr. R.M.L. Hospital, New Delhi, India.

Department of Information & Communication Technology, Manipal Academy of Higher Education- MIT, Mangalore, Karnataka, India.

出版信息

Contemp Clin Dent. 2025 Apr-Jun;16(2):140-143. doi: 10.4103/ccd.ccd_280_25. Epub 2025 Jul 14.

DOI:10.4103/ccd.ccd_280_25
PMID:40799230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338478/
Abstract

Taurodontism is an anomaly affecting the morphology and anatomy of the tooth, leading to apical displacement of the furcation in multirooted teeth. This leads to an enlarged body of the tooth and reduced size of the root. Taurodontism is a rare dental finding. The endodontic management of such teeth is challenging because of their altered morphology, presence of extra canals, and enlarged pulp chamber. A cone-beam computed tomography is recommended to analyze the root canal morphology. Endocrowns can be used for prosthetic rehabilitation as they utilize retention from the elongated pulp chamber. This case presents a rare occurrence of bilateral maxillary and mandibular teeth with taurodontism. Five out of eight teeth were hypertaurodont, which is a very rare phenomenon. Two teeth were root canal treated followed by rehabilitation with endocrown.

摘要

牛牙样变是一种影响牙齿形态和解剖结构的异常情况,导致多根牙的根分叉向根尖移位。这会导致牙体增大而牙根变小。牛牙样变是一种罕见的牙齿表现。由于此类牙齿形态改变、存在额外根管以及髓腔扩大,其根管治疗具有挑战性。建议使用锥形束计算机断层扫描来分析根管形态。内冠可用于修复治疗,因为它们利用了伸长的髓腔进行固位。本病例呈现了罕见的双侧上颌和下颌牙齿牛牙样变情况。八颗牙齿中有五颗为巨牛牙样变,这是一种非常罕见的现象。两颗牙齿接受了根管治疗,随后用内冠进行修复。

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本文引用的文献

1
CBCT imaging and root canal treatment for taurodontism in mandibular second molar - A case report and literature review.锥形束 CT 成像及根管治疗下颌第二磨牙畸形舌侧尖——附病例报告及文献复习。
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Prevalence of Taurodontism in Contemporary and Historical Populations from Radom: A Biometric Analysis of Radiological Data.拉多姆当代和历史人群中牛牙症的患病率:放射学数据的生物统计学分析
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诊断尖牙畸形的临床意义:文献综述。
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A Rare Condition of Bimaxillary Primary Molar Taurodontism.双侧上颌乳磨牙牛牙症的罕见病例
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Taurodontism in deciduous molars.乳牙磨牙的牛牙样牙症
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