锥束ct
根管
医学
牙科
清创术(牙科)
前磨牙
计算机断层摄影术
口腔正畸科
牙髓治疗
作者
Raghavendra Penukonda,Harshada Pattar,Galvin Sim Siang Lin,Kranthi Raja Kacharaju
标识
DOI:10.4103/jcd.jcd_580_21
摘要
Successful root canal treatment requires a thorough understanding of the normal root canal anatomy and possible variations for each tooth. Variations in the root canal anatomy are frequently associated with complex orientations of pulp tissues and complicating mechanical and chemical debridement. Inability to manage such complications may result in endodontic failure. Mandibular first premolars often exhibit a wide range of anatomic variations, complicating clinicians' treatment. This clinical case report discusses the cone-beam computed tomography (CBCT) diagnosis and nonsurgical management of a taurodontic mandibular first premolar with two roots and four canals under a dental operating microscope (DOM). In endodontically challenging cases, using a DOM and CBCT imaging can help the clinician gain a better understanding of the complex root canal anatomy, allowing the clinician to more efficiently explore, clean, shape, and obturate the root canal system.
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