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A Case Report on Endodontic Management of a Rare Vertucci Type III Maxillary Canine

机译:罕见的Vertucci III型上颌犬牙髓治疗的病例报告

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摘要

Success in root canal treatment demands a thorough knowledge of usual root canal anatomy and its variations pertaining to every tooth. Variations in root canal anatomy are often accompanied by complex orientation of pulp tissues making a thorough mechanical and chemical debridement a challenge. Inability to treat such complexities often leads to endodontic failure. Upon a quick review of the literature, it has been noted that very few root canal complexities in maxillary canines have been reported. To be a successful clinician, one must be aware of such rare anatomical instances in maxillary canines. Based on possible branching of the root canal system, root canal configurations of permanent teeth were divided into eight different types by Vertucci. The classification included single to three separate root canals. This case report presents a permanent right maxillary canine which is single rooted having a single canal orifice and a root canal dividing into two canals (buccal and palatal) at the middle third of the root and then joining at the apical third, before exiting with a single apical foramen (Vertucci type III).
机译:根管治疗的成功需要对常规的根管解剖学及其与每颗牙齿有关的变化有透彻的了解。根管解剖结构的变化通常伴随着牙髓组织的复杂取向,这给彻底的机械和化学清创术带来了挑战。无法治疗这种复杂性通常会导致牙髓衰竭。在快速回顾文献时,已经注意到很少有上颌犬的根管复杂性的报道。要成为一名成功的临床医生,必须意识到上颌犬中如此罕见的解剖学实例。根据根管系统可能的分支,Vertucci将恒牙的根管构型分为八种不同类型。分类包括单个到三个单独的根管。该病例报告显示了一个永久的右上颌犬牙,该犬牙是单根的,具有单个管孔,并且根管在根的中部三分之一处分成两个管(颊和pa),然后在根尖的第三个处接合,然后退出。单根孔(Vertucci III型)。

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