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Management of Dilacerated and S-shaped Root Canals - An Endodontist’s Challenge

机译:交错和S形根管的管理-牙髓病医生的挑战

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摘要

The unique morphology of dilacerated and S-shaped root canals often pose utmost challenges in their endodontic management. Common causes of failures in such cases are primarily related to procedural errors such as ledges, fractured instruments, canal blockages, zip and elbow creations. Knowledge of dental anatomy and its variations is essential for the success of endodontic treatment. A clinician is required to have an insight of the morphology of tooth related to its shape, form and structure before commencing treatment. Routine periapical radiographs aids in assessing these morphological variations in the root canal system. This article gives a review of the literature and reports an interesting case of dilacerated and S-shaped root canals of adjacent teeth in the same patient.
机译:呈锯齿状和S形的根管的独特形态通常在牙髓治疗中面临最大挑战。在这种情况下,失败的常见原因主要与程序错误有关,例如壁架,器械断裂,运河堵塞,拉锁和肘部形成。牙体解剖及其变化的知识对于牙髓治疗的成功至关重要。在开始治疗之前,需要临床医生了解与牙齿的形状,形式和结构有关的牙齿形态。常规的根尖周射线照相有助于评估根管系统中的这些形态变化。本文对文献进行了回顾,并报告了同一患者中有趣的相邻牙齿的锯齿状和S形根管病例。

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