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下颌前磨牙C形根管的诊断和治疗
引用本文:方溢云,林正梅.下颌前磨牙C形根管的诊断和治疗[J].临床口腔医学杂志,2009,25(5):289-291.
作者姓名:方溢云  林正梅
作者单位:1. 佛山市第一人民医院口腔医学中心,广东,佛山,528000
2. 中山大学光华口腔医学院附属口腔医院牙体牙髓科,广东,广州,510055
基金项目:广东省佛山市卫生局科研立项课题 
摘    要:目的:探讨下颌前磨牙C形根管的发现率及其诊治方法。方法:选取需要根管治疗的下颌前磨牙300个,拍摄术前正位和偏位X线牙片。多根管牙插诊断丝摄片。结合C形根管的诊断标准,诊断为C形根管的忠牙,记录髓室底形态和X线影像类型。所有患牙使用镍钛机动根管器械预备,侧方加压法充填根管。根据术前、术中和术后x线片评价根管预备和充填效果。结果:第一和第二前磨牙C形根管的发现率依次为5.56%和2.50%。髓室底以C2型多见,X线影像以尖部融合型多见。治疗中无根管堵塞等并发症的发生。根管充填效果,13例C形根管中有5例超充,8例恰充。结论:髓腔探察和插诊断丝拍片是诊断下颌前磨牙C形根管的有效方法。

关 键 词:下颌前磨牙  C形根管  根管治疗

The diagnosis and treatment of mandibular premolars with C-shaped canal system
FANG Yi-yun,LIN Zheng-mei.The diagnosis and treatment of mandibular premolars with C-shaped canal system[J].Journal of Clinical Stomatology,2009,25(5):289-291.
Authors:FANG Yi-yun  LIN Zheng-mei
Institution:FANG Yi -yun1,LIN Zheng-mei2. 1. Department of Stomatology,Foshan First People's Hospital,Guangdong Foshan 528000,China,2. Depat- ment of Endodontics,Guanghua School of Stomatology,Sun Yat-sen University,Guangdong Guangzhou 510055
Abstract:Objective:To investigate the morphological characteristics of C-shaped canal system in mandibular first premolars. Method:A total of 300 mandibular first premolars were treated endodontically. Two preoperative radiographs were taken respectively,using straight projection and eccentric projection. After access opening,the files were placed in the canals and two other radiographs were taken. The root canal morphology of the premolars with c-shaped system were classfied and recorded. The teeth were shaped usin...
Keywords:mandibular premolar  C-shaped canal system  root canal treatment  
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