Signs of a missed root canal

M. Yu. Pokrovsky, O. A. Aleshina, T. P. Goryacheva, A. M. Pokrovskiy
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引用次数: 0

Abstract

Aim. To describe the radiological signs of a "missed" root canal when using CBCT based on verified clinical cases. Materials and methods. The study is based on the analysis of cases of endodontic treatment, which are associated with the detection of a "missed" root canal detected intraoperatively at the stage of primary endodontic treatment or at the stage of endodontic revision (repeated endodontic intervention). Clinical cases were verified by detecting the root canal during endodontic treatment using a microscope. Results. During the endodontic treatment of 2149 teeth, 506 "missed" canals were identified and verified using a microscope. Based on the comparison of cone-beam computed tomography data and clinical data obtained during the examination of teeth under a microscope, 7 signs of the presence of a "missed" root canal are described. General recommendations are given to improve the quality of root canal system diagnostics. Conclusions. The presented information contributes to improving the accuracy of diagnosis, proper planning and improving the effectiveness of endodontic treatment not only in endodontic revision (repeated root canal treatment), but also in primary endodontic treatment.
有遗漏根管的迹象
的目标。根据临床病例,描述使用CBCT时“遗漏”根管的影像学征象。材料和方法。本研究基于对根管治疗病例的分析,这些病例与术中在初级根管治疗阶段或在根管翻修阶段(重复根管干预)发现“遗漏”根管有关。临床病例通过在根管治疗过程中使用显微镜检测根管进行验证。结果。在2149颗牙齿的根管治疗过程中,在显微镜下发现并验证了506个“遗漏”的根管。根据锥形束计算机断层扫描数据和在显微镜下检查牙齿时获得的临床数据的比较,描述了7种“遗漏”根管存在的迹象。提出了提高根管系统诊断质量的一般建议。结论。本文所提供的信息有助于提高根管翻修(重复根管治疗)以及初级根管治疗的诊断准确性、合理规划和提高治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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42
审稿时长
8 weeks
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