Negotiating and Treating Lateral Canals: Report of 7 Cases.

IF 1.6 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

European Endodontic Journal Pub Date : 2024-08-22 DOI:10.14744/eej.2023.43265

Luis F Jiménez-Rojas, Liliana P Artaza, Vanessa P Pessotti, Débora P Sellera, Jorge C Alberdi, Alessandra Baasch, Karen Brisson-Suárez, Flávio R F Alves, Isabela N Rôças, José F Siqueira

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引用次数: 0

Abstract

This is a series of 7 cases in which the operator penetrated lateral canals with instruments. Two teeth presented with irreversible pulpitis, 4 with necrotic pulps, and 1 with previous treatment. Except for the teeth with pulpitis, all the others were associated with apical periodontitis. The main root canal was always relatively straight, with the lateral canals at the middle third of the root. Suggestive images of lateral canal presence were seen on periapical radiographs in five cases. The clinician introduced intentionally small hand instruments in the lateral canal in 5 cases, while the penetration was fortuitous in the others. The lateral canals were obturated in all cases. Follow-up examination was possible in five cases, all of them showed evidence of successful clinical and radiographic outcomes. Introducing files into lateral canals may permit some preparation and penetration of irrigant solution, favoring disinfection and, consequently, enhancing the treatment outcome. (EEJ-2023-05-063).

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协商和治疗侧管：7 个病例的报告

这是一个 7 例操作者用器械穿透侧管的系列病例。其中 2 颗牙齿患有不可逆转的牙髓炎，4 颗牙齿牙髓坏死，1 颗牙齿曾接受过治疗。除了患有牙髓炎的牙齿，其他牙齿都伴有根尖牙周炎。主根管总是相对平直，侧根管位于牙根的中间三分之一处。在 5 个病例的根尖周炎 X 光片上可以看到侧根管存在的提示性图像。在 5 个病例中，临床医生有意将小型手动器械插入侧管，而其他病例则是偶然插入。所有病例的侧管都已闭塞。对五例病例进行了随访检查，所有病例都显示出成功的临床和影像学结果。将锉导入侧根管可能允许一些准备工作和冲洗液的渗透，有利于消毒，从而提高治疗效果。(EEJ-2023-05-063)。

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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来源期刊

European Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.40

自引率

5.60%

发文量