下颌右第二磨牙一次根管治疗

Nurlaela Tahir, C. Rovani
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引用次数: 0

摘要

一次访问根管治疗(OV- rct)的目的是通过满足在OV中完成的根管三要素(清洁和塑形、消毒和根管封闭)的原则来保护受损的牙齿;优点是细菌污染的风险较低,时间较短而不影响治疗结果的质量。本病例报告讨论了下颌右第二磨牙的OV-RCT。一位23岁的女性,诊断为无症状的不可逆牙髓炎在下颌磨牙,x线摄影显示牙周韧带轻微扩大。采用Protaper Next旋转锉对中颊根和中舌根进行单次随机对照试验,直至对远端根进行X2锉(#25/06)和X3锉(#30/07)。用5.25%的naocl和17%的EDTA冲洗根管。根管充填技术采用单锥技术,使用环氧树脂密封剂和杜仲胶材料。治疗成功进行了。结论:右下第二磨牙的OV-RCT在临床和影像学上都是成功的。
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One-visit root canal treatment of the mandibular right second molar teeth
One-visit root canal treatment (OV-RCT) aims to preserve damaged teeth by fulfilling the principles of the endodontic triad (cleaning and shaping, sterilizationand root canal obturation) which are completed in OV; the advantage is lower risk of bacterial contamination, shorter time without compromising the quality oftreatment results. This case report discusses OV-RCT of man-dibular right second molar. A 23-year-old woman with a diagnosis of asymptomatic irreversible pulpitis in the mandibular mo-lar, radiographically showed slight widening of the periodontal ligament. One-visit RCT was performed using Protaper Next ro-tary files on the mesiobuccal and mesiolingual roots up to X2 files (#25/06) and X3 files (#30/07) on the distal roots. The root canals were irrigated using 5.25%NaOCl and 17% EDTA. The root canal filling technique was carried out using a single cone technique using an epoxy resin sealer and gutta percha material. The treatment was successfully carried out. It was concluded that OV-RCT of the right lower second molar showed success both clinically and radiographically.
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