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Endodontic management of mandibular first premolar with C-shaped canals by using cone-beam computed tomography and dental operating microscope

CBCT와 치과용 현미경을 이용한 C형 근관을 가지는 하악 제1소구치의 근관치료

  • Chang, Hoon-Sang (Department of Conservative Dentistry, School of Dentistry, Chonnam National University) ;
  • Kim, Min-Jeong (Department of Prosthodontics, Wonkwang University Sanbon Dental Hospital) ;
  • Lee, Seok-Ryun (Department of Conservative Dentistry, Wonkwang University) ;
  • Hong, Sung-Ok (Department of Conservative Dentistry, Wonkwang University)
  • 장훈상 (전남대학교 치의학전문대학원 치과보존학교실) ;
  • 김민정 (원광대학교 치과대학 산본치과병원 치과보철과) ;
  • 이석련 (원광대학교 치과대학 치과보존과) ;
  • 홍성옥 (원광대학교 치과대학 치과보존과)
  • Received : 2014.10.01
  • Accepted : 2014.11.07
  • Published : 2014.12.31

Abstract

Aberrant anatomy of mandibular premolars is very rare in Korean, but aberration can contribute the endodontic failure as it makes difficult to remove the irritants during cleaning and shaping procedure. This case report describes the successful root canal treatment of a rare mandibular first premolar with C-shaped root canal as using a cone-beam computed tomography to understand the internal shape of root canal system and a dental operating microscope to improve the magnification and illumination.

한국인에서는 하악 소구치의 변이가 매우 드물게 나타나며, 변이는 하악 소구치 근관치료시 성형과 세정으로 자극원의 제거를 어렵게 하여 근관치료의 실패를 야기할 수 있다. 본 증례에서는 C형의 드문 근관 형태를 가지는 하악 제1소구치를 CBCT를 촬영하여 복잡한 치아의 내부 형태를 확인한 후, 치과용 현미경을 사용해 확대된 시야와 개선된 조명하에서 성공적으로 근관치료 하였다.

Keywords

References

  1. Wong R. Conventional endodontic failure and retreatment. Dent Clin North Am 2004;48:265-89. https://doi.org/10.1016/j.cden.2003.10.002
  2. Ruddle CJ. Nonsurgical endodontic retreatment. J Calif Dent Assoc 2004;32:474-84.
  3. Hwang YH, Min KS. Clinical management of 3 mandibular incisors with 2 separate canals and foramina: case report. J Can Dent Assoc 2005;71:388-9.
  4. Witherspoon DE, Small JC, Regan JD. Missed canal systems are the most likely basis for endodontic retreatment of molars. Tex Dent J 2013;130:127-39.
  5. La SH, Jung DH, Kim EC, Min KS. Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging. J Endod 2010;36:542-5. https://doi.org/10.1016/j.joen.2009.11.008
  6. Ingle JI, Bakland LK, Baumgartner JC. Ingle's endodontics. 6th ed. Ontario; BC Decler; 2007. p. 194-202.
  7. Kottoor J, Albuquerque D, Velmurugan N, Kuruvilla J. Root anatomy and root canal configuration of human permanent mandibular premolars: a systematic review. Anat Res Int 2013;2013:254250.
  8. Park JB, Kim N, Park S, Kim Y, Ko Y. Evaluation of root anatomy of permanent mandibular premolars and molars in a Korean population with conebeam computed tomography. Eur J Dent 2013;7:94-101. https://doi.org/10.4103/1305-7456.119084
  9. Melton DC, Krell KV, Fuller MW. Anatomical and histological features of C-shaped canals in mandibular second molars. J Endod 1991;17:384-8. https://doi.org/10.1016/S0099-2399(06)81990-4
  10. Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod 2008;34:87-9. https://doi.org/10.1016/j.joen.2007.10.016
  11. Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod 2002;28:834-6. https://doi.org/10.1097/00004770-200212000-00010
  12. Buhrley LJ, Barrows MJ, BeGole EA, Wenckus CS. Effect of magnificaiton on locating the MB2 canal in maxillary molars. J Endod 2002;28:324-7. https://doi.org/10.1097/00004770-200204000-00016