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乳齒根管的型態學與其治療—文獻回顧

The morphology of primary root cancl and the treatment: A literature review

摘要


兒童因長期罹患慢性齲齒,導致牙髓壞死、牙根分叉發炎或甚至造成瘻管等不可逆的牙髓病變時,臨床上為了解除疼痛並保存乳齒,齒髓治療常是必要的措施。然而,儘管乳齒的齒髓治療在臨床上已被廣泛的使用,但有關於乳齒根管解剖型態的認知,大多數仍停留在乳齒牙根外形較恆牙細小而彎曲的模糊印象。因此本文藉由回顧對乳齒根管解剖型態研究的文獻,希望能提供臨床牙醫師對乳齒根管型態更進一步的認識與了解,進而提升乳牙齒髓治療的品質。(Taiwan J Pediatr Dent 3(4):171-176,2003)

關鍵字

根管型態 齒髓治療 乳齒

並列摘要


When irreversible pulpal diseases such as pulp necrosis,furcation involvement,and/or fistula formationoccur in the primary dentition,endodontic treatment is commonly performed to preserve the primary teeth.Although pediatric dentists have extensively performed the endodontic treatment for the primary teeth,most of dentists still know little about the morphology of the root canal of the primary teeth.The generalknowledge about the morphology of the root canal of primary dentition is that it has thinner and morecurved roots than the permanent tooth does.In this paper,we reviewed previous studies of root canalmorphology in the primary teeth in order to provide dental clinicians a further knowledge and information,hoping that the quality of endodontic treatment for primary teeth could be improved.(Taiwan J PediatrDent 3(4):171-176,2003)

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