使用錐狀射束電腦斷層截面分析，以非手術方式尋找鈣化根管路徑：病例報告

Non-Surgical Root Canal Therapy Using CBCT Analysis to Trace Calcified Root Canal Pathway: A Case Report

王建文(Chien-Wen Wang) ； 孔令瑜(Ling-Yu Kung) ； 邱國洲(Kuo-Chou Chiu)

《中華民國家庭牙醫學雜誌》 16卷4期 (2022/03) Pp. 10-16

https://doi.org/10.6566/JFD.202203_16(4).0002

摘要

非手術性根管治療是牙髓疾病治療的優先選擇，鈣化根管治療是根管治療最具挑戰的根管治療之一，臨床醫師因為無法準確地找到根管路徑，且無法徹底清創塑形，減少根管系統細菌感染，而導致治療失敗。本案例報告為一個使用顯微根管治療第一大臼齒遠心頰側鈣化根管，合併使用錐狀射束電腦斷層的治療經過，利用分析並計算電腦斷層三個截斷對於鈣化通道之間的距離，成功找到遠心頰側根管，且成功治療並保留牙齒的個案，同時，分析已發表的研究，以提供臨床醫師治療鈣化根管之參考。

關鍵字

鈣化根管 ； 錐狀射束電腦斷層 ； 根管治療

並列摘要

Non-Surgical root canal therapy is the priority for the management of pulpal disease. Calcified root canal therapy is one of the most challenging among root canal therapy. It usually leads to treatment failure because clinicians cannot precisely passing through the root canals and get detailed cleaning and shaping to eliminate the bacterial infection in the root canal systems. Here, we provided a non-surgical root canal treated case, maxillary first molar with calcified distobuccal canal, combined cone-beam computed tomography (CBCT) and dental operating microscope. Using calculate and analyze three fault sections between the top and bottom of the calcified canal from CBCT, we successfully found the distobuccal root canal pathway and successfully saved the tooth. We also analyzed published researches to provide information for clinicians facing calcified root canal therapy.

並列關鍵字

calcified root canals ； cone-beam computed tomography (CBCT) ； root canal therapy