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C-KANALLI ALT İKİNCİ BUYUK AZI DİŞLERİNİN ENDODONTİK TEDAVİSİ: DÖRT OLGU NEDENİYLE

ENDODONTIC TREATMENT OF C-SHAPED MANDIBULAR SECOND MOLARS: REPORT OF FOUR CASES

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Abstract (2. Language): 
A thorough knowledge of the anatomy of the root canal system is required to achieve successful root canal therapy. Although its most common configuration of the mandibular second molars is having two roots and three canals, they show many different variations. One example of such variations is the C-shaped root and canal configuration. The main anatomic feature of this variant root and canal system is the presence of fins or webs connecting individual mesial and distal canals, which make the canal cross-sectional and 3D shaped variable along the root. This aberrant configuration gives some technical difficulties to the specialist especially during the cleaning, shaping and obturation of the root canal system. This clinical report describes the successful root canal treatments of four mandibular second molars with C-shaped root and canal systems.
Abstract (Original Language): 
Kök kanalı anatomisinin çok iyi bilinmesi, endodontik tedavinin başarısı için bir gerekliliktir. Genelde iki köklü ve üç kanallı olabilen alt ikinci büyük azı dişlerinde, farklı birçok morfoloji de görülebilir. C-şekilli kök ve kanal yapısı da görülebilecek bu farklı morfolojilerden bir tanesidir. Bu farklı kök ve kanal sisteminin en önemli anatomik özelliği, mesial ve distal kanalların, enine kesiti ve 3-boyutlu şekli, kökün uzun ekseni boyunca her an değişen, ağ veya yüzgeç şekilli yapılarla birleşmesidir. Bu olağan dışı biçim özellikle kök kanallarının temizliği, şekillendirilmesi ve doldurulması sırasında uzmana bazı teknik zorluklar yaratır. Bu olgu raporunda, C-kanal yapısı gösteren dört adet alt ikinci büyük azı dişinin, başarılı biçimde yapılan kök kanalı tedavileri anlatılmaktadır.
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