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根管治疗常见的五大误区(Five common mistakes in root canal therapy)
根管治疗常见的五大误区(Five common mistakes in root canal therapy)
First, open the pulp as small as possible.
About the root canal treatment of pulp, it is the first barrier for tube Sekine success. If this step is not done, the root canal treatment is impossible. In the past, we have been emphasizing that the opening of the pulp should not be done too much, so that more teeth can be retained so that the teeth are stronger after treatment. This view is correct for the retention of tooth tissue and the increase of tooth strength, and it is also the principle that must be followed. However, many people have read this principle wrong, where is it wrong? What kind of marrow size is right?
The most obvious mistake is that the roof of the pulp chamber is not completely removed. Use a probe to examine the presence of the overhang of the pulp wall to the top of the pulp chamber In other words, the top of the pulp chamber does not expose the entire body. On the contrary, if a probe is used, it is found that there is a step from the pulp chamber wall to the top of the pulp chamber. This indicates that excessive unnecessary dental tissue is cut. The top of the pulp chamber is completely removed, which is the first step in the success of root canal therapy. It means that you can see where the root canal is and how many root canals are in it. Variation in root number and morphological variation are common clinical phenomena, so it is possible to see the changes in the pulp chamber first.
Is it possible to completely uncover the pulp chamber roof? Is the size of this open marrow a standard size? Of course not.
After defining the root canal orifice, the second step we should do is to explore the direction of the root canal and correct the size of the opening so as to enlarge the needle to enter the root canal system without obstruction. That is to say, the coronal side of the root canal, including the pulp wall and the pulp side wall of the open mouth, can not block the working file entering
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