口腔医学研究 ›› 2026, Vol. 42 ›› Issue (4): 344-346.DOI: 10.13701/j.cnki.kqyxyj.2026.04.014

• 病例报告 • 上一篇    下一篇

锥形束CT诊断双侧下颌前磨牙对称性三根管1例

崔晓明1, 张世宽2, 霍海洋1, 张志勇1*   

  1. 1.河北医科大学第二医院口腔内科 河北 石家庄 050051;
    2.石家庄市第二医院口腔科 河北 石家庄 050051
  • 收稿日期:2025-07-21 发布日期:2026-04-23
  • 通讯作者: *张志勇,E-mail:zhiyongzhang619@163.com
  • 作者简介:崔晓明(1998~ ),女,河北邢台人,硕士在读,住院医师,研究方向:口腔内科。
  • 基金资助:
    河北省医学科学研究课题计划(编号:20240105,20230455)

Symmetric Three Root Canals in Bilateral Mandibular Premolars Diagnosed by Cone Beam CT: A Case Report

CUI Xiaoming1, ZHANG Shikuan2, HUO Haiyang1, ZHANG Zhiyong1*   

  1. 1. Department of Stomatology, The Second Hospital of Hebei Medical University, Shijiazhuang 050051, China;
    2. Department of Stomatology, Shijiazhuang Second Hospital, Shijiazhuang 050051, China
  • Received:2025-07-21 Published:2026-04-23

摘要: 本病例报告描述了1例男性患者,通过锥形束计算机断层扫描(cone-beam computed tomography,CBCT)检查发现双侧下颌第一、第二前磨牙均为对称性三根管的罕见解剖变异。此类变异发生率极低,若未能术前识别,可能导致根管遗漏及治疗失败。文中强调CBCT在诊断复杂根管解剖中的重要性,能够帮助医生准确识别根管特征,减少治疗中的风险。

关键词: 锥形束计算机断层扫描, 下颌前磨牙, 三根管, 对称性, 病例报告

Abstract: This case report describes a rare anatomical variation of symmetrical three root canals in both mandibular first and second premolars, detected via cone-beam computed tomography (CBCT) in a male patient. The incidence of such variations is extremely low, and failure to identify them preoperatively may lead to missed canals and treatment failure. The report highlights the importance of CBCT in diagnosing complex root canal anatomies, as it enables accurate identification of canal features and reduces treatment risks.

Key words: cone-beam computed tomography, mandibular premolars, three root canals, symmetry, case report