Manejo de primeros premolares maxilares con anatomía atípica, nueva propuesta para abordaje en el tercio cervical. Reporte de dos casos y revisión de la literatura
DOI:
https://doi.org/10.24265/kiru.2025.v22n2.10Palabras clave:
Variación Anatómica; Retratamiento; Tratamiento del Conducto Radicular; Diente PremolarResumen
Las variaciones anatómicas del sistema de canales radiculares son poco frecuentes, sin embargo, los premolares son los que presentan más variabilidad en comparación con otros dientes. El objetivo del presente artículo fue describir el manejo endodóntico de primeros premolares maxilares con tres raíces y tres canales radiculares independientes. El abordaje se realizó bajo magnificación, la instrumentación fue híbrida y la obturación se realizó con sellador a base de silicato de calcio. Se han reportado varios casos sobre esta variación anatómica, por lo cual también se realizó una revisión de la literatura para evaluar la presentación y el manejo clínico. Los clínicos deben ser conscientes sobre las aberraciones anatómicas, que pueden manifestarse en el preoperatorio e intraoperatorio. La magnificación y la tomografía computariza de haz cónico jugarán un papel importante en el pronóstico a largo plazo de estos casos.
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Derechos de autor 2025 Jairo Jhoel Molina Quispe
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