关于根尖止点的思考

分享一例预期性漏斗状根尖孔案例：其解剖性根尖孔明显位于影像学根尖冠方。

根管治疗只有一个正确的终止位置：根尖狭窄区——即根管在口腔外界开口前最狭窄的部位。

多数人会认为此例充填"长度不足"。实际上，该根管充填距离影像学根尖尚有近5毫米。 但果真属于欠填吗？

有时，我们需要依靠专业知识而非肉眼进行判断。根管治疗的终止点应基于解剖学标志而非单纯影像学表现，根尖狭窄区才是真正意义上的生理性根尖止点。此例虽在X线片上呈现"短填"，实则精确终止于生物性根尖界面，体现了对根尖解剖结构的充分尊重。

Reflection on the Apical Limit

Sharing a case with an anticipated, funnel-shaped foramen ending well short of the radiographic apex.

There is only one correct place to terminate procedures: the apical constriction, the narrowest diameter before the external opening.

Many would call this filling “too short.” In fact, the obturation ends nearly 5 mm from the radiographic apex.
But is it really short?

Sometimes, it’s about seeing with knowledge, not just with the eye.#牙医IG翻动派[超话]#