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根尖三分之一处长椭圆形根管的患病率及范围

Prevalence and extent of long oval canals in the apical third.

作者信息

Wu M K, R'oris A, Barkis D, Wesselink P R

机构信息

Academic Centre For Dentistry Amsterdam, Department of Cariology Endodontology Pedodontology, Amsterdam, The Netherlands.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Jun;89(6):739-43. doi: 10.1067/moe.2000.106344.

Abstract

OBJECTIVE

The aim of this study was to investigate the canal diameters in the apical roots of human teeth to determine prevalence and extent of long oval canals.

STUDY DESIGN

This investigation was carried out on 180 extracted human teeth, 20 for each tooth group. Each root was horizontally sectioned at 1, 2, 3, 4, and 5 mm from the apex. Canal diameters were measured with a measuring microscope.

RESULTS

In 293 (25%) of the 1181 cross sections investigated, a long oval canal (the long canal diameter was at least 2 times the short canal diameter) was identified. In some tooth groups, the percentage of long oval canals exceeded 50%. In most cases, the long diameter decreased apically; that is, the canal tended toward a rounder cross section. A wide range of diameters existed in all canals.

CONCLUSION

Long oval canal is common in the apical 5 mm in human teeth. Many long and narrow oval canals would be impossible to instrument completely without perforating or significantly weakening the roots. Care should be taken in cleaning, shaping, and obturating these oval canals.

摘要

目的

本研究旨在调查人类牙齿根尖部根管的直径,以确定长椭圆形根管的发生率和范围。

研究设计

对180颗拔除的人类牙齿进行了研究,每组牙齿20颗。将每颗牙根从根尖起分别在1、2、3、4和5毫米处进行水平切片。使用测量显微镜测量根管直径。

结果

在1181个调查的横截面中,有293个(25%)被确定为长椭圆形根管(长径至少是短径的2倍)。在某些牙齿组中,长椭圆形根管的百分比超过50%。在大多数情况下,长径向根尖方向减小;也就是说,根管趋向于更圆的横截面。所有根管的直径范围都很广。

结论

长椭圆形根管在人类牙齿根尖5毫米处很常见。许多长而窄的椭圆形根管如果不穿孔或显著削弱牙根,将无法完全进行器械操作。在清理、预备和充填这些椭圆形根管时应格外小心。

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