Willershausen Brita, Tekyatan Haki, Kasaj Adrian, Marroquín Benjamin Briseño
Department of Restorative Dentistry, Klinikum of the Johannes Gutenberg-University, Mainz, Germany.
J Endod. 2006 Apr;32(4):307-11. doi: 10.1016/j.joen.2005.09.011.
The aim of this study was to determine the location of the root canal curvature and measure the distance from the CEJ to the first curvature using in vitro methods. Extracted maxillary premolars (n = 358) were fixed and digitally radiographed using the parallel technique. Excluded from further analysis were teeth with root caries, artificial crowns, extensive fillings, or endodontic treatments. The results were descriptively analyzed and the cumulative frequencies were calculated. The median values of the distance between CEJ and first curvature were for the first right premolars 8.4 mm (buccal) and 8.5 mm (palatal), for the first left premolars 9.1 mm (buccal) and 8.9 mm (palatal). The median distances in the second premolars were 10.7 mm (right side) and 10.2 mm (left side). The results showed that a high number of maxillary premolars had a curvature with a median value of 8 mm apically from the CEJ. Our findings suggest that such measurements may be useful to consider during endodontic treatment and post insertion.
本研究的目的是使用体外方法确定根管弯曲的位置,并测量从牙釉质牙骨质界(CEJ)到第一个弯曲处的距离。提取358颗上颌前磨牙并固定,采用平行投照技术进行数字化X线摄影。排除有根龋、人工牙冠、大面积充填物或牙髓治疗史的牙齿,对结果进行描述性分析并计算累积频率。右侧第一前磨牙牙釉质牙骨质界与第一个弯曲处之间距离的中位数为颊侧8.4mm、腭侧8.5mm;左侧第一前磨牙为颊侧9.1mm、腭侧8.9mm。第二前磨牙的中位数距离为右侧10.7mm、左侧10.2mm。结果显示,大量上颌前磨牙存在弯曲,弯曲处距牙釉质牙骨质界的中位数为8mm。我们的研究结果表明,在牙髓治疗和桩插入过程中考虑这些测量结果可能会有帮助。