Iyer Vidyaa Hari, Indira R, Ramachandran S, Srinivasan M R
Department of Conservative Dentistry & Endodontics, Ragas Dental College & Hospital, Chennai, Tamilnadu, India.
Indian J Dent Res. 2006 Jan-Mar;17(1):7-10. doi: 10.4103/0970-9290.29898.
To analyse the prevalence of anatomical variations of mandibular premolars in Chennai population.
It was observed, during the routine treatment of mandibular premolars that aberrations were becoming common. This necessitated an encompassing study on 500 patients, evaluating the occurrence of these aberrations. The parameters of this study included sex predilection, unilateral/ bilateral occurrences, and comparison of the incidence of anatomical variations in mandibular first and second premolar canal configuration. The study pattern was designed to observe these premolars using Radiovisiography (RVG) in different angulations to highlight the anatomical aberrations. The results were subjected to statistical analysis, which were performed using SPSS (Statistical Package for Social Science) statistical program version 10.0.5. Descriptive statistics were computed for all the variables.
The present study revealed high incidence of anatomical aberrations in mandibular premolars among Chennai population. Out of the 500 patients studied, 123 patients [24.6%] showed anatomical variance in the canal configuration. There was high incidence of Vertucci's Type IV canal configuration as compared to Type V, Type II and Type VIII in the descending order of occurrence.
Within the limitations of this in-vivo study, it was inferred that the incidence of aberrations in the canal configuration of mandibular premolars is common and due considerations are to be given during endodontic intervention.
分析钦奈人群下颌前磨牙解剖变异的发生率。
在对下颌前磨牙的常规治疗过程中观察到,畸形变得越来越常见。这就需要对500名患者进行一项全面研究,评估这些畸形的发生率。本研究的参数包括性别偏好、单侧/双侧发生情况,以及下颌第一和第二前磨牙根管形态解剖变异发生率的比较。研究模式设计为使用数字化X线成像系统(RVG)在不同角度观察这些前磨牙,以突出解剖畸形。结果进行了统计分析,使用社会科学统计软件包(SPSS)统计程序版本10.0.5进行分析。对所有变量计算描述性统计量。
本研究显示钦奈人群下颌前磨牙解剖畸形的发生率较高。在研究的500名患者中,123名患者[24.6%]显示根管形态存在解剖变异。按发生率从高到低的顺序,韦尔图奇IV型根管形态的发生率高于V型、II型和VIII型。
在这项体内研究的局限性内,可以推断下颌前磨牙根管形态畸形的发生率较高,在牙髓治疗干预期间应给予适当考虑。