Awawdeh L A, Al-Qudah A A
Department of Restorative Dentistry, Jordan University of Science & Technology, Irbid, Jordan.
Int Endod J. 2008 Mar;41(3):240-8. doi: 10.1111/j.1365-2591.2007.01348.x. Epub 2007 Dec 12.
To investigate the root canal anatomy of mandibular premolars in a Jordanian population.
Nine hundred extracted mandibular premolars were examined. After the length of the teeth was measured, the presence of developmental grooves and furcated roots was noted. Following the preparation of access cavities, pulp tissue was removed and the canal systems were stained. The teeth were then rendered clear by demineralization and immersion in methyl salicylate. Cleared teeth were examined and the following features were evaluated: (i) type of root canals; (ii) presence and location of lateral canals; transverse anastomosis; (iii) location of apical foramina; and (iv) frequency of apical deltas.
The mean lengths of first and second mandibular premolars were 22.6 mm (18-27.5 mm) and 22.2 mm (16-26.5 mm), respectively. Although the majority of the specimens corresponded to Vertucci's classification scheme, analysis of this large data set revealed four additional root canal morphologies. Variable root canal morphologies were found in the mandibular first premolars; two separate apical foramina were found in 33% of the teeth with two canals, compared to 6.2% with one apical foramen. Teeth with three separate apical foramina were scarce (2.2%). The majority of the mandibular second premolars had a single canal; 72% of teeth possessed type I canal systems, whilst 22.8% of the roots had two canals with two separate apical foramina.
The prevalence of multiple canals in the investigated Jordanian mandibular premolars was high, especially for the second mandibular premolar, in comparison with previous studies performed on populations of different racial origin.
研究约旦人群下颌前磨牙的根管解剖结构。
检查900颗拔除的下颌前磨牙。测量牙齿长度后,记录发育沟和根分叉的存在情况。制备开髓洞形后,去除牙髓组织并对根管系统进行染色。然后通过脱矿和浸泡在冬青油中使牙齿透明。检查透明牙齿并评估以下特征:(i)根管类型;(ii)侧支根管的存在和位置;横向吻合;(iii)根尖孔的位置;(iv)根尖分歧的发生率。
下颌第一前磨牙和第二前磨牙的平均长度分别为22.6毫米(18 - 27.5毫米)和22.2毫米(16 - 26.5毫米)。尽管大多数标本符合韦尔图奇分类方案,但对这个大数据集的分析揭示了另外四种根管形态。下颌第一前磨牙发现了可变的根管形态;在33%有两个根管的牙齿中发现了两个独立的根尖孔,相比之下,有一个根尖孔的牙齿为6.2%。有三个独立根尖孔的牙齿很少见(2.2%)。大多数下颌第二前磨牙有一个根管;72%的牙齿具有I型根管系统,而22.8%的牙根有两个根管和两个独立的根尖孔。
与之前对不同种族人群进行的研究相比,在所研究的约旦下颌前磨牙中多根管的发生率较高,尤其是下颌第二前磨牙。