Atieh Momen A
Dammam Medical Center of Eastern Region Branch of Saudi Electricity Company.
J Contemp Dent Pract. 2008 Jan 1;9(1):46-53.
The aim of this study was to determine the root and canal morphology of maxillary first premolars collected from an indigenous Saudi population.
A total of 246 extracted teeth were collected and washed immediately after extraction then stored in 10% formalin solution. The teeth were debrided then dehydrated with ascending concentrations of alcohol and cleared by immersion in methyl salicylate. Visual and radiographic examinations were done to determine the number of roots and canals, and the teeth were transversely sectioned to examine the internal anatomy.
Forty-four teeth (17.9%) had one root, 199 (80.9%) had two roots, and three (1.2%) had three roots. The incidence of Type I canals (one canal) was 8.9% (22 teeth), 89.8% (221 teeth) had two canals (Type II and III), and 1.2% (three teeth) had three canals (Type IV).
This study showed a high incidence of two-rooted and two-canal maxillary first premolars in Saudis. Clinicians should be aware of the different variations in root morphology and canal configuration when performing an endodontic treatment.
本研究的目的是确定从沙特本土人群收集的上颌第一前磨牙的牙根和根管形态。
共收集246颗拔除的牙齿,拔牙后立即冲洗,然后储存在10%的福尔马林溶液中。对牙齿进行清创,然后用浓度递增的酒精脱水,再浸入冬青油中进行透明处理。通过视觉和影像学检查确定牙根和根管的数量,并对牙齿进行横切以检查内部解剖结构。
44颗牙齿(17.9%)有一个牙根,199颗(80.9%)有两个牙根,3颗(1.2%)有三个牙根。I型根管(一个根管)的发生率为8.9%(22颗牙齿),89.8%(221颗牙齿)有两个根管(II型和III型),1.2%(3颗牙齿)有三个根管(IV型)。
本研究表明沙特人上颌第一前磨牙双根和双根管的发生率很高。临床医生在进行牙髓治疗时应了解牙根形态和根管结构的不同变异。