Department for Operative Dentistry, Johannes Gutenberg University Mainz, Germany.
Eur J Med Res. 2009;14(2):85-9. doi: 10.1186/2047-783x-14-2-85.
The aim of the present roentgenographic in vitro study was to determine the initial straight length from the cemento-enamel junction (CEJ) to the appearance of a root canal curvature in human mandibular premolars. A total number of 282 mandibular premolars were examined. Exclusion criteria comprised root caries, extensive restorations and endodontically treated teeth. The teeth were fixed and digitally radiographed by means of a specially developed fixation device with standardized and reproducible distances with the parallel technique (Heliodent MD; Merlin 2.1). The distances from the CEJ to the first curvature (> 5 degrees ) (distance I), from the first curvature to a second curvature (distance II), and from the first or second curvature to the radiological apex (distance III) were recorded. The lengths of the initial straight distance and the appearance of a curvature were statistically analyzed and related to each other. In first mandibular premolars, the mean value for distance I was 10.9 mm, for distance II 3.7 mm and for distance III 3.04 mm. The mean values for the second mandibular premolars were 1.1mm in distance I, 4.3mm in distance II and 3.1mm in distance III. No statistically significant differences between left and right mandibular premolars could be observed regarding the canal curvature location and the angle values. The results of this investigation show that curvatures are increasingly observed 9 to 12 mm from the original path in mandibular premolars.
本放射学体外研究的目的是确定从牙釉牙骨质界(CEJ)到下颌前磨牙根管弯曲出现的初始直线长度。共检查了 282 颗下颌前磨牙。排除标准包括根龋、广泛的修复体和牙髓治疗的牙齿。牙齿用专门开发的固定装置固定,并采用标准化和可重复的平行技术(Heliodent MD;Merlin 2.1)进行数字射线照相。从 CEJ 到第一个弯曲(> 5 度)(距离 I)、从第一个弯曲到第二个弯曲(距离 II)以及从第一个或第二个弯曲到放射学根尖(距离 III)的距离记录。记录初始直线距离的长度和曲率的出现,并对其进行统计学分析和相互关联。在第一下颌前磨牙中,距离 I 的平均值为 10.9mm,距离 II 为 3.7mm,距离 III 为 3.04mm。第二下颌前磨牙的平均值为距离 I 为 1.1mm,距离 II 为 4.3mm,距离 III 为 3.1mm。左右下颌前磨牙的根管弯曲位置和角度值之间没有统计学上的显著差异。这项研究的结果表明,在下颌前磨牙中,弯曲越来越多地出现在原始路径的 9 到 12 毫米处。