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台湾华裔人群下颌第一磨牙根管形态的研究。

Investigation of the root canal configuration of mandibular first molars in a Taiwan Chinese population.

作者信息

Chen G, Yao H, Tong C

机构信息

Division of Endodontics and Periodontics, Department of Dentistry, Taichung Veterans General Hospital, Taichung, Taiwan.

出版信息

Int Endod J. 2009 Nov;42(11):1044-9. doi: 10.1111/j.1365-2591.2009.01619.x.

Abstract

AIM

To investigate the root form and canal morphology of mandibular first molar teeth in a Taiwan Chinese population.

METHODOLOGY

A total of 183 mandibular first molars were collected and examined visually through a dissecting microscope after rendering the teeth transparent. The number of roots, number of canals and canal configuration were recorded. The root canal morphology was categorized and compared according to Vertucci (1984).

RESULTS

Overall 46% of the mandibular first molars had four canals and 20% had extra-distal roots (distolingual root). In addition, 97% of the specimens had two mesial canals and 46% had two distal canals. In total, 68% of teeth with two mesial canals had two separated apical foramina, and 33% of teeth with two distal canals had two apical foramina. The most common canal configurations (Vertucci, 1984) of mesial roots were type 4 (46%) and type 2 (23%). Type 1 was encountered in 54% of the distal roots.

CONCLUSIONS

The frequency of the extra-distal root on the mandibular first molar was 20%, and the incidence of three canals (Vertucci's type 8 classification) with separate apical foramina at the apex of the mesial root was 6%. The three-rooted variation of the mandibular first molar appears to be a genetic characteristic of an Asiatic racial background.

摘要

目的

研究台湾华裔人群下颌第一磨牙的牙根形态和根管形态。

方法

收集183颗下颌第一磨牙,在使牙齿透明后通过解剖显微镜进行肉眼检查。记录牙根数量、根管数量和根管形态。根据韦尔图奇(1984年)的方法对根管形态进行分类和比较。

结果

总体而言,46%的下颌第一磨牙有4个根管,20%有额外的远中根(远中舌根)。此外,97%的标本有2个近中根管,46%有2个远中根管。总的来说,68%有2个近中根管的牙齿有2个分开的根尖孔,33%有2个远中根管的牙齿有2个根尖孔。近中根最常见的根管形态(韦尔图奇,1984年)是4型(46%)和2型(23%)。远中根中54%为1型。

结论

下颌第一磨牙远中额外根的发生率为20%,近中根根尖处有3个分开根尖孔的根管(韦尔图奇8型分类)的发生率为6%。下颌第一磨牙的三根变异似乎是亚洲种族背景的遗传特征。

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