Martos Josué, Tatsch Gustavo Henrique, Tatsch Augusto César, Silveira Luiz Fernando Machado, Ferrer-Luque Carmen María
Department of Semiology and Clinics, School of Dentistry, Federal University of Pelotas, Gonçalves Chaves, Pelotas, RS, Brazil.
Anat Sci Int. 2011 Sep;86(3):146-50. doi: 10.1007/s12565-011-0102-1. Epub 2011 Mar 17.
The purpose was to determine the diameter of the main root canal and wall thickness in the apical dentin in mesial roots of maxillary and mandibular molars. Forty mesiobuccal and mesial root specimens were sectioned horizontally at 1, 2 and 3 mm from the apex, and measured at each top surface by using optical microscopy to an accuracy of ×20 magnification. The anatomical parameters were established as the following points of reference: AB, two points connected by a line from the outer edge of the mesial wall to the outer edge of the distal one through the center of the root canal to measure the thickness of the root and mesiodistal diameter of the root canal (CD). A second line (EF) was designed to evaluate the diameter of the root canal in the buccolingual direction. All data were summarized, and values were assessed statistically by ANOVA and Bonferroni multiple comparisons. The buccolingual (BL) root canal diameters at 1, 2 and 3 mm in the mandibular and maxillary molars were greater than in the mesiodistal (MD), showing statistically significant differences (p < 0.05). The MD root thicknesses at 1, 2 and 3 mm in mandibular and maxillary molars were statistically significant (p < 0.05). The lowest value to 1 mm from the apex in the mandibular molars was 1.219 mm and the highest at 3 mm from the root apex in maxillary molars was 1.741 mm. The BL diameters in maxillary and mandibular molars were higher than the MD diameter. The thickness (MD) of maxillary and mandibular molars decreased as a function of apical proximity.
本研究旨在确定上颌和下颌磨牙近中根根尖牙本质中主根管的直径和壁厚。40个近中颊根和近中根标本在距根尖1、2和3毫米处水平切片,并在每个顶面使用光学显微镜以×20放大倍数进行测量,测量精度为该倍数。解剖学参数确定如下参考点:AB,从近中壁外边缘经根管中心至远中壁外边缘连接两点的线,用于测量牙根厚度和根管近远中直径(CD)。设计第二条线(EF)以评估根管在颊舌方向的直径。汇总所有数据,并通过方差分析和Bonferroni多重比较对数值进行统计学评估。下颌和上颌磨牙在距根尖1、2和3毫米处的颊舌(BL)根管直径大于近远中(MD)方向,差异具有统计学意义(p<0.05)。下颌和上颌磨牙在距根尖1、2和3毫米处的MD牙根厚度具有统计学意义(p<0.05)。下颌磨牙距根尖1毫米处的最小值为1.219毫米,上颌磨牙距根尖3毫米处的最大值为1.741毫米。上颌和下颌磨牙的BL直径高于MD直径。上颌和下颌磨牙的厚度(MD)随着与根尖距离的增加而减小。