Department of Stomatology, First Hospital of Wujiang City, Medical School of Nantong University, Wujiang, China.
J Endod. 2011 Jun;37(6):789-92. doi: 10.1016/j.joen.2011.03.002. Epub 2011 Apr 17.
The radicular groove is clinically significant due to its relevance to onset of inflammatory processes in the periodontal tissues. This study examined anatomic features of radicular grooves by using micro-computed tomography (micro-CT) scans.
Eleven extracted permanent maxillary lateral incisors with radicular grooves were collected from a native Chinese population and were scanned by micro-CT scans. The specimens were reconstructed three-dimensionally by software Mimics 10.01 (Materialise, Leuven, Belgium). The grooves were classified into three types on the basis of severity.
Three specimens presented type I grooves (apically not beyond the coronal third of the root); five specimens showed a type II groove (beyond coronal third, corresponding to a normal or simple root canal), and three showed a type III groove (beyond the coronal third, corresponding to a complex root canal system). The developing groove could be located at the mesial (three teeth), distal (six teeth) and medial (one tooth) aspect of the root. In one specimen double grooves were found (a mesial and a distal). All specimens with type I grooves had normal root canal configuration. A cross-sectional teardrop-like canal was seen in a specimen with a type II groove. The C-shaped canal, invagination canal, and additional root with secondary canal were observed in specimens with type III grooves.
Understanding the anatomic features of the radicular groove is essential for successful dental treatment.
由于根沟与牙周组织炎症过程的发生有关,因此其具有临床意义。本研究通过使用微计算机断层扫描(micro-CT)检查来研究根沟的解剖特征。
从中国人群中收集了 11 颗带有根沟的离体上颌侧切牙,并通过 micro-CT 扫描进行扫描。通过软件 Mimics 10.01(比利时列日的 Materialise)对标本进行三维重建。根据严重程度将沟分为三种类型。
三个标本呈现 I 型沟(根尖不超过根冠的三分之一);五个标本显示 II 型沟(超过根冠的三分之一,对应于正常或简单的根管),三个标本显示 III 型沟(超过根冠的三分之一,对应于复杂的根管系统)。发育沟可位于根的近中(三颗牙)、远中(六颗牙)和中(一颗牙)侧。在一个标本中发现了双沟(一个近中,一个远中)。所有具有 I 型沟的标本均具有正常的根管形态。一个具有 II 型沟的标本中可见泪滴状的横截面根管。具有 III 型沟的标本中观察到 C 形根管、凹陷根管和带有次级根管的附加根。
了解根沟的解剖特征对于成功的牙科治疗至关重要。