Leoni Graziela Bianchi, Versiani Marco Aurélio, Pécora Jesus Djalma, Damião de Sousa-Neto Manoel
Department of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Brazil.
Department of Restorative Dentistry, Dental School of Ribeirão Preto, University of São Paulo, Brazil.
J Endod. 2014 May;40(5):710-6. doi: 10.1016/j.joen.2013.09.003. Epub 2013 Oct 16.
This study aimed to describe the anatomy of mandibular central and lateral incisors using micro-computed tomographic imaging.
One hundred mandibular incisors were scanned in a micro-computed tomographic device using an isotropic resolution of 22.9 μm. The anatomy of each tooth (length of the roots, presence and location of accessory canals and apical deltas, and number of canals) as well as the 2- and 3-dimensional morphologic aspects of the canal (area, roundness, diameter, volume, surface area, and structure model index) were evaluated. Data were statistically compared using the Student t test (alpha = 0.05).
The mean lengths of the mandibular central and lateral incisors were 20.71 and 21.56 mm, respectively. Most of the central (60%) and lateral (74%) incisors had no accessory canals. An apical delta was observed in only 1 specimen. The cross-section analysis of the apical third showed the presence of 1, 2, or 3 canal orifices. No statistical difference was observed in the comparison of the 2- and 3-dimensional morphologic parameters between central and lateral incisors (P < .05). The qualitative analyses of the 3-dimensional models of the root canal systems of the central and lateral incisor teeth confirm that the most prevalent configurations were Vertucci's types I (50% and 62%, respectively) and III (28%).
Overall, mandibular central and lateral incisors were similar in terms of the 2- and 3-dimensional analyzed parameters. Vertucci's types I and III were the most prevalent canal configurations of the mandibular incisors; however, 8 new types have also been described.
本研究旨在使用显微计算机断层扫描成像描述下颌中切牙和侧切牙的解剖结构。
使用各向同性分辨率为22.9μm的显微计算机断层扫描设备对100颗下颌切牙进行扫描。评估每颗牙齿的解剖结构(牙根长度、副根管和根尖分歧的存在及位置、根管数量)以及根管的二维和三维形态学特征(面积、圆度、直径、体积、表面积和结构模型指数)。使用Student t检验(α = 0.05)对数据进行统计学比较。
下颌中切牙和侧切牙的平均长度分别为20.71mm和21.56mm。大多数中切牙(60%)和侧切牙(74%)没有副根管。仅在1个标本中观察到根尖分歧。根尖三分之一的横断面分析显示存在1个、2个或3个根管口。中切牙和侧切牙在二维和三维形态学参数比较中未观察到统计学差异(P <.05)。对中切牙和侧切牙根管系统三维模型的定性分析证实,最常见的形态分别是维尔图奇I型(分别为50%和62%)和III型(28%)。
总体而言,下颌中切牙和侧切牙在二维和三维分析参数方面相似。维尔图奇I型和III型是下颌切牙最常见的根管形态;然而,也描述了8种新的类型。