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使用锥形束计算机断层扫描评估上颌磨牙的根管形态

Evaluation of root canal morphology of maxillary molars using cone beam computed tomography.

作者信息

Alrahabi Mothanna, Sohail Zafar Muhammad

机构信息

Mothanna Alrahabi, Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Saudi Arabia.

Muhammad Sohail Zafar, Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Saudi Arabia.

出版信息

Pak J Med Sci. 2015 Mar-Apr;31(2):426-30. doi: 10.12669/pjms.312.6753.

Abstract

OBJECTIVES

The success of endodontic treatment is based on cleaning and shaping of the root canals. The root canals have complex morphology and wide individual variations. The objective of this study was to analyze root canals morphology and existence of extra canals in maxillary molars in Saudi subpopulation.

METHODS

Freshly extracted maxillary first molars (n=100) were included in this study. All teeth were examined for morphology of roots, root canals and apical foramen by Cone Beam Computed Tomography (CBCT). The root canals configuration was classified using Vertucci's classification.

RESULTS

The majority of maxillary first molars (94%) were having three distinctly separated roots and 6% had four roots. Palatal and distobuccal roots were observed to contain one root canal (100%) and Vertucci's type I configuration. The mesiobuccal root had one (29.4%; type I) or two canals (70.6%; type II, III or IV).

CONCLUSIONS

The occurrence of second canal in the mesiobuccal root of upper first molar is very much likely (>70%). The mesiobuccal roots are more likely to have Vertucci's type I or II configuration (>76%). The palatal and distobuccal roots always have a Vertucci's type I canal configuration.

摘要

目的

根管治疗的成功基于根管的清理和塑形。根管形态复杂且个体差异较大。本研究的目的是分析沙特亚人群上颌磨牙的根管形态及额外根管的存在情况。

方法

本研究纳入100颗新鲜拔除的上颌第一磨牙。所有牙齿均通过锥形束计算机断层扫描(CBCT)检查牙根、根管及根尖孔的形态。根管形态采用维尔图奇分类法进行分类。

结果

大多数上颌第一磨牙(94%)有三个明显分开的牙根,6%有四个牙根。腭根和远中颊根均观察到含有一个根管(100%),呈维尔图奇I型形态。近中颊根有一个根管(29.4%;I型)或两个根管(70.6%;II型、III型或IV型)。

结论

上颌第一磨牙近中颊根出现第二根管的可能性非常大(>70%)。近中颊根更可能呈维尔图奇I型或II型形态(>76%)。腭根和远中颊根总是呈维尔图奇I型根管形态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3277/4476355/acf778d64663/PJMS-31-426-g001.jpg

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