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使用锥形束计算机断层扫描(CBCT)对下颌前牙根管进行形态学评估。

Morphologic assessment of mandibular anterior teeth root canal using CBCT.

作者信息

Haghanifar Sina, Moudi Ehsan, Bijani Ali, Ghanbarabadi Mohammad Kazemi

机构信息

Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Babol University of Medical sciences, Iran.

Social determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Acta Med Acad. 2017 Nov;46(2):85-93. doi: 10.5644/ama2006-124.193.

Abstract

OBJECTIVE

The aim of this study was to evaluate the number and morphological characteristics of the roots and root canals in mandibular anterior teeth, using cone beam computed tomography.

METHODS AND MATERIALS

In this cross-sectional study, 1053 anterior mandibular teeth from 200 CBCT scans were evaluated. The teeth were completely developed and should have had no fillings in the root or crown. The teeth were investigated in terms of the number of roots and root canals, the location of the apical foramen, the distance of the apical foramen to the anatomical apex, root length, crown length, dilacerations and the type of canals according to Vertucci's classification.

RESULTS

87.9% of teeth had one root canal and of all of the teeth, three canines (0.3%) were found that had two roots. In 80.3% (n: 848) of cases the foramen apical location was central, then the buccal (9.3%), lingual (3.9%), distal (3.8%), and mesial (2.7%). The type of root canals, according to Vertucci's classification, with respect to prevalence, included type I (88.2%), type III (8.1%), type II (3.3%), type V (0.3%), and type VI (0.1%), respectively. In terms of the characteristics investigated, bilateral symmetry was observed. Dilaceration was not seen in any of the teeth.

CONCLUSION

The root canal morphology of mandibular anterior teeth has great diversity that may differ between different races, and should be considered by all dentists in order to achieve the best dental treatment.

摘要

目的

本研究旨在使用锥形束计算机断层扫描评估下颌前牙的牙根和根管数量及形态特征。

方法与材料

在这项横断面研究中,对来自200例锥形束计算机断层扫描的1053颗下颌前牙进行了评估。这些牙齿均已完全发育,且牙根或牙冠不应有充填物。根据Vertucci分类法,对牙齿的牙根和根管数量、根尖孔位置、根尖孔至解剖根尖的距离、牙根长度、牙冠长度、牙根弯曲情况及根管类型进行了研究。

结果

87.9%的牙齿有一个根管,在所有牙齿中,发现三颗尖牙(0.3%)有两个牙根。在80.3%(n = 848)的病例中,根尖孔位于中央,其次是颊侧(9.3%)、舌侧(3.9%)、远中(3.8%)和近中(2.7%)。根据Vertucci分类法,根管类型的患病率分别为I型(88.2%)、III型(8.1%)、II型(3.3%)、V型(0.3%)和VI型(0.1%)。在所研究的特征方面,观察到双侧对称性。所有牙齿均未发现牙根弯曲。

结论

下颌前牙的根管形态具有很大的多样性,不同种族之间可能存在差异,所有牙医在进行最佳牙科治疗时均应予以考虑。

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