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恒牙矿化不全第二磨牙根管形态变化的初步研究。

Preliminary investigation of the variations in root canal morphology of hypomineralised second primary molars.

机构信息

UWA Dental School, The University of Western Australia, Nedlands, WA, Australia.

出版信息

Int J Paediatr Dent. 2018 May;28(3):310-318. doi: 10.1111/ipd.12356. Epub 2018 Mar 2.

Abstract

AIM

To investigate the root canal morphology of hypomineralised second primary molars(HSPM) using micro-CT(μCT) compared with non-hypomineralised second primary molars (non-HSPM).

METHODOLOGY

Ten HSPM and 10 non-HSPM were divided into Group 1(maxillary HSPM), Group 2 (mandibular HSPM), Group 3(maxillary non-HSPM), and Group 4 (mandibular non-HSPM). All teeth were scanned using μCT to assess the following parameters: (i) root canal configuration, (ii) pulp volumes, and (iii) the influence of the root canal system landmarks on access cavity outline forms and canal curvature. Two-way ANOVA was employed for descriptive analysis (P < 0.05).

RESULTS

At the furcation level, there was minimal variation in the number of canals. In the mesiobuccal root, Group 1 showed higher frequency of multiple canals in the middle (85.7%) and apical (85.7%) thirds compared with Group 3. In the mesial root, Group 4 demonstrated multiple canals at the furcation (60%) compared with Group 2(33.3%). In the distal root, Group 2 demonstrated a higher percentage of multiple canals at the apical level (100%) compared with Group 4. The mean pulp volumes of Group 2 and Group 4 were 54.1 mm (16.7) and 30 mm (5.12), respectively, which was statistically significant (P < 0.05). The canal curvature values did not differ significantly between HSPM and non-HSPM groups.

CONCLUSIONS

HSPM exhibited greater variations in their root canal configuration when compared to non-HSPM.

摘要

目的

通过 micro-CT(μCT)比较研究低矿化第二恒磨牙(HSPM)与非低矿化第二恒磨牙(non-HSPM)的根管形态。

方法

将 10 颗 HSPM 和 10 颗非-HSPM 分为上颌 HSPM(Group 1)、下颌 HSPM(Group 2)、上颌非-HSPM(Group 3)和下颌非-HSPM(Group 4)。所有牙齿均采用μCT 扫描,评估以下参数:(i)根管形态,(ii)牙髓体积,以及(iii)根管系统标志对入口腔轮廓形态和根管弯曲度的影响。采用双因素方差分析进行描述性分析(P<0.05)。

结果

在分叉水平,根管数量变化极小。在近中颊根中,Group 1 中近中和根尖 3 分之三出现多根管的频率更高(85.7%),而 Group 3 则为 85.7%。在近中根中,Group 4 在分叉处显示出更多的多根管(60%),而 Group 2 为 33.3%。在远中根中,Group 2 在根尖水平出现多根管的比例更高(100%),而 Group 4 则为 54.1mm(16.7)和 30mm(5.12),差异具有统计学意义(P<0.05)。远中根中,Group 2 出现多根管的比例更高(100%),而 Group 4 则为 54.1mm(16.7)和 30mm(5.12),差异具有统计学意义(P<0.05)。远中根中,Group 2 出现多根管的比例更高(100%),而 Group 4 则为 54.1mm(16.7)和 30mm(5.12),差异具有统计学意义(P<0.05)。HSPM 的根管弯曲度值与 non-HSPM 组无显著差异。

结论

与 non-HSPM 相比,HSPM 的根管形态有更大的差异。

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