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使用锥形束计算机断层扫描对选定伊朗人群下颌第一恒磨牙的解剖结构研究

Anatomy of Permanent‎ ‎Mandibular‎ First‎ Molars in a Selected Iranian Population Using ‎Cone-beam Computed Tomography.

作者信息

Choupani Dastgerdi Aria, Navabi Manije, Hafezi Ladan, Khalilak Zohre, Rakhshan Vahid

机构信息

Private Practice, Tehran, Iran.

Department of Removable Prosthodontics, Dental Branch, Islamic Azad University, Tehran, Iran.

出版信息

Iran Endod J. 2018 Spring;13(2):251-256. doi: 10.22037/iej.v13i2.19035.

Abstract

INTRODUCTION

: Knowledge of radicular anatomy has a crucial impact on endodontic practices. Since some anatomic features such as modifications of Vertucci are not evaluated adequately, this study was conducted.

METHODS AND MATERIALS

: In this study, cone-beam computed tomography (CBCT) images of‎ 312‎ intact bilateral first‎ molars‎ from‎ 156‎ patients‎ (‎79‎ ‎males‎ and‎ 77‎ females with an average age of ‎35.58‎±‎11.17‎ years‎)‎ were‎ investigated by a trained dentist in terms of number‎ of‎ roots,‎ number‎ of‎ canals‎ in‎ each‎ root‎ and‎ in‎ ‎each‎ tooth,‎ and shapes‎ of‎ canals‎ according‎ to‎ Vertucci’s‎ classification‎ and‎ its‎ modifications.‎ Groups were compared using the -square test. The level of significance was set at 0.05.

RESULTS

: Of all teeth, 5.2%‎ had‎ 3‎ roots.‎‎ ‎Mesial‎ roots‎ had‎ mostly‎ 2‎ canals‎ while distal roots had a similar frequency of 1 and 2 canals.‎ ‎Of‎ all‎ teeth,‎ ‎‎39.7%‎ had‎ 3‎ canals,‎ 45.2%‎ had‎ 4‎ canals,‎ 13.8%‎ had‎ 5‎ canals,‎ and‎ 1.3%‎ had‎ 6‎ canals.‎ There were no significant differences between males and females, ‎in terms of number of roots (=0.137), number of canals in mesial (=0.453) or distal roots (‎‎=0.328), and total number of canals (=0.138).‎ The most frequent Vertucci classes in mesial and distal roots were IV ‎‎followed‎ by‎ II and I‎, respectively. There were no significant differences between males and females in terms of Vertucci classes of mesial (=0.211) or distal (=0.205) roots.

CONCLUSION

: In this population, there were 3 to 6 canals per tooth (mostly 4 and 3 canals).‎ Males and female’s ‎might be similar regarding the number of roots, or number of canals in each root, number of ‎canals in each tooth, or the predominant canal shape in each root.

摘要

引言

根管解剖知识对牙髓治疗实践有着至关重要的影响。由于一些解剖特征,如韦尔图奇(Vertucci)分类的变异未得到充分评估,因此开展了本研究。

方法与材料

在本研究中,一名经过培训的牙医对156例患者(79名男性和77名女性,平均年龄35.58±11.17岁)的312颗完整双侧第一磨牙的锥形束计算机断层扫描(CBCT)图像进行了研究,内容包括牙根数量、每个牙根及每颗牙齿的根管数量,以及根据韦尔图奇分类及其变异的根管形态。采用卡方检验对各组进行比较。显著性水平设定为0.05。

结果

在所有牙齿中,5.2%有3个牙根。近中根大多有2个根管,而远中根有1个和2个根管的频率相近。在所有牙齿中,39.7%有3个根管,45.2%有4个根管,13.8%有5个根管,1.3%有6个根管。在牙根数量(P = 0.137)、近中根管数量(P = 0.453)、远中根管数量(P = 0.328)以及根管总数(P = 0.138)方面,男性和女性之间无显著差异。近中根和远中根最常见的韦尔图奇分类分别为IV类,其次分别为II类和I类。在近中根(P = 0.211)和远中根(P = 0.205)的韦尔图奇分类方面,男性和女性之间无显著差异。

结论

在该人群中,每颗牙齿有3至6个根管(大多为4个和3个根管)。在牙根数量、每个牙根的根管数量、每颗牙齿的根管数量或每个牙根的主要根管形态方面,男性和女性可能相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6a3/5911303/fc9704f8ab59/iej-13-251-g001.jpg

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