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使用锥形束计算机断层扫描技术研究下颌中切牙和侧切牙的牙根形态及根管数目

Root Morphology and Number of Canals in Mandibular Central and Lateral Incisors Using Cone Beam Computed Tomography.

作者信息

Saati Samira, Shokri Abbas, Foroozandeh Maryam, Poorolajal Jalal, Mosleh Nooshin

机构信息

Department of Oral and Maxillofacial Radiology, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Braz Dent J. 2018 May-Jun;29(3):239-244. doi: 10.1590/0103-6440201801925.

Abstract

Most failures in endodontic treatment of mandibular incisors are due to the presence of a missed canal specifically the lingual. This investigation aimed to examine the root morphology and number of canals in mandibular incisors using cone beam computed tomography (CBCT). Two hundred and seven patients were assessed in terms of their mandibular central and lateral incisors of CBCT. The inclusion criteria were absence of root resorption, coronal restoration or root filling and clarity and optimal resolution of images. According to the Vertucci's classification, number of roots and canals and type of canal were evaluated by two oral and maxillofacial radiologists. In order to data analysis SPSS version 16 and descriptive statistics were implemented. All mandibular incisors had one root. Most central (84.5%) and lateral (78.2%) incisors had a single canal (p= 0.065). The majority of central (54.5%) and lateral (56.5%) incisors were Vertucci's type I (p= 0.102). Prevalence of one canal in males: central (84.8%), lateral (77.9%) and in females: central (84.2%), lateral (78.5%) (p= 0.518). Prevalence of Vertucci's type I in males: central (52.3%), lateral (45.3%) and in females: central (56.1%), lateral (64.4%) (p=0.188). The prevalence of two canals was 15.5% (central) and 21.8% (lateral) in mandibular incisors. The Vertucci's type I was the most typical kinds of mandibular incisors. Considering the limitations of periapical radiography in determining canal morphology, CBCT can be helpful in case of any concern regarding root canal morphology.

摘要

下颌切牙根管治疗失败大多是由于遗漏根管,尤其是舌侧根管。本研究旨在使用锥形束计算机断层扫描(CBCT)检查下颌切牙的牙根形态和根管数量。对207例患者的下颌中切牙和侧切牙进行了CBCT评估。纳入标准为无牙根吸收、冠部修复或根管充填,且图像清晰、分辨率最佳。由两名口腔颌面放射科医生根据Vertucci分类法评估牙根和根管数量以及根管类型。采用SPSS 16版进行数据分析并实施描述性统计。所有下颌切牙均为单根。大多数中切牙(84.5%)和侧切牙(78.2%)有单根管(p = 0.065)。大多数中切牙(54.5%)和侧切牙(56.5%)为Vertucci I型(p = 0.102)。男性单根管的患病率:中切牙(84.8%),侧切牙(77.9%);女性单根管的患病率:中切牙(84.2%),侧切牙(78.5%)(p = 0.518)。男性Vertucci I型的患病率:中切牙(52.3%),侧切牙(45.3%);女性Vertucci I型的患病率:中切牙(56.1%),侧切牙(64.4%)(p = 0.188)。下颌切牙双根管的患病率为15.5%(中切牙)和21.8%(侧切牙)。Vertucci I型是下颌切牙最典型的类型。考虑到根尖片在确定根管形态方面的局限性,对于任何有关根管形态的问题,CBCT可能会有所帮助。

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