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下颌切牙牙根及根管形态的对称性:一项锥形束计算机断层扫描研究

Symmetry of root and root canal morphology of mandibular incisors: A cone-beam computed tomography study .

作者信息

Valenti-Obino Federico, Di Nardo Dario, Quero Linda, Miccoli Gabriele, Gambarini Gianluca, Testarelli Luca, Galli Massimo

机构信息

Department of Oral and Maxillo Facial Sciences "Sapienza" University of Rome, Italy.

出版信息

J Clin Exp Dent. 2019 Jun 1;11(6):e527-e533. doi: 10.4317/jced.55629. eCollection 2019 Jun.

Abstract

BACKGROUND

Aim of this study was to analyze the root canal configuration in mandibular central and lateral incisors in vivo using cone-beam computed tomography (CBCT) imaging.

MATERIAL AND METHODS

A total of 487 mandibular central incisors and 491 mandibular lateral incisors from 250 patients were examined using CBCT imaging, previously taken for diagnosis and treatment. The number of roots, root canal system configuration, presence of apical confluences, distance between confluences and radiographic root end, symmetry between left and right elements were recorded and statistically analyzed.

RESULTS

All the examined teeth presented only one root. No significant differences were found between the prevalence of two root canals in mandibular central incisors (219 teeth, 45%) compared to lateral incisors (211 teeth, 43%).

CONCLUSIONS

The percentage of Vertucci type II configuration was higher than expected, being more frequent than type III. Type I was the prevalent, while other configurations were present but rare. Cone-beam computed tomography, mandibular incisors, root canal anatomy, confluences.

摘要

背景

本研究的目的是使用锥形束计算机断层扫描(CBCT)成像在体内分析下颌中切牙和侧切牙的根管形态。

材料与方法

使用先前为诊断和治疗而拍摄的CBCT成像,检查了来自250例患者的总共487颗下颌中切牙和491颗下颌侧切牙。记录并统计分析牙根数量、根管系统形态、根尖融合情况、融合处与影像学根尖之间的距离以及左右牙体结构的对称性。

结果

所有检查的牙齿均只有一个牙根。下颌中切牙(219颗牙,45%)与侧切牙(211颗牙,43%)中双根管的发生率之间未发现显著差异。

结论

Vertucci II型形态的百分比高于预期,比III型更常见。I型是最普遍的,而其他形态存在但很少见。锥形束计算机断层扫描、下颌切牙、根管解剖、融合处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e973/6645266/f45a676e6cff/jced-11-e527-g001.jpg

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