Candeiro George Táccio de Miranda, Gonçalves Samilla Dos Santos, Lopes Luiza Lassi de Araújo, Lima Ilana Thaís de Freitas, Alencar Phillipe Nogueira Barbosa, Iglecias Elaine Faga, Silva Paulo Goberlânio Barros
Centro Universitário Christus - Unichristus, Post-graduation Program of Dental Sciences , Fortaleza , CE , Brazil.
Universidade de São Paulo - USP, School of Dentistry , Department of Restorative Dentistry , São Paulo , SP , Brazil.
Braz Oral Res. 2019 Aug 26;33:e082. doi: 10.1590/1807-3107bor-2019.vol33.0082.
The present study aimed to evaluate the internal configuration of the maxillary molars of a population from the Northeast region of Brazil. Cone-beam computed tomography (CBCT) exams from 512 patients (1501 teeth) were evaluated regarding the anatomical configuration of the root canal system, according to Vertucci's classification. The images were obtained using a Prexion 3D scanner operating at 90 kVp and 4 mA. The voxel size was 0.125 mm and the cut thickness was 1 mm. The images were then analyzed in the Prexion 3D Viewer software. The data were analyzed statistically by Pearson's chi-square test, with 5% of significance. The first and second molars presented three roots in 99.14% and 87.27% of the cases, respectively. In relation to the number of canals, the first and second molars had a significantly higher frequency of three and four root canals respectively, presenting a higher prevalence of types I and II (p < 0.001). The second mesiobuccal canal (MB2) was observed in 48.21% and 22.72% of the first and second molars, respectively (p < 0.001). The identification of the MB2 canal was greater in young and adult patients (p < 0.001), presenting a higher prevalence in male patients (p < 0.001). The internal configuration of the MB root was influenced by gender and by age, presenting a higher prevalence of the MB2 in male patients younger than 50 years of age.
本研究旨在评估巴西东北地区人群上颌磨牙的内部结构。根据韦尔图奇分类法,对512例患者(1501颗牙齿)的锥束计算机断层扫描(CBCT)检查结果进行了根管系统解剖结构评估。使用在90 kVp和4 mA条件下运行的Prexion 3D扫描仪获取图像。体素大小为0.125 mm,层厚为1 mm。然后在Prexion 3D Viewer软件中分析图像。采用Pearson卡方检验对数据进行统计学分析,显著性水平为5%。第一磨牙和第二磨牙分别在99.14%和87.27%的病例中呈现三根。关于根管数量,第一磨牙和第二磨牙分别有显著更高频率的三根和四根根管,I型和II型的患病率更高(p < 0.001)。第一磨牙和第二磨牙分别在48.21%和22.72%的病例中观察到第二近中颊根管(MB2)(p < 0.001)。MB2根管在年轻和成年患者中的识别率更高(p < 0.001),在男性患者中的患病率更高(p < 0.001)。MB根的内部结构受性别和年龄影响,在50岁以下男性患者中MB2的患病率更高。