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在印度达罗毗荼亚人群中使用锥形束计算机断层扫描分析400颗上颌第一前磨牙的牙根形态和内部解剖结构:一项研究。

Analysis of root morphology and internal anatomy of 400 maxillary first premolars using cone-beam computed tomography in an Indian Dravidian subpopulation: An study.

作者信息

Kartik S Nath, Shetty Karthik, Vergis Bettina Ashwini, Natarajan Srikant, D'Souza Janina Loren

机构信息

Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Mangalore, Karnataka, India.

Department of Conservative Dentistry and Endodontics, Srinivas Institute of Dental Sciences, Mangalore, Karnataka, India.

出版信息

J Conserv Dent. 2022 Sep-Oct;25(5):487-491. doi: 10.4103/jcd.jcd_158_22. Epub 2022 Sep 12.

Abstract

BACKGROUND

There have been numerous cone-beam computed tomography (CBCT) studies done over the years to analyze the canal configurations among various racial and ethnic population groups. Several of these studies have highlighted a certain consistency in the incidence of particular features within these population subsets.

AIM

The study aimed to analyze the root morphology and canal configurations of the maxillary first premolar (Mx1PM) in the Indian Dravidian subpopulation using CBCT.

SETTING AND DESIGN

This study involved a retrospective analysis of 200 CBCT scans, which included 400 Mx1PM.

METHODS

The CBCT images were evaluated, and the number of roots and canal configurations was recorded as per the Vertucci's classification.

STATISTICAL ANALYSIS

Variations in the number of roots and canal anatomies were statistically interpreted using the Chi-square test of association with the significance level set at < 0.05.

RESULTS

Among the 400 Mx1PM studied, 116 (29%) teeth displayed single roots and 284 (71%) showed the presence of two roots. The single-rooted premolars revealed a varied canal configuration with a predominance of Vertucci's Type II configuration in around 53.4% of the Mx1PM. The two-rooted premolars revealed 100% Type I canal configuration.

CONCLUSION

The Mx1PM studied predominantly showed the two-rooted morphology with independent canals in each root. There was no significant difference between the teeth on either side of the same arch. The CBCT is an excellent nondestructive modality that can help us study the internal anatomy of pulp space accurately.

摘要

背景

多年来已经进行了大量的锥束计算机断层扫描(CBCT)研究,以分析不同种族和民族群体的根管形态。其中一些研究强调了这些人群亚组中特定特征发生率的某种一致性。

目的

本研究旨在使用CBCT分析印度达罗毗荼亚人群上颌第一前磨牙(Mx1PM)的牙根形态和根管形态。

设置与设计

本研究对200例CBCT扫描进行回顾性分析,其中包括400颗Mx1PM。

方法

对CBCT图像进行评估,并根据韦尔图奇分类法记录牙根数量和根管形态。

统计分析

使用卡方关联检验对牙根数量和根管解剖结构的变异进行统计学解释,显著性水平设定为<0.05。

结果

在研究的400颗Mx1PM中,116颗(29%)牙齿显示为单根,284颗(71%)显示有两根。单根前磨牙显示出不同的根管形态,约53.4%的Mx1PM中以韦尔图奇II型形态为主。双根前磨牙显示100%为I型根管形态。

结论

所研究的Mx1PM主要表现为双根形态,每个牙根中有独立的根管。同一牙弓两侧的牙齿之间没有显著差异。CBCT是一种优秀的无损检查方式,可帮助我们准确研究牙髓腔的内部解剖结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea9/9733556/1846d99447bc/JCD-25-487-g002.jpg

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