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显微计算机断层扫描揭示的乳牙列复杂性解剖结构

Deciduous Molars Complexity Anatomy Reveled by Computed Microtomography.

作者信息

Teixeira Tais Fernandes, da Silva Alexandre Marques Paes, Coutinho Thais Machado de Carvalho, Marceliano Eduardo Fagury Videira, Dos Santos Miranda Ana Raquel Lopes, Ferreira Dennis de Carvalho, Provenzano José Claudio, Marceliano-Alves Marilia Fagury Videira

机构信息

Postgraduate Program in Dentistry, Estácio de Sá University, Rio de Janeiro, Brazil.

Department of Endodontic Research, Iguaçu University, Nova Iguaçu, Rio de Janeiro.

出版信息

Eur J Dent. 2024 Jul;18(3):789-795. doi: 10.1055/s-0043-1772566. Epub 2023 Sep 20.

Abstract

OBJECTIVE

The aim of this study was to analyze the internal morphology of deciduous molars through the use of computed microtomography in a sample from Rio de Janeiro.

MATERIAL AND METHODS

Thirty maxillary and 30 mandibular deciduous molars ( = 60), divided in first and second primary molars, were scanned by computed microtomography. The teeth were evaluated for root number, root canals, Vertucci classification, root curvature, presence of lateral canals, furcation dentin thickness, structure model index (SMI), volume, and canal surface area.

RESULTS

The results showed 100% of maxillary molars had three roots and Vertucci type I canal was more prevalent in this group. In the mandibular ones, type IV was more frequent in the mesial root and class I in the distal root and the cavo-interradicular canal occurred in 2 specimens. Dentin thickness in the furcation region measured 1.53 and 1.59 mm in the maxillary and mandibular, respectively. Volume and area parameters varied according to the evaluated canals and SMI demonstrated that all canals had a cylindrical shape.

CONCLUSION

More detailed information about the internal anatomy of the primary molars has been described, which may help strategies in the preparation of these root canals.

摘要

目的

本研究旨在通过计算机显微断层扫描分析里约热内卢样本中乳磨牙的内部形态。

材料与方法

对30颗上颌乳磨牙和30颗下颌乳磨牙(共60颗)进行计算机显微断层扫描,这些牙齿分为第一乳磨牙和第二乳磨牙。评估牙齿的根数、根管、韦尔图奇分类、牙根弯曲度、侧支根管的存在情况、根分叉牙本质厚度、结构模型指数(SMI)、体积和根管表面积。

结果

结果显示,100%的上颌乳磨牙有三根,韦尔图奇I型根管在该组中更为常见。在下颌乳磨牙中,近中根IV型更为常见,远中根I型更为常见,2个标本出现了根间根管。上颌和下颌根分叉区域的牙本质厚度分别为1.53和1.59毫米。体积和面积参数根据评估的根管而有所不同,SMI表明所有根管均呈圆柱形。

结论

已描述了有关乳磨牙内部解剖结构的更详细信息,这可能有助于这些根管预备策略的制定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1b3/11290920/0cf0430b5d40/10-1055-s-0043-1772566-i2352872-1.jpg

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