Shanmugam Yamuna, Raghu Aksshaya, Muthu M S, Swaminathan Kavitha, Haridoss Selvakumar, Vignesh K C, Bhattad Mayur
Department of Pediatric and Preventive Dentistry,Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Centre for Early Childhood Caries and Research (CECCRe) Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
J Oral Biol Craniofac Res. 2024 Sep-Oct;14(5):600-605. doi: 10.1016/j.jobcr.2024.08.001. Epub 2024 Aug 8.
Knowledge of the anatomy and morphology of root canal orifices and variations are vital elements affecting treatment outcomes.
The objective of this study was to evaluate variations in the number of root canal orifices and their patterns in primary teeth, as identified by both the naked eye and under magnifying loupes.
Total of 173 primary teeth was scheduled for pulpectomy over a period of 18 months. Two examiners assessed the number and pattern of the root canal orifices. After access cavity preparation, the operator recorded the number of root canal orifices with naked eye, and examiner recorded the same using magnifying loupes (3.5×). After cleaning and shaping, the same protocol was used. Collected data were statistically analyzed using SPSS version 23.0 and compared using a paired -test.
The overall variation in the in the identification of root canal orifices between the naked eye and magnifying loupes (3.005 ± 0.971) was statistically significant after access cavity preparation (P ≤ 0.05).
Magnifying loupes significantly enhances the determination of the number and pattern of root canal orifices in primary teeth. Therefore, the application of magnifying loupes is essential for accurately assessing variations in root canal orifices in primary dentition.
了解根管口的解剖结构、形态及其变异是影响治疗效果的关键因素。
本研究的目的是评估肉眼观察和使用放大 loupes 时,乳牙根管口数量及其形态的变异情况。
在 18 个月的时间里,共安排了 173 颗乳牙进行牙髓摘除术。两名检查者评估根管口的数量和形态。在制备开髓腔后,操作者用肉眼记录根管口的数量,检查者使用放大 loupes(3.5 倍)记录相同信息。在清理和成形后,采用相同的方案。使用 SPSS 23.0 版对收集的数据进行统计分析,并使用配对检验进行比较。
制备开髓腔后,肉眼观察和使用放大 loupes 识别根管口的总体差异(3.005 ± 0.971)具有统计学意义(P ≤ 0.05)。
放大 loupes 显著提高了乳牙根管口数量和形态的确定。因此,应用放大 loupes 对于准确评估乳牙列根管口的变异至关重要。