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使用五种不同技术识别下颌磨牙近中根管中段:一项研究。

Identification of Middle Mesial Canal in Mandibular Molars Using Five Different Techniques: An Study.

作者信息

Vamseekrishna Kanduri Venkata Naga, Kukreja Navneet, Sachdeva Mayank, Ravi Sindhura, Chhabra Swati, Sachdeva Surinder

机构信息

Department of Conservative Dentistry and Endodontics, Care Dental College, Guntur, Andhra Pradesh, India.

Department of Conservative Dentistry and Endodontics, MM College of Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be) University, Mullana, Ambala, Haryana, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2350-S2352. doi: 10.4103/jpbs.jpbs_249_24. Epub 2024 May 29.

DOI:10.4103/jpbs.jpbs_249_24
PMID:39346433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426642/
Abstract

AIM

The purpose of the study was to find out the incidence of the middle mesial canal in mandibular molars by using five different techniques.

MATERIALS AND METHODS

A total of 150 extracted human mandibular first molars were selected, and cone beam computed tomography (CBCT) images were taken. Then, conventional access cavities were made, followed by troughing under dental loupes (3X), and were also examined under a dental operating microscope (DOM) (6X). Incidence of intermediate canals was noted from all these stages. Later, these teeth underwent a clearing method procedure, and incidence was noted from this stage and compared.

RESULTS

The overall diagnostic accuracy of CBCT (9 mm) had 97.48%, and evaluation under DOM had an overall accuracy of 97.33%. The least accuracy was found with the naked eye (92.67%).

CONCLUSION

This study advocates the usage of newer methods like CBCT and DOM to find out and negotiate these accessory canals.

摘要

目的

本研究的目的是通过使用五种不同技术来找出下颌磨牙中近中根管的发生率。

材料与方法

共选取150颗拔除的人类下颌第一磨牙,拍摄锥形束计算机断层扫描(CBCT)图像。然后,制作传统的开髓洞形,接着在牙科放大镜(3倍)下进行槽沟制备,并在牙科手术显微镜(DOM)(6倍)下进行检查。记录所有这些阶段中间根管的发生率。之后,这些牙齿进行了清理方法程序,并记录该阶段的发生率并进行比较。

结果

CBCT(9毫米)的总体诊断准确率为97.

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本文引用的文献

1
Detectability of Middle Mesial Root Canal Orifices by Troughing Technique in Mandibular Molars: A Micro-computed Tomographic Study.下颌磨牙沟槽技术探测中颊舌向根管口的位置:一项显微 CT 研究。
J Endod. 2017 Aug;43(8):1329-1331. doi: 10.1016/j.joen.2017.03.021. Epub 2017 Jun 9.
2
Middle mesial canals in mandibular first molars: A micro-CT study in different populations.下颌第一磨牙近中根管中段:不同人群的显微CT研究
Arch Oral Biol. 2016 Jan;61:130-7. doi: 10.1016/j.archoralbio.2015.10.020. Epub 2015 Nov 4.
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Prevalence of middle mesial canals in mandibular molars after guided troughing under high magnification: an in vivo investigation.高倍放大引导下磨开后下颌磨牙近中中根管的患病率:一项体内研究
J Endod. 2015 Feb;41(2):164-8. doi: 10.1016/j.joen.2014.09.013. Epub 2014 Oct 30.
4
Middle mesial canals in mandibular molars: incidence and related factors.下颌磨牙近中舌侧根管:发生率及相关因素
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Identification of independent middle mesial canal in mandibular first molar using cone-beam computed tomography imaging.应用锥形束 CT 影像识别下颌第一磨牙的独立近中颊根管。
J Endod. 2010 Mar;36(3):542-5. doi: 10.1016/j.joen.2009.11.008. Epub 2010 Jan 15.
6
Second mesiobuccal canal detection in maxillary first molars using microscopy and ultrasonics.使用显微镜和超声检测上颌第一磨牙的第二近中颊根管
Aust Endod J. 2008 Dec;34(3):106-9. doi: 10.1111/j.1747-4477.2007.00090.x.
7
Differences in the confluence of mesial canals in mandibular molar teeth with three or four root canals.具有三根或四根根管的下颌磨牙近中根管汇合情况的差异。
Int Endod J. 2008 Sep;41(9):777-80. doi: 10.1111/j.1365-2591.2008.01431.x. Epub 2008 Jul 14.
8
Orifice locating with a microscope.用显微镜进行孔口定位。
J Endod. 2000 Sep;26(9):532-4. doi: 10.1097/00004770-200009000-00012.
9
Three canals in the mesial root of mandibular first permanent molars: a clinical study.下颌第一恒磨牙近中根中的三条根管:一项临床研究。
Int Endod J. 1989 Jan;22(1):39-43. doi: 10.1111/j.1365-2591.1989.tb00503.x.