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使用锥形束计算机断层扫描技术对印度亚人群下颌切牙的根管牙本质厚度和根管形态进行研究。

Radicular Dentin Thickness and Root Canal Morphology of Mandibular Incisors in Indian Subpopulation Using Cone Beam Computed Tomography.

作者信息

Krishnan Gokul, E Sudhanva M, Rangappa Anithakumari, Rangaswamy Vikram, Murthy Chethana S, Kumar N Naveen

机构信息

Department of Conservative Dentistry and Endodontics, Vokkaligara Sangha Dental College and Hospital, Bengaluru, IND.

出版信息

Cureus. 2024 Nov 9;16(11):e73355. doi: 10.7759/cureus.73355. eCollection 2024 Nov.

Abstract

Aim Using two classifications, this study assessed root morphology and canal configuration and measured the Dentin thickness (DT) and canal shapes. Methods Cone beam computed tomography (CBCT) with 400 Mandibular Incisors was collected and assessed for the number, length, curvature of roots, number of canals, bifurcation level, configurations based on Vertucci's and Ahmed's classification, DT and canal shape at 3, 6, 9 mm from the apex. The collected data was subjected to statistical analysis with a level of significance at p<0.05. Results All samples had one root, averaging 12.769 ± 1.128 mm in central incisor (CI) and 13.044 ± 1.235 mm in lateral incisor (LI), with most roots being straight. Most samples had one canal in both teeth, with bifurcations most frequent in the middle third. The most frequent configuration was type 1 Vertucci or CI/LI by Ahmed, followed by type 3 or CI/LI. One sample, not classifiable under Vertucci, was classified as CI by Ahmed. The mean DT for CI was 3.18 ± 0.639 mm, 3.72 ± 0.671 mm and 4.43 ± 0.754 mm labiolingually and 1.578 ± 0.342 mm, 1.881 ± 0.374 mm, 2.283 ± 0.465 mm mesioditally at 3, 6, 9 mm from the apex, respectively. For LI, mean DT was 3.41 ± 0.916 mm, 3.90 ± 0.702 mm and 4.55 ± 0.746 mm labiolingually and 1.63 ± 0.322 mm, 1.981 ± 0.485 mm, 2.55 ± 0.470 mm mesioditally at 3, 6, 9 mm from the apex respectively, canal shape changed from oval to round, from apical to coronal. Conclusion Single canals were the most common, followed by two canals. The middle third of the canal had the most bifurcations. Vertucci type 1 or Ahmed's CI/LI  was the most commonly reported canal configuration, with one sample that could not be classified under Vertucci but could be classified using Ahmed classification. DT increased apical to coronal. The canal shape changed from oval to rounded, from apical to coronal.

摘要

目的 本研究使用两种分类方法评估牙根形态和根管形态,并测量牙本质厚度(DT)和根管形状。方法 收集400颗下颌切牙的锥形束计算机断层扫描(CBCT)图像,评估牙根的数量、长度、弯曲度、根管数量、分叉水平,根据Vertucci分类法和Ahmed分类法评估根管形态,测量根尖3、6、9 mm处的DT和根管形状。对收集的数据进行统计学分析,显著性水平为p<0.05。结果 所有样本均有一个牙根,中切牙(CI)平均长度为12.769±1.128 mm,侧切牙(LI)平均长度为13.044±1.235 mm,大多数牙根为直根。大多数样本的两颗牙均有一个根管,分叉最常见于中1/3处。最常见的形态为Vertucci分类法中的1型或Ahmed分类法中的CI/LI,其次是3型或CI/LI。有一个样本无法按照Vertucci分类法分类,但按照Ahmed分类法可归为CI。CI在根尖3、6、9 mm处的唇舌向平均DT分别为3.18±0.639 mm、3.72±0.671 mm和4.43±0.754 mm,近远中向平均DT分别为1.578±0.342 mm、1.881±0.374 mm和2.283±0.465 mm。LI在根尖3、6、9 mm处的唇舌向平均DT分别为3.41±0.916 mm、3.90±0.702 mm和4.55±0.746 mm,近远中向平均DT分别为1.63±0.322 mm、1.981±0.485 mm和2.55±0.470 mm,根管形状从根尖向冠方由椭圆形变为圆形。结论 单根管最为常见,其次是双根管。根管的中1/3处分叉最多。Vertucci 1型或Ahmed的CI/LI是最常报道的根管形态,有一个样本无法按照Vertucci分类法分类,但可按照Ahmed分类法分类。DT从根尖向冠方增加。根管形状从根尖向冠方由椭圆形变为圆形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efa4/11628873/e2390a947b8c/cureus-0016-00000073355-i01.jpg

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