Gębczyński Krzysztof, Alobaide Hiba Qais Abdulhameed, Wolski Bartosz, Krupińska-Nanys Magdalena, Korkosz Zofia, Wieczorek Aneta, Zarzecka Joanna
Department of Conservative Dentistry with Endodontics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Student Scientific Society at the Department of Conservative Dentistry with Endodontics, Institute of Dentistry, Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland.
Folia Med Cracov. 2024 Dec 30;64(4):95-112. doi: 10.24425/fmc.2024.153277.
The use of cone beam computed tomography (CBCT) in endodontic diagnostics and treatment is gaining importance due to its ability to provide three-dimensional imaging of tooth structures and their surroundings. CBCT allows a precise assessment of the anatomy of the endodontic space, which is crucial in planning and performing effective root canal treatment. Traditional two-dimensional imaging techniques often prove insufficient in diagnosing the complex morphology of dental canals, increasing the risk of leaving areas untreated and potential treatment failure. The aim of the study was to assess the ability to analyses the morphology of anterior mandibular teeth in adolescents aged 18-20 from Kraków using two diagnostic methods: panoramic radiographs (OPG) and cone beam computed tomography (CBCT). The study compared the effectiveness of both methods in identifying key anatomical and morphological parameters of teeth. The analysis covered radiographs of 306 permanent teeth (102 central incisors, 102 lateral incisors, 102 canines) in 51 patients. The analyzed parameters included the number of roots, the number of root canals, the length of teeth and canals, the presence of apical delta, lateral canals, denticles, and the classification of dental cavity morphology according to Vertucci. The results were compared statistically using McNamara and Wilcoxon tests. • Central incisors: CBCT showed more pronounced differences in the number of canals and the presence of additional structures (e.g., apical delta in 50% of cases), when compared to OPG (4%). • Lateral incisors: CBCT showed incisors with two canals in 37% of the cases, while OPG identified none. CBCT also presented the apical delta more precisely (43% vs. 6% in OPG). • Canines: CBCT identified two channels in 19% and apical delta in 60% of the cases, while OPG identified two channels in 2% and 20% of the cases, respectively. CBCT proved to be a more precise diagnostic method when compared to OPG, especially in assessing the number of canals, and the presence of apical delta and lateral canals. The results suggest that CBCT provides important information in the diagnostics of.
锥形束计算机断层扫描（CBCT）在牙髓病诊断和治疗中的应用日益重要，因为它能够提供牙齿结构及其周围环境的三维成像。CBCT可以精确评估牙髓腔的解剖结构，这对于规划和实施有效的根管治疗至关重要。传统的二维成像技术在诊断牙根管复杂形态时往往证明是不够的，增加了未治疗区域的风险和潜在的治疗失败风险。本研究的目的是使用两种诊断方法：全景X线片（OPG）和锥形束计算机断层扫描（CBCT），评估来自克拉科夫的18 - 20岁青少年下颌前牙形态的分析能力。该研究比较了两种方法在识别牙齿关键解剖和形态参数方面的有效性。分析涵盖了51名患者的306颗恒牙（102颗中切牙、102颗侧切牙、102颗尖牙）的X线片。分析的参数包括牙根数量、根管数量、牙齿和根管长度、根尖分歧、侧支根管、髓石的存在情况以及根据韦尔图奇分类法对牙髓腔形态的分类。使用麦克纳马拉和威尔科克森检验对结果进行统计学比较。• 中切牙：与OPG（4%）相比，CBCT显示根管数量和额外结构（如50%的病例中有根尖分歧）的差异更为明显。• 侧切牙：CBCT显示37%的病例中侧切牙有两个根管，而OPG未识别出任何病例。CBCT还更精确地显示了根尖分歧（43%对OPG的6%）。• 尖牙：CBCT在19%的病例中识别出两个根管，60%的病例中有根尖分歧，而OPG分别在2%和20%的病例中识别出两个根管。与OPG相比，CBCT被证明是一种更精确的诊断方法，尤其是在评估根管数量、根尖分歧和侧支根管的存在情况方面。结果表明，CBCT在诊断中提供了重要信息。
