Miyashita M, Kasahara E, Yasuda E, Yamamoto A, Sekizawa T
Department of Endodontics and Operative Dentistry, Matsumoto Dental College, Nagano, Japan.
J Endod. 1997 Aug;23(8):479-84. doi: 10.1016/S0099-2399(97)80305-6.
To better assess the efficiency of the mechanical preparation of root canals, 1085 transparent specimens of extracted mandibular incisors were examined for canal configuration, thickness and curvature of the root canals, condition of any accessory canals, and location of the apical foramen. Greater than 85% of the root canals possessed a single canal (Type I). Of specimens in which furcation was observed, only 3% possessed two separate canals (Type III and IV). Fewer than 30% of the specimens showed accessory canals that were mechanically impossible to clean. The majority of the lateral branches were small, greater than 80% of the specimens were smaller than a #15 reamer, and none of the branches were larger than a #30 reamer. Although apical foramina located distal to the apex were observed in about 50% of the specimens, 83.6% of all apical foramina were within 0.5 mm of the apex, and 99.5% were within 1.0 mm. Data on the thickness of the root and main canal in the apical portion and curvature of the root canal suggest that for adequate apical preparation, a #40 reamer must be able to reach the apical constriction.
为了更好地评估根管机械预备的效率,对1085个拔除的下颌切牙透明标本进行了检查,以观察根管形态、根管厚度和弯曲度、任何副根管的情况以及根尖孔的位置。超过85%的根管为单根管(I型)。在观察到根分叉的标本中,只有3%有两条独立的根管(III型和IV型)。不到30%的标本显示有机械方法无法清理的副根管。大多数侧支较小,超过80%的标本中的侧支小于15号扩孔钻,且没有侧支大于30号扩孔钻。尽管约50%的标本中观察到根尖孔位于根尖远端,但所有根尖孔的83.6%在根尖0.5毫米范围内,99.5%在根尖1.0毫米范围内。根尖部牙根和主根管的厚度以及根管弯曲度的数据表明,为了进行充分的根尖预备,40号扩孔钻必须能够到达根尖狭窄处。