首页|下颌第二磨牙C形根管构型及其影响因素的CBCT研究

下颌第二磨牙C形根管构型及其影响因素的CBCT研究

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目的:应用CBCT对下颌第二磨牙C形根管的解剖形态进行评估.方法:根据CBCT影像选取出579例具有下颌第二磨牙C形根管的患者,分别进行对称性、根面沟及不同横断面的根管形态分析.结果:双侧下颌第二磨牙同为C形根管有80.0%;1047颗C形根管在根管口、根中、根尖的根管构型比较差异具有统计学意义(P<0.05);不同性别在根中与根尖的根管构型比较差异有统计学意义(P<0.05);18~25岁组与26~50岁组在3个不同横断面上的根管构型比较差异有统计学意义(P<0.05);具有舌侧沟与具有颊舌侧沟的在不同横断面上的根管构型比较差异有统计学意义(P<0.05).结论:利用CBCT,可以准确判断下颌第二磨牙C形根管构型及走向,有助于对形态复杂的C形根管进行诊治.
Configuration and Influencing Factors of C-shaped Root Canal in Mandibular Second Molars by CBCT
Objective:To evaluate the morphology of C-shaped root canal in mandibular second molars by CBCT.Methods:Digitized CBCT images from 579 subjects with C-shaped root canal in mandibular second molar were ob-tained.The incidence of symmetry,the root groove,and canal morphology in different cross sections were ana-lyzed.Results:The incidence of symmetry was 80.0%.Four hundred and six mandibular second molars with C-shaped canal showed significant differences in the root canal configuration of root canal orifice,middle,and apical(P<0.05).There was statistical difference in the root canal configuration of middle and apical of root canal be-tween males and females(P<0.05).There was statistical difference in the root canal configuration of three cross-sections between 18-25 and 26-50 age groups(P<0.05).There was statistical difference in the root canal configu-ration between the teeth with single lingual groove and with both buccal and lingual groove.Conclusion:Using CBCT can accurately determine the configuration and orientation of the C-shaped root canal of mandibular second molar,which helps diagnose and treat complex C-shaped root canals.

mandibular secondmolarC-shaped root canalcone-beam computed tomography

林太伟、刘明

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厦门医学院附属口腔医院口腔颌面影像科 福建厦门 361000

厦门市口腔疾病诊疗重点实验室 福建厦门 361000

厦门医学院附属口腔医院牙体牙髓病二科 福建厦门 361000

下颌第二恒磨牙 C形根管 CBCT

福建省中青年教师教育科研项目(科技类)

JAT210486

2024

口腔医学研究
武汉大学口腔医学院

口腔医学研究

CSTPCD北大核心
影响因子:0.48
ISSN:1671-7651
年,卷(期):2024.40(1)
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