首页|儿童三根型下颌磨牙的CBCT影像学分析

儿童三根型下颌磨牙的CBCT影像学分析

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目的:CBCT分析儿童三根型下颌磨牙的发生率及分布特点.方法:回顾性分析206例4~11岁儿童患者的CBCT图像资料,记录双侧下颌第一、二乳磨牙及下颌第一恒磨牙的牙根数目.统计三根型下颌磨牙的发生率;卡方检验比较性别之间及左、右侧之间的差异.Spearman相关性分析评价左、右侧同名牙以及同侧下颌第一、二乳磨牙之间三根型磨牙发生的相关性.结果:三根型下颌第一、二乳磨牙及下颌第一恒磨牙的人群发生率分别为10.9%(19/175)、25.1%(46/183)及28.4%(57/201)(x2=18.543,P<0.01);牙齿发生率分别为 8.7%(32/366)、19.0%(73/384)及 23.6%(95/402)(x2=30.692,P<0.01).在3个牙位均无性别差异(P>0.05),三根型下颌第二乳磨牙右侧的发生率高于左侧(23.7%比14.2%,P<0.05).三根型下颌第一、二乳磨牙及第一恒磨牙的双侧共同发生率分别为57.9%(11/19)、47.8%(22/46)及66.7%(38/57);双侧同名牙左、右侧相关系数rho分别为0.710、0.597及0.745(P均<0.01).下颌第一、二乳磨牙之间左、右侧相关系数rho为0.188及0.304(P均<0.05).结论:儿童三根型下颌第一、二乳磨牙及下颌第一恒磨牙的发生率由前向后依次增高,双侧常共同发生并呈中、高度相关,而下颌第一、二乳磨牙之间则相关性较弱.
CBCT imaging analysis of three-rooted mandibular molars in children
Objective:To investigate the occurrence rate and distribution pattern of three-rooted mandibular molars in children using CBCT.Methods:CBCT images of 206 children aged 4-11 years were retrospectively analyzed.The root numbers of the bilateral man-dibular first and second deciduous molars,and the permanent mandibular first molars were recorded.A chi-square test was used to de-tect the gender and side difference.Spearman correlation test was used to analyze the relation between the bilateral homologous teeth and the mandibular first and second deciduous molars on each side.Results:The occurrence rate of three-rooted mandibular first and second deciduous molars and mandibular permanent first molars was 10.9%(19/175),25.1%(46/183)and 28.4%(57/201)for individuals,respectively(x2=18.543,P<0.01),and 8.7%(32/366),19.0%(73/384)and 23.6%(95/402)for teeth(x2=30.692,P<0.01),re-spectively.Gender difference was not detected for each tooth type(all P>0.05),while side differences were detected in mandibular sec-ond deciduous molars and the frequency of three-rooted molar on the right and left side was 23.7%and 14.2%(P<0.05),respectively.The concurrence rate of bilateral three-rooted mandibular deciduous first and second molars and mandibular permanent first molars was 57.9%(11/19),47.8%(22/46)and 66.7%(38/57),respectively,and the rho was 0.710,0.597 and 0.745,respectively(all P<0.01);between the three-rooted deciduous first and second molars on the left side,rho=0.188(P<0.05)and on the right side,rho=0.304(P<0.01).Conclusion:The occurrence rate of three-rooted mandibular molars in children increases in the following sequence:first deciduous molars<second deciduous molars<first permanent molars.They frequently occur bilaterally and exhibit a moderate to high degree of correlation.However,the correlation was very weak between the mandibular deciduous first and second molars.

CBCTDeciduous mandibular molarsRoot variationThree-rooted mandibular molars

汤颖、裴凡、陈秀春、顾永春

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215200,苏州大学附属苏州市第九人民医院

锥形束CT 下颌乳磨牙 牙根变异 三根型下颌磨牙

苏州市科技局医疗卫生科技创新项目苏州市第九人民医院院级科研项目

SKY2022030YK202215

2024

实用口腔医学杂志
第四军医大学口腔医学院

实用口腔医学杂志

CSTPCD北大核心
影响因子:0.942
ISSN:1001-3733
年,卷(期):2024.40(4)
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