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下颌第二恒磨牙C型根管的锥形束CT研究

Cone-beam CT study of the C-shaped root canal system in mandibular second permanent molars

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【作者】 张扬于美清雍平李菱蔚袁渭崔玉兰

【Author】 ZHANG Yang;YU Meiqing;YONG Ping;LI Lingwei;YUAN Wei;CUI Yulan;Department of Oral and Maxillafical Surgery,School of Stomatology, Hebei Medical University, The Key Laboratory of Stomatology;

【机构】 河北医科大学口腔医学院衡水市第四人民医院口腔科河北省眼科医院口腔颌面外科

【摘要】 目的研究下颌第二恒磨牙C型根管的发生率及分型特点。方法选取1164例患者,进行锥形束CT(cone-beam computed tomography,CBCT)扫描,研究C型根管的发生率及分型特点。结果下颌第二恒磨牙C型根管发生率为39.95%。具有C型根管的患者双侧下颌第二恒磨牙均为C型根管的发生率为69.68%。男性、女性C型根管发生率分别为33.14%和45.54%(P<0.001)。不同类型C型根管在男性、女性的发生率分别为41.76%、28.57%、29.67%和52.12%、20.61%、27.27%(P<0.05)。男性、女性左右侧C型根管同型发生率为51.35%和76.06%(P<0.001)。结论CBCT可清晰显示根管影像,C型根管的发生率较高并具有一定的对称性;女性C型根管及双侧同型C型根管的发生率明显高于男性;C1型根管发生率最高,C2、C3两种类型发生率无差异。

【Abstract】 Objective To study the incidence and the canal configuration of the C-shaped root canal of the mandibular second permanent molars. Methods CBCT images of 1164 mandibular second permanent molars were collected. The incidence and the canal configuration of the C-shaped canals were recorded. Results 39.95of the mandibular second permanent molars were C-shaped root canal. In these C-shaped root canal samples, 69.68were both-sides C-shaped root canal. The incidence of males and females were 33.14and 45.54%(P <0.001). The distribution of type-1, type-2 and type-3 in males and females were 41.76%, 28.57%, 29.67and 52.12%, 20.61%,27.27respectively(P <0.05). The incidence of the same type of the left-and-right side in males and females were51.35and 76.06%(P <0.001). Conclusion The application of the CBCT can help to facilitate root canal treatment.Mandibular second permanent molars commonly have a high prevalence for C-shaped root canal and both sides are symmetrical to some extent. Females are more likely to have C-shaped root canal.The incidence of the same type of the left-and-right side of females is much higher than males.The type-1 shows a higher prevalence.The incidence of the type-2 and type-3 shows no statistical significance.

  • 【文献出处】 现代口腔医学杂志 ,Journal of Modern Stomatology , 编辑部邮箱 ,2015年04期
  • 【分类号】R816.98
  • 【被引频次】11
  • 【下载频次】372
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