›› 2020, Vol. 40 ›› Issue (6): 535-539.

• 临床研究 • 上一篇    下一篇

CBCT测量三根型下颌第一磨牙远中舌根的长度和弯曲度

张福裕1,张光东2   

  1. 1. 南京医科大学附属口腔医院
    2. 南京医科大学口腔医学院
  • 收稿日期:2019-12-26 修回日期:2020-02-24 出版日期:2020-06-28 发布日期:2020-06-28
  • 通讯作者: 张光东 E-mail:egd_zhang@njmu.edu.cn
  • 基金资助:
    江苏省自然科学基金;南京市科技计划项目

Measurement of distolingual root canal length and curvature in mandibular first molars: Three-dimensional analysis using cone-beam computed tomography

Fu-Yu ZHANG1,   

  • Received:2019-12-26 Revised:2020-02-24 Online:2020-06-28 Published:2020-06-28

摘要: 目的:采用口腔颌面锥形束CT(CBCT)测量三根型下颌第一磨牙远中舌根的长度和弯曲度,为临床治疗提供理论指导和依据。 方法:将292颗三根型下颌第一磨牙的CBCT图像三维重建成模型,使用根管测量法测量远中舌根的长度和弯曲度。 结果:远中舌根的根管平均长度(从根管口到根尖)为8.57±1.46mm。I型的平均根管长度为6.61±1.38mm,II型的为8.55±1.34mm, III型的为9.02±1.31mm,三种分型的长度差异有统计学意义(p<0.05), 三种分型中I型的平均长度最短。Schneider法测得在颊-舌向平面上远中舌根的平均弯曲度为9.71±10.42°,而在近-远中向平面的平均弯曲度为28.55±11.22°,颊舌向平面的弯曲度显著小于近远中向,差异有统计学意义(p<0.05)。 结论:了解并熟悉三根型下颌第一磨牙远中舌根的长度和弯曲度的特点,有助于提高根管治疗的成功率。

关键词: 关键词:远中舌根, 下颌第一磨牙, CBCT

Abstract: Objective Distolingual root canal length and curvature in mandibular first molars were measured by CBCT in order to provide theoretical guidance and basis for clinical treatment. Methods The cone-beam computed tomography (CBCT) images of 292 three-rooted mandibular first molars were three-dimensionally reconstructed into the models, and the root canal measurement was used to measure the length and curvature of the distolingual root. Results The mean root canal lengths (from orifice to root apex) of the DL roots were 8.57±1.46mm. The average canal length of DL roots was 6.61±1.38mm for Type I, 8.55±1.34mm for Type II, and 9.02±1.31mm for Type III. These lengths differed significantly by DL root type (p<0.05), and the mean length of the Type I DL roots was the shortest among the 3 types. The degrees of primary canal curvatures of DL roots were measured by the Schneider method. The mean degrees of curvature of DL root canal was 9.71±10.42°in buccolingual view (clinical view, CV), whereas the average curvature of DL root canal was 28.55±11.22°in mesiodistal view (proximal view, PV). Statistical analysis showed that the curvature of DL roots in PV was significantly (p<0.05) greater than that in CV. Conclusion To understand and get familiar with the characteristics of the length and curvature of the distolingual root of the first mandibular molars is helpful to improve the success rate of root canal treatment.

Key words: Key words: distolingual root, mandibular first molar, CBCT