コーンビームコンピュータトモグラフィー 根管の形態学的変異の評価 マキシラー第2次プレモラー
Anam Masood1, Sadiq Amin Ahmed Rana2, Mobeen Akhtar3
1Operative Dentistry, Bakhtawar Amin Medical and Dental College, Multan, PAK.
Cureus
|August 27, 2025
まとめ
マキシラー第2プレモラーでは,最もよくVertucciタイプIの根管形態を示します. コーンビームコンピュータトモグラフィー (CBCT) 分析では,これらの根管構成と有意な性別関連性は示されなかった.
科学分野:
- 歯科
- エンドドンティクス
- 口腔解剖学
背景:
- 根管の形態の変化は,根管治療 (RCT) の成功に不可欠です.
- 特定できない解剖学的変異は,内歯治療の失敗につながる可能性があります.
- コンビームコンピュータトモグラフィー (CBCT) は,詳細な根管分析に不可欠です.
研究 の 目的:
- マキシラー第2プレモラー (Mx2P) の根管構成の頻度と分布を決定する.
- Mx2Pにおける根管形態と性との関連を調査する.
- 詳細な解剖学的な理解を通して内歯の治療計画を強化します.
主な方法:
- 未治療の2番目の前頭骨のCBCTスキャン384の遡及分析
- 歯の復元,前述の内歯治療,または重大な病理が除外されています.
- Vertucciのシステムを使用して根管形態の分類.
主要な成果:
- Vertucci Type I (62. 5%) は,Mx2Pで最も一般的な根管構成でした.
- 他の構成にはタイプII (25.0%) とタイプIV (7.8%) が含まれていた.
- 根管の形状と性別 (p=0. 915) の間には統計的に有意な関連性が見つかりませんでした.
結論:
- ヴァルトゥッチ型Iは,上頭第二前頭骨における根管形態が優勢である.
- CBCT画像は根管の変異を特定するために不可欠です.
- 正確な形態学的な評価は,内歯科治療の結果を改善します.
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