大犬的形态学和根运河配置:系统性审查和元分析
Thomas Gerhard Wolf1,2, Theodora Rempapi3, Richard Johannes Wierichs3
1Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany. thomaswolf@uni-mainz.de.
BMC oral health
|August 14, 2024
概括
这次系统性审查分析了上犬的内部形态,发现根运河配置各不相同. 虽然大多数有单一的道,复杂的和性别差异化的模式发生在高达25%的病例中,影响内牙治疗.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科解剖学 牙科解剖学
- 放射学 放射学是一门学科.
背景情况:
- 大犬 (MxC) 呈现复杂的内部解剖学.
- 了解根管形态对于成功的内牙治疗至关重要.
研究的目的:
- 系统地审查和综合现有的关于大犬内部形态的文献.
- 识别常见和可变的根运河结构 (RCC) 及其流行情况.
主要方法:
- 在五个电子数据库中进行了系统的文献搜索,截至2024年6月.
- 在选和全文审查后,包括了22项研究.
- 根运河配置使用已知的方法进行了分类 (Briseño Marroquín等人,Vertucci).
主要成果:
- 在MxC中最常见的RCC是1-1-1/1 (Vertucci I),在75.4-100%的病例中观察到.
- 变化包括2-2-1/1 (Ve II),1-2-1/1 (Ve III) 和1-1-2/2 (Ve V),其中Ve II和Ve III显示基于性别的差异.
- 分析表明,男性的Ve II,Ve III和Ve V的流行率更高,女性的Ve IV更高.
结论:
- 圆束计算断层扫描 (CBCT) 是MxC形态学研究的主要成像方式.
- 临床医生必须意识到MxC中复杂和性别差异化的RCC模式,超出常见的Ve I,以避免内牙复杂症.
- 建议对高达25%的复杂病例保持警,以获得成功的内牙治疗结果.
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