对上第一牙的根和根管形态的评估:在日本人口中使用两个分类系统进行形光束计算断层扫描研究,使用两个分类系统
Satoshi Watanabe1, Sonoko Yabumoto1, Shota Ikeda1
1Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, (Tokyo Medical and Dental University), Tokyo, Japan.
Journal of dental sciences
|July 14, 2025
概括
日本人的上第一个牙显示出显著的根和道变化. 了解这些解剖学上的差异,包括第二个腹腔管道,对于成功的根管道治疗至关重要.
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:
- 对牙形态的不充分理解可能导致根管治疗过程中的程序错误.
- 大第一个牙表现出复杂的根和运河解剖学.
- 准确的形态评估对于内牙成功至关重要.
研究的目的:
- 在日本人群中评估上第一牙的根和根管形态.
- 使用形束计算断层扫描 (CBCT) 进行详细的解剖评估.
- 为了比较Vertucci和Ahmed分类系统的适用性.
主要方法:
- 分析了来自642名日本人的833个大第一的CBCT扫描.
- 维图奇和艾哈迈德分类系统被用来评估根和道形态.
- 基于性别和年龄进行了统计分析 (千-平方测试).
主要成果:
- 97%的牙有三个独立的根;在52.9%的牙中发现了第二个牙口腔通道 (MB2).
- 在男性 (58.9%) 和21-40岁 (56.8%) 个体中,MB2的患病率更高.
- 艾哈迈德分类提供了更详细的见解,比如根/通道融合和C形通道等变异.
结论:
- 日本大第一个牙表现出显著的解剖学变异.
- 年龄和性别影响根管形态,特别是MB2的存在.
- 艾哈迈德分类增强对复杂的根管系统的理解,以改善治疗结果.
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