根据Vertucci的分类,对下第三的内部解剖学的断层研究
André Santos de Almeida1, Raissa Barreto Tavares2, Samuel Rodrigo de Andrade Veras2
1FIS University Center (UNIFIS), Department of Dentistry, Serra Talhada, Pernambuco, Brazil.
Iranian endodontic journal
|October 28, 2025
概括
牙第三根管解剖学有很大的不同,其中Vertucci型I和V是最常见的. 患者的性别和门侧面影响这些配置,突出显示在内牙科规划中需要CBCT扫描.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周内科医院 牙周内科医院 牙周内科医院
- 口腔解剖学 口腔解剖学
背景情况:
- 了解下第三的内部解剖学对于成功的内牙治疗至关重要.
- 这些牙的复杂根管形态常常会使内牙科手术复杂化.
- 圆束计算断层扫描 (CBCT) 是评估复杂牙解剖学的宝贵工具.
研究的目的:
- 使用CBCT评估下第三的根管形态.
- 根据Vertucci的分类来分类根管的配置.
- 研究患者人口统计学对根管形态学的影响.
主要方法:
- 总共分析了来自653个CBCT扫描的274个下第三牙.
- 根运河配置使用Vertucci的系统进行了分类.
- 为了评估人口影响,进行了统计分析,包括费舍尔的精确测试.
主要成果:
- 型I型 (62.8%) 是最常见的根管配置,其次是V型 (17.4%).
- 患者的性别和牙弧侧面显著影响了根管形态分布 (P=0.044和P=0.013).
- 年龄并没有显著影响根管结构 (P=0.569).
结论:
- 第3牙表现出显著的解剖学变异,I型和V型是最常见的.
- 根管形态受到患者的性别和门侧面的显著影响.
- 术前CBCT评估对于在下第三中准确的内牙治疗规划至关重要.
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