下颌磨牙II型中内根管顶端三分之一管曲率的评价

Hye-Rim Yun, Dong-Kyun Lee, Ho-Keel Hwang
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摘要

目的:本研究的目的是利用弯曲的半径和角度来评估下颌磨牙II型中内线管顶端三分之一处的颊舌弯曲。材料与方法:选取下颌磨牙100颗。在牙齿内进行根管治疗后,他们的远根被移除。将H-锉或k -锉(Dentsply Maillefer)插入牙齿的中颊管和中舌管。对牙齿近端照x线片。其中选择II型管道,分为IIa和IIb两个亚组。在IIa型中,两个独立的根管在到达根尖之前合并为一个根管,在IIb型中,两个独立的根管在根尖孔内合并为一个根管。对试件的曲率半径和曲率角进行了检测。结果:II型中、中颊管平均曲率半径分别为2.82 mm和3.58 mm。II型中,尤其是IIa型中,系舌管的曲率半径明显小于系颊管。而IIb型中颊管与中舌管的曲率半径差异无统计学意义,IIa型与IIb型的曲率角度差异无统计学意义。结论:在本研究中,下颌磨牙II型中近端管在近端视野中表现出严重的弯曲。其中,IIa型中舌根管在根尖处比中颊根管有更多的突发性弯曲。
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An evaluation of canal curvature at the apical one third in type II mesial canals of mandibular molars
Objectives: The purpose of this study was to evaluate the buccolingual curvature at the apical one third in type II mesial canals of mandibular molars using the radius and angle of curvature. Materials and Methods: Total 100 mandibular molars were selected. Following an endodontic access in the teeth, their distal roots were removed. #15 H- or K-files (Dentsply Maillefer) were inserted into the mesiobuccal and mesiolingual canals of the teeth. Radiographs of the teeth were taken for the proximal view. Among them, type II canals were selected and divided into two subgroups, IIa and IIb. In type IIa, two separate canals merged into one canal before reaching the apex and in type IIb, two separate canals merged into one canal within the apical foramen. The radius and angle of curvature of specimens were examined. Results: In type II, mean radius of curvature in mesiolingual and mesiobuccal canals were 2.82 mm and 3.58 mm, respectively. The radius of the curvature of mesiolingual canals were significantly smaller than that of mesiobuccal canals in type II, and especially in type IIa. However, there were no statistically significant differences in radius of curvature between mesiobuccal and mesiolingual canals in type IIb and there were no significant differences in angle of curvature between type IIa and IIb. Conclusion: In this study, type II mesial canals of mandibular molars showed severe curvature in the proximal view. Especially, mesiolingual canals of type IIa had more abrupt curvature than mesiobuccal canals at the apical one third.
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