锥形束计算机断层扫描对下颌切牙形态的评价

A. Eftekhari, A. Bagherpour, H. Jafarzadeh
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引用次数: 0

摘要

锥形束计算机断层扫描(CBCT)成像的发展,提供了一个改进的视觉表现的硬牙组织的三维。本研究旨在利用CBCT技术评价下颌切牙根管形态。方法:将100个拔出的下颌中切牙和100个拔出的下颌侧切牙分别安装在不同的腻子块上,成像时腻子块完全不移动。采用CBCT单元(kVp=70, mA=8,曝光时间12 s)对牙齿进行成像,利用Vertucci分类记录根数、根管数量及根管类型。结果:几乎所有的下颌门牙都是单根的。在下颌中切牙中,最常见的根管形态为1型(51%),其次为3型(47%)。在Vertucci的分类中,总共有2%的牙齿属于2型。此外,下颌侧切牙在解剖分类上更为多样化。最常见的类型为3型(55%)和1型(41%)。此外,6、2和5型占病例的2%。结论:下颌切牙有两根管的比例很高,根据Vertucci分类,这类牙的解剖结构以1型和3型最为常见。
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Evaluation of the Morphology of Mandibular Incisors using the Cone Beam Computed Tomography
Introduction: Cone beam computed tomography (CBCT) imaging was developed to provide an improved visual representation of hard dental tissues in three dimensions. This in vitro study aimed to evaluate the morphology of the roots and canals of the mandibular incisors using CBCT. Methods: In total, 100 extracted mandibular central incisors and 100 extracted mandibular lateral incisors were mounted on separate putty blocks, which were completely immobile during imaging. The teeth were imaged using the CBCT unit (kVp=70, mA=8, and exposure time of 12 s). Vertucci’s classification was utilized to record the number of roots and the canals in each root, as well as the type of the canals. Results: Almost all mandibular incisors were single-rooted. Among the mandibular central incisors, the most common canal morphology proved to be type 1 (51%), followed by type 3 (47%). Totally, 2% of the teeth represented type 2 within Vertucci’s classification. Furthermore, mandibular lateral incisors were more varied in terms of anatomical classification. The most common types were recorded as types 3 (55%) and 1 (41%). Moreover, types 6, 2, and 5 comprised 2% of the cases. Conclusion: A high percentage of mandibular incisors have two canals, and based on Vertucci’s classification, the most common anatomies of these teeth were types 1 and 3.
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