华西口腔医学杂志

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第一前磨牙桩道预备后剩余根管壁厚度的研究

章蕾1,2 汲平1 傅新海2 宋晓蕾1   

  1. 1.山东大学口腔医院修复科; 山东省口腔生物医学重点实验室, 济南250012;2.金华市中心医院口腔科, 金华321000
  • 收稿日期:2011-08-25 修回日期:2011-08-25 出版日期:2011-08-20 发布日期:2011-08-20
  • 通讯作者: 汲平,Tel:0531-88382448
  • 作者简介:章蕾(1985—),女,浙江人,硕士

Residual dentin thickness in first premolars after root canal preparation

Zhang Lei1,2, Ji Ping1, Fu Xinhai2, Song Xiaolei1   

  1.  1. Dept. of Prosthodontics, College of Stomatology, Shandong University; Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan 250012, China; 2. Dept. of Stomatology, Jinhua Central Hospital, Jinhua 321000, China
  • Received:2011-08-25 Revised:2011-08-25 Online:2011-08-20 Published:2011-08-20
  • Contact: Ji Ping,Tel:0531-88382448

摘要:

目的采用解剖学方法,测量第一前磨牙桩道预备前后根管壁厚度,指导临床合理选择桩道预备器械。方法收集上下颌第一前磨牙各30颗作为实验样本,用游标卡尺测量原始及分别用1、2、3号P型钻桩道预备后末端剩余根管壁的厚度。结果牙根各项指标测量值均呈正态分布,对于双根管上颌第一前磨牙和单根管下颌第一前磨牙,3号P型钻预备后,近远中末端根管壁厚度均小于1 mm,颊根的差异无统计学意义(P>0.05),腭根和下颌第一前磨牙牙根的差异有统计学意义(P<0.05);对于单根管上颌第一前磨牙,2号P型钻预备后,近远中末端根管壁厚度均小于1 mm,远中壁差异有统计学意义(P<0.05)。结论桩道预备时,双根管上颌第一前磨牙颊根可用3号P型钻,腭根和单根管下颌第一前磨牙可用2号P型钻,而对于单根管上颌第一前磨牙只能用1号P型钻。

关键词: 第一前磨牙, 桩道预备, 剩余根管壁厚度

Abstract:

Objective The residual dentin thickness of first premolars were measured by anatomical methods before and after post preparation, the data from which can help clinicians to choose proper sizes of peeso drill. Methods 30 first maxillary premolars and 30 first mandibular premolars were collected. Walls of 4mm short of the apex were respectively measured before and after post preparation with peeso drills number 1-3. Results The measurement results of all indexes assumed a normal distribution. For two-canal first maxillary premolars and single-canal first mandibular premolars, the average residual mesial and distal thickness of root walls 4 mm short of the apex were less than 1 mm after post preparation by number 3 peeso drill. The buccal root had nonsignificant differences(P>0.05). The palatine root and the first mandibular premolars had significant differences(P<0.05). For single-canal first maxillary premolars, the average residual mesial and distal thickness were less than 1 mm after post preparation by number 2 peeso drill. The distal wall had significant differences(P<0.05). Conclusion In post preparation, for the buccal root of two-canal maxillary premolars, the maximum size of peeso drill was number 3, and for the palatine root and first mandibular premolars, the size was number 2, and for single-canal maxillary first premolars, the size was number 1.

Key words: first premolar, post preparation, residual dentin thickness