华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

中国人下颌恒切牙根管弯曲的解剖学研究

黄定明1,罗红霞1,柳  茜1,郑广宁2,周学东1   

  1. 1.口腔生物医学工程教育部重点实验室,四川大学;2.四川大学华西口腔医院  牙体牙髓科,四川  成都 610041
  • 收稿日期:2006-06-25 修回日期:2006-06-25 出版日期:2006-06-20 发布日期:2006-06-20
  • 通讯作者: 周学东, Tel: 028-85503481
  • 作者简介:黄定明(1966-), 男,四川人,副教授,博士
  • 基金资助:

    国家“十五”科技攻关资助项目(2004BA720A23);卫生部临床学科重点建设资助项目[卫(2004-468号)]

Root Canal Curvature in Chinese Mandibular Permanent Incisors

HUANG Ding-ming1, LUO Hong-xia1, LIU Qian1,ZHENG Guang-ning2, ZHOU Xue-dong1   

  1. 1. Key. Laboratory of Oral Biomedical Engineering Ministry of Education, Sichuan University, Chengdu 610041, China; 2. Dept. of Conservative Dentistry, West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2006-06-25 Revised:2006-06-25 Online:2006-06-20 Published:2006-06-20

摘要:

目的  探讨下颌恒切牙根管弯曲情况。方法  选择299颗离体下颌恒切牙,将15号K锉插入根管,唇舌向和近远中向采集数字化X线牙片图像,测量根管的弯曲角度、弯曲半径以及弯曲长度,并根据弯曲角度和弯曲形状进行分类。对测量结果进行统计分析。结果  下颌恒切牙根管的弯曲角度、弯曲半径以及弯曲长度,唇舌向分别为5.28°±5.52°、16.19 mm±12.38 mm、4.10 mm±2.01 mm,近远中向分别为9.99°±5.84°、18.86 mm±9.71 mm、3.27 mm±2.39 mm。下颌恒切牙根管中直根管、轻度、中度、重度弯曲根管分别为15.7%、66.9%、16.7%和0.7%(P<0.05);直根管、单弯根管、双弯根管分别为7.7%、50.5%和41.8%(P<0.05)。结论  下颌恒切牙以弯曲根管为主,唇舌向弯曲程度大于近远中向弯曲程度。

关键词: 下颌恒切牙, 根管, 弯曲度

Abstract:

Objective To investigate the root canal curvature in Chinese mandibular permanent incisors. Methods Two hundred and ninety nine Chinese mandibular permanent incisors were included in this study. The root canals were inserted with stainless steel 15# K files, and then taken radiography from the facial and proximal view by X-ray paralleling technique. Canal curvatures were evaluated by measuring the angle, the radius of the curvatures, and the length of the curved part of the canal. Based on the curved angle and the shape of curved canals, the root canals were classified. Results The curved angle, radius, and the curved canal length was 5.28°±5.52°, 16.19 mm± 12.38 mm, 4.10 mm±2.01 mm, respectively in the facial view; 9.99°±5.84°, 18.86 mm ±9.71 mm, 3.27 mm±2.39 mm, respectively in the proximal view. The prevalence of straight, light, moderate, and serve curved root canals in mandibular permanent incisors was 15.7%, 66.9%, 16.7%, and 0.7%, respectively(P<0.05) based on the curved angle. The prevalence of straight, L shape, and S shape curved root canals was 7.7%, 50.5%, and 41.8%, respectively(P<0.05). Conclusion Most of the root canals in mandibular permanent incisors are curve.

Key words: mandibular permanent incisors, root canal, curvature