华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

400颗上颌前牙根管弯曲情况的研究

陶小玲;彭彬;边专;樊明文   

  1. 武汉大学口腔医院牙体牙髓科, 湖北武汉430079
  • 收稿日期:2007-04-25 修回日期:2007-04-25 出版日期:2007-04-20 发布日期:2007-04-20
  • 通讯作者: 彭彬,Tel:027- 87161981
  • 作者简介:陶小玲(1981-),女,湖北人,住院医师,硕士,现在杭州市口腔医院工作
  • 基金资助:

    国家“十五”科技攻关资助项目(2004BA720A23);湖北省科委创新群体基金资助项目(2004ABC004)

Survey of Root Canal Curvatur e in Maxillary Anter ior Teeth

TAO Xiao- ling, PENG Bin,BIAN Zhuan, FAN Ming- wen   

  1. Dept. of Endodontics and Operative Dentistry, School of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2007-04-25 Revised:2007-04-25 Online:2007-04-20 Published:2007-04-20
  • Contact: PENG Bin,Tel:027- 87161981

摘要:

目的了解上颌前牙根管弯曲情况。方法采用间接数字化X线成像技术拍摄400颗上颌前牙的近远中向和颊舌向X线影像,分析根管的弯曲情况。结果上颌前牙根管以Ⅰ型为主。上颌中切牙、侧切牙和尖牙只出现近远中向弯曲的比例为11.17%、16.19%、21.43%,只出现唇舌向弯曲的比例为39.59%、40.00%、29.59%,近远中向和唇舌向都存在弯曲的比例为4.60%、35.24%、24.49%。大约50%左右的上颌前牙根管存在中度弯曲;与上颌切牙相比, 上颌尖牙的弯曲度略大而弯曲半径略小。结论上颌前牙根管弯曲情况较复杂,其中以上颌尖牙为甚。充分了解根管的分型、弯曲度和弯曲半径是完善上颌前牙根管治疗的需要。

关键词: 上颌前牙, 根管形态, 弯曲, 间接数字化X线成像

Abstract:

Objective To investigate root canal curvature in maxillary anterior teeth. Methods About 400 human maxillary anterior teeth were examined by indirect digital radiography both from labiolingual and mesiodistal directions. The root canal curvature was analyzed. Results The major sort of maxillary anterior teeth was typeⅠ. The proportion of maxillary center incisors, maxillary lateral incisors, maxillary canines curved in mesiodistal were 11.17%, 16.19% and 21.43%, in labio- lingual were 39.59%, 40.00% and 29.59%, both in labiolingual and mesiodistal directions were 4.60%, 35.24% and 24.49%. About 50% of maxillary anterior teeth were moderate curve, the degree of root canal curvature of maxillary canines was larger than that of maxillary incisors, and radius of curvature and length of the curved part of root canal of maxillary canines were smaller than that of maxillary incisors. Conclusion Root canal curvature in maxillary anterior is complex, especially in maxillary canine. In order to improve quality of root canal therapy, we need to understand types of root canal, degree of root canal curvature and radius of curvature completely.

Key words: maxillary anterior, root canal, curvature, indirect digital radiography