北京大学学报(医学版) ›› 2014, Vol. 46 ›› Issue (6): 958-962.

• 论著 • 上一篇    下一篇

上颌磨牙牙根及根管解剖形态的锥形束CT研究

景亚楠*, 叶欣, 柳登高△, 张祖燕, 马绪臣   

  1. (北京大学口腔医学院·口腔医院放射科,北京100081)
  • 出版日期:2014-12-18 发布日期:2014-12-18

Cone-beam computed tomography was used for study of root and canal morphology of maxillary first and second molars

JING Ya-nan*, YE Xin, LIU Deng-gao△, ZHANG Zu-yan, MA Xu-chen   

  1. (Department of Radiology, Peking University School and Hospital of Stomatology, Beijing 100081, China)
  • Online:2014-12-18 Published:2014-12-18

摘要: 目的:通过锥形束CT(cone-beam computed tomography,CBCT)图像分析上颌恒磨牙牙根和根管的解剖形态。方法:对2012年5~9月因牙体牙周疾病行CBCT检查的患者资料进行回顾性分析。健康、未经过治疗、发育良好的630颗上颌第一磨牙、519颗上颌第二磨牙被纳入本研究,分析每颗磨牙的牙根数目、根管数目及根管形态,采用Vertucci分类法对根管构型进行分类描述。将Vertucci Ⅰ型计为常规形态,其他类型计为变异形态,计算变异率。结果:上颌第一磨牙中,2.38%有2个独立牙根,97.14%有3个牙根,0.48%有4个牙根。上颌第二磨牙中,10.41%为单根牙,15.22%有2个牙根,73.60%有3个牙根,0.77%有4个牙根。存在3个牙根的612颗上颌第一磨牙中,近中颊根变异率为30.88%;存在3个牙根的382颗上颌第二磨牙中,近中颊根变异率为13.87%。结论:CBCT精确地显示了关于牙根及根管数目与形态的三维图像,这为疑难根管治疗提供了直观而准确的信息。

关键词: 磨牙, 牙髓腔, 锥束计算机体层摄影术, 上颌

Abstract: Objective:To investigate the root and canal morphology of maxillary first and second molars by using cone-beam computed tomography (CBCT).  Methods:The data of patients who underwent the CBCT scan for dental or periodontal diseases between May and September 2012 were analyzed retrospectively. In the study, 630 maxillary first molars, 519 maxillary second molars which were well-developed and without treatment were included. The number of roots, the number of root canals, and the canal configuration according to Vertucci’s classification were determined. The vertucci type I was regarded as the conventional form. Other types were the variation forms and the mutation rate was calculated. Results:2.38% of the maxillary first molars and 15.22% of the maxillary second molars had 2 separated roots; 97.14% of the maxillary first molars and 73.60% of the maxillary second molars had 3 roots; 10.41% of the maxillary second molars had one single root; 0.77% of the maxillary second molars had 4 roots. In 612 3-rooted maxillary first molars, additional canals were found in 30.88% of the mesiobuccal (MB) roots. In 519 3-rooted maxillary second molars, additional canals were found in 13.87% of the MB roots. Conclusion:CBCT scans show the root and canal anatomy accurately, with the potential of improving the outcome of endodontic treatment.

Key words: Molar, Dental pulp cavity, Cone-beam computed tomography, Maxillary

[1] 王昕莹, 程雪原, 张孟钧, 李菲, 段晋瑜, 乔静. 浓缩生长因子联合引导性组织再生术治疗下颌磨牙根分叉病变的疗效[J]. 北京大学学报(医学版), 2026, 58(2): 372-379.
[2] FarinEbrahimi, 冯志强, FarazEbrahimi, 韩玮华, 于子杨, 贾宽宽, 安金刚. 上颌药物相关性颌骨坏死的不同分期手术治疗效果[J]. 北京大学学报(医学版), 2026, 58(1): 107-114.
[3] 王月, 梁宇红. 繁茂型牙骨质-骨结构不良1例[J]. 北京大学学报(医学版), 2026, 58(1): 220-224.
[4] 于子杨, 郭厚佐, 蒋析, 韩玮华, 林野. 穿颧种植体上颌窦段成骨的影像学研究[J]. 北京大学学报(医学版), 2025, 57(5): 967-974.
[5] 宋凤岐, 徐心雨, 刘筱菁, 李自力. 上颌骨前部和整体顺时针旋转改善骨性Ⅲ类牙颌面畸形患者鼻旁凹陷的对比[J]. 北京大学学报(医学版), 2025, 57(5): 980-988.
[6] 王菲, 张馨月, 刘木清, 王恩博, 段登辉. 顺牙长轴拔牙法在下颌近中与水平智齿拔除术中的应用及三维有限元分析[J]. 北京大学学报(医学版), 2025, 57(1): 106-112.
[7] 石宇彤, 危伊萍, 胡文杰, 徐涛, 张浩筠. 罹患重度牙周炎下颌磨牙拔牙微翻瓣牙槽嵴保存效果评价[J]. 北京大学学报(医学版), 2025, 57(1): 33-41.
[8] 王昕莹, 程雪原, 张勇, 李菲, 段晋瑜, 乔静. 浓缩生长因子与自固化磷酸钙人工骨联合治疗牙周骨下袋缺损的疗效:临床和影像学评价[J]. 北京大学学报(医学版), 2025, 57(1): 42-50.
[9] 凌晓彤,屈留洋,郑丹妮,杨静,闫雪冰,柳登高,高岩. 牙源性钙化囊肿与牙源性钙化上皮瘤的三维影像特点[J]. 北京大学学报(医学版), 2024, 56(1): 131-137.
[10] 陈晨,梁宇红. 复杂根管上颌磨牙的根管治疗3例[J]. 北京大学学报(医学版), 2024, 56(1): 190-195.
[11] 李穗,马雯洁,王时敏,丁茜,孙瑶,张磊. 上前牙种植单冠修复体切导的数字化设计正确度[J]. 北京大学学报(医学版), 2024, 56(1): 81-87.
[12] 段登辉,WANGHom-Lay,王恩博. 可吸收胶原膜在颊侧袋形瓣引导性骨再生手术中的作用: 一项回顾性影像学队列研究[J]. 北京大学学报(医学版), 2023, 55(6): 1097-1104.
[13] 黄莹,吴志远,周行红,蔡志刚,张杰. 股前外侧皮瓣修复上颌骨缺损术后面部软组织对称性感观分级[J]. 北京大学学报(医学版), 2023, 55(4): 708-715.
[14] 雷玥,杨颖婷,雷海华. 异位萌出诱导矫治器在第一恒磨牙异位萌出治疗中的应用[J]. 北京大学学报(医学版), 2023, 55(4): 766-封三.
[15] 刘伟涛,王怡然,王雪东,周彦恒. 锥形束CT研究上颌反复扩缩前方牵引后上颌骨缝的三维变化[J]. 北京大学学报(医学版), 2022, 54(2): 346-355.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!