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J Endod:磨牙根管结构、牙髓治疗技术误差以及尖周低密度之间的联系:一项CBCT研究

2019-10-10 lishiting MedSci原创

这篇研究的目的是通过CBCT影像分析观察磨牙根管结构(RCC)、牙髓治疗技术误差和尖周低密度影像之间的联系。

这篇研究的目的是通过CBCT影像分析观察磨牙根管结构(RCC)、牙髓治疗技术误差和尖周低密度影像之间的联系。

研究观察分析了79名患者的磨牙因牙髓治疗过程中存在一定的症状而拍摄CBCT影像的221个牙根。由2名口颌面放射线专家基于Vertucci's分类对每个牙根的RCC进行分类。评估根管在牙髓治疗过程中是否存在技术误差。同时也记录每个牙根是否存在尖周低密度影像以及每颗牙的冠向封闭情况。

结果显示,对于I型RCC,发生率最高的技术误差为充填不足(17.4%)。II和VIII型中,未充填分别占病例数的54%和100%。对于III型RCC,充填不足、充填不均匀和未充填发生比例相当(33.3%),而IV型根管充填不足和未充填的比例为42%。总的来说,存在技术误差牙根中根尖低密度影像发生率较高。当存在技术误差时,I型根管中的比例可从41.2%增加至62.9%。

结论:对于磨牙,不同牙髓治疗技术误差发生比例依赖于不同的RCC。较为复杂的RCC会导致较高误差的发生以及尖周低密度影像。

原始出处:

Gaêta-Araujo H, Fontenele RC,et al. Association between the Root Canal Configuration, Endodontic Treatment Technical Errors, and Periapical Hypodensities in Molar Teeth: A Cone-beam Computed Tomographic Study. J Endod. 2019 Sep 28. pii: S0099-2399(19)30590-4. doi: 10.1016/j.joen.2019.08.007.

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    2020-03-20 jxrzshh
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    2019-10-12 智慧医人
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