The aims of the study were to investigate the incidence of C-shaped root canal systems in mandibular second molars in a native Chinese population using radiography and clinical examination under microscope and to comp...The aims of the study were to investigate the incidence of C-shaped root canal systems in mandibular second molars in a native Chinese population using radiography and clinical examination under microscope and to compare the relative efficacies of these methods. For the recognition of C-shaped root canal system, 1 146 mandibular second molars were selected and examined. Teeth with C-shaped canal systems were categorized by using the radiographic classification criteria and the modified Melton＇s method. C-shaped canals were identified in 397 （34.64%） mandibular second molars by radiography （type I, 31.23%; type II, 38.29%; type III, 30.48%）. Clinical examination showed that 449 （39.18%） cases exhibited C-shaped canal systems （C1, 22.94%; C2, 48.11%; C3a, 15.59%; C3b, 13.36%）. As for the result of the radiographic and clinical combined examination, C-shaped root canals were found in 473 （41.27%） mandibular second molars （C1, 21.78%; C2, 45.67%; C3a, 16.70%; C3b, 15.86%）. The incidence of C-shaped root canal diagnosed by radiographic method was statistically different from that by clinical examination and the combined examination （P〈O.05）. The study indicated a high incidence of C-shaped canal system in a Chinese population. The combination of microscopic and radiographic examination is an effective method in identifying the C-shaped root canal system.展开更多
This case report is to present a maxillary first molar with one O-shaped root, which is an extended C-shaped canal system. Patient with chronic apical periodontitis in maxillary left first molar underwent replantation...This case report is to present a maxillary first molar with one O-shaped root, which is an extended C-shaped canal system. Patient with chronic apical periodontitis in maxillary left first molar underwent replantation because of difficulty in negotiating all canals. Periapical radiographs and cone-beam computed tomography （CBCT） were taken. All roots were connected and fused to one root, and all canals seemed to be connected to form an O-shape. The apical 3 mm of the root were resected and retrograde filled with resin-modified glass ionomer. Intentional replantation as an alternative treatment could be considered in a maxillary first molar having an unusual O-shaped root.展开更多
目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属...目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属桩核+金属烤瓷冠修复,研究组行纤维桩+复合树脂+氧化锆全瓷冠修复。6个月后,对比两组临床疗效,观察两组牙周健康情况(牙龈指数、菌斑指数、龈沟出血指数),检测牙周炎症[肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、白细胞介素-4(Interleukin-4,IL-4)、白细胞介素-6(Interleukin-6,IL-6)],调查美观满意度[美国公共健康服务标准(United states public health service,USPHS)]和实用度(咀嚼功能、咬合情况、语言功能),比较两组并发症发生情况。结果:治疗后,研究组治疗有效率达92.00%,高于对照组的76.92%(P<0.05);两组牙周健康相关指数及TNF-α、IL-4、IL-6均较治疗前降低,且研究组降低幅度大于对照组(P<0.05);治疗后,研究组牙齿表面形态、色泽协调性、边缘着色满意度均高于对照组(P<0.05),两组咀嚼功能、咬合情况、语言功能均较治疗前提高,但差异无统计学意义(P>0.05);两组并发症发生率比较治疗组低于对照组(P<0.05)。结论:采用纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损能够减轻炎症反应,提升患者牙周健康,增加美观满意度及实用度,疗效显著,安全性高。展开更多
目的:应用锥形束计算机断层扫描观察分析维吾尔族成人下颌第二磨牙牙根及根管形态。方法:筛选出符合纳入排除标准的585例患者的影像学资料,共825颗下颌第二磨牙,应用Galileos CBCT机及SIDEXIS Next Generation 2.4图像分析软件,分析维...目的:应用锥形束计算机断层扫描观察分析维吾尔族成人下颌第二磨牙牙根及根管形态。方法:筛选出符合纳入排除标准的585例患者的影像学资料,共825颗下颌第二磨牙,应用Galileos CBCT机及SIDEXIS Next Generation 2.4图像分析软件,分析维吾尔族成人下颌第二磨牙牙根及根管形态及其在性别,年龄间的差异及双侧对称性。结果:在825颗下颌第二磨牙中,男性404颗,女性421颗。双根型检出率最高为73.94%,其次为C形根型24.47%,男性双根型检出率高于女性(P<0.05),女性锥型融合根型检出率高于男性(P<0.05)。C形根型下颌第二磨牙根管形态在根管口处以C1型为主,在根中部和根尖部均以C3型为主,根尖部C4型检出率在性别及不同年龄段间差异具有统计学意义(P<0.01)。双根型下颌第二磨牙的近中根根管形态以Ⅱ型为主占60.77%,其次为Ⅳ型19.17%和Ⅰ型13.22%,远中根以Ⅰ型为主,占92.72%,近中根及远中根根管形态在性别及不同年龄段间差异具有统计学意义(P<0.05)。双侧下颌第二磨牙牙根形态对称率为65%,根管形态对称率为59.71%,双侧下颌第二磨牙牙根及根管形态的对称性在性别及不同年龄段间差异具有统计学意义(P<0.05)。结论:维吾尔族人群下颌第二磨牙牙根及根管形态复杂,具有一定种族差异性,且在性别和不同年龄段也存在一定差异。展开更多
基金supported by the grant from the Independent Innovation Foundation of Shandong University of China (No. 2011JC019)the grant of Science and Technique Development Foundation of Shandong province(2010G0020230)
文摘The aims of the study were to investigate the incidence of C-shaped root canal systems in mandibular second molars in a native Chinese population using radiography and clinical examination under microscope and to compare the relative efficacies of these methods. For the recognition of C-shaped root canal system, 1 146 mandibular second molars were selected and examined. Teeth with C-shaped canal systems were categorized by using the radiographic classification criteria and the modified Melton＇s method. C-shaped canals were identified in 397 （34.64%） mandibular second molars by radiography （type I, 31.23%; type II, 38.29%; type III, 30.48%）. Clinical examination showed that 449 （39.18%） cases exhibited C-shaped canal systems （C1, 22.94%; C2, 48.11%; C3a, 15.59%; C3b, 13.36%）. As for the result of the radiographic and clinical combined examination, C-shaped root canals were found in 473 （41.27%） mandibular second molars （C1, 21.78%; C2, 45.67%; C3a, 16.70%; C3b, 15.86%）. The incidence of C-shaped root canal diagnosed by radiographic method was statistically different from that by clinical examination and the combined examination （P〈O.05）. The study indicated a high incidence of C-shaped canal system in a Chinese population. The combination of microscopic and radiographic examination is an effective method in identifying the C-shaped root canal system.
文摘This case report is to present a maxillary first molar with one O-shaped root, which is an extended C-shaped canal system. Patient with chronic apical periodontitis in maxillary left first molar underwent replantation because of difficulty in negotiating all canals. Periapical radiographs and cone-beam computed tomography （CBCT） were taken. All roots were connected and fused to one root, and all canals seemed to be connected to form an O-shape. The apical 3 mm of the root were resected and retrograde filled with resin-modified glass ionomer. Intentional replantation as an alternative treatment could be considered in a maxillary first molar having an unusual O-shaped root.
文摘目的:探究纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损患者的效果及美观满意度。方法:纳入2022年1月-2023年1月在笔者医院就诊的102例后牙楔状缺损患者,根据患者自主选择意愿分为研究组(n=50)和对照组(n=52),对照组行金属桩核+金属烤瓷冠修复,研究组行纤维桩+复合树脂+氧化锆全瓷冠修复。6个月后,对比两组临床疗效,观察两组牙周健康情况(牙龈指数、菌斑指数、龈沟出血指数),检测牙周炎症[肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、白细胞介素-4(Interleukin-4,IL-4)、白细胞介素-6(Interleukin-6,IL-6)],调查美观满意度[美国公共健康服务标准(United states public health service,USPHS)]和实用度(咀嚼功能、咬合情况、语言功能),比较两组并发症发生情况。结果:治疗后,研究组治疗有效率达92.00%,高于对照组的76.92%(P<0.05);两组牙周健康相关指数及TNF-α、IL-4、IL-6均较治疗前降低,且研究组降低幅度大于对照组(P<0.05);治疗后,研究组牙齿表面形态、色泽协调性、边缘着色满意度均高于对照组(P<0.05),两组咀嚼功能、咬合情况、语言功能均较治疗前提高,但差异无统计学意义(P>0.05);两组并发症发生率比较治疗组低于对照组(P<0.05)。结论:采用纤维桩+复合树脂+氧化锆全瓷冠修复根管治疗后后牙楔状缺损能够减轻炎症反应,提升患者牙周健康,增加美观满意度及实用度,疗效显著,安全性高。
文摘目的:应用锥形束计算机断层扫描观察分析维吾尔族成人下颌第二磨牙牙根及根管形态。方法:筛选出符合纳入排除标准的585例患者的影像学资料,共825颗下颌第二磨牙,应用Galileos CBCT机及SIDEXIS Next Generation 2.4图像分析软件,分析维吾尔族成人下颌第二磨牙牙根及根管形态及其在性别,年龄间的差异及双侧对称性。结果:在825颗下颌第二磨牙中,男性404颗,女性421颗。双根型检出率最高为73.94%,其次为C形根型24.47%,男性双根型检出率高于女性(P<0.05),女性锥型融合根型检出率高于男性(P<0.05)。C形根型下颌第二磨牙根管形态在根管口处以C1型为主,在根中部和根尖部均以C3型为主,根尖部C4型检出率在性别及不同年龄段间差异具有统计学意义(P<0.01)。双根型下颌第二磨牙的近中根根管形态以Ⅱ型为主占60.77%,其次为Ⅳ型19.17%和Ⅰ型13.22%,远中根以Ⅰ型为主,占92.72%,近中根及远中根根管形态在性别及不同年龄段间差异具有统计学意义(P<0.05)。双侧下颌第二磨牙牙根形态对称率为65%,根管形态对称率为59.71%,双侧下颌第二磨牙牙根及根管形态的对称性在性别及不同年龄段间差异具有统计学意义(P<0.05)。结论:维吾尔族人群下颌第二磨牙牙根及根管形态复杂,具有一定种族差异性,且在性别和不同年龄段也存在一定差异。
