老年人群下颌第一磨牙根管结构和近中根根面形态研究  

A survey of root canal configuration and root morphology of the mandibular first molars in elderly population

作　　者：吴宓勳 吕娇 张雪梅[1] WU Mi-hsun;LV Jiao;ZHANG Xue-Mei(Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,清华大学临床医学院,北京102218

出　　处：《中华老年口腔医学杂志》2021年第2期81-84,共4页Chinese Journal of Geriatric Dentistry

摘　　要：目的:使用CBCT观察老年人下颌第一磨牙根管和牙根牙面形态。方法:纳入98名老年患者的98颗下颌第一磨牙CBCT影像,观察根管结构及近中根根面凹陷情况。结果:老年人下颌第一磨牙的近中根根管结构以IV型为主,占比78.6%;远中根以I、II型为主,占比分别为44.9%和12.2%;所有的近中根远中面都存在凹陷,56%近远中面均有凹陷,且根面凹陷程度与年龄呈负相关。结论:老年人下颌第一磨牙根管常有钙化,根管结构变异较多;近中根的远中面都存在不同程度的凹陷,半数以上近中根的近远中面均有凹陷。Objective:This study was to investigate the distribution of root canal configuration and root surface morphology of the mandibular first molars in elderly Chinese population using CBCT.Methods:CBCT images of 98 mandibular first molars from 98 elderly patients were included to observe root canal configuration and the root surface morphology.Results:The most common root canal configuration found in the mesial roots was type IV(78.6%),while the most common configuration found in the distal roots was type I(44.9%)and type II(12.2%).On the mesial roots,root concavities were observed on all thedistal surfaces and in 56%of both mesial and distal surfaces.Conclusion:The root canal of the first mandibular molar in the elderly is often calcified and has many root canal variations.The distal and mesial surfaces of the proximal and mesial roots had concavities,and more than half of the proximal and mesial roots had concavities.

关 键 词：老年人 下颌第一磨牙 牙根形态 根管系统 

分 类 号：R781.05[医药卫生—口腔医学]