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哈尔滨医药  2023, Vol. 43 Issue (2): 41-43    DOI: 10.3969/j.issn.1001-8131.2023.02.014
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锥形束CT在下颌第二磨牙C形根管诊治中的应用
丁水清1, 丁浩1, 王小乐2
1.南通市口腔医院,江苏 南通 226001;
2.南通市第二人民医院,江苏 南通 226002
Application of Cone-beam Computed Tomography in The Diagnosis and Treatment of C-shaped Root Canals in Mandibular Second Molars
Ding Shuiqing1, Ding Hao1, Wang Xiaole2
1. Stomatological Hospital of Nantong City,Nantong 226001;
2. The Second People's Hospital of Nantong City,Nantong 226002
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摘要 目的 探讨CBCT在下颌第二磨牙C形根管诊断及根管分型中的应用价值。方法 选取208例患者的CBCT资料,以下颌第二磨牙为中心获取三维重建图像,分析下颌第二磨牙根管形态及分型特征。结果 C形根管发生率为38.94%,根管口以C1型多见,越往根尖方向,C3a型和C3b型越多,四个层面根管构型比较,差异有统计学意义(P<0.05);单侧与双侧沟槽的C形根管类型在根管口和根管中段二个层面上,差异有统计学意义(P<0.05);<60岁人群与≥60岁人群在根管中段的根管构型差异有统计学意义(P<0.05)。结论 CBCT能清晰显示C形根管系统的三维构型,对准确定位、辨别疑难根管类型,提高C形根管治疗效果,具有较高的临床价值。
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丁水清
丁浩
王小乐
关键词 锥形束CT下颌第二磨牙C形根管根管分型    
AbstractObjective To investigate the application value of CBCT in the diagnosis and root canal classification of C-shaped root canals in mandibular second molars. Methods The CBCT data of 208 patients were selected,and three-dimensional reconstruction images were obtained with the mandibular second molar as the center.The root canal morphology and typing characteristics of the mandibular second molars were analyzed. Results The incidence of C-shaped root canals was 38.94%.Type C1 was the most common type in the root canal orifice,and the more to the apical direction,the more types C3a and C3b.There was significant difference between the four levels of root canal configurations(P<0.05).There was significant difference in the type of C-shaped root canal between unilateral and bilateral grooves at the level of root canal orifice and middle section(P<0.05).There was significant difference in root canal configuration in the middle of root canal between people under 60 years old and people over 60 years old(P<0.05). Conclusion CBCT could clearly display the three-dimensional configuration of C-shaped root canal system,and had high clinical value for accurately positioning and distinguishing difficult root canal types,and improving the treatment effect of C-shaped root canals.
Key wordsCone-beam computed tomography    Mandibular second molar    C-shaped root canal    Root canal classification
收稿日期: 2022-04-19     
PACS:  R781.3  
基金资助:南通市科技计划指导性项目(MSZ18120)
引用本文:   
丁水清, 丁浩, 王小乐. 锥形束CT在下颌第二磨牙C形根管诊治中的应用[J]. 哈尔滨医药, 2023, 43(2): 41-43.
Ding Shuiqing, Ding Hao, Wang Xiaole. Application of Cone-beam Computed Tomography in The Diagnosis and Treatment of C-shaped Root Canals in Mandibular Second Molars. journal1, 2023, 43(2): 41-43.
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