上颌第一磨牙近中颊侧第二根管锥形束CT影像学研究.docVIP

上颌第一磨牙近中颊侧第二根管锥形束CT影像学研究 　　[摘要] 目的 利用锥形束CT（CBCT）研究活体上颌第一磨牙近中颊侧第二根管（MB2）的发生率和根管影像，为临床根管治疗提供一定的影像学依据。 方法 按年龄段分组，各随机选择70张，共420张锥形束CT扫描图像，截取上颌第一磨牙根管口横断面影像，针对上颌第一磨牙近中颊侧根管数目、近中颊侧第二根管根管口的位置进行分析研究。 结果 锥形束CT能在根管口横断面上清晰显示上颌第一磨牙近中颊侧第二根管的存在和分布。 结论 锥形束CT可以真实反映上颌第一磨牙近中颊侧第二根管的解剖形态，图像清晰，给临床工作提供了重要的、有利的参考。 　　[关键词] 锥形束CT；上颌第一磨牙近中颊侧第二根管；根管影像 　　[中图分类号] R781.05 [文献标识码] A [文章编号] 1673-7210（2012）04（a）-0121-02 　　 　　Cone-beam CT imaging study of the second mesiobuccal root canal in maxillary first permanent molar 　　XIE Yiting LUO Jun LIU Peng LIN Juhong▲ 　　The Stomatological Hospital Affiliated to Chongqing Medical University, Chongqing 401147, China 　　[Abstract] Objective To study the incidence of the second mesiobuccal root canal (MB2) in maxillary first permanent molar by cone-beam CT, and to provide imaging evidence for the clinical treatment of root canal. Methods The patients were grouped by age, 70 images were randomly chosen from each group, all of 420 cone-beam CT images. The cross-sectional images of the root canal in maxillary first permanent molar were intercepted. The mesiobuccal root canal number of maxillary first permanent molar and the position of the second mesiobuccal root canal were analyzed and studied. Results Cone-beam CT could clearly show the existence and distribution of the second mesiobuccal root canal in maxillary first permanent molar in the cross-sectional images of root canal. Conclusion Cone-beam CT can truly reflect the anatomical shape of the second mesiobuccal root canal in maxillary first permanent molar, and the image is clear, which provide an important and favorable reference for the clinical work. 　　[Key words] Cone-beam CT; The second mesiobuccal root canal in maxillary first permanent molar; Root canal images 　　 　　临床上经常进行上颌第一磨牙的根管治疗，而失败往往在于上颌第一磨牙近中颊侧第二根管（MB2）???遗漏[1-2]。因此，上颌第一磨牙复杂的根管系统长期以来一直是受关注的问题。在体内临床研究包括患者的回顾性评价记录、X线影像学评估、根管显微镜探查。在体外实验室研究主要使用离体牙摄片、扫描电子显微镜观察以及透明标本法。牙齿和根管是三维立体结构，而X线牙片是二维平面摄影技术，无法准确客观地反映根管，特别是根尖区形态是其最大也是很难克服的一个问题。它的准确性和