دراسة شعاعية عن التشريح القنوي وعدد الجذور وتصنيفها في الرحى الأولى السفلية في عينة من المجتمع السوري باستخدام التصوير الشعاعي المخروطي المحوسب CBCT
الكلمات المفتاحية:
صور ثلاثية الأبعاد CBCT – الرحى الأولى السفلية – أشكال التقاء الأقنية.
الملخص
نظراً لكون مورفولوجيا الجذور متغيرة ومعقدة للغاية أجريت العديد من الدراسات المخبرية الوصفية بهدف فهم التشريح الداخلي للجذور بشكل أفضل لتقديم المعالجة اللبية الأمثل، إذ أن الهدف من هذا البحث معرفة عدد جذور الرحى الأولى السفلية وأشكال التقاء الأقنية ضمن الجذر الواحد عند الجنسين الذكور والإناث عند الشعب السوري. تألفت عينة الدراسة من 850 صورة CBCT (425 صورة للإناث، 425 صورة للذكور). قرأ الصور طبيبان مختصان وسجل جنس المريض وعدد الجذور وعدد الأقنية ضمن كل جذر وأشكال التقاء الأقنية وتفرعها حسب تصنيف العالم Vertucci وذلك من خلال دراسة الصورة وفق جميع المستويات (3D_Oplique_Axial_Coronal_Sagittal) لدى كلا الجنسين الذكور والإناث. وجمعت البيانات وسجلت على برنامج Excel من شركة Microsoft ومن ثم أجريت الاختبارات الإحصائية باستخدام برنامج SPSS واستخدام اختبار كاي-مربع لمقارنة النسب المئوية بين الذكور والإناث. بلغت النسبة الأكبر لعدد الجذور في الرحى الأولى السفلية ضمن العينة المدروسة شكل الجذرين المنفصلين (النمط الرابع) (عند الذكور بنسبة 100% وعند الإناث بنسبة 95.9% وفي كامل العينة بنسبة 97.2%). بينما كان شكل الجذر الانسي (النمط II) الأكثر انتشاراً (عند الذكور 42.4% وعند الإناث 49.4% وفي كامل العينة 47.2%). ثم يليه النسبة الأكثر انتشاراً لتصنيف الجذر الوحشي (النمط I). (عند الذكور 75.6% وعند الإناث 40.6% وفي كامل العينة 51.4%).
المراجع
Abella, F., et al. (2011). "Managing severe curvature of radix entomolaris: three‐dimensional analysis with cone beam computed tomography."International endodontic journal44(9): 876-885.
Abella, F., et al. (2015). "Cone-beam computed tomography analysis of the root canal morphology of maxillary first and second premolars in a Spanish population."Journal of endodontics41(8): 1241-1247.
Arai, Y., et al. (1999). "Development of a compact computed tomographic apparatus for dental use."Dentomaxillofacial Radiology28(4): 245-248.
Atieh, M. A. (2008). "Root and canal morphology of maxillary first premolars in a Saudi population."J Contemp Dent Pract9(1): 46-53.
Awawdeh, L., et al. (2008). "Root form and canal morphology of Jordanian maxillary first premolars."Journal of endodontics34(8): 956-961.
Berman, L. H. and K. M. Hargreaves (2020). Cohen's Pathways of the Pulp-E-Book, Elsevier Health Sciences.
Celikten, B., et al. (2016). "Cone-beam CT evaluation of root canal morphology of maxillary and mandibular premolars in a Turkish Cypriot population."BDJ open2(1): 1-5.
Chaparro, A., et al. (1999). "Number of roots and canals in maxillary first premolars: study of an Andalusian population."Dental Traumatology15(2): 65-67.
Dinakar, C., et al. (2018). "Root canal morphology of maxillary first premolars using the clearing technique in a south Indian population: An in vitro study."International Journal of Applied and Basic Medical Research8(3): 143.
Endodontology, E. S. o. (2006). "Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology."International endodontic journal39(12): 921-930.
Evans, M. (2020). "Ingle's Endodontics 7."
Farman, A. G., et al. (2008). "In practice: how going digital will affect the dental office."The Journal of the American Dental Association139: S14-S19.
Gupta, S., et al. (2015). "Root and canal morphology of maxillary first premolar teeth in north Indian population using clearing technique: an in vitro study."Journal of conservative dentistry: JCD18(3): 232.17
Horner, K., et al. (2009). "Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology."Dentomaxillofacial Radiology38(4): 187-195.
Jain, P., et al. (2015). "Endo-Perio management of maxillary first premolar with three distinct roots and three canals diagnosed with Cone Beam Computed Tomography–A rare case report."Endodontology27(2): 192.
Karunakaran, J. V., et al. (2019). "Maxillary permanent first premolars with three canals: Incidence analysis using cone beam computerized tomographic techniques."Journal of pharmacy & bioallied sciences11(Suppl 2): S474.
Li, Y.-h., et al. (2018). "Symmetry of root anatomy and root canal morphology in maxillary premolars analyzed using cone-beam computed tomography."Archives of oral biology94: 84-92.
Mashyakhy, M. (2021). "Anatomical Evaluation of Maxillary Premolars in a Saudi Population: An In Vivo Cone-beam Computed Tomography Study."The Journal of Contemporary Dental Practice22(3): 284-289.
Ok, E., et al. (2014). "A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population."Acta Odontologica Scandinavica72(8): 701-706.
Parameswaran, A. (2021). "Grossman's endodontic practice."Endodontology33(2): 118-118.
Patel, S., et al. (2009). "New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems."International endodontic journal42(6): 447-462.
Patel, V. M. (2021). "Cone Beam Computer Tomography: Uses in Dentistry (A Mini Review)."
Perrini, N. and M. A. Versiani (2018). "Historical Overview of the Studies."The Root Canal Anatomy in Permanent Dentition: 1.
Perrini, N. and M. A. Versiani (2019). Historical overview of the studies on root canal anatomy. The Root Canal Anatomy in Permanent Dentition, Springer: 3-15.
Saber, S. E. D. M., et al. (2019). "Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classification systems: a cone beam computed tomography study."International endodontic journal52(3): 267-278.
Senan, E. M., et al. (2018). "Root form and canal morphology of maxillary first premolars of a Yemeni population."BMC Oral Health18(1): 1-10.18
Soğur, E., et al. (2012). "Does a combination of two radiographs increase accuracy in detecting acid-induced periapical lesions and does it approach the accuracy of cone-beam computed tomography scanning?"Journal of endodontics38(2): 131-136.
Torabinejad, M., et al. (2020). Endodontics e-book: Principles and practice, Elsevier Health Sciences.
Vertucci, F. J. (2005). "Root canal morphology and its relationship to endodontic procedures."Endodontic topics10(1): 3-29.
Zhang, R., et al. (2011). "Use of cone‐beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals."International endodontic journal44(11): 990-999.
Bürklein, S., et al. (2017). "Evaluation of the root canal anatomy of maxillary and mandibular premolars in a selected German population using cone-beam computed tomographic data." Journal of endodontics 43(9): 1448-1452.
Vertucci, F. J. (2005). "Root canal morphology and its relationship to endodontic procedures." Endodontic topics 10(1): 3-29.
Abella, F., et al. (2015). "Cone-beam computed tomography analysis of the root canal morphology of maxillary first and second premolars in a Spanish population."Journal of endodontics41(8): 1241-1247.
Arai, Y., et al. (1999). "Development of a compact computed tomographic apparatus for dental use."Dentomaxillofacial Radiology28(4): 245-248.
Atieh, M. A. (2008). "Root and canal morphology of maxillary first premolars in a Saudi population."J Contemp Dent Pract9(1): 46-53.
Awawdeh, L., et al. (2008). "Root form and canal morphology of Jordanian maxillary first premolars."Journal of endodontics34(8): 956-961.
Berman, L. H. and K. M. Hargreaves (2020). Cohen's Pathways of the Pulp-E-Book, Elsevier Health Sciences.
Celikten, B., et al. (2016). "Cone-beam CT evaluation of root canal morphology of maxillary and mandibular premolars in a Turkish Cypriot population."BDJ open2(1): 1-5.
Chaparro, A., et al. (1999). "Number of roots and canals in maxillary first premolars: study of an Andalusian population."Dental Traumatology15(2): 65-67.
Dinakar, C., et al. (2018). "Root canal morphology of maxillary first premolars using the clearing technique in a south Indian population: An in vitro study."International Journal of Applied and Basic Medical Research8(3): 143.
Endodontology, E. S. o. (2006). "Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology."International endodontic journal39(12): 921-930.
Evans, M. (2020). "Ingle's Endodontics 7."
Farman, A. G., et al. (2008). "In practice: how going digital will affect the dental office."The Journal of the American Dental Association139: S14-S19.
Gupta, S., et al. (2015). "Root and canal morphology of maxillary first premolar teeth in north Indian population using clearing technique: an in vitro study."Journal of conservative dentistry: JCD18(3): 232.17
Horner, K., et al. (2009). "Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology."Dentomaxillofacial Radiology38(4): 187-195.
Jain, P., et al. (2015). "Endo-Perio management of maxillary first premolar with three distinct roots and three canals diagnosed with Cone Beam Computed Tomography–A rare case report."Endodontology27(2): 192.
Karunakaran, J. V., et al. (2019). "Maxillary permanent first premolars with three canals: Incidence analysis using cone beam computerized tomographic techniques."Journal of pharmacy & bioallied sciences11(Suppl 2): S474.
Li, Y.-h., et al. (2018). "Symmetry of root anatomy and root canal morphology in maxillary premolars analyzed using cone-beam computed tomography."Archives of oral biology94: 84-92.
Mashyakhy, M. (2021). "Anatomical Evaluation of Maxillary Premolars in a Saudi Population: An In Vivo Cone-beam Computed Tomography Study."The Journal of Contemporary Dental Practice22(3): 284-289.
Ok, E., et al. (2014). "A cone-beam computed tomography study of root canal morphology of maxillary and mandibular premolars in a Turkish population."Acta Odontologica Scandinavica72(8): 701-706.
Parameswaran, A. (2021). "Grossman's endodontic practice."Endodontology33(2): 118-118.
Patel, S., et al. (2009). "New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems."International endodontic journal42(6): 447-462.
Patel, V. M. (2021). "Cone Beam Computer Tomography: Uses in Dentistry (A Mini Review)."
Perrini, N. and M. A. Versiani (2018). "Historical Overview of the Studies."The Root Canal Anatomy in Permanent Dentition: 1.
Perrini, N. and M. A. Versiani (2019). Historical overview of the studies on root canal anatomy. The Root Canal Anatomy in Permanent Dentition, Springer: 3-15.
Saber, S. E. D. M., et al. (2019). "Root and canal morphology of maxillary premolar teeth in an Egyptian subpopulation using two classification systems: a cone beam computed tomography study."International endodontic journal52(3): 267-278.
Senan, E. M., et al. (2018). "Root form and canal morphology of maxillary first premolars of a Yemeni population."BMC Oral Health18(1): 1-10.18
Soğur, E., et al. (2012). "Does a combination of two radiographs increase accuracy in detecting acid-induced periapical lesions and does it approach the accuracy of cone-beam computed tomography scanning?"Journal of endodontics38(2): 131-136.
Torabinejad, M., et al. (2020). Endodontics e-book: Principles and practice, Elsevier Health Sciences.
Vertucci, F. J. (2005). "Root canal morphology and its relationship to endodontic procedures."Endodontic topics10(1): 3-29.
Zhang, R., et al. (2011). "Use of cone‐beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals."International endodontic journal44(11): 990-999.
Bürklein, S., et al. (2017). "Evaluation of the root canal anatomy of maxillary and mandibular premolars in a selected German population using cone-beam computed tomographic data." Journal of endodontics 43(9): 1448-1452.
Vertucci, F. J. (2005). "Root canal morphology and its relationship to endodontic procedures." Endodontic topics 10(1): 3-29.
منشور
2025-01-16
كيفية الاقتباس
النحلاويط. (2025). دراسة شعاعية عن التشريح القنوي وعدد الجذور وتصنيفها في الرحى الأولى السفلية في عينة من المجتمع السوري باستخدام التصوير الشعاعي المخروطي المحوسب CBCT. مجلة جامعة حماة, 7(15). استرجع في من https://hama-univ.edu.sy/ojs/index.php/huj/article/view/2203
القسم
قسم طب الأسنان
