首页|期刊导航|临床口腔医学杂志|华东地区人群下颌第一前磨牙牙根及根管形态的CBCT研究

华东地区人群下颌第一前磨牙牙根及根管形态的CBCT研究OA

A CBCT study on the root and root canal morphology of the mandibular first premolar of the population in East China

中文摘要英文摘要

目的:通过锥形束计算机断层扫描(CBCT)研究 1873 颗下颌第一前磨牙牙根和根管形态的特点.方法:选取 2025 年于上海市徐汇区口腔医院就诊患者拍摄的 CBCT 图像,回顾性研究来自 1014 例患者的 1873 颗下颌第一前磨牙牙根数目、根管分型及根面沟分布特点,对其影像学资料进行数据统计分析.结果:下颌第一前磨牙牙根数目 1~3 个,单根发生率最高(99.31%),根管形态以 Type Ⅰ 型为主(88.68%),复杂根管形态以 TypeⅤ型根管发生率较高(8.54%),根面沟在复杂根管形态中的发生率可达 70.28%,男性出现复杂根管的概率明显大于女性(P<0.05).结论:下颌第一前磨牙的牙根及根管形态具有多样性,复杂根管的发生率约为 11.32%,其中 TypeⅤ型根管发生率最高,为 8.54%,临床行根管治疗时,应充分结合 CBCT 影像学信息,制定出更具针对性的临床指导方案.

Objective:To investigate the morphological characteristics of root and root canal of 1873 mandibular first premolars by cone-beam computed tomography(CBCT).Methods:CBCT images of patients treated in Xuhui District Stoma-tological Hospital of Shanghai in 2025 were selected for a retrospective study.The number of roots,root canal configuration and radicular groove distribution of 1873 mandibular first premolars from 1014 patients were analyzed statistically based on imaging data.Results:The results showed that the number of roots of the mandibular first premolar ranged from 1 to 3,with a single root having the highest incidence(99.31%).The root canal morphology was mainly Type Ⅰ(88.68%),and the inci-dence of complex root canal morphology was relatively high for Type Ⅴ root canals(8.54%).The incidence of root surface grooves in complex root canal morphology could reach 70.28%.The probability of complex root canals in males was signifi-cantly higher than that in females(P<0.05).Conclusion:The root and root canal morphology of mandibular first premolars are diverse,with the total incidence of complex root canals being approximately 11.32%,among which Type Ⅴ root canal ranks the highest at 8.54%.When performing root canal treatment in clinical practice,it is necessary to fully integrate the in-formation from CBCT imaging to formulate a more targeted clinical guidance plan.

宋晨成;曹颖;叶茂

上海市徐汇区口腔医院牙体牙髓科 上海 200030上海市徐汇区口腔医院牙体牙髓科 上海 200030上海市徐汇区口腔医院牙体牙髓科 上海 200030

医药卫生

锥形束CT下颌第一前磨牙根管分型根面沟

Cone-beam CT(CBCT)Mandibular first premolarRoot canal configurationRadicular groove

《临床口腔医学杂志》 2026 (6)

341-345,5

徐汇区牙病防治所医学科研项目(SHXYF202308,SHXYF202403)

10.3969/j.issn.1003-1634.2026.06.006

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