Restorative Dentistry and Endodontics

  • 제34권4호
  • /
  • Pages.346-349
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  • 2009
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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하악 제2대구치의 C형 근관 발현빈도에 관한 후향적 연구

A RETROSPECTIVE STUDY ON INCIDENCE OF C-SHAPED CANALS IN MANDIBULAR SECOND MOLARS

  • 김희선 (서울대학교병원 운영 서울시립 보라매병원 치과)
  • 발행 : 2009.07.31
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초록

하악 제2대구치는 근관형태의 다양한 변이를 가지고 있어 근관치료시 여러가지 어려움을 야기한다. 본 연구에서는 하악 제2대구치의 여러가지 근관형태를 비율별로 분석해보고자 2005년에서 2008년까지 보라매병원에서 하악 제2대구치 근관치료를 받은 86개의 치아에서 치수강 개방 후 육안으로 근관입구의 형태를 확인하고 근관장 측정용 파일 삽입 후 방사선 사진을 촬영하여 근관형태를 기록, 분석하였다. 그 결과 C형 근관은 31.4%(27개)의 발현빈도를 보였으며 3근관 50%(43개), 4근관 12.7%(11개), 2근관 5.8%(5개)로 나타났다. C형 근관의 성별에 따른 발현빈도는 남성에서 31.7%, 여성에서 31.1%였다. 좌측 하악 제2대구치는 30.9%, 우측 하악 제2대구치는 31.8%의 C형 근관 발현빈도를 보였다.

Mandibular second molars have many variations in canal configuration. Technical modifications in cleaning, shaping and obturation are required. The purpose of this study was to investigate the root canal anatomy of mandibular second molars. 86 teeth of 85 patients were accessed and evaluated with taking radiographs for working length determination. 27 teeth(31.4%) had C-shaped canals, 43 teeth(50%) had 3 canals, 11 teeth(12.7%) had 4 canals, 5 teeth(5.8%) had 2 canals. Incidence of C-shaped canal was 31.7% in male and 31.1% in female. 30.9% of left mandibular second molar and 31.8% of right mandibular second molar showed C-shaped canals.

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참고문헌

  1. Danker E, Freidman S, Stabholz A. Bilateral C shaped configurations in maxillary first molars. J Endod 16:601-603, 1990 https://doi.org/10.1016/S0099-2399(07)80204-4
  2. Lambrianidis T, Lyroudia K, Pandelidou O, Nicolaou A. Evaluation of periapical radiographs in the recognition of C-shaped mandibular second molars. Int Endod J 34:458-464, 2001 https://doi.org/10.1046/j.1365-2591.2001.00417.x
  3. Cooke HG, Cox FL. C-shaped canal configurations in mandibular molars. J Am Dent Assoc 99:836-839, 1979 https://doi.org/10.14219/jada.archive.1979.0402
  4. Yang ZP, Yang SF, Lin YL. C-shaped root canals in mandibular first molars in Chinese population. Endod Dent Traumatol 4:160-163, 1988 https://doi.org/10.1111/j.1600-9657.1988.tb00315.x
  5. Weine FS, The C-shaped mandibular second molar: incidence and other considerations. J Endod 24:372-375, 1998 https://doi.org/10.1016/S0099-2399(98)80137-4
  6. Bolger WL, Schnidler WG. A mandibular first molar with a C-shaped root configuration. J Endod 14:515-519, 1998 https://doi.org/10.1016/S0099-2399(88)80110-9
  7. Melton DC, Krell KV, Fuller MW. Anatomical and histological features of C-shaped canals in mandibular second molars. J Endod 17:384-388, 1991 https://doi.org/10.1016/S0099-2399(06)81990-4
  8. Rice Rt, Gilbert BO. An unusual canal configuration in mandibular first molar. J Endod 13:513-515, 1987 https://doi.org/10.1016/S0099-2399(87)80019-5
  9. Fan B, Cheung GS, Fan M, Gutman JL, Bian Z. Cshaped canal system in mandibular second molars: Part I-Anatomical features. J Endod 30:899-903, 2004 https://doi.org/10.1097/01.don.0000136207.12204.e4
  10. Manning SA. Root canal anatomy of mandibular second molars. Part Ⅱ: C-shaped canals. Int Endod J 23:40-45, 1990 https://doi.org/10.1111/j.1365-2591.1990.tb00801.x
  11. Al-Fouzan KS. C-shaped root canals in mandibular second molars in a Saudi Arabian population. Int Endod J 35:499-454, 2002 https://doi.org/10.1046/j.1365-2591.2002.00512.x
  12. Seo MS, Park DS. C-shaped root canals of mandibular second molars in a Korean population: clinical observation and in vitro analysis. Int Endod J 37:139-144, 2004 https://doi.org/10.1111/j.0143-2885.2004.00772.x
  13. 이동균, 박준모, 황호길. 하악대구치의 C형 근관계에 관한 연구. 대한치과보존학회지 32:335-342, 2007
  14. Lyroudia K, Samakoitis G, Pitas I, Lambrianidis T, Molyvdas I, Mikrogeorgis G. 3D reconstruction of two C-shaped mandibular molars. J Endod 23:101-104, 1997 https://doi.org/10.1016/S0099-2399(97)80254-3
  15. 전경진,유의식. Micro-CT를 이용한 하악 제2대구치의 형태학적 연구. 한국정밀공학회지 24(12):13-19,2007. 대한치과보존학회지: Vol. 34, No. 4, 2009