• 제목/요약/키워드: mandibular canal

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하악 제2대구치의 C형 근관계에 관한 연구 (A STUDY ON THE C-SHAPED ROOT CANAL SYSTEM OF MANDIBULAR SECOND MOLAR)

  • 이동균;박준모;황호길
    • Restorative Dentistry and Endodontics
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    • 제32권4호
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    • pp.335-342
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    • 2007
  • C형 근관은 복잡한 근관계의 형태로 인해 임상가가 미리 인지하지 못한 경우 근관치료 시 많은 어려움에 직면하곤 한다. 본 연구에서는 하악 제2대구치의 근관치료 환자에서 C형 근관의 형태별 빈도를 알아보고 방사선 사진 상 C형 근관계의 형태학적 특징과의 관련성을 비교 평가하고자 본 연구를 시행하였다. 1998년부터 2005년까지 조선대학교 치과병원 보존과에 내원한 227례의 하악 제2대구치 근관치료 환자의 의무기록지를 조사한 후 임상에서 근관치료 시 기록된 치수강저의 형태와 해당환자의 방사선 사진을 기초자료로 다음과 같은 결론을 얻었다. 하악 제2대구치 C형 근관은 한국인에서 많은 빈도를 보였으며, 근관치료 시 환자의 방사선 사진을 잘 활용하여 치근단의 형태와 원심근관의 위치를 주의깊게 관찰하면 C형 근관을 미리 예측할 수 있을 것으로 사료된다.

CBCT와 치과용 현미경을 이용한 C형 근관을 가지는 하악 제1소구치의 근관치료 (Endodontic management of mandibular first premolar with C-shaped canals by using cone-beam computed tomography and dental operating microscope)

  • 장훈상;김민정;이석련;홍성옥
    • 구강회복응용과학지
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    • 제30권4호
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    • pp.324-328
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    • 2014
  • 한국인에서는 하악 소구치의 변이가 매우 드물게 나타나며, 변이는 하악 소구치 근관치료시 성형과 세정으로 자극원의 제거를 어렵게 하여 근관치료의 실패를 야기할 수 있다. 본 증례에서는 C형의 드문 근관 형태를 가지는 하악 제1소구치를 CBCT를 촬영하여 복잡한 치아의 내부 형태를 확인한 후, 치과용 현미경을 사용해 확대된 시야와 개선된 조명하에서 성공적으로 근관치료 하였다.

Distances from the root apices of posterior teeth to the maxillary sinus and mandibular canal in patients with skeletal open bite: A cone-beam computed tomography study

  • Kosumarl, Werinpimol;Patanaporn, Virush;Jotikasthira, Dhirawat;Janhom, Apirum
    • Imaging Science in Dentistry
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    • 제47권3호
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    • pp.157-164
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    • 2017
  • Purpose: This study determined and compared the distances from the maxillary root apices of posterior teeth to the floor of the maxillary sinus, or maxillary sinus distances(MSDs), and the distances from the mandibular root apices of the posterior teeth to the mandibular canal, or mandibular canal distances(MCDs), in Thai subjects with skeletal open bite and skeletal normal bite. Materials and Methods: Pretreatment cone-beam computed tomography (CBCT) images were obtained from 30 Thai orthodontic patients (15 patients with skeletal normal bite and 15 with skeletal open bite) whose ages ranged from 14 to 28 years. The CBCT images of the patients were processed and measured using the Romexis Viewer program. The MSDs and MCDs from the root apices of the maxillary and mandibular second premolar, first molar, and second molar to the maxillary sinus floor or the mandibular canal were measured perpendicularly to the occlusal plane. The Student t test was used for comparisons between the 2 groups. Results: The greatest mean MSDs were from the root apex of the second premolars in both groups, whereas the least mean MSDs were from the mesiobuccal root apex of the second molars. The greatest mean MCDs were from the mesial root apex of the first molars, whereas the least mean MCDs were from the distal root apex of the second molars. Conclusion: There were no differences in the mean MSDs or the mean MCDs between the skeletal normal bite group and the skeletal open bite group.

하악 절치의 근관계에 관한 연구 (THE CANAL SYSTEM OF MANDIBULAR INCISORS)

  • 임은미;최호영;박상진;최기운
    • Restorative Dentistry and Endodontics
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    • 제27권4호
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    • pp.432-440
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    • 2002
  • The purpose of this study is to identificate root canal system including ideal access placement, root curvature, canal configuration, incidence of isthmus in mandibular incisors for success of endodontic treatment. 200 mandibular incisors were selected. The ideal access placement was determimed as follows. The teeth there radiographed from mesiodistal and buccolingual views using intraoral dental film. The image was divided into coronal, middle and apical third using the proximal film. Straight line access was determined by measuring the faciolingual canal width and placing points at midway point between the buccal and lingual wall at the junction of the middle and apical third and at the juntion of coronal and middle third of the root canal. A line was drawn connecting these two points extending through the crown of the tooth. The point at which the line crossed the external crown surface was recorded as facial, incisal, lingual. Degree of root curvature was determined by Schneider Protractor Method. Both section method and clearing method were used in this study. By section method, 100 mandibular incisors were embedded in clear resin and transeverse serial sectioned at 0.5, 1.0, 2.0, 3.0, 4.0, 5.0mm level from root apex. The resected surfaces were stained by methylene blue and examined under $\times$40 magnification with a stereomicroscope. By clearing method, 100 mandibular incisors were cleared in methysalicylate after decalcification with 10% nitric acid and evaluated under $\times$18 magnification with a stereomicroscope. The results were as follows ; 1. 29% had the center of the plotted straight-line access facial to incisal edge, whereas 71% had straight-line access at the incisal edge. When incisal wear classified as extensive, the straight-line access was plotted on the incisal edge 95.5%. When incisal wear classified as slight/none, the straight-line access was plotted on the facial 65.9%. 2. Degree of curvature of main canal was straight or almost straight, and only 10% in buccolingual direction had a degree of curvature greater than 20 degrees and 5.5% in mesiodistal direction had. 3. In section method, canal configuration analysis showed that 51% of the specimen classified as type I, 27% as type II, 12% as type III, 10% as type IV. For theses setions with two canals, the incidence of an isthmus was 36.7%, 64.3%, 79.2%, 96.3%, 97.4%, 97.6% at each level and highest in 3~5mm sections. 4. In clearing method, canal configuration analysis showed that 74% of the specimen classified as type I, 11% as type II, 6% as type III, 9% as type IV. These results suggested that traditional access from lingual should be moved as far toward the incisal as possible to locate and debride the lingual canal and root canal system should be cleaned, shaped completely and obturated three dimensionally for successful endodontic treatment.

Dilantin에 의한 골연화증에 관한 치과방사선학적 연구 (DENTAL RADIOGRAPHIC STUDY ON THE DILANTIN INDUCED OSTEOMALACIA)

  • 김영걸;유동수
    • 치과방사선
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    • 제13권1호
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    • pp.87-96
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    • 1983
  • Radiographic measurements on the width of mandibular cortical plate and the lamina dura and on the root length were done in 42 patients who were in long-term Dilantin medication. Osteoporosis and root abnormalities were also investigated. The obtained results were as follows: 1. The number of male patients was greater than that of female patients. 2. The width of mandibular cortical plate was thinner in patient group than in control group. 3. There was no significant change in the width of lamina dura between the patient group and control group. 4. The root length of patient group was generally shorter than that of control group. 5. There were evidences of generalized mandibular osteoporosis and alteration in mandibular canal wall in 8 patients. (19%) 6. In Dilantin induced osteomalacia, the radiographic changes of mandibular canal wall and mandibular cortical plate were prominent, but that of lamina dura was not significant.

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Validity of the vertical tube-shift method in determining the relationship between the mandibular third molar roots and the inferior alveolar nerve canal

  • Arora, Anjana;Patil, Bharati A.;Sodhi, Amandeep
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권2호
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    • pp.66-73
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    • 2015
  • Objectives: To assess the validity of the vertical tube-shift method using intraoral periapical radiography (IOPAR) for determining the relationship between the mandibular third molar roots and the inferior alveolar nerve (IAN) canal in comparison with cone-beam computed tomography (CBCT). Materials and Methods: Fifty impacted mandibular third molars were analyzed using the IOPAR vertical tube-shift method and CBCT. The relationship of the IAN canal to the impacted mandibular third molar was recorded as buccal, lingual or in line with the apex and was compared with CBCT findings. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the vertical tube-shift method in depicting the relationship (buccal/lingual/in line with the apex) of the IAN canal to the third molar root apex was calculated. Results: The sensitivity and specificity PPV and NPV of the IOPAR vertical tube-shift technique was found to be highest for a lingual relationship (100%) followed by buccal (94.4%, 92.3%, 97.1%, and 85.7%) and in line with the apex relationship (88.9%, 95.0%, 80.0%, and 97.4%) of the IAN canal with the third molar root apex, respectively. A statistically significant association was observed between the IOPAR vertical tube-shift method and the CBCT with a P-value <0.01. Conclusion: The vertical tube-shift method can be used as an effective diagnostic tool in assessing the relationship of the IAN canal to the third molar root apex with high sensitivity, specificity, PPV, and NPV.

Consideration of Lateral Cortical Bone Thickness and IAN Canal Location During Mandibular Ramus Bone Grafting for Implant Placement

  • Lee, Nam-Hoon;Ohe, Joo-Young;Lee, Baek-Soo;Kwon, Yong-Dae;Choi, Byung-Joon;Bang, Sung-Moon
    • Journal of Korean Dental Science
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    • 제3권2호
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    • pp.4-11
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    • 2010
  • Purpose: This study aimed at examining the thickness of lateral cortical bone in the mandibular posterior body and the location of the inferior alveolar nerve canal as well as investigating the clinically viable bone grafting site(s) and proper thickness of the bone grafts. Subjects and Methods: The study enrolled a total of 49 patients who visited the Department of Oral and Maxillofacial Surgery at Kyung Hee University Dental Hospital to have their lower third molar extracted and received cone beam computed tomography (CBCT) examinations. Their CBCT data were used for the study. The thickness of lateral cortical bone and the location of inferior alveolar nerve canal were each measured from the buccal midpoint of the patients' lower first molar to the mandibular ramus area in the occlusal plane of the molar area. Results: Except in the external oblique ridge and alveolar ridge, all measured areas exhibited the greatest cortical bone thickness near the lower second molar area and the smallest cortical bone thickness in the retromolar area. The inferior alveolar nerve canal was found to be located in the innermost site near the lower second molar area compared to other areas. In addition, the greatest thickness of the trabecular bone was found between the inferior alveolar nerve canal and the lateral cortical bone. Conclusions: In actual clinical settings involving bone harvesting in the posterior mandibular body, clinicians are advised to avoid locating the osteotomy line in the retromolar area to help protect the inferior alveolar nerve canal from damage. Harvesting the bone near the lower second molar area is judged to be the proper way of securing cortical bone with the greatest thickness.

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Cone beam형 전산화단층영상을 이용한 하악관의 전방고리 및 이공에 관한 연구 (Observation of the anterior loop and mental foramen of the mandibular canal using cone beam computed tomograph)

  • 고광준;김경아
    • Imaging Science in Dentistry
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    • 제39권2호
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    • pp.81-87
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    • 2009
  • Purpose: To evaluate the anteroposterior length and buccal angle of the anterior loop, and the size and location of the mental foramen using cone beam computed tomography (CBCT). Materials and Methods: 100 CBCT images from 87 adults (43 males and 44 females) ranging in age from 20 to 73 years (average 50 years) with edentulous ridge of the mandibular premolar region were obtained. Axial, sagittal, coronal images were reconstructed from Dental and Block Images of CBCT. The anteroposterior length, shape and buccal angle of the anterior loop, and the size and location of the mental foramen were calculated from reconstructed images of axial, sagittal and coronal CBCT. Results: The anteroposterior length and buccal angle of the mental canal was 4.0${\pm}$1.2mm, 37.8${\pm}$11.60$^{\circ}$respectively. The loop type with straight course was the most common shape of the mental canal. The location of the mental foramen below the apex of the lower second premolar (78%) was the most common. The maximum size of the mental foramen was 4.6${\pm}$1.0 mm in width and 3.0${\pm}$0.6 mm in height. The inner size of the mental canal was 2.6${\pm}$0.6 mm in width and 2.1 mm${\pm}$0.4 mm in height. Conclusion: CBCT is useful to evaluate the anterior loop and mental foramen of the mandibular canal. Safe guideline of 4 mm from the most anterior point of the mental foramen is recommended for implant and surgical treatment. (Korean J Oral Maxillofac Radiol 2009; 39: 81-7)

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Cone beam computed tomography를 이용하여 한국인 제2하악 대구치에서 C형 근관계에 대한 평가 (C-shaped root canal system in mandibular 2nd molars in Korean people evaluated by cone beam computed tomography)

  • 김미연;김정희;김선호;송병철;남욱
    • 구강회복응용과학지
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    • 제32권1호
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    • pp.32-37
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    • 2016
  • 목적: Cone beam형 전산화 단층영상(CBCT)을 이용하여 한국인의 하악 제2대구치에서 C형 근관계의 해부학적인 특징을 결정하기 위함이다. 연구 재료 및 방법: 824개의 영상을 평가하였다. 2013년 치과임플란트 진단 및 치료를 위해 CBCT를 찍은 환자를 대상으로 하였다. 711개의 하악 제2대구치가 조사되었다. 근관계의 형태는 변형된 Melton 분류를 이용하여 분류하였다. 결과: 711개의 하악 제2대구치에서 21.5%가 C형 근관계를 가졌다. 이러한 분포는 치아 위치에 따라 달라지지 않았다. 양쪽으로 존재하는 대구치에서 대부분의 C형 근관은 대칭적으로 나타났다. C형 근관에서 가장 흔한 형태는 orifice 부분에서 Melton's Type I (89%), 치근단부위에서는 Melton's Type III (83.8%) 이었다. C형 근관은 남성(13.9%)보다 여성(25%)에서 더 많이 나타났다. 결론: 한국인의 하악 제2대구치에서 C형 근관은 매우 높게 나타난다. 성공적인 C형 근관의 치료를 위해 근관계의 특성을 이해하는 것은 중요하다.

발육성타액선결손의 방사선학적 연구 (A RADIOLOGIC STUDY OF DEVELOPMENTAL SALIVARY GLAND DEFECTS)

  • 최순철;김영걸
    • 치과방사선
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    • 제25권1호
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    • pp.115-125
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    • 1995
  • Forty-four cases of developmental salivary gland defects in 43 patients were analysed radiologically. The obtained results were as follows ; 1. It occurred more frequently in males(86 %) than in females(14 %). The age distribution of patients ranged from 20 to 74 years with the average being 52.7 years. 2. All but one were located between the angle of the mandible and the molar tooth. Only one patient showed bilateral occurrence. 3. The shape of the defect was ovoid(15 cases), round(10 cases), or half-ovoid(5 cases) 4. Their size ranged from 5 x 6 mm to 16 x 30 mm with the average around 9 x 14 mm. 5. Twenty-eight cases appeared to be surrounded partially(1/3 - 2/3) by a hyperostotic border. The thickness of the hyperostotic border varied ; thick(14 cases), moderate(l1 cases), thin(9 cases), or mixed(6 cases) 6. Thirteen cases were in contact with the superior border of the mandibular inferior cortex, 11 cases partially eroded the cortical plate, and 7 cases showed discontinuity of the mandibular inferior cortex. 7. Twenty-three cases were located below the mandibular canal, 13 cases overlapped the mandibular canal, and 2 cases showed slight deviation of the mandibular canal.

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