Puciło Michał, Lipski Mariusz, Sroczyk-Jaszczyńska Magdalena, Puciło Aleksandra, Nowicka Alicja
Individual Dental Practice, ul. Słowacka 6c/12, 65-943, Zielona Góra, Poland.
Department of Preclinical Conservative Dentistry and Preclinical Endodontics, Pomeranian Medical University in Szczecin, Al. Powstańców Wlkp. 72, 70-111, Szczecin, Poland.
Surg Radiol Anat. 2020 May;42(5):529-542. doi: 10.1007/s00276-019-02404-7. Epub 2020 Jan 3.
This study reviewed the literature on the position of the mandibular canal (MC) relative to the root apices (RA) of neighbouring teeth using cone beam computed tomography (CBCT).
The authors searched the PubMed, Scopus, EBSCO Dentistry and Oral Sciences Source, Cochrane and Lilacs databases for relevant English-language articles with no year limitations published through January 25, 2018.
The search identified 888 articles, 12 of which met the inclusion criteria. Three groups were found based on the measuring method: the shortest distance from the RA to the MC, the vertical distance from the RA to the MC, or the distance from the RA to the superior cortical bone of the MC. In the first and second groups, the shortest distances to the canines, first premolars, second premolars, first molars, second molars, and third molars were 3.8 mm, 4.76 mm, 1.65 mm, 1.23 mm, 0.64 mm, and 1.28 mm, respectively. In the third group, the shortest distances to the second premolars, first molars, and second molars were 2.71 mm, 3.82 mm, and 1.4 mm, respectively.
The distance from the MC to the RA was generally shorter in females and younger people, with decreasing distances in patients over 60 years old, and depended on the tooth type.
The protocol for this systematic review was registered on PROSPERO (CRD42018085478).
本研究使用锥形束计算机断层扫描(CBCT)回顾了关于下颌管(MC)相对于相邻牙齿根尖(RA)位置的文献。
作者在PubMed、Scopus、EBSCO牙科学与口腔科学资源库、Cochrane和Lilacs数据库中检索截至2018年1月25日发表的无年份限制的相关英文文章。
检索到888篇文章,其中12篇符合纳入标准。根据测量方法分为三组:从RA到MC的最短距离、从RA到MC的垂直距离或从RA到MC上皮质骨的距离。在第一组和第二组中,到尖牙、第一前磨牙、第二前磨牙、第一磨牙、第二磨牙和第三磨牙的最短距离分别为3.8毫米、4.76毫米、1.65毫米、1.23毫米、0.64毫米和1.28毫米。在第三组中,到第二前磨牙、第一磨牙和第二磨牙的最短距离分别为2.71毫米、3.82毫米和1.4毫米。
MC到RA的距离在女性和年轻人中通常较短,60岁以上患者的距离逐渐减小,并且取决于牙齿类型。
本系统评价的方案已在PROSPERO(CRD42018085478)上注册。