CBCT对不同年龄组间下颌第三磨牙拔除风险的评估

doi:10.13701/j.cnki.kqyxyj.2017.05.013

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 516-519.DOI: 10.13701/j.cnki.kqyxyj.2017.05.013

CBCT对不同年龄组间下颌第三磨牙拔除风险的评估

文珊辉¹,黄兰柱²,林梓桐¹,韩超¹,王铁梅^1*

(1. 南京市口腔医院·南京大学医学院附属口腔医院口腔颌面医学影像科江苏南京 210008;
2. 南京市口腔医院·南京大学医学院附属口腔医院口腔颌面外科江苏南京 210008)

收稿日期:2016-10-22 出版日期:2017-05-20 发布日期:2017-05-26
通讯作者: 王铁梅,E-mail:tiemei106@263.net
作者简介:文珊辉(1989～ ),男,江苏南京市人,硕士,主要从事口腔颌面医学影像学研究。
基金资助:
江苏省自然科学基金面上项目(编号:BK20150089,BK20141083)
江苏省南京市医学科技发展项目(编号:ZKX14049,YKK15116)

Risk Assessment of Mandibular Third Molar Extraction by CBCT in Different Age Groups

WEN Shan-hui¹, HUANG Lan-zhu², LIN Zi-tong¹, HAN Chao¹, WANG Tie-mei^1*.

1. Department of Oral and Maxillofacial Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China; 2. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China.

Received:2016-10-22 Online:2017-05-20 Published:2017-05-26

摘要/Abstract

摘要： 目的:运用锥形束CT研究年龄因素对拔除下颌第三磨牙的影响,评价早期拔除下颌第三磨牙的风险性。方法:筛选2015年6~12月在我院就诊患者中符合纳入标准的锥形束CT图像,共选取150颗下颌第三磨牙,其中16~18岁组47颗牙齿,19~24岁组60颗牙齿,24岁以上43颗牙齿,测得3个年龄组中患者的下颌骨体高(a)、下颌骨体剩余高度(b)与下颌骨体高(a)的比值、牙齿至下颌神经管最短距离数据,并分析不同年龄组之间的差异性。结果:下颌骨体高3个年龄组间差异无统计学意义。3组间b/a比值以24岁以上组最大,其次19~24岁组,各组间两两比较均有统计学意义。在牙齿至下颌神经管最短距离方面,19~24岁组和24岁以上组均比16~18岁组大,有统计学意义;而19~24岁组和24岁以上组间无统计学意义。但是,3个年龄组间牙齿与下颌神经管紧密接触比率无统计学差异。结论:3个年龄组中19~24岁组拔除下颌第三磨牙可能相对最合适、风险最小。

关键词: 年龄, 下颌第三磨牙, 下颌神经管, 拔牙风险, CBCT

Abstract: Objective: To study the influence of age on extraction of mandibular third molars by cone beam computed tomography, and evaluate the risk of early removal of mandibular third molar. Methods: One hundred and fifty mandibular third molars which met the inclusion criteria were selected from patients in our hospital between June to December 2015, including 47 teeth in 16-18 age group, 60 teeth in 19-24 age group, and 43 teeth in 24 age above group. The mandibular height (a), the ratio of the residuary mandibular height (b) to mandibular height (a), and the shortest distance between teeth to mandibular canal were measured. The differences between different age groups were analyzed. Results: There was no significant difference in the mandibular height between three age groups. Among three groups, the ratio of b/a of 24 age above group was the largest, followed by 19-24 age group (P<0.05). In terms of the shortest distance between teeth to mandibular canal, the 19-24 age group and 24 age above group were larger than 16-18 age group, and there was no significant difference between 19-24 age group and 24 age above group. However, there was no significant difference in the rate of intimate contact between the teeth and the mandibular canal in three age groups. Conclusion: Removal of mandibular third molars in the 19-24 age group may be the most appropriate and least risky.

中图分类号:

R782.11

文珊辉,黄兰柱,林梓桐,韩超,王铁梅. CBCT对不同年龄组间下颌第三磨牙拔除风险的评估[J]. 口腔医学研究, 2017, 33(5): 516-519.

WEN Shan-hui, HUANG Lan-zhu, LIN Zi-tong, HAN Chao, WANG Tie-mei.. Risk Assessment of Mandibular Third Molar Extraction by CBCT in Different Age Groups[J]. Journal of Oral Science Research, 2017, 33(5): 516-519.

参考文献

[1] Joshi A, Goel M, Thorat A. Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015 [J]. Oral Maxillofac Surg, 2016, 20(4)∶391-396
[2] 口腔解剖生理学[M].北京:人民卫生出版社,2007,95-96
[3] 口腔正畸学[M].北京:人民卫生出版社,2012,25
[4] Shaweesh AI. Timing of clinical eruption of third molars in a Jordanian population.Arch Oral Biol, 2016, 72(2)∶157-163
[5] Sato K, Mitani H.Relationship between late adolescent growth of mandible and maturity indicators--mandibular third molar, hand bones, body height-in Japanese boys [J]. Nihon Kyosei Shika Gakkai Zasshi, 1990, 49(2)∶140-146
[6] 口腔医学口腔颌面影像科分册[M].北京:人民卫生出版社,2015,38
[7] Hang-Gul Kim, Jae-Hoon Lee. Analysis and evaluation of relative positions of mandibular third molar and mandibular canal impacts [J]. J Korean Assoc Oral Maxillofac Surg, 2014, 40(6)∶278-284
[8] T Hasegawa,S Ri,T Shigeta,et al. Risk factors associated with inferior alveolar nerve injury after extraction of the mandibular third molar-a comparative study of preoperative images by panoramic radiography and computed tomography [J]. Int J Oral Maxillofac Surg, 2013, 42(7)∶843-51
[9] 戴银花,戴群,冮建林.部分牙冠切除术拔除近下牙槽神经管的下颌阻生第三磨牙的初步研究[J].口腔医学研究,2016,32(10)∶1070-1073
[10] 李泽奎,王丽君,李辉.CBCT在诊断第三磨牙与下颌管位置关系中的价值[J].天津医药,2013, 41(4)∶388-390
[11] Momin MA, Matsumoto K, Ejima K, et al. Correlation of mandibular impacted tooth and bone morphology determined by cone beam computed topography on a premise of third molar operation [J]. Surg Radiol Anat, 2013, 35(4)∶311-318
[12] 胡敬华,林涛,何畔,等.下颌第三磨牙拔除手术的风险评估[J].医学美学美容,2014, (6)∶567－569
[13] Ghaeminia H, Gerlach NL, Hoppenreijs TJ, et al. Clinical relevance of cone beam computed tomography in mandibular third molar removal: A multicentre, randomised, controlled trial [J]. J Craniomaxillofac Surg, 2015, 43(10)∶2158-2167
[14] Kim JW, Cha IH, Kim SJ, et al. Which risk factors are associated with neurosensory deficits of inferior alveolar nerve after mandibular third molar extraction [J]. J Oral Maxillofac Surg, 2012, 70(11)∶2508-2514
[15] 刘冬晓,王莉,赵吉宏,等.下颌有阻生倾向智牙胚与阻生智牙拔除术的比较研究[J].口腔医学研究,2015,31(9)∶904-906
[16] 周宏志,胡开进,胡瑞峰,等.下颌阻生第三磨牙拔除难度预判[J].口腔医学研究,2009,25(3)∶327-329
[17] Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars :the relationship between age and incidence of complication [J]. J Oral Maxillofac Surg, 1995, 53(4)∶418-422

CBCT对不同年龄组间下颌第三磨牙拔除风险的评估

Risk Assessment of Mandibular Third Molar Extraction by CBCT in Different Age Groups

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