口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 559-562.DOI: 10.13701/j.cnki.kqyxyj.2017.05.023

• 临床研究论著 • 上一篇    下一篇

锥形束CT在切牙区唇侧牙槽骨开窗及开裂诊断中的应用研究

邓立1*,史雪峰2   

  1. 1. 汉中市口腔医院正畸科 陕西 汉中 723000;2. 汉中职业技术学院 陕西 汉中 723000)
  • 收稿日期:2017-01-03 出版日期:2017-05-20 发布日期:2017-05-26
  • 通讯作者: 邓立,E-mail:denglident@163.com
  • 作者简介:邓立(1984~ ),男,陕西人,硕士,主治医师,主要从事正畸临床研究。

Incidence of Fenestration and Dehiscence on Incisor Region by CBCT.

DENG Li1*,SHI Xue-feng2.   

  1. 1. Department of Orthodontics, Hanzhong Stomatological Hospital, Hanzhong 723000, China; 2. Hanzhong Vocational and Technical College, Hanzhong 723000, China.
  • Received:2017-01-03 Online:2017-05-20 Published:2017-05-26

摘要: 目的:应用锥形束CT研究错牙合畸形切牙区唇侧牙槽骨开窗及开裂的发生率等分布情况。方法:选择2010年7月~2015年9月期间在汉中市口腔医院正畸科进行锥形束CT扫描的患者421例,统计在上下颌切牙区唇侧牙槽骨开窗及开裂的发生率和分布情况,并进行统计学分析。结果:在统计的421例患者中,骨开窗及骨开裂的发生率分别为38.95%和20.43%。骨开窗以骨性Ⅰ类错牙合最多39.49%,骨性Ⅱ类次之。骨开裂以骨性Ⅱ类错牙合33.82%最多,骨性Ⅰ类次之。骨开窗牙位以左上侧切牙最高20.43%,骨开裂牙位以左下侧切牙最高6.65%。结论:正畸治疗患者中,骨开窗及骨开裂的发生率分别为38.95%和20.43%,无性别差异,骨性Ⅰ类错牙合切牙区骨开窗的发生率最高,以上侧切牙为主,骨性Ⅱ类错牙合切牙区骨开裂的发生率最高,以下中切牙为主。

关键词: 锥形束CT, 骨开窗, 骨开裂, 切牙区

Abstract: Objective: To describe the incidence and sites of alveolar bone fenestration and dehiscence in incisor region with CBCT images, and to guide orthodontic clinica1 design. Methods: Four hundred and twenty-one CBCT images of orthodontic patients in Hanzhong Stomatological Hospital from 2010.7 to 2015.9 were selected.Their fenestration and dehiscence incidences in incisor regions were described and statistically analyzed. Results: The incidence of fenestration in incisor region of was 38.24%. Statistical analysis indicated that the left and right upper lateral incisor group (20.43% and 16.39%) had a greater prevalence of fenestration than the other groups (P<0.005). No significant difference was found between skeletal classifications for fenestration in incisor regions. The incidence of dehiscence in incisor region was 20.43%. Statistical analysis indicated that no significant difference was found between teeth group for dehiscence in incisor regions. The skeletal ClassⅡ group (33.82%) had a greater prevalence than the other groups (P<0.05). The most commonly affected tooth was the left lower lateral incisor (6.65%). Conclusion: Alveolar bone fenestration and dehiscence is a common phenomenon in orthodontic patients. No significant difference was found between genders. The most commonly affected tooth of fenestration was the upper lateral incisor. No significant difference was found between skeletal classifications. The most commonly affected tooth of dehiscence was the lower incisor, and the skeletal ClassⅡ group had a greater prevalence.

中图分类号: