口腔医学研究 ›› 2019, Vol. 35 ›› Issue (2): 159-162.DOI: 10.13701/j.cnki.kqyxyj.2019.02.014

• 口腔影像技术研究 • 上一篇    下一篇

锥形束CT测量上颌中切牙根径及骨板厚度研究

朱彦霏,马伟程#,耿金欢,刘茜,丁玉梅,李蜀鄂*   

  1. 华中科技大学同济医学院附属协和医院口腔医学中心 湖北 武汉 430022
  • 收稿日期:2018-07-12 出版日期:2019-02-18 发布日期:2019-02-25
  • 通讯作者: 李蜀鄂,E-mail:lishue737@hotmail.com
  • 作者简介:朱彦霏(1992~ ),女,河南人,学士,主要从事种植修复研究。马伟程(1991~ ),男,云南人,学士,主要从事种植修复研究。
  • 基金资助:
    湖北省自然科学基金青年项目(编号:2017CFB251) 湖北省卫生健康科研基金(编号:WJ2017M110)

CBCT Evaluation of Root Diameter and Surrounding Bone Thickness of Maxillary Central Incisors.

ZHU Yan-fei, MA Wei-cheng#, GENG Jin-huan, LIU Qian, DING Yu-mei, LI Shu-e   

  1. Department of Stomatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
  • Received:2018-07-12 Online:2019-02-18 Published:2019-02-25

摘要: 目的: 用锥形束CT(CBCT)分析上颌中切牙根径及周围骨厚度等情况,为前牙美学区即刻种植提供临床参考依据。方法: 选取299例成年患者CBCT影像资料,分别测量上颌中切牙秞牙骨质界(cemento-enamel junction,CEJ)下2 mm处牙根的唇腭径/近远中径和唇腭/近远中侧骨板厚度,观察骨开裂/开窗情况,并对不同性别、年龄组差别进行统计学分析。结果: 女、男性两切牙唇侧骨开窗分别为9、14例,同一牙位发生率无明显统计学差异(P>0.05)。 同一牙位,男性唇腭径、近远中径均大于女性(P<0.05),女性唇侧骨板厚度大于男性(P<0.05),30岁以下组唇侧骨板厚度大于31~50岁组及50岁以上组(P<0.05)。结论: CBCT可以精确测量牙根直径,上颌中切牙CEJ下2 mm处近远中径、唇腭径及唇侧骨厚度与性别有关,30岁以下人群唇侧骨板厚。

关键词: 锥形束CT, 上颌中切牙, 牙根直径, 即刻种植, 美学

Abstract: Objective : To measure root diameter and bone thickness overlying maxillary central incisors to offer more details for immediate implantation in esthetic area. Methods: 299 patients with CBCT image data were included. Labial-palatal and mesial-distal diameter, labial, palatal, mesial and distal bone thickness, 2mm below the cemento-enamel junction (CEJ) were measured. Gender and age difference were analyzed. Results: There were 9 and 14 fenestrations and dehiscences for female and male (P>0.05). Significance was found in different genders for labial-palatal and mesial-distal diameter (P<0.05). Female or group below 30 had more labial bone (P<0.05). Conclusion: CBCT can be applied for precise measurement. Both mesial-distal and labial-palatal root diameter, 2mm beneath the CEJ, had correlation with gender. Thicker bone was found below 30.

Key words: Cone-beam computed tomography, Maxillary central incisors, Root diameter, Immediate implantation, Esthetics