口腔医学研究 ›› 2015, Vol. 31 ›› Issue (10): 1037-1039.

• 临床研究论著 • 上一篇    下一篇

锥形束CT与根尖牙片诊断牙根折裂的对比分析

王小乐1,缪建林1,丁水清2,陈建荣2,李东平1*   

  1. 1. 南通市第二人民医院 江苏 南通 226002;
    2. 南通市口腔医院
  • 收稿日期:2014-05-28 出版日期:2015-10-28 发布日期:2016-05-04
  • 通讯作者: 李东平,E-mail:13806295102@139.com
  • 作者简介:王小乐(1975~ ),男,江苏南通人,学士,副主任医师,主要从事医学影像学诊断工作。

Comparison of Cone Beam CT and Periapical Film in Diagnosis of Tooth Root Fracture

WANG Xiao-le1, LIAO Jian-lin1, DING Shui-qing2, CHEN Jian-rong2, LI Dong-ping1*   

  1. 1. The Second People's Hospital of Nantong City, Nantong 226002, China;
    2. Stomatological Hospital of Nantong City, Nantong 226001, China
  • Received:2014-05-28 Online:2015-10-28 Published:2016-05-04

摘要: 目的:对比分析锥形束CT与根尖牙片在根折诊断中的诊断价值。方法:选取经临床拔牙或外科探查证实的35 例(37个患牙)根折裂患者,均作CBCT和根尖牙片检查,对比分析图像。结果:37个患牙中,CBCT在检出根折35个,根尖牙片检出折裂线16个。结论:CBCT检知牙根折裂的准确率明显高于根尖牙片,能清晰显示根折位置及类型,对临床制定根折治疗方案有重要应用价值。

关键词: 锥形束, 计算机体层成像, 根管治疗, 牙根折裂

Abstract: Objective: To compare the diagnostic value of cone beam CT (CBCT) and periapical film in tooth root fracture. Methods: Thirty-seven teeth from 35 patients were included in this study whose roots were fracture confirmed after extraction or surgical exploration. All teeth were examined by both CBCT and periapical film. Radiological images were analyzed and compared. Results: Of the 37 fractured teeth, CBCT detected 35 teeth and periapical film detected 16 teeth. Conclusion: The accuracy of CBCT in detection of tooth root fracture was significantly higher than that of periapical film. The CBCT clearly showed the location and type of root fracture. The CBCT held important clinical value in the treatment planning of tooth root fracture.

Key words: Cone beam, Computer tomography, Root canal therapy, Root fracture

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