华西口腔医学杂志

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单侧完全性唇腭裂患者上颌尖牙长度的锥形束CT测量及其他相关统计分析

李放 王建国   

  1. 南开大学附属天津市口腔医院正畸科, 天津300041
  • 收稿日期:2011-04-25 修回日期:2011-04-25 出版日期:2011-04-20 发布日期:2011-04-20
  • 通讯作者: 王建国,Tel:022-27119191-3089
  • 作者简介:李放(1983—),女,安徽人,硕士

Measurement of tooth length of upper canines in complete unilateral cleft lip and palate patients with conebeam computed tomography

LI Fang, WANG Jian-guo   

  1. Dept. of Orthodontics, Tianjin Stomatological Hospital Affiliated to Nankai University, Tianjin 300041, China
  • Received:2011-04-25 Revised:2011-04-25 Online:2011-04-20 Published:2011-04-20
  • Contact: WANG Jian-guo,Tel:022-27119191-3089

摘要:

目的使用锥形束CT(CBCT)测量单侧完全性唇腭裂患者的裂隙侧与非裂隙侧上颌尖牙的长度,包括尖牙的全长、冠长、根长及冠根比,比较两侧的差异,并同时对裂隙附近的其他牙齿异常进行统计。方法对20例单侧完全性唇腭裂患者进行CBCT扫描,经配套三维重建工作站进行处理后形成清晰的头颅三维重建图像,沿上颌两侧尖牙长轴获得牙齿的断层图像,测量上颌尖牙的全长、冠长及根长,对裂隙侧和非裂隙侧上颌尖牙的全长、冠长、根长及冠根比进行配对t检验,并对裂隙区其他前牙异常及裂隙部位进行记录。结果单侧完全性唇腭裂患者的裂隙侧与非裂隙侧上颌尖牙全长、根长及冠根比的差异均有统计学意义(P<0.01),冠长的差异无统计学意义(P>0.05)。裂隙区侧切牙异常20例(100%)。结论单侧完全性唇腭裂患者裂隙侧上颌尖牙的长度较非裂隙侧短,尤以根长较明显。裂隙区的牙齿较易发生异常,特别是侧切牙发生异常率高。

关键词: 单侧完全性唇腭裂, 牙槽嵴裂, 上颌尖牙, 锥形束CT

Abstract:

Objective The objective of this study is to investigate with cone-beam computed tomography(CBCT)the tooth length of permanent upper canines near the cleft area in patients with complete unilateral cleft lip palate (UCLP) and to compare the findings with its contralateral tooth, including full length, crown length, root length and top root ratio. Meanwhile, the teeth near the cleft area having anomalies are also recorded. Methods A sample of 20 patients with complete UCLP who accepted the CBCT scan were selected. The raw data were constructed along the longitudinal axis of the upper canines, and the full lengths, crown lengths, root lengths of upper canines of all patients were measured using 3-D measurement software associated to CBCT. The full lengths, crown lengths, root lengths and top root ratios of the upper canines accepted paired-t test. The anterior teeth near the cleft area having anomalies and positions of the clefts were also recorded. Results The full lengths, root lengths and top root ratios of the upper canines had statistical difference between the cleft side and non-cleft side(P<0.01), except the crown lengths (P>0.05). 20 lateral incisors near the cleft area had anomalies(100%). Conclusion The lengths of upper canines on
the cleft side are shorter than those of the non-cleft side, and the root lengths are affected more. The teeth near the cleft side prove to be abnormal, especially the lateral incisors.

Key words: complete unilateral cleft lip and palate, cleft alveolus, upper canine, cone-beam computed tomography