华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

采用锥形束CT测量牙体长度的准确性研究

冯驰1,2  李丛华2,3  曾兴琪2,3  王勤花2,3  郑谦4  邱叶2,3   

  1.  1.重庆医科大学附属口腔医院口腔颌面外科; 2.口腔疾病与生物医学重庆市重点实验室,重庆 401147;
    3.重庆医科大学附属口腔医院大学城门诊部,重庆 401331;
    4.口腔疾病研究国家重点实验室华西口腔医院唇腭裂外科(四川大学),成都 610041
  • 出版日期:2014-02-01 发布日期:2014-02-01
  • 通讯作者: 邱叶,住院医师,硕士,E-mail:qyhfp@163.com
  • 作者简介:冯驰,住院医师,硕士,E-mail:fvgfvg123@126.com

Investigation of accuracy of premolar length measured by cone beam CT in vivo

 Feng Chi1,2, Li Conghua2,3, Zeng Xing-qi2,3, Wang Qinhua2,3, Zheng Qian4, Qiu Ye2,3   

  1. 1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital of Sto-matology, Chongqing Medical University, Chongqing 401147, China; 2. Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing 401147, China;3. University Town Clinic, The Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401331, China; 4. State Key Laboratory of Oral Diseases, Dept. of Cleft and Palate Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2014-02-01 Published:2014-02-01

摘要:

目的  探索锥形束 CT(CBCT)对牙体长度各参数测量的可行性及准确性。方法  通过 InVivoDental软件对 40例患者 109颗活体牙的 CBCT扫描数据进行组织分割以及重建,得到目标牙长轴的颊舌向断层图像,测量根长、冠长和牙体全长。相同活体牙经外科拔除后,进行相应参数测量。比较实体测量值和 CBCT测量值的差异,检验 CBCT测量牙体长度的精确性。结果  实验牙根长、冠长及牙体全长的CBCT测量值与实体测量值的差异无统计学意义( P值分别为 0.790、0.621、0.657),两种测量方法差值的 95%可信区间分别为(-1.10~1.13)、( -1.00~0.96)、(-1.00~1.05) mm。结论  CBCT对活体牙的根长、冠长及牙体全长的无创测量与实体测量的一致性较好,可在临床推广应用。

关键词:  , 锥形束CT, 牙体, 长度测量, 多平面重建, 精确度

Abstract:

Objective To investigate the feasibility and accuracy of length measurement of in vivo teeth by using cone beamCT (CBCT). Methods Before orthodontic extraction, 109vitalpremolars from 40 participantswere scannedby using CBCT and reconstructed by using InVivoDental software. Buccal-lingual sectional images along the long axis of teeth were then acquired, and the crown, root, and tooth length were measured separately. After careful extraction and fixation, the cor-responding length of thesametooth was measured byusing a digitalcaliper. CBCT measurement accuracywas then verified by using physical measurements as reference. Results  CBCT and the physical method did not obtain significantly different measurements of the root, crown, and tooth length of experimental teeth (P=0.790, P=0.621, P=0.657, respectively), and the measurements were found to be consistent. The 95% limits of agreement of root, crown, and tooth length were -1.10 mm to
1.13mm, -1.00 mm to 0.96mm, and -1.00 mm to 1.05 mm, respectively. Conclusion  The difference between CBCT and the physical method was not significant, and good consistency was shown. CBCT could be applied in noninvasive measure-ment of in vivo teeth.

Key words: cone beam CT,  tooth, length measurement, multi-planar reconstruction, accuracy