华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

与种植体植入相关的颞骨区骨性结构的应用解剖研究

牛学刚,赵铱民,邹昌旭   

  1. 第四军医大学口腔医院 修复科,陕西 西安710032
  • 收稿日期:2004-08-25 修回日期:2004-08-25 出版日期:2004-08-20 发布日期:2004-08-20
  • 通讯作者: 牛学刚,Tel:13991831276
  • 作者简介:牛学刚(1973-),男,黑龙江人,医师,硕士

Applied Anatomy Study Related to Implants in the Temporal Bone Region

NIUXue-gang,ZHAO Yi-min,ZOUChang- xu   

  1. Dept.ofProsthodontics,Stomatological College,the Fourth MilitaryMedical University,Xi′an710032,China
  • Received:2004-08-25 Revised:2004-08-25 Online:2004-08-20 Published:2004-08-20

摘要:

目的 测量颞骨区骨性结构,为颞骨区种植体的植入提供参考依据。方法 以游标卡尺、弯角规等测量工具对73例颅骨标本进行实体定量测量。结果 在颞骨区,最小骨厚度均值分别为,①11点位:6.77 mm(男), 5.18 mm(女);②10点位:8.60 mm(男),6.77 mm(女);③9点位:9.85 mm(男),7.30 mm(女);④8点位:14.50 mm (男),10.80 mm(女)。结论 ①在颞骨区(以右侧为例),以外耳道口中心为圆心, 8~11点位,距中心16~22 mm区域,为适宜种植区。适宜植入的种植体长度分别是11点位:4~5 mm(男)和3~4 mm(女);10点位:4~7 mm(男)和 4~5 mm(女);9点位:4~8 mm(男)和4~6 mm(女);8点位:4~12 mm(男)和4~8 mm(女)。②在颞骨区,由12点位向11点位(颞骨鳞部),由10点位向8点位(乳突部),由距外耳道口中心22 mm位向16 mm位,骨厚度逐渐增大,因此,在临床上,当拟定的种植点骨量不足时,可将种植点向外耳道口或逆时针(左侧为顺时针)方向调整。③在颞骨区,男女骨量差别显著,男性优于女性,在临床工作中应区别对待。

关键词: 解剖, 种植, 测量, 骨性结构

Abstract:

Objective To study the bone anatomic structure of the temporal bone region and provide reference in implant sur- gery in this region.Methods Manual quantitative measurements of the bone structure were performed in 73 skull specimens(38 from male and 35 from female).Results In the area of 8∶00~11∶00(right ear)and 16~22 mm from center of the external au- ditory canal in the temporal bone region, the minimum bone thickness is as follows: 11∶00:6.77 mm in male,5.18 mm in fe- male; 10∶00:8.60 mm in male,6.77 mm in female; 9∶00:9.85 mm in male,7.30 mm in female; 8∶00:14.50 mm in male, 10.80 mm in female.Conclusion ①In the temporal bone region,the area of 8∶00~11∶00(right ear)and 16~22 mm from cen- ter of the external auditory canal offers sufficient bone for implants. The length of implants should be as follows: 11∶00:4~5 mm in male,3~4 mm in female; 10∶00:4~7 mm inmale,4~5 mm in female; 9∶00:4~8 mm inmale,4~6 mm in female; 8∶00: 4~12 mm inmale,4~8 mm in female.②Towards the external auditory canal and from12∶00 to 11∶00, 10∶00 to 8∶00,the bone became thicker, so,if no ample bone is available in the initial site,the location should be shifted anti-clockwise in right side (clockwise in left side) and closer to the external auditory canal.③The differences between male and female are statistically sig- nificant in the temporal bone region,so they should be treated distinguishingly during the clinical practices.

Key words: anatomy, implant, measurement, bone structure