华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

锥形束CT与牙槽骨九分区法在骨埋伏牙定位中的应用研究

张治勇 邝喆   

  1. 广东省口腔医院·南方医科大学附属口腔医院放射科, 广东广州510280
  • 收稿日期:2008-12-25 修回日期:2008-12-25 出版日期:2008-12-20 发布日期:2008-12-20
  • 通讯作者: 张治勇,Tel:020-84405548
  • 作者简介: 张治勇(1974-),男,广东人,主治医师,学士,现为南方医科大学在读硕士研究生
  • 基金资助:

    广东省医学科研基金资助项目(A2007111)

The application of cone-beam computed tomography and nine partition method on alveolar bone for locating the unerupted teeth

ZHANG Zhi-yong, KUANG Zhe   

  1. Dept. of Radiology, Guangdong Provincial Stomatological Hospital, Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2008-12-25 Revised:2008-12-25 Online:2008-12-20 Published:2008-12-20
  • Contact: ZHANG Zhi-yong,Tel:020-84405548

摘要:

目的探讨锥形束CT(CBCT)与牙槽骨九分区法在骨埋伏牙定位中的应用价值。方法选取99例患者的125颗骨埋伏牙为研究对象,采用CBCT对骨埋伏牙所在区间进行扫描,并利用牙槽骨九分区法对骨埋伏牙的牙冠及牙根进行归类。结果125颗埋伏牙中,上颌埋伏牙107颗,下颌埋伏牙18颗。埋伏牙牙冠、牙根以位于上颌骨内中和上颌骨外上2个区间最多(35.6%)。125颗埋伏牙的诊断与术中所见完全一致,准确率为100%。结论CBCT在骨埋伏牙定位中具有清晰直观、准确快捷的优点,牙槽骨九分区法对口腔外科拔除和正畸矫治复杂骨埋伏牙具有精确定位的指导意义。

关键词: 下颌前磨牙, 根管解剖形态, 根管治疗, 锥形束CT, 埋伏牙, 分区

Abstract:

Objective To investigate the clinical value of cone -beam computed tomography(CBCT) and nine partition method on alveolar bone for locating the relative orientation of the unerupted teeth. Methods 125 bone unerupted teeth of 99 cases were collected. The bone unerupted teeth zones were scaned by CBCT. The dental corona and root apex of these bone unerupted teeth were classified by the new nine partition method. Results In 125 bone unerupted teeth, 107 teeth located in maxilla, 18 teeth located in mandible. More frequent appearances(35.6%) in the alveolar bone were inner-middle and outer-superior. The representation of 125 bone unerupted teeth seen in surgery was the same with that of the CBCT before exodontia. The accurate rate of diagnosis was 100%. Conclusion CBCT is the most accurate and effective methods to determine the authentic orientation of the bone unerupted teeth. The nine partition method of alveolar bone has clinical value of accurate authentic orientation of the bone unerupted teeth in oral and maxillofacial surgery and orthodontics.

Key words: mandibularpremolar, rootcanalmorphology, rootcanaltherapy, cone-beamcomputedtomography, uneruptedteeth, partition