华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

锥形束CT在诊治阻生牙所致邻牙牙根外吸收中的应用

李志进 郭家平 石咏梅 董青山 王翔 熊才华 桂逍   

  1. 广州军区武汉总医院口腔科,武汉 430070
  • 出版日期:2013-12-01 发布日期:2013-12-01
  • 通讯作者: 郭家平,Tel:027-68878567
  • 作者简介:李志进(1982—),男,湖北人,主治医师,硕士

Application of cone-beam computed tomography in the diagnosis and treatment of external root resorption of adja-cent teeth caused by impacted teeth

Li Zhijin, Guo Jiaping, Shi Yongmei, Dong Qingshan, Wang Xiang, Xiong Caihua, Gui Xiao.   

  1. Dept. of Stomatology, Wuhan General Hospital of Guangzhou Command, Wuhan 430070, China
  • Online:2013-12-01 Published:2013-12-01

摘要:

目的 探讨锥形束CT(CBCT)在阻生牙所致邻牙牙根外吸收诊治中的应用价值。方法 选择2011年1—12月广州军区武汉总医院口腔科诊治,经全口曲面体层片确定存在阻生牙,邻牙牙根外吸收情况不明确的患牙19颗(15例)。所有患者进行CBCT扫描和三维重建,确定牙根外吸收的部位及程度。结果 经CBCT扫描和三维重建后,所有患者均直观显示牙根外吸收的部位及程度,以及阻生牙在颌骨中的三维位置及其与周围重要组织的关系。结论 CBCT可直观、准确地显示牙根外吸收的部位和程度,对阻生牙所致邻牙牙根外吸收的诊断和治疗提供可靠信息。

关键词: 锥形束CT, 阻生牙, 牙根外吸收

Abstract:

Objective  This study aims to investigate the diagnosis and treatment of external root resorption of adjacent teeth caused by impacted teeth via cone-beam computed tomography (CBCT). Methods  A total of 19 teeth from 15 patients with uncertain external root resorption caused by an adjacent impacted tooth were examined from January 2011 to December 2011. All teeth with uncertain external root resorption were scanned by CBCT. Three dimensions reconstruction were the con-ducted to determine the location and extent of resorption. Results  In all cases, CBCT identified the accurate location and extent of external root resorption caused by adjacent impacted teeth. Furthermore, the technique provided impacted teeth location in three dimensions, including the relation between the impacted teeth and surrounding vital structures. Conclusion  CBCT can provide direct and accurate images of the location and extent of external root resorption, as well as the location of the adja-cent impacted teeth in three dimensions. Therefore, the proposed technique provides reliable information for clinical diagnosis and treatment.

Key words: cone-beam computed tomography, impacted tooth, external root resorption