上颌前牙倾斜角度CBCT测量对种植治疗的指导及效果预测作用研究
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摘要
目的:探讨上颌前牙倾斜角度锥形束计算机断层扫描(CBCT)测量对种植治疗的指导及效果预测作用。方法:选取2015年1月至2016年6月本院收治的需行上颌前牙种植治疗的患者148例,随机分为CBCT组与常规组,每组74例。CBCT组在采用CBCT测量的基础上进行种植治疗,常规组未进行CBCT测量。比较CBCT组患者CBCT测量牙槽骨厚度及牙齿倾斜角度值与术中实际测量值,并对比两组种植成功率、不良事件发生率及患者满意度。结果:CBCT组患者术前经CBCT测量的牙槽骨厚度及牙齿倾斜度与术中实际测量值比较,差异无统计学意义(P>0.05)。CBCT组种植成功率和患者总满意率均明显高于常规组(均P<0.05),总不良事件发生率明显低于常规组(P<0.05)。结论:上颌前牙倾斜角度CBCT测量可指导临床工作者合理选择种植治疗时机及植入体种植位置,并可提高种植成功率及患者满意度,减少不良事件发生。
Objective:To assess the cone-beam computed tomography(CBCT)value with regard to the outcome of maxillary anterior dental implant treatment.Methods:CBCT examination was performed in 74 patients(CBCT group)who received maxillary anterior dental implant therapy.74 patients with similar conventional treatment but without CBCT imaging were defined as a conventional group.The success rate of implant therapy,the incidence of adverse events and patients' satisfaction rate were compared.Results:The alveolar bone thickness and teeth inclination angle by CBCT measurement were similar to those obtained through actual measurement(P>0.05).The success rate of implant therapy and patients' satisfaction rate in CBCT group were significantly higher than those in conventional group,while the incidence of total adverse events was significantly lower(P<0.05).Conclusion:CBCT plays a role in guiding maxillary anterior dental implantation time and implant location,and it improved the chance of success and patients' satisfaction.
Objective:To assess the cone-beam computed tomography(CBCT)value with regard to the outcome of maxillary anterior dental implant treatment.Methods:CBCT examination was performed in 74 patients(CBCT group)who received maxillary anterior dental implant therapy.74 patients with similar conventional treatment but without CBCT imaging were defined as a conventional group.The success rate of implant therapy,the incidence of adverse events and patients' satisfaction rate were compared.Results:The alveolar bone thickness and teeth inclination angle by CBCT measurement were similar to those obtained through actual measurement(P>0.05).The success rate of implant therapy and patients' satisfaction rate in CBCT group were significantly higher than those in conventional group,while the incidence of total adverse events was significantly lower(P<0.05).Conclusion:CBCT plays a role in guiding maxillary anterior dental implantation time and implant location,and it improved the chance of success and patients' satisfaction.
引文
[1]张文娟,肖霞,曹伟靖.上颌前部单牙种植修复患者即刻、延期种植的疗效观察[J].海南医学,2017,28(4):647-649.
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[10]李旻,张志宏,刘红红,等.锥形束CT对牙齿种植位点线距测量精度的实验研究[J].中华放射学杂志,2016,50(1):52-56.
[11]郭小龙,王照五,吕岩,等.上颌牙槽突颊舌向生理倾斜角的锥形束CT研究[J].中国实用口腔科杂志,2016,9(3):171-177.
[12]KHOURY J,GHOSN N,MOKBEL N,et al.Buccal bone thickness overlying maxillary anterior teeth:a clinical and radiographic prospective human study[J].Implant Dentistry,2016,25(4):525.
[13]董正杰,徐侃.上颌中切牙长轴与牙槽骨方向夹角的锥形束CT测量分析[J].上海口腔医学,2017,26(4):458-460.
[14]杨偲偲,黄远亮,张蕾.应用CBCT评价隐形矫治技术远中移动上颌磨牙的临床疗效[J].口腔材料器械杂志,2016,25(2):86-90.
[15]SILVA E J,CASTRO R W,NEJAIM Y,et al.Evaluation of root canal configuration of maxillary and mandibular anterior teeth using cone beam computed tomography:an in-vivo study[J].Quintessence International,2016,47(1):19-21.
[2]房玉镇,付欣,孙鲁旻,等.微种植体支抗在内收上颌前牙过程中其植入角度和长度连续变化的三维有限元分析[J].中国体视学与图像分析,2017,22(1):10-16.
[3]陈立艳,刘志杰,苑芳连,等.颧牙槽嵴区骨宽度及皮质骨厚度的CBCT测量分析[J].口腔医学研究,2017,33(6):637-641.
[4]胡德渝.口腔预防医学[M].北京:人民卫生出版社,2012:64-65.
[5]骆奇峰.上颌前牙单牙即刻种植即刻修复与延期种植修复对患者植体周围软组织和主观满意度的影响[J].中华全科医学,2017,15(8):1355-1357.
[6]夏婷,施斌.上颌单前牙即刻种植修复和延期种植修复的美学效果比较[J].口腔医学研究,2016,32(1):50-54.
[7]祝岩,万澎波,赵伟,等.上颌前牙美学区连续多颗牙缺失即刻种植的临床研究[J].口腔医学,2016,36(8):700-705.
[8] FELICITA A S.Quantification of intrusive/retraction force and moment generated during en-masse retraction of maxillary anterior teeth using mini-implants:a conceptual approach[J].Dental Press Journal of Orthodontics,2017,22(5):47-48.
[9]杜良智,许哲,石平,等.上前牙区小直径种植体连接不同角度基台有限元分析[J].实用口腔医学杂志,2016,32(4):526-531.
[10]李旻,张志宏,刘红红,等.锥形束CT对牙齿种植位点线距测量精度的实验研究[J].中华放射学杂志,2016,50(1):52-56.
[11]郭小龙,王照五,吕岩,等.上颌牙槽突颊舌向生理倾斜角的锥形束CT研究[J].中国实用口腔科杂志,2016,9(3):171-177.
[12]KHOURY J,GHOSN N,MOKBEL N,et al.Buccal bone thickness overlying maxillary anterior teeth:a clinical and radiographic prospective human study[J].Implant Dentistry,2016,25(4):525.
[13]董正杰,徐侃.上颌中切牙长轴与牙槽骨方向夹角的锥形束CT测量分析[J].上海口腔医学,2017,26(4):458-460.
[14]杨偲偲,黄远亮,张蕾.应用CBCT评价隐形矫治技术远中移动上颌磨牙的临床疗效[J].口腔材料器械杂志,2016,25(2):86-90.
[15]SILVA E J,CASTRO R W,NEJAIM Y,et al.Evaluation of root canal configuration of maxillary and mandibular anterior teeth using cone beam computed tomography:an in-vivo study[J].Quintessence International,2016,47(1):19-21.