锥形束CT在口腔正畸中的应用
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摘要
目的:对锥形束CT(CBCT)技术在口腔正畸中的实践效果进行评价分析,为今后的临床治疗工作提供可靠的参考依据。方法:选取2016年6月-2018年2月本院收治的需接受正畸治疗的埋伏牙患者112例。患者均行CBCT检查并对其检查结果进行分析。结果:112例患者均为多生埋伏牙,主要为上颌者(88例),主要表现在前牙区,下颌者(24例)主要出现在前磨牙区;112例多生埋伏牙患者共237颗牙齿,99例为2颗多生埋伏牙,13例为3颗多生埋伏牙;牙冠牙根发育正常26颗;牙冠发育正常,但是牙根发育与同名牙相比较短38颗;牙冠不规则发育、牙根呈杵状18颗;牙根、牙冠形似蝌蚪状155颗。结论:经CBCT技术对可对牙根的三维图像进行直观反映,为临床口腔正畸的诊断和矫正治疗提供了准确可靠的参考信息,值得关注并推广。
Objective:To evaluate and analyze the practical effects of cone beam computed tomography(CBCT) in orthodontics, and provide a reliable reference for future clinical treatment.Method:A total of 112 patients with impacted teeth were treated with orthodontic treatment from June 2016 to February 2018 in our hospital were selected.All patients were examined by CBCT and the results were analyzed.Result:The 112 patients were all multiple impacted teeth,mainly maxillary(88 cases),mainly manifested in the anterior tooth area,and the mandible(24 cases) mainly appeared in the premolar area.There were 237 teeth in 112 cases of multiple impacted teeth,of which 99 cases were 2 multiple impacted teeth and 13 cases were 3 multiple impacted teeth.The development of crown and tooth root was normal in 26 teeth,but the development of tooth root was shorter than that of the same name tooth in 38 teeth,the tooth crown developed irregularly with 18 teeth with pestle shape,and the tooth root had a tadpole shape of 155 teeth.Conclusion:The CBCT technology can directly reflect the threedimensional image of the root,providing diagnosis and correction treatment for clinical orthodontics,accurate and reliable reference information is worthy of attention and promotion.
Objective:To evaluate and analyze the practical effects of cone beam computed tomography(CBCT) in orthodontics, and provide a reliable reference for future clinical treatment.Method:A total of 112 patients with impacted teeth were treated with orthodontic treatment from June 2016 to February 2018 in our hospital were selected.All patients were examined by CBCT and the results were analyzed.Result:The 112 patients were all multiple impacted teeth,mainly maxillary(88 cases),mainly manifested in the anterior tooth area,and the mandible(24 cases) mainly appeared in the premolar area.There were 237 teeth in 112 cases of multiple impacted teeth,of which 99 cases were 2 multiple impacted teeth and 13 cases were 3 multiple impacted teeth.The development of crown and tooth root was normal in 26 teeth,but the development of tooth root was shorter than that of the same name tooth in 38 teeth,the tooth crown developed irregularly with 18 teeth with pestle shape,and the tooth root had a tadpole shape of 155 teeth.Conclusion:The CBCT technology can directly reflect the threedimensional image of the root,providing diagnosis and correction treatment for clinical orthodontics,accurate and reliable reference information is worthy of attention and promotion.
引文
[1]孙少平.锥形束CT在口腔正畸埋伏阻生牙诊疗中的临床应用研究[J].黑龙江医学,2017,41(3):262-263.
[2]王芳.锥形束CT在口腔正畸埋伏阻生牙诊疗中的临床应用[J].世界最新医学信息文摘,2016,16(36):120-121.
[3]李斯斯,王学金.锥形束CT正畸矫治中的临床诊断与应用[J].医药卫生:文摘版,2016(1):00015-00016.
[4]王国杰,刘春丽,杨晓瑞.锥形束CT在骨性Ⅲ类错牙合正畸治疗中的应用进展[J].中国医疗设备,2016,31(10):75-77.
[5]邓立,史雪峰.锥形束CT在切牙区唇侧牙槽骨开窗及开裂诊断中的应用研究[J].口腔医学研究,2017,33(5):559-562.
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[7]杨云丹,张疆弢,黄瑾,等.CBCT在口腔正畸学的应用[J].中国医学物理学杂志,2017,34(1):48-52.
[8]殷飞云,刘忠汉.锥形束CT在颞下颌关节疾病正畸诊疗中的应用[J].医药前沿,2017,7(24):273-274.
[9]李立立.锥形束CT在埋伏阻生牙诊治中的临床应用[J].医学信息,2017,30(6):103-104.
[10]周斌,何展飞.CBCT在口腔门诊临床诊治中的应用与分析[J].中国医药指南,2016,14(29):139-140.
[11]孙朋,颜兴.锥形束CT在颌骨疾病诊治中的应用进展[J].临床和实验医学杂志,2016,15(4):405-407.
[12]李淑婷,关则任,林苑云,等.锥形束CT在外伤前牙正畸治疗前辅助诊断中的应用[J].口腔疾病防治,2017,25(7):467-469.
[13]温馥嘉,陈贵,刘怡.基于锥形束CT的强支抗内收上前牙病例牙根及牙槽骨的形态学分析[J].北京大学学报(医学版),2016,48(4):702-708.
[14]仇玲玲,厉松,白玉兴.基于锥形束CT的正畸种植体导板设计及其引导下种植体植入安全性和稳定性的初步评价[J].中华口腔医学杂志,2016,51(6):336-340.
[15]周雪中,孔卫东.应用锥形束CT建立微种植钉内收上前牙的有限元模型[J].暨南大学学报(自然科学与医学版),2017,38(3):274-280.
[16]梁晓伟,李阳飞,周丹.CBCT在埋伏牙正畸诊断和定位中的临床应用研究[J].心理医生,2016,22(16):83-84.
[17]杨彤彤,王之瑜,李静.正畸关闭萎缩性牙槽骨间隙前后牙槽骨形态的口腔锥形束CT评价[J].中国药物与临床,2017,17(7):962-964.
[18]张斌,张桂荣,白云龙.应用锥形束CT观察安氏Ⅱ类2分类患者正畸前后髁突位置变化[J].临床军医杂志,2017,45(11):1178-1179.
[19]韩天媛,刘志杰,邵玶.利用锥形束CT研究单侧上颌尖牙埋伏阻生患者牙弓形态特点[J].中华口腔正畸学杂志,2016,23(1):29-32.
[20]刘映鸿,周泽渊,赵奎,等.青少年患者前牙内收过程中牙槽骨改建情况的锥形束CT研究[J].华西口腔医学杂志,2016,34(1):78-84.
[21]张聪.面部三维影像测量在口腔正畸中的临床效果研究[J].养生保健指南,2016,5(31):5-10.
[2]王芳.锥形束CT在口腔正畸埋伏阻生牙诊疗中的临床应用[J].世界最新医学信息文摘,2016,16(36):120-121.
[3]李斯斯,王学金.锥形束CT正畸矫治中的临床诊断与应用[J].医药卫生:文摘版,2016(1):00015-00016.
[4]王国杰,刘春丽,杨晓瑞.锥形束CT在骨性Ⅲ类错牙合正畸治疗中的应用进展[J].中国医疗设备,2016,31(10):75-77.
[5]邓立,史雪峰.锥形束CT在切牙区唇侧牙槽骨开窗及开裂诊断中的应用研究[J].口腔医学研究,2017,33(5):559-562.
[6]唐大永.锥形束CT技术及其应用于颌面骨牵张治疗的研究进展[J].中国保健营养,2016,26(8):118-119.
[7]杨云丹,张疆弢,黄瑾,等.CBCT在口腔正畸学的应用[J].中国医学物理学杂志,2017,34(1):48-52.
[8]殷飞云,刘忠汉.锥形束CT在颞下颌关节疾病正畸诊疗中的应用[J].医药前沿,2017,7(24):273-274.
[9]李立立.锥形束CT在埋伏阻生牙诊治中的临床应用[J].医学信息,2017,30(6):103-104.
[10]周斌,何展飞.CBCT在口腔门诊临床诊治中的应用与分析[J].中国医药指南,2016,14(29):139-140.
[11]孙朋,颜兴.锥形束CT在颌骨疾病诊治中的应用进展[J].临床和实验医学杂志,2016,15(4):405-407.
[12]李淑婷,关则任,林苑云,等.锥形束CT在外伤前牙正畸治疗前辅助诊断中的应用[J].口腔疾病防治,2017,25(7):467-469.
[13]温馥嘉,陈贵,刘怡.基于锥形束CT的强支抗内收上前牙病例牙根及牙槽骨的形态学分析[J].北京大学学报(医学版),2016,48(4):702-708.
[14]仇玲玲,厉松,白玉兴.基于锥形束CT的正畸种植体导板设计及其引导下种植体植入安全性和稳定性的初步评价[J].中华口腔医学杂志,2016,51(6):336-340.
[15]周雪中,孔卫东.应用锥形束CT建立微种植钉内收上前牙的有限元模型[J].暨南大学学报(自然科学与医学版),2017,38(3):274-280.
[16]梁晓伟,李阳飞,周丹.CBCT在埋伏牙正畸诊断和定位中的临床应用研究[J].心理医生,2016,22(16):83-84.
[17]杨彤彤,王之瑜,李静.正畸关闭萎缩性牙槽骨间隙前后牙槽骨形态的口腔锥形束CT评价[J].中国药物与临床,2017,17(7):962-964.
[18]张斌,张桂荣,白云龙.应用锥形束CT观察安氏Ⅱ类2分类患者正畸前后髁突位置变化[J].临床军医杂志,2017,45(11):1178-1179.
[19]韩天媛,刘志杰,邵玶.利用锥形束CT研究单侧上颌尖牙埋伏阻生患者牙弓形态特点[J].中华口腔正畸学杂志,2016,23(1):29-32.
[20]刘映鸿,周泽渊,赵奎,等.青少年患者前牙内收过程中牙槽骨改建情况的锥形束CT研究[J].华西口腔医学杂志,2016,34(1):78-84.
[21]张聪.面部三维影像测量在口腔正畸中的临床效果研究[J].养生保健指南,2016,5(31):5-10.