›› 2017, Vol. 37 ›› Issue (7): 615-620.

• 临床研究 • 上一篇    下一篇

上颌中切牙牙龈生物型的相关因素分析

赵宇骁1,周延2,浦丽飞2,陈洁3,丁旭4,宋晓萌5,滕荣林6,吴煜农5   

  1. 1. 南京医科大学附属口腔医院
    2. 南京江北口腔医院
    3. 江苏省口腔医院
    4. 南京医科大学附属口腔医院口腔颌面外科
    5. 南京医科大学口腔医学院
    6. 南京医科大学附属口腔医院,江苏省口腔医院
  • 收稿日期:2017-01-16 修回日期:2017-03-04 出版日期:2017-07-28 发布日期:2017-07-18
  • 通讯作者: 吴煜农 E-mail:yunongwu@aliyun.com
  • 基金资助:
    国家自然科学青年基金;江苏高校优势学科建设工程资助项目

To analyze the correlative factors of the gingival biotype of the maxillary central incisor

  • Received:2017-01-16 Revised:2017-03-04 Online:2017-07-28 Published:2017-07-18

摘要: 目的 评估不同参考线处上颌中切牙唇、腭侧骨板厚度情况及釉牙骨质界到唇侧牙槽嵴顶距离;探究上颌中切牙牙龈生物型与性别、年龄、牙冠唇面形态、牙槽骨厚度以及与釉牙骨质界到唇侧牙槽嵴顶距离的相关性。方法 对118位受试者进行CBCT扫描,测量上颌中切牙唇、腭侧骨板厚度情况、釉牙骨质界到牙槽嵴顶距离;使用牙周探针法测量上述受试者的牙龈生物型,记录并分析其相关性 结果 牙龈生物型与性别、年龄、中切牙唇面形态无明显相关性;上颌中切牙的釉牙骨质界至唇侧牙槽嵴顶距离为2.63±0.98mm,牙龈生物型与该距离无相关性(r=-0.051,P>0.05),27.1%的唇侧骨板部分缺失;牙龈生物型与距釉牙骨质界根方3mm、5mm处唇侧骨板厚度的相关系数(r)分别为0.747、0.281(P<0.05)结论 ①上颌中切牙接近1/3的唇侧骨板伴有部分缺失,釉牙骨质界至唇侧牙槽嵴顶距离与牙龈生物型无相关性;②当患者上颌中切牙唇侧骨板完整时,牙龈生物型与唇侧骨板厚度呈正相关。

关键词: 牙龈生物型, 牙槽骨厚度, CBCT, 美学区

Abstract: Objective Determine the buccal and palatal bone thickness at different reference lines and the distance from cemento-enamel junction(CEJ) to labial bone crest of the maxillary central incisor. To study the relationship between gingival biotype and gender、age、crown form、the underlying bone thickness and the distance from CEJ to labial bone crest of the maxillary central incisor. Methods 118 volunteers with health gingiva were included. The buccal and palatal bone thickness which were measured at 3 locations and the distance from CEJ to labial bone crest were determined by CBCT. Gingival biotype of those volunteers was confirmed by the aid of a periodontal probe. Results There is no relation between the gingival biotype and gender、age、crown form of the maxillary central incisor. The distance from CEJ to labial bone crest was 2.63±0.98mm,the correlation coefficient (r) values between the gingival biotype and this distance was -0.051(P>0.05). The percentage of partially missed labial bone was 27.1%. The correlation coefficient (r) values between the gingival biotype and labial bone thickness which were at 3,5mm below the CEJ were 0.747、0.281(P<0.05)respectively. Conclusions ①About the maxillary central incisor,around one third of labial bone was partially missed. No relation was detected between the gingival biotype and the distance as mentioned above. ②There is positive relation between the gingival biotype and labial bone thickness when the labial bone was intact.

Key words: Gingival biotype, Alveolar bone thickness, Cone-beam CT(CBCT), Esthetic zone

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