›› 2021, Vol. 41 ›› Issue (8): 715-719.

• 临床研究 • 上一篇    下一篇

上颌中切牙间微种植体植入可靠性的CBCT测量研究

许远1,王林2,唐伟成1,束为1,赵春洋3   

  1. 1. 江苏省中医院
    2. 南京医科大学附属口腔医院
    3. 南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院正畸科,
  • 收稿日期:2021-01-14 修回日期:2021-04-14 出版日期:2021-08-28 发布日期:2021-08-28
  • 通讯作者: 赵春洋 E-mail:zhaochunyang_orth@163.com
  • 基金资助:
    国家自然科学基金;江苏省高校优势学科建设工程项目;科教强卫口腔正畸学

The reliability of orthodontic mini-implant placement between the maxillary central incisors assessed by cone beam computed tomography

  • Received:2021-01-14 Revised:2021-04-14 Online:2021-08-28 Published:2021-08-28

摘要: 目的:通过锥形束CT(CBCT)测量分析,研究上颌中切牙间微种植体植入区的唇舌向牙槽骨量,探讨合适的植入高度与角度。材料与方法:选取80例年龄12~25岁正常人的CBCT影像资料进行三维重建,矢状面测量上颌中切牙间在距离参考平面14.0mm、16.0mm、18.0mm、20.0mm的四个植入高度上,分别以与骨皮质表面成60°、75°、90°的三个方向共12个植入路径的唇舌向骨质厚度。结果:微种植体不同植入部位唇舌向骨质厚度均大于7.0mm。相同高度水平,唇舌向骨量均为60°时最大,差异有统计学意义。大部分测量部位骨量男性大于女性。结论:上颌中切牙间可植入骨内长度为6mm的微种植体,微种植体与牙槽骨表面呈60°斜行植入可获得更多的骨量,高度的选择则建议按临床需要及患者的软组织状况而定。

关键词: 上颌中切牙, 鼻腭管, 微种植体, 锥形束CT

Abstract: [Objective]The aims of this study were to measure the buccolingual alveolar bone thickness between the maxillary central incisors by using cone beam computed tomography and to explore the optimal insertion height and angle for orthodontic mini-implant placement. [Material and Methods] Three-dimensional reconstruction was performed on CBCT images of 80 normal persons aged 12-25 years .For each subject ,the buccolingual alveolar bone thickness of 12 insertion paths on the median sagittal plane was measured at four different levels of 14.0,16.0,18.0 and 20.0mm from the reference plane and three angles of 60°,75°, and 90° with the surface of the cortical bone. [Result]Mean buccolingual alveolar bone thickness of every site was greater than 7 mm. At the same height level, the bone thickness is the largest at the angle of 60°, the difference was statistically significant. Male has greater bone thickness than female at most sites. [Conclusion]The orthodontic mini-implant with 6mm length in the bone can be placed between the maxillary central incisors. In clinical application, there was more alveolar bone with the insertion angle of 60°.The insertion height is recommended according to clinical needs and the patient's soft tissue condition.

Key words: Maxillary central incisor, Nasopalatine Canal, Orthodontic mini-implant, Cone Beam Computed Tomography

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