›› 2014, Vol. 34 ›› Issue (12): 892-896.

• 基础与临床研究 • 上一篇    下一篇

基于CBCT对江苏地区人群下颌神经管走向的研究

彭莎莎1,夏阳1,张昊1,马俊青2,章非敏3   

  1. 1. 南京医科大学附属口腔医院
    2. 江苏省口腔医院
    3. 南京医科大学口腔医学院
  • 收稿日期:2014-07-17 修回日期:2014-07-28 出版日期:2014-12-28 发布日期:2015-01-02
  • 通讯作者: 夏阳 E-mail:xiayangxy@sina.com
  • 基金资助:
    Micro RNA-1调控神经嵴细胞发育和衍化而影响颅面发育的机制研究;江苏高校优势学科建设工程资助项目;SPIONs 对GBR 膜成骨性能和抗菌性能影响的研究

The study of the mandibular canal course by cone-beam computed tomography (CBCT) in normal individuals from Jiangsu Province

  • Received:2014-07-17 Revised:2014-07-28 Online:2014-12-28 Published:2015-01-02
  • Contact: 陈 刚 E-mail:xiayangxy@sina.com

摘要: 目的 通过锥形束CT(cone beam computed tomography,CBCT)检查分析下颌神经管与下颌骨的位置关系,为避免在外科手术中造成对下牙槽血管神经束的损伤提供统计学依据。方法 收集90例(男45例,女45例)江苏省地区人群(年龄20-79岁)下颌骨的CBCT数据,将其导入NNT 4.6软件中,测量下颌神经管在下颌骨中的位置,对性别和左右侧对其位置的影响进行分析。结果 由近中向远中,下颌神经管到牙槽嵴顶的平均距离先增大再减小;到下颌骨颊侧的平均距离逐渐增加;两者在男女间和左右侧间的差异都不显著(p>0.05)。下颌神经管到下颌骨下缘和舌侧的平均距离逐渐减小,在颏孔后2mm处两者在左侧的平均距离小于右侧(p<0.05),且前者在女性左侧的平均距离都小于男性(p<0.05)。下颌管距下颌后牙牙根的平均距离由近中向远中逐渐减小,两者在男女间和左右侧间的差异都不显著(p>0.05)。结论 江苏地区人群的下颌神经管到牙槽嵴顶和下颌骨颊侧距离在男女相似,且左右对称性较好;到下颌骨下缘和舌侧的距离在男女间有差异,且左右间不太对称;位置在颏孔远中2mm后相对恒定,在颏孔后2mm以内的变化较大。

关键词: CBCT, 下颌骨, 下颌神经管, 颏孔, 牙槽嵴

Abstract: Abstract: Objective To analyze the course of the mandibular canal, providing the theoretical basis for implanting and bone grafting. Methods Mandibular data of 90 people from Jiangsu province obtained by cone-beam computed tomography were collected and analyzed by NNT 4.6 considering the effects of genders and sides. Results The mean distance from the border of mandibular canal to the alveolar crest was increased first then started to decrease. That to the buccal bone wall was gradually increased from mesial to distal. No significant differences were detected in genders and sides. (p>0.05) That to the lingual bone wall and inferior margin and was gradually decreased from mesial to distal. Significant differences were detected at where 2mm distal to mental foramem both in genders and sides which were inferior in female and left side. (p<0.05) That to the apexes of posterior teeth was gradually decreased from mesial to distal. No significant differences were detected. (p>0.05) Conclusion Mandibular canal position to the alveolar crest and buccal bone wall was symmetrical between two sides and similar in both genders. But that to the lingual bone wall and inferior margin is variable between genders and sides in the area close to mental foramen (within 2mm) in Jiangsu province people.

Key words: CBCT, Mandible, Mandibular canal, Mental foramen, Alveolar crista