›› 2014, Vol. 34 ›› Issue (8): 604-607.

• 基础与临床研究 • 上一篇    下一篇

下颌后牙区颊侧骨皮质厚度及牙槽宽度的CBCT测量分析

穆荣荣,张丹,张扬   

  1. 中国医科大学口腔医学院
  • 收稿日期:2013-12-02 修回日期:2014-01-21 出版日期:2014-08-28 发布日期:2014-09-25
  • 通讯作者: 穆荣荣 E-mail:mr.mitchie0517@gmail.com

Cortical bone thickness in buccal posterior region and bone depth of mandible: A CBCT analysis

  • Received:2013-12-02 Revised:2014-01-21 Online:2014-08-28 Published:2014-09-25

摘要: 目的 应用CBCT测量成人下颌后牙区颊侧骨皮质厚度及牙槽宽度,为临床选择适宜微种植体种类及植入部位提供参考。方法 从中国医科大学口腔医院影像科资料库中随机选取68例成人患者的CBCT。其中,男36例,女32例;年龄18~31岁,平均年龄22.8岁。分别测量下颌第一前磨牙至第二磨牙近中两牙根间距牙槽嵴顶3、6、9 mm处骨皮质厚度及牙槽宽度,并对测量结果进行统计分析。结果 下颌后牙区颊侧骨皮质厚度及牙槽宽度,左右两侧无统计学差异,性别间无统计学差异(P>0.05)。在3个测量水平第一磨牙与第二磨牙根间颊侧骨皮质及牙槽宽度均最厚,第一前磨牙与第二前磨牙根间区最薄,差异有统计学意义(P<0.05)。结论 应用CBCT三维重建能够对拟植入微种植体部位进行测量分析,充分了解植入部位骨质骨量情况及相关解剖条件。下颌后牙区不同部位颊侧骨皮质厚度及牙槽宽度存在差异,有自方向根方,自近中向远中增加的趋势,微种植体植入过程中应考虑这一因素。

关键词: 骨皮质厚度, 牙槽宽度, 微种植体支抗, CBCT

Abstract: Objective To evaluate the thickness of buccal cortical bone and bone depth at different heights in posterior area of mandible where mini-plants were placed.Methods Sixty-eight cone-beam CT(CBCT) images were selected randomly from the Affiliated Stomatology Hospital,China Medical University, which consisted of 36 male and 32 female ranging from 18 to 31 years old. Thickness of cortical bone between the first premolar distal and the second molar mesial at the height of 3,6,and 9 mm from the alveolar crest was determined. The data were analyzed statistically. Results There was no significant difference in the cortical bone thickness and bone depth between the left and right side(P > 0.05).And no significant difference was found between males and females(P > 0.05). The thickness of cortical bone and bone depth between the first molar and the second molar in mandible was maximum at 3 heights, between the first premolar and the second premolar in mandible the thickness and bone depth was the minimum at 3 heights. Conclusion The cortical bone thickness in the buccal posterior region and bone depth of mandible change along with the position changing sagittally and vertically,which should be considered in mini-plants implantation. A position as far from the alveolar crest as possible and near the distal end of the arch is the best in posterior area of mandible. Cortical bone thickness and bone depth of mandible are, on average, favorable for the insertion of orthodontic mini-implants.

Key words: cortical bone thickness, bone depth, micro implant anchorage, cone-beam CT(CBCT)

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