›› 2018, Vol. 38 ›› Issue (12): 1110-1113.

• 临床研究 • 上一篇    下一篇

上颌前突患者后牙区微种植体植入位置的CBCT研究

陈双喜1,董文玉2,潘永初3   

  1. 1. 南通市口腔医院
    2. 苏州大学附属第一医院口腔科
    3. 南京医科大学口腔医学院
  • 收稿日期:2018-03-26 修回日期:2018-05-15 出版日期:2018-12-28 发布日期:2018-12-17
  • 通讯作者: 潘永初 E-mail:panyongchu@njmu.edu.cn
  • 基金资助:
    2015 N前沿与关键技术创新-社会民生创新计划部分-民生与社会事业

CBCT study of the placement of micro implants in the posterior teeth of the maxillary protrusion

  • Received:2018-03-26 Revised:2018-05-15 Online:2018-12-28 Published:2018-12-17

摘要: 目的:本研究通过利用锥形束 CT(cone beam computed to-mography,CBCT) 进行扫描重建有上颌前突患者的上下颌骨,进行分析对比微种植体植入后牙区颌骨不同部位骨密度的差异,为临床上能更准确的定位微种植体支抗植入位置方面提供参考。方法:将20例有上颌前突的患者利用锥形束 CT对其口腔颌面部进行扫描及三维重建,在上颌后牙区第二前磨牙与第一磨牙区、第一磨牙与第二磨牙距离牙槽嵴顶 3、5、7、9mm 处,先以近远中向选取上后牙区各牙根间牙槽嵴中心层,再在唇腭向选取矢状面上后牙区距离最外层骨皮质2、4、6mm处进行骨密度的测量,比较不同区域内骨密度的差异。结果:在上颌骨后牙段不同高度同一深度,不同深度同一高度,骨密度值之间的对比均存在统计学差异(P<0.001)。在距离骨皮质相同深度时,距牙槽嵴顶高度为7mm处骨密度值大于其他各组,而在同一高度时,随着深度的增加骨密度值减少。结论:通过CBCT测量分析不同高度与深度植入上颌后牙区的外周骨密度大小,在距离牙槽嵴顶高度为7mm处骨密度值大于其它位置。可以为微种植体植入提供参考。

关键词: 上前牙前突, 微种植体, CBCT

Abstract: PURPOSE: Based on the process of patients with anterior maxillary jaws were scanned by cone beam CT, analyze the changes of contrast micro implant bone density in different positions of implantation of the posterior region of jaw, micro implant anchorage implants for clinical reference. METHODS: 20 cases of maxillary protrusion patients using cone beam CT scanning and three-dimensional reconstruction of the oral and maxillofacial region in the first molar and the second molar second posterior maxillary premolar and the first molar area, distance 3, alveolar crest 5, 7 and 9mm, the first to select the near far posterior root area between the ridge center layer to select coronal posterior region of the outer cortical distance of 2, 4 and 6mm for the measurement of bone mineral density in lip and palate, the difference of bone mineral density in different areas. RESULTS: There were statistical differences in bone mineral density at the same depth, at different depths, at different depths and at the same height (P < 0.001). At the same depth as the bone cortex, the bone density was higher than that of the other groups at the height of 7mm from the crest of the alveolar ridge. At the same height, the bone density decreased with the increase of the depth.CONCLUSIONS: The peripheral bone density of the maxillary posterior region was measured by CBCT at different heights and depths, and the bone density was higher than the other locations at the distance from the crest of alveolar ridge to 7mm. It can provide reference for Micro Implant.

Key words: maxillary protrusion, micro implant, CBCT

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