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锥形束计算机断层扫描与九分区法在牙槽骨定位未萌出牙中的应用

[The application of cone-beam computed tomography and nine partition method on alveolar bone for locating the unerupted teeth].

作者信息

Zhang Zhi-yong, Kuang Zhe

机构信息

Dept. of Radiology, Guangdong Provincial Stomatological Hospital, Stomatological Hospital of Southern Medical University, Guangzhou 510280, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2008 Dec;26(6):636-9.

Abstract

OBJECTIVE

To investigate the clinical value of cone-beam computed tomography (CBCT) and nine partition method on alveolar bone for locating the relative orientation of the unerupted teeth.

METHODS

125 bone unerupted teeth of 99 cases were collected. The bone unerupted teeth zones were scaned by CBCT. The dental corona and root apex of these bone unerupted teeth were classified by the new nine partition method.

RESULTS

In 125 bone unerupted teeth, 107 teeth located in maxilla, 18 teeth located in mandible. More frequent appearances (35.6%) in the alveolar bone were inner-middle and outer-superior. The representation of 125 bone unerupted teeth seen in surgery was the same with that of the CBCT before exodontia. The accurate rate of diagnosis was 100%.

CONCLUSION

CBCT is the most accurate and effective methods to determine the authentic orientation of the bone unerupted teeth. The nine partition method of alveolar bone has clinical value of accurate authentic orientation of the bone unerupted teeth in oral and maxillofacial surgery and orthodontics.

摘要

目的

探讨锥形束计算机断层扫描(CBCT)及牙槽骨九分区法在定位未萌牙相对位置中的临床价值。

方法

收集99例患者的125颗骨埋伏阻生牙,采用CBCT扫描骨埋伏阻生牙区域,运用新的九分区法对骨埋伏阻生牙的牙冠及根尖进行分区。

结果

125颗骨埋伏阻生牙中,上颌107颗,下颌18颗。在牙槽骨中最常见的位置(35.6%)是中内及上外。125颗骨埋伏阻生牙在手术中的表现与拔牙前CBCT显示一致,诊断准确率为100%。

结论

CBCT是确定骨埋伏阻生牙真实位置最准确有效的方法。牙槽骨九分区法在口腔颌面外科及正畸治疗中对骨埋伏阻生牙真实位置的准确判断具有临床价值。

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