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[使用锥形束牙科计算机断层扫描评估上颌前牙形态对转矩的影响]

[Evaluation of the effect of maxillary anterior teeth morphology on torque using cone beam dental computed tomography].

作者信息

Hu Xiang-Quan, Kong Wei-Dong, Cai Bin, Chen Min-Ying

机构信息

Dept. of Stomatology, Out-patient Department, Guangzhou Military Authorities, Guangzhou 510080, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2009 Jun;27(3):297-300.

Abstract

OBJECTIVE

This study was undertaken to evaluate the influence of labial surface contours and collum angles of the maxillary anterior teeth on torque.

METHODS

206 extracted maxillary teeth were selected, including 77 central incisors, 68 lateral incisors and 61 canines. All specimens were scanned by cone beam dental computed tomography (CT). Three-dimensional reconstructed images were made by using the CT software. The median sagittal planes of all teeth were selected and then analyzed by the Auto CAD software. For each tooth, the angles between tangent lines to the labial surface at four different heights along the surface and the longitudinal axis of the crown were measured. The collum angle was also measured.

RESULTS

Between 3.5 mm and 5.0 mm level of bracket heights, for the variation of 0.5 mm, the torque differed by 1.5 degrees for the maxillary central incisors and 2 degrees for the maxillary lateral incisors and canines. The mean collum angle values for the maxillary central incisors, lateral incisors and canines were 0.88 degree, 3.87 degrees and -3.30 degrees.

CONCLUSION

The biological variation in tooth morphology would influence the torque after orthodontic treatment in different ways.

摘要

目的

本研究旨在评估上颌前牙唇面轮廓和牙颈角度对转矩的影响。

方法

选取206颗拔除的上颌牙,其中包括77颗中切牙、68颗侧切牙和61颗尖牙。所有标本均采用锥形束牙科计算机断层扫描(CT)进行扫描。使用CT软件制作三维重建图像。选取所有牙齿的正中矢状面,然后通过Auto CAD软件进行分析。对于每颗牙齿,测量沿牙冠表面四个不同高度处唇面切线与牙冠纵轴之间的角度。同时测量牙颈角度。

结果

在托槽高度3.5 mm至5.0 mm水平,每变化0.5 mm,上颌中切牙的转矩相差1.5度,上颌侧切牙和尖牙的转矩相差2度。上颌中切牙、侧切牙和尖牙的平均牙颈角度值分别为0.88度、3.87度和-3.30度。

结论

牙齿形态的生物学变异会以不同方式影响正畸治疗后的转矩。

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