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[锥形束计算机断层扫描对下颌磨牙Ⅱ度根分叉病变的体外定量测量评估]

[Evaluation of the in vitro quantitative measurement of II degree furcation involvements in mandibular molars by cone-beam computed tomography].

作者信息

Zhong Jin-sheng, Ou-Yang Xiang-ying, Liu Deng-gao, Cao Cai-fang

机构信息

Department of Periodontology, Peking University School and Hospital of Stomatology, Beijing 100081, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2010 Feb 18;42(1):41-5.

Abstract

OBJECTIVE

To evaluate the accuracy of measurement of II degree furcation involvements in molars of dry mandibles by cone-beam computed tomography (CBCT).

METHODS

Twenty molars with II degree furcation involvements in dry mandibles were examined directly and measured by CBCT. Eight parameters were selected to describe the exact appearance of each II degree furcation involvements, including vertical defect dimensions, horizontal defect dimensions and furcation entrance dimensions. The results were compared with the corresponding data obtained by probing and periapical radiograph.

RESULTS

All furcation involvements could be correctly classified by CBCT. For 5 of 8 parameters, no significant difference was found between the data obtained by CBCT and probing measurements (P>0.05). The distances from furcation entrance to alveolar crest, to bottom of bone pocket, and to the deepest site of horizontal bone defect measured by CBCT were less than those probed directly (P<0.05), but the differences were less than 0.5 mm (0.21, 0.24, 0.35 mm, respectively). The localization of furcation entrance may cause the differences. Two out of 20 furcation involvements could not be detected on periapical radiographs, and only 2 of 8 parameters could be measured on periapical radiographs.

CONCLUSION

CBCT could provide precise and detailed 3D images of II degree furcation involvements in vitro.

摘要

目的

评估锥形束计算机断层扫描(CBCT)测量干燥下颌骨磨牙Ⅱ度根分叉病变的准确性。

方法

对20颗干燥下颌骨中存在Ⅱ度根分叉病变的磨牙进行CBCT直接检查和测量。选取8个参数来描述每个Ⅱ度根分叉病变的具体表现,包括垂直缺损尺寸、水平缺损尺寸和根分叉入口尺寸。将结果与通过探诊和根尖片获得的相应数据进行比较。

结果

CBCT能够正确分类所有根分叉病变。8个参数中的5个,CBCT获得的数据与探诊测量数据之间未发现显著差异(P>0.05)。CBCT测量的从根分叉入口到牙槽嵴、到骨袋底部以及到水平骨缺损最深部位的距离小于直接探诊测量的距离(P<0.05),但差异小于0.5毫米(分别为0.21、0.24、0.35毫米)。根分叉入口的定位可能导致差异。20个根分叉病变中有2个在根尖片上未被检测到,根尖片上只能测量8个参数中的2个。

结论

CBCT能够在体外提供Ⅱ度根分叉病变精确且详细的三维图像。

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