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锥形束计算机断层扫描在阻生牙引起的邻牙牙根外吸收诊断和治疗中的应用

[Application of cone-beam computed tomography in the diagnosis and treatment of external root resorption of adjacent teeth caused by impacted teeth].

作者信息

Li Zhijin, Guo Jiaping, Shi Yongmei, Dong Qingshan, Wang Xiang, Xiong Caihua, Gui Xiao

机构信息

Dept. of Stomatology, Wuhan General Hospital of Guangzhou Command, Wuhan 430070, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2013 Dec;31(6):588-91.

Abstract

OBJECTIVE

This study aims to investigate the diagnosis and treatment of external root resorption of adjacent teeth caused by impacted teeth via cone-beam computed tomography (CBCT).

METHODS

A total of 19 teeth from 15 patients with uncertain external root resorption caused by an adjacent impacted tooth were examined from January 2011 to December 2011. All teeth with uncertain external root resorption were scanned by CBCT. Three dimensions reconstruction were the conducted to determine the location and extent of resorption.

RESULTS

In all cases, CBCT identified the accurate location and extent of external root resorption caused by adjacent impacted teeth. Furthermore, the technique provided impacted teeth location in three dimensions, including the relation between the impacted teeth and surrounding vital structures.

CONCLUSION

CBCT can provide direct and accurate images of the location and extent of external root resorption, as well as the location of the adjacent impacted teeth in three dimensions. Therefore, the proposed technique provides reliable information for clinical diagnosis and treatment.

摘要

目的

本研究旨在通过锥形束计算机断层扫描(CBCT)探讨阻生牙引起的邻牙牙根外吸收的诊断和治疗方法。

方法

2011年1月至2011年12月,对15例因邻牙阻生导致牙根外吸收情况不明的患者的19颗牙齿进行了检查。所有牙根外吸收情况不明的牙齿均接受CBCT扫描。进行三维重建以确定吸收的位置和范围。

结果

在所有病例中,CBCT均能准确确定邻牙阻生引起的牙根外吸收的位置和范围。此外,该技术还能三维显示阻生牙的位置,包括阻生牙与周围重要结构的关系。

结论

CBCT能够提供牙根外吸收位置和范围的直接且准确的图像,以及邻牙阻生的三维位置。因此,该技术为临床诊断和治疗提供了可靠的信息。

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