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中国人群中使用CBCT测量前牙相对于牙槽骨的角度

Angulations of Anterior Teeth With Reference to the Alveolar Bone Measured by CBCT in a Chinese Population.

作者信息

Zhang Shanchuan, Shi Xiaowei, Liu Hongchen

机构信息

Center of Stomatology, China-Japan Friendship Hospital, Beijing, China.

Doctor, Institute of Stomatology, General Hospital of Chinese PLA, Beijing, China.

出版信息

Implant Dent. 2015 Aug;24(4):397-401. doi: 10.1097/ID.0000000000000291.

Abstract

OBJECTIVE

To analyze angulations of anterior teeth with reference to the alveolar bone.

METHODS

Cone-beam computed tomographic (CBCT) images of 105 participants were taken with the same machine (ProMax 3D Max CBCT), showing the intact anterior teeth. The angulations formed between the long axis of the anterior teeth and the alveolus were measured using cross-sectional images. The thicknesses of alveolar bone on different area of root surfaces were also measured.

RESULTS

Maxillary anterior teeth were found to be close to the buccal alveolar surface in apical level with the angulations referred to alveolar bone in center incisor, lateral incisor, and canine were 17.65 ± 6.8, 18.79 ± 7.4, and 23.82 ± 6.96 degrees, respectively. Means of angulations of mandibular anterior teeth were less than 8 degree. The thicknesses of buccal bone at mid-root level in 77% to 90% maxillary anterior teeth were less than 1 mm. The determinations provided high intrarater/interrater reliability.

CONCLUSIONS

The application of CBCT is reliable for a complete calculation of angulations and thicknesses in a Chinese Han population. As a result, adequate planning combined with image examination preoperatively would contribute to a favorable outcome.

摘要

目的

参照牙槽骨分析前牙的角度。

方法

使用同一台机器(ProMax 3D Max CBCT)对105名参与者进行锥形束计算机断层扫描(CBCT)成像,显示完整的前牙。利用横断面图像测量前牙长轴与牙槽之间形成的角度。还测量了牙根表面不同区域的牙槽骨厚度。

结果

发现上颌前牙在根尖水平靠近颊侧牙槽表面,中切牙、侧切牙和尖牙相对于牙槽骨的角度分别为17.65±6.8度、18.79±7.4度和23.82±6.96度。下颌前牙的平均角度小于8度。77%至90%的上颌前牙牙根中部水平的颊侧骨厚度小于1毫米。这些测量结果具有较高的观察者内/观察者间可靠性。

结论

CBCT的应用对于完整计算中国汉族人群的角度和厚度是可靠的。因此,术前结合图像检查进行充分规划将有助于获得良好的结果。

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