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CBCT对额外牙尖的精准诊断及反搏

Precision diagnosis and antidiastole on supernumerary cusp of tooth by CBCT.

作者信息

Jiang Keyu, Che Chunxiao, Ding Zhangfan, Zeng Sa, Wang Weiping, He Xiangyi

机构信息

School of Dentistry, Lanzhou University, No. 199 Donggang Xi Lu, Lanzhou, 730000, Gansu Province, China.

出版信息

Surg Radiol Anat. 2016 Nov;38(9):1099-1104. doi: 10.1007/s00276-016-1636-7. Epub 2016 Feb 9.

Abstract

PURPOSE

Based on a case of supernumerary cusp on the bucca of left maxillary second molar diagnosed by cone beam computed tomography (CBCT), its genesis, diagnosis and antidiastole are to be analysed. The clinic implication of CBCT is correspondingly discussed.

METHODS

The supernumerary cusp was diagnosed by oral general examination, intra-oral radiograph and CBCT. The features of supernumerary cusp, fused tooth, geminated tooth and concrescence tooth, especially differentiate points among them were discussed.

RESULTS

The case of supernumerary cusp on the bucca of left maxillary second molar was diagnosed definitely by the combined application of oral general examination, periapical radiograph and CBCT.

CONCLUSION

Supernumerary cusp on the bucca of left maxillary second molar is a rare phenomenon, which is difficult to be differentiated from other tooth deformities. CBCT can improve accuracy of diagnosis.

摘要

目的

基于1例通过锥形束计算机断层扫描(CBCT)诊断出的左上颌第二磨牙颊侧多生尖病例,分析其成因、诊断及防治措施,并相应地探讨CBCT的临床意义。

方法

通过口腔常规检查、口内X光片及CBCT诊断多生尖。讨论了多生尖、融合牙、双生牙及结合牙的特征,特别是它们之间的鉴别要点。

结果

通过口腔常规检查、根尖片及CBCT联合应用,明确诊断出左上颌第二磨牙颊侧多生尖病例。

结论

左上颌第二磨牙颊侧多生尖是一种罕见现象,难以与其他牙齿畸形相鉴别。CBCT可提高诊断准确性。

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