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锥形束计算机断层扫描(CBCT)对牙根折断的评估:一项流行病学研究

The Evaluation of Root Fracture with Cone Beam Computed Tomography (CBCT): An Epidemiological Study.

作者信息

Doğan Mehmet-Sinan, Callea Michele, Kusdhany Lindawati S, Aras Ahmet, Maharani Diah-Ayu, Mandasari Masita, Adiatman Melissa, Yavuz Izzet

机构信息

Harran University, Faculty of Dentistry, Department of Pediatric Dentistry,Şanlıurfa, Türkiye.

Unit of Dentistry, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

出版信息

J Clin Exp Dent. 2018 Jan 1;10(1):e41-e48. doi: 10.4317/jced.54009. eCollection 2018 Jan.

Abstract

BACKGROUND

The aim of this study was evaluation of the cone-beam computed tomography (CBCT) image of 50 patients at the ages of 8-15 suspecting root fracture and root fracture occurred, exposed to dental traumatic. In additionally, this study was showed effect of crown fracture on root fracture healing.

MATERIAL AND METHODS

All of the individuals included in the study were obtained images with the cone-beam computed tomography range of 0,3 voxel and 8.9 seconds.(i-CAT®, Model 17-19, Imaging SciencesInternational, Hatfield, Pa USA).The information obtained from the history and CBCT images of patients were evaluated using chi-square test statistical method the mean and the distribution of the independent variables.

RESULTS

50 children, have been exposed to trauma, was detected root fracture injury in 97 teeth. Horizontal root fracture 63.9% of the 97 tooth, the oblique in 31.9%, both the horizontal and oblique in 1.03%, partial fracture in 2.06% ,and both horizontally and vertical in 1.03% was observed.The most affected teeth, respectively of, are the maxillary central incisor (41.23% left, right, 37.11%), maxillary left lateral incisor (9.27%), maxillary right lateral incisor (11.34%), and mandibular central incisor (1.03%).

CONCLUSIONS

Crown fractures have negative effects on spontaneous healing of root fractures. CBCT are used selected as an alternative to with conventional radiography for diagnosis of root fractures. In particular, ıt's cross-sectional image is quite useful and has been provided more conveniences seeing the results of diagnosis and treatment for clinician. Root fracture, CBCT, Epidemiolog.

摘要

背景

本研究旨在评估50例8至15岁疑似根折且发生根折的患者的锥形束计算机断层扫描(CBCT)图像,这些患者均遭受过牙外伤。此外,本研究还展示了冠折对根折愈合的影响。

材料与方法

本研究纳入的所有个体均使用体素为0.3、扫描时间为8.9秒的锥形束计算机断层扫描获取图像(i-CAT®,型号17-19,美国宾夕法尼亚州哈特菲尔德市的成像科学国际公司)。使用卡方检验统计方法评估从患者病史和CBCT图像中获得的信息,以分析自变量的均值和分布情况。

结果

50名遭受外伤的儿童中,97颗牙齿检测到根折损伤。在这97颗牙齿中,水平根折占63.9%,斜行根折占31.9%,水平与斜行混合根折占1.03%,部分根折占2.06%,水平与垂直混合根折占1.03%。受影响最严重的牙齿分别是上颌中切牙(左侧41.23%,右侧37.11%)、上颌左侧侧切牙(9.27%)、上颌右侧侧切牙(11.34%)和下颌中切牙(1.03%)。

结论

冠折对根折的自然愈合有负面影响。CBCT被选作诊断根折的传统放射照相术的替代方法。特别是,它的横断面图像非常有用,为临床医生查看诊断和治疗结果提供了更多便利。根折、CBCT、流行病学

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c658/5899817/e076a170d5b6/jced-10-e41-g001.jpg

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