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锥形束计算机断层扫描与下颌骨正常变异的解剖学观察:口腔正畸科医生应予以识别。

Cone-beam computed tomography and anatomical observations of normal variants in the mandible: variant dentists should recognize.

作者信息

Kawai Taisuke, Sato Iwao, Asaumi Rieko, Yosue Takashi

机构信息

Department of Oral and Maxillofacial Radiology, School of Life Dentistry at Tokyo, Nippon Dental University, 1-9-20, Fujimi Chiyoda-ku, Tokyo, 102-8159, Japan.

Department of Anatomy 1, School of Life Dentistry at Tokyo, Nippon Dental University, 1-9-20, Fujimi Chiyoda-ku, Tokyo, 102-8159, Japan.

出版信息

Oral Radiol. 2018 Sep;34(3):189-198. doi: 10.1007/s11282-017-0307-7. Epub 2017 Nov 18.

Abstract

Many types of cone-beam computed tomography (CBCT) have recently been developed and are being used in many dental clinics. CBCT has significantly changed imaging diagnosis in dentistry by showing detailed structures in multiple dimensions with high spatial resolution. This allows dentists to confirm what cannot be recognized with conventional two-dimensional images, such as small neurovascular canals, the buccolingual location of structures/lesions, and the three-dimensional shapes of hard tissue structures. The aim of this study was to review the normal variants of detailed anatomical structures in relation with the mandibular canal by comparing the previous reports and anatomical evaluations. These structures are likely to be observed on CBCT images by dental practitioners prior to dental procedures involving the mandibular teeth and bone. Understanding the relationship of these structures is useful for dental practitioners and oral surgeons to reduce the possibility of causing damage and patient discomfort during dental procedures.

摘要

近年来,多种类型的锥束计算机断层扫描(CBCT)已被开发出来,并在许多牙科诊所中得到应用。CBCT通过以高空间分辨率在多个维度上显示详细结构,极大地改变了牙科的影像诊断。这使牙医能够确认传统二维图像无法识别的情况,如小的神经血管通道、结构/病变的颊舌位置以及硬组织结构的三维形状。本研究的目的是通过比较先前的报告和解剖学评估,回顾与下颌管相关的详细解剖结构的正常变异。在涉及下颌牙齿和骨骼的牙科手术之前,牙科医生很可能会在CBCT图像上观察到这些结构。了解这些结构之间的关系有助于牙科医生和口腔外科医生减少在牙科手术过程中造成损伤和患者不适的可能性。

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