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中国人群下颌前部种植相关解剖标志的锥形束CT评估

Cone-beam CT assessment of implant-related anatomy landmarks of the anterior mandible in a Chinese population.

作者信息

Xie Liangkun, Li Ting, Chen Jianzhong, Yin Dahai, Wang Weihong, Xie Zhigang

机构信息

Department of Oral Implantology, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.

Department of Oral Anatomy and Physiology, School of Stomatology, Kunming Medical University, Kunming, 650500, China.

出版信息

Surg Radiol Anat. 2019 Aug;41(8):927-934. doi: 10.1007/s00276-019-02250-7. Epub 2019 May 8.

Abstract

PURPOSE

To investigate the prevalence, location, and morphology of the mandibular lingual foramen (MLF), mandibular incisive canal (MIC), and anterior loop of the inferior alveolar canal (ALC) in a Chinese population using cone-beam CT (CBCT).

MATERIALS AND METHODS

From 2014 to 2016, CBCT images from patients with various scanning purposes were obtained from the database of the Affiliated Stomatology Hospital of Kunming Medical University, China. Imaging analyses of the MLF, MIC, and ALC were performed via the NNT viewer software. The prevalence, location, length, classification of MLF, and its distances to the alveolar crest and the lower border of mandible were investigated, and the prevalence and length of MIC and the prevalence of ALC were also studied.

RESULTS

This study examined 1008 subjects, 521 (51.7%) males, and 487 (48.3%) females. 916 (90.9%) subjects showed the medial lingual foramina (LF), a single medial LF with the supraspinous-type predominating. Lateral LF were observed in 547 (54.3%) subjects mostly located in the premolar areas. 876 (86.9%) subjects had the MIC on the left side, whereas 877 (87.0%) had the MIC on the right side. The ALC was present in 147 (14.6%) subjects.

CONCLUSIONS

This study showed a high prevalence of LF and MIC in the Southwest Chinese population. Therefore, caution should be taken during the implant treatment at the anterior mandible region.

摘要

目的

使用锥形束CT(CBCT)研究中国人群下颌舌孔(MLF)、下颌切牙管(MIC)和下牙槽神经管前襻(ALC)的发生率、位置及形态。

材料与方法

2014年至2016年,从中国昆明医科大学附属口腔医院数据库中获取因各种扫描目的患者的CBCT图像。通过NNT viewer软件对MLF、MIC和ALC进行影像分析。研究MLF的发生率、位置、长度、分类及其与牙槽嵴和下颌下缘的距离,同时研究MIC的发生率和长度以及ALC的发生率。

结果

本研究共检查1008名受试者,其中男性521名(51.7%),女性487名(48.3%)。916名(90.9%)受试者显示有内侧舌孔(LF),以棘上型为主的单一内侧LF。547名(54.3%)受试者观察到外侧LF,大多位于前磨牙区。876名(86.9%)受试者左侧有MIC,而877名(87.0%)受试者右侧有MIC。147名(14.6%)受试者存在ALC。

结论

本研究显示中国西南人群中LF和MIC的发生率较高。因此,在下颌前部区域进行种植治疗时应谨慎。

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