使用全景X线摄影术和锥形束计算机断层扫描术评估上颌阻生尖牙的位置

Evaluation of impacted maxillary canine position using panoramic radiography and cone beam computed tomography.

作者信息

Alfaleh Wafa, Al Thobiani Sarah

机构信息

Oral and Maxillofacial Radiologist, Oral Medicine and Diagnostic Sciences, College of Dentistry, King Saud University, Riyadh 11432, Saudi Arabia.

King Saud Medical City, Riyadh 12443, Saudi Arabia.

出版信息

Saudi Dent J. 2021 Nov;33(7):738-744. doi: 10.1016/j.sdentj.2020.03.014. Epub 2020 Apr 2.

Abstract

INTRODUCTION

Localization of impacted maxillary canine (IMC) position is essential in orthodontic treatment for accurate orthodontic treatment as well as prognosis.

OBJECTIVES

This study aimed to: 1- investigate the relationship between the locations of IMC in panoramic radiograph (PR) using sectors in relation to their labio-palatal position in cone beam computed tomography (CBCT): 2- report the incisor root resorption in CBCT in relation to its sector location of IMC in PR.

MATERIAL AND METHODS

The study is a retrospective imaging assessment of 60 IMCs in multiple centers in Riyadh, Saudi Arabia. Sector location of IMC was determined on the PR and correlated with each of their labio-palatal positions and resorption of the root of permanent incisors using CBCT.

RESULTS

There is a significant correlation between sector location and impaction location of IMC. No statistical correlation was found between IMC sector location and lateral incisor root resorption, whereas a significant correlation was found between sector location and central incisor root resorption.

CONCLUSIONS

Sectors I and II, IMC tended to be in either the mid-alveolus or labial location, whereas Sectors III and IV tended to show palatal impaction. Therefore, sector could be a good tool for localization of IMC and to predict the possibility of incisor root resorption.

摘要

引言

在正畸治疗中,对上颌埋伏尖牙(IMC)位置进行定位对于准确的正畸治疗和预后至关重要。

目的

本研究旨在:1- 使用扇形区域研究全景片(PR)中IMC的位置与其在锥形束计算机断层扫描(CBCT)中的唇腭位置之间的关系;2- 报告CBCT中切牙根吸收与其在PR中IMC扇形区域位置的关系。

材料与方法

本研究是对沙特阿拉伯利雅得多个中心的60颗IMC进行的回顾性影像学评估。在PR上确定IMC的扇形区域位置,并将其与每个IMC的唇腭位置以及使用CBCT观察到的恒切牙根吸收情况相关联。

结果

IMC的扇形区域位置与埋伏位置之间存在显著相关性。未发现IMC扇形区域位置与侧切牙根吸收之间存在统计学相关性,而扇形区域位置与中切牙根吸收之间存在显著相关性。

结论

在I区和II区,IMC倾向于位于牙槽中部或唇侧位置,而在III区和IV区,IMC倾向于表现为腭侧埋伏。因此,扇形区域可作为IMC定位以及预测切牙根吸收可能性的良好工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1698/8589574/d8a47096815e/gr1.jpg

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