Zhang W, An W K, Hong T, Liu L P, Zheng Y F, Ma C F
Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Xi'an 710032, China.
Department of Digital Dentistry Center, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Xi'an 710032, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Jan 9;57(1):85-90. doi: 10.3760/cma.j.cn112144-20210425-00194.
To measure the labial gingival thickness and bone lamella thickness in the maxillary anterior area using digital method, and to analyze the correlation between the two, so as to provide a reference for esthetic restoration and implantation treatment of the upper anterior area. Fifty-seven patients [23 males, 34 females, (25.8±4.5) years old] who planned to receive posterior dental implant restoration were recruited randomly with the inclusion and exclusion criteria in Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University from May 2020 to October 2020. The 3Shape software was used to perform oral scanning, and cone beam CT (CBCT) was taken for each patient. The image data was fitted and registered by the 3Shape software. The gingival thickness at 2 mm below the gingival margin, bone thickness and gingival thickness at 2 and, 4 mm below the crest of the labial alveolar crest in maxillary central incisors, lateral incisors and canines, were measured. The gingival thickness at 2 mm below the gingival margin of maxillary central incisors, lateral incisors and canines was (1.42±0.21), (1.19±0.17) and (1.23±0.20) mm respectively (=12.47, <0.001). The gingival thickness at 2 mm below gingival margin and 4 mm below crest of residual ridge in the male patients were (1.31±0.21) and (0.67±0.22) mm, and those in the female patients were (1.26±0.22) and (0.58±0.19) mm respectively, and there were statistically significant differences in the gingival thickness between the "2 mm below gingival margin" group and the "4 mm below crest of residual ridge" group (=2.01 and 3.97, <0.05). There was a positive correlation between gingival thickness and alveolar bone thickness at 2 mm and 4 mm below the crest of residual ridge in maxillary anterior region, and the correlation coefficients () were 0.387 and 0.344 respectively (<0.05). Gingival thickness of maxillary anterior area is related to the tooth position and gender. The gingival thickness of men is greater than that of women.The gingival thickness at 2 and 4 mm below the crest of the alveolar crest is positively correlated with the thickness of the alveolar bone.
采用数字化方法测量上颌前牙区唇侧牙龈厚度和骨板厚度,并分析两者之间的相关性,为上颌前牙区的美学修复和种植治疗提供参考。2020年5月至2020年10月,在第四军医大学口腔医学院修复科按照纳入和排除标准,随机招募57例计划接受后牙种植修复的患者[男23例,女34例,(25.8±4.5)岁]。使用3Shape软件进行口腔扫描,并为每位患者拍摄锥形束CT(CBCT)。图像数据由3Shape软件进行拟合和配准。测量上颌中切牙、侧切牙和尖牙唇侧牙槽嵴顶下方2mm处的牙龈厚度、骨厚度以及唇侧牙槽嵴顶下方2mm和4mm处的牙龈厚度。上颌中切牙、侧切牙和尖牙牙龈缘下方2mm处的牙龈厚度分别为(1.42±0.21)、(1.19±0.17)和(1.23±0.20)mm(=12.47,<0.001)。男性患者牙龈缘下方2mm处和剩余牙槽嵴顶下方4mm处的牙龈厚度分别为(1.31±0.21)和(0.67±0.22)mm,女性患者分别为(1.26±0.22)和(0.58±0.19)mm,“牙龈缘下方2mm”组与“剩余牙槽嵴顶下方4mm”组的牙龈厚度差异有统计学意义(=2.01和3.97,<0.05)。上颌前牙区剩余牙槽嵴顶下方2mm和4mm处的牙龈厚度与牙槽骨厚度呈正相关,相关系数()分别为0.387和0.344(<0.05)。上颌前牙区牙龈厚度与牙位和性别有关。男性牙龈厚度大于女性。牙槽嵴顶下方2mm和4mm处的牙龈厚度与牙槽骨厚度呈正相关。