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应用锥形束 CT 研究上颌骨解剖结构与唇腭向埋伏阻生尖牙的关系。

Investigation of the relationship between maxillary dimensions and labial and palatal maxillary impacted canines using cone beam computed tomography.

机构信息

Private Practice, Kayseri, Turkey.

Department of Orthodontics, Faculty of Dentistry, Istanbul Aydın University, Istanbul, Turkey.

出版信息

J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1S):101282. doi: 10.1016/j.jormas.2022.09.003. Epub 2022 Sep 8.

Abstract

OBJECTIVES

To compare the maxillary dimensions of individuals with labial and palatal bilateral maxillary canine impaction and a control group of individuals with no impaction using CBCT.

METHODS

45 patients were included in the study with age range of 13 to 18 and consisted of 22 females and 23 males. The sample included three groups of 15 patients as the control, labial and palatal group. The measurements made on the axial and coronal planes were made on the levels of the 1st premolar and the 1st molar. Also nasal cavity and anteroposterior depth were measured.

RESULTS

The maxillary anteroposterior depth, basal first molar width, alveolar first molar and premolar width and first molar palatal vault depth of the control group were significantly higher than labial and palatal groups (p<0.05).The basal first premolar width of the control group was significantly higher than palatal group (p<0.05). The first premolar palatal vault depth and nasal cavity width of the palatal group were significantly lower than other groups (p<0.05).

CONCLUSIONS

The basal and alveolar widths associated with the molars and the palatal depths were lower in the impacted group than control group. The anatomical structures in the female patients were affected by the position of impaction to a higher extent in comparison to the anatomical structures in the male patients.

摘要

目的

使用 CBCT 比较唇侧和腭侧双侧上颌尖牙阻生患者与无阻生患者的上颌骨尺寸。

方法

本研究纳入了 45 名年龄在 13 至 18 岁之间的患者,包括 22 名女性和 23 名男性。样本包括对照组、唇侧组和腭侧组三组,每组 15 名患者。在第一前磨牙和第一磨牙水平进行轴位和冠状位测量。还测量了鼻腔和前后深度。

结果

对照组上颌前后深度、基第一磨牙宽度、牙槽第一磨牙和前磨牙宽度以及第一磨牙腭穹窿深度显著高于唇侧组和腭侧组(p<0.05)。对照组基第一前磨牙宽度显著高于腭侧组(p<0.05)。腭侧组第一前磨牙腭穹窿深度和鼻腔宽度显著低于其他组(p<0.05)。

结论

与对照组相比,阻生组的磨牙基骨和牙槽骨宽度以及腭部深度较低。与男性患者相比,女性患者的解剖结构受阻生位置的影响更大。

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