Allaberdiyev Merdan, Avsever İsmail Hakan, Akyol Mesut, Ayran Şükran, Öztürk Hilal Peker, Özarslantürk Savaş
Gulhane Faculty of Dentistry, Department of Oral and DentoMaxillofacial Radiology, University of Health Sciences, Ankara, Turkey.
Faculty of Dentistry, Department of Dentomaxillofacial Radiology, University of East Mediterranean, Gazi Mağusa, Cyprus.
Surg Radiol Anat. 2024 Jul;46(7):1081-1091. doi: 10.1007/s00276-024-03396-9. Epub 2024 Jun 7.
The aim of this study is to emphasize the importance of using cone-beam computed-tomography in order to determine the anatomical structures and their variations before the treatment in patients who apply to the dentist clinic for implant treatment.
In the study, CBCT images of 500 adult patients (240 female and 260 male), aged between 21 and 82 years, who applied for implant treatment due to missing teeth, were retrospectively analyzed. Anatomical structures and variations such as nasopalatine canal(NPC), canalis sinuosus(CS), antral alveolar artery(AAA), were evaluated in multiplanar reformation(MPR) sections which are axial, sagittal and coronal can be viewed in consistence with each other.
The incidence of anatomical variation of CS in the right region was similar according to gender. The "Funnel" appearance of the NPC shape was found most common shape in both female and male patients (n = 89; 37.1% for females and n = 71; 27.3% for males).
CBCT has become the most popular 3D imaging method in dental practice especially for planning dental implants. Understanding the relationship with important anatomical structures before implant applications is crucial in dealing with potential complications that may arise afterward. Assessing significant anatomical structures by CBCT and taking precautions against possible risks facilitate the work of dentists during and after procedures.
本研究的目的是强调在为种植牙治疗前来牙科诊所就诊的患者进行治疗前,使用锥形束计算机断层扫描来确定解剖结构及其变异的重要性。
在本研究中,对500名年龄在21至82岁之间、因牙齿缺失而申请种植牙治疗的成年患者(240名女性和260名男性)的CBCT图像进行了回顾性分析。在轴向、矢状和冠状的多平面重建(MPR)切片中评估鼻腭管(NPC)、鼻窦管(CS)、上颌牙槽动脉(AAA)等解剖结构及其变异,这些切片可以相互一致地查看。
CS右侧区域解剖变异的发生率在性别上相似。NPC形状的“漏斗”外观在女性和男性患者中均为最常见形状(女性n = 89;占37.1%,男性n = 71;占27.3%)。
CBCT已成为牙科实践中最受欢迎的3D成像方法尤其是用于种植牙计划。在种植牙植入前了解与重要解剖结构的关系对于处理随后可能出现的潜在并发症至关重要。通过CBCT评估重要解剖结构并对可能的风险采取预防措施有助于牙医在手术期间及术后开展工作。