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上颌埋伏尖牙与邻牙牙根吸收关系的评估:一项锥形束计算机断层扫描横断面研究

Evaluation of the Relationship between Impacted Maxillary Canine Teeth and Root Resorption in Adjacent Teeth: A Cross-Sectional Cone Beam Computed Tomography Study.

作者信息

Aktı Ahmet, Dolunay Uğur, Kaya Doğan Ilgaz, Gürses Gökhan, Yeşil Doğucan

机构信息

Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Selçuk University, 42250 Konya, Turkey.

Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Karamanoğlu Mehmetbey University, 70200 Karaman, Turkey.

出版信息

Diagnostics (Basel). 2024 Jul 9;14(14):1470. doi: 10.3390/diagnostics14141470.

Abstract

BACKGROUND

This study aims to determine the position of impacted maxillary canines on cone beam computed tomography (CBCT) images, to determine the presence of resorption in adjacent teeth, and to investigate the position and type of resorption of impacted canines if resorption is present.

METHODS

Patients over 14 years of age with maxillary canine teeth who had CBCT images taken for any dental reason were included in the study. Resorption of teeth adjacent to maxillary canines was analyzed according to transversal, vertical, and buccopalatinal positions on the CBCT. The study evaluated 162 maxillary canine teeth on tomography images of 134 patients.

RESULTS

Of the affected adjacent teeth, 32.1% of the central incisor, 58.0% of the lateral incisor, and 19.1% of the first premolars showed mild-to-severe resorption. The relationships between transversal position and resorption in the central and lateral incisor, vertical position and resorption in the central incisor and buccopalatinal position and resorption in the first premolars were found to be significant. Maxillary canine teeth can cause mild-to-severe resorption of adjacent teeth, especially lateral incisors.

CONCLUSION

For this reason, we think that a detailed examination with CBCT is essential in the early diagnosis of resorption of adjacent teeth.

摘要

背景

本研究旨在确定锥形束计算机断层扫描(CBCT)图像上埋伏上颌尖牙的位置,确定相邻牙齿是否存在吸收,并在存在吸收的情况下研究埋伏尖牙吸收的位置和类型。

方法

本研究纳入了因任何牙科原因进行CBCT检查的14岁以上上颌尖牙患者。根据CBCT上的横向、纵向和颊腭向位置分析上颌尖牙相邻牙齿的吸收情况。该研究在134例患者的断层图像上评估了162颗上颌尖牙。

结果

在受影响的相邻牙齿中,32.1%的中切牙、58.0%的侧切牙和19.1%的第一前磨牙表现出轻度至重度吸收。发现中切牙和侧切牙的横向位置与吸收之间、中切牙的纵向位置与吸收之间以及第一前磨牙的颊腭向位置与吸收之间的关系具有显著性。上颌尖牙可导致相邻牙齿出现轻度至重度吸收,尤其是侧切牙。

结论

因此,我们认为CBCT详细检查对于早期诊断相邻牙齿吸收至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56f0/11276438/f195fe5d7893/diagnostics-14-01470-g001.jpg

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