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基于锥形束计算机断层扫描的无牙颌牙槽嵴长度的人体测量学评估

CBCT-Based Anthropometric Evaluation of Edentulous Alveolar Crest Lengths.

作者信息

Yildirim Ozgun, Izgi Eda, Ozturk Mustafa, Gulen Orhan

机构信息

Department of Oral and Maxillofacial Surgery, Gülhane School of Dentistry, Health Sciences University, 06010 Ankara, Turkey.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Kütahya Health Sciences University, 43020 Kütahya, Turkey.

出版信息

Diagnostics (Basel). 2025 Jun 16;15(12):1525. doi: 10.3390/diagnostics15121525.

Abstract

: With technological advancements, fabricated block onlay allografts have been developed, particularly for grafting severely resorbed alveolar crests before implant surgery. This study aimed to evaluate the alveolar crest lengths of the edentulous maxilla and mandible using cone beam computed tomography (CBCT) and to investigate their correlations with gender and age. The data obtained will serve as preliminary input for block onlay allograft production. : CBCT scans of 451 participants and 595 edentulous jaws were analyzed. The following measurements were taken: the distance between the zygomatic buttress projection and the infraorbital foramen projection onto the crest (U1, U4); from the infraorbital foramen projection to the incisive canal (U2, U3); between the midpoint of the linea obliqua externa projection and the mental foramen projection (L1, L4); and from the mental foramen projection to the midline at the incisive canal level (L2, L3). Measurements were compared across gender and age groups. : No significant differences were observed in maxillary measurements between genders. However, the values of L1, L2, and L4 in males were significantly higher than those in females ( < 0.05). Age did not affect substantially most measurements, except for L4, where individuals over 70 years had lower mean values than those under 50 years ( < 0.05). : The mandibular posterior region demonstrated the most prominent residual alveolar crest. Mandibular crest lengths were significantly greater in males. Although age showed a limited impact, a reduction in posterior mandibular crest length was evident in individuals over 70 years compared to younger individuals.

摘要

随着技术的进步,已开发出预制块状嵌体同种异体移植物,特别是用于在种植手术前移植严重吸收的牙槽嵴。本研究旨在使用锥形束计算机断层扫描(CBCT)评估无牙上颌骨和下颌骨的牙槽嵴长度,并研究它们与性别和年龄的相关性。所获得的数据将作为块状嵌体同种异体移植物生产的初步输入。

对451名参与者和595个无牙颌进行了CBCT扫描分析。进行了以下测量:颧骨支柱投影与牙槽嵴上眶下孔投影之间的距离(U1、U4);从眶下孔投影到切牙管的距离(U2、U3);外斜线投影中点与颏孔投影之间的距离(L1、L4);以及从颏孔投影到切牙管水平中线的距离(L2、L3)。对不同性别和年龄组的测量结果进行了比较。

在性别之间的上颌测量中未观察到显著差异。然而,男性的L1、L2和L4值显著高于女性(<0.05)。年龄对大多数测量结果影响不大,除了L4,70岁以上个体的平均值低于50岁以下个体(<0.05)。

下颌后区显示出最突出的残余牙槽嵴。男性的下颌嵴长度明显更长。尽管年龄影响有限,但与年轻个体相比,70岁以上个体的下颌后嵴长度明显缩短。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e5/12192475/c822d0bd36a5/diagnostics-15-01525-g001.jpg

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