国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (6): 686-690.doi: 10.7518/gjkq.2017.06.012

• 论著 • 上一篇    下一篇

上颌第一磨牙区腭侧骨板的锥形束CT测量结果及其临床意义

徐迅, 黄建生, 甘泽坤, 罗震   

  1. 南方医科大学口腔医院•广东省口腔医院特诊科 广州 510280
  • 收稿日期:2017-02-11 修回日期:2017-06-25 出版日期:2017-11-01 发布日期:2017-11-01
  • 通讯作者: 黄建生,主任医师,硕士,Email：huangjiansh@263.net
  • 作者简介:徐迅,住院医师,硕士,Email：jsczxx4416@163.com
  • 基金资助:
    广东省科技厅基金资助项目（20100309）; 广东省卫生和计划生育委员会保健局基金项目（C2014037）

Measurement of the maxillary first molar area palatal side bone plate by cone-beam computer tomography and its clinical significance

Xu Xun, Huang Jiansheng, Gan Zekun, Luo Zhen.   

  1. Dept. of Special Clinic, Guangdong Provincial Stomatological Hospital, South Medical University, Guangzhou 510280, China
  • Received:2017-02-11 Revised:2017-06-25 Online:2017-11-01 Published:2017-11-01
  • Supported by:
    This study was supported by Science and Technology Planning Project of Guangdong Province(20100309) and Bureau of Health Care for Senior Officials of Guangdong Province(C2014037).

RichHTML

7

PDF (PC)

422

摘要： 目的 收集锥形束CT（CBCT）资料,分别沿垂直方向和腭侧骨板方向测量上颌第一磨牙区牙槽骨高度和宽度,为上颌第一磨牙区种植体偏腭侧植入及治疗计划制定等提供解剖学依据。方法 选取南方医科大学口腔医院CBCT影像资料库中169例患者资料为研究对象,测量上颌第一磨牙缺失时缺牙区的垂直向牙槽骨高度和宽度、腭侧骨板方向的牙槽骨高度和宽度,以及上颌第一磨牙存在时的垂直向牙槽骨高度和宽度。每个项目反复测量3次,间隔2周后作第2次测量,6次测量数据取均值。结果 上颌第一磨牙牙槽骨平均高度9.33 mm,平均宽度13.28 mm。90例第一磨牙缺失的患者,缺牙区牙槽骨平均高度6.99 mm,平均宽度8.93 mm。垂直向牙槽骨高度不足5.0 mm者有28例,沿腭侧方向测量时,以3.5 mm为最小宽度,有10例（35.7%）可以获得比垂直方向更多的骨量;以4.0 mm为最小宽度,有9例（32.1%）可以获得比垂直方向更多的骨量;以4.5 mm为最小宽度,有6例（21.4%）可以获得比垂直方向更多的骨量。结论 上颌第一磨牙缺失时,存在部分病例沿腭侧方向比垂直方向能获得更多的骨量,可为上颌第一磨牙区种植体偏腭侧植入提供依据。

关键词: 锥形束CT, 上颌第一磨牙, 牙种植体, 倾斜, 测量

Abstract: Objective Collected cone-beam computer tomography(CBCT) data, to provide anatomia basis for clinical application of implants in the maxillary first molar area palatal side bone by measuring the maxillary first molar area alveolar bone height and width along the vertical direction and the palatal transverse plate. Methods A total of 169 patients evaluated by CBCT scans were included in the date bank of Guangdong Provincial Stomatological Hospital were analyzed. Both height and width of the alveolar bone in the edentulous area of maxillary first molars and that of the alveolar bone of maxillary first molars were repeatedly measured three times every two weeks to get mean value. Results Mean alveolar bone height and width of the first molar was respectively 9.33 mm and 13.28 mm. Mean alveolar bone height and width of 90 patients with first molar loss was respectively 6.99 mm and 8.93 mm. There were 28 patients with less than 5.0 mm height of alveolar bone. With 3.5 mm, 4.0 mm and 4.5 mm respectively defined as the minimum width, compared with vertical direction, more bone mass were respectively obtained in 10 patients(35.7%), 9 patients(32.1%) and 6 patients(21.4%) when measuring in lateral direction of the palate. Conclusion With the maxillary first molar lost, more bone mass can be obtained in some patients along the lateral direction of the palate, which could provide basis for clinical application of implants in the maxillary first molar area palatal side bone.

Key words: cone-beam computer tomography, maxil-lary first molar, tooth implant, incline, measurement

中图分类号: 

  • R783.6
[1] 王险峰, 黄建生, 赵建江, 等. 上颌后牙区骨量不足经牙槽嵴顶偏腭侧单牙倾斜种植的临床研究——一种临床技术的创新[J]. 实用医学杂志, 2012, 28 (10):1687-1689.
[J]. J Pract Med, 2012, 28(10):1687-1689.
[2] 黄其翼. 运用CBCT研究正常成年人上颌窦底解剖形态[D]. 广州: 暨南大学口腔医学院, 2014.
Huang QY. An anatomical study of maxillary sinus floor in adult population using CBCT[D]. Guang- zhou: School of Stomatology, Jinan University, 2014.
[3] 李玲慰. 上颌后牙区种植相关解剖结构的锥形束CT测量分析研究[D]. 广州: 中山大学口腔医学院, 2010.
Li LW. Analysis and measurement of cone-beam computerized tomography images on anatomic structure associated with implant surgery in objec-tives: maxillary posterior region[D]. Guangzhou:School of Stomatology, Sun Yat-sen University, 2010.
[4] Bornstein MM, Halbritter S, Harnisch H, et al. A retrospective analysis of patients referred for implant placement to a specialty clinic: indications, surgical procedures, and early failures[J]. Int J Oral Maxil-lofac Implants, 2008, 23(6):1109-1116.
[5] Sharan A, Madjar D. Maxillary sinus pneumatization following extractions: aradiographic study[J]. Int J Oral Maxillofac Implants, 2008, 23(1):48-56.
[6] Shanbhag S, Karnik P, Shirke P, et al. Cone-beam computed tomographicanalysis of sinus membrane thickness, ostium patency, and residual ridge heights in the posterior maxilla: implications for sinus floor elevation[J]. Clin Oral Implants Res, 2014, 25(6): 755-760.
[7] 马岚, 曲折, 张翔, 等. 上颌后牙区无牙位点在锥形束CT中的解剖学表现[J]. 华西口腔医学杂志, 2016, 34(1):85-90.
Ma L, Qu Z, Zhang X, et al. Anatomical presentation of edentulous sites in the posterior maxillary in cone beam computed tomography[J]. West Chin J Stoma-tol, 2016, 34(1):85-90.
[8] 黄建生. 上颌后牙区骨量不足种植的风险与对策[J]. 华西口腔医学杂志, 2012, 30(1):1-9.
Huang JS. Risk factors and strategies of dental im-plants in the maxillary posterior without sufficient bone available[J]. West Chin J Stomatol, 2012, 30 (1):1-9.
[9] 赵继刚, 梁景章, 黄艳阳, 等. 环形骨块内嵌式窦底提升与常规上颌窦外提升术式的比较研究[J]. 口腔疾病防治, 2016, 24(10):582-588.
Zhao JG, Liang JZ, Huang YY, et al. Comparative study between annular bone block embedded in maxillary sinus lift and conventional maxillary sinus lift[J]. J Prev Treatment Stomatol Dis, 2016, 24(10): 582-588.
[10] Katsuyama H, Jensen SS. Treatment options for sinus floor elevation//Chen S, Buser D, Wismeijer D. ITI treatment guide[M]. Berlin: Quintessence, 2006:33-57.
[11] 邓飞龙, 廖展澎, 吴少伟, 等. Bicon短种植体临床效果1~3年回顾性研究[J/CD]. 中华口腔医学研究杂志(电子版), 2013, 7(3):236-240.
[J/CD]. Chin J Stomatol Res(Electr Ed), 2013, 7(3): 236-240.
[12] Urdaneta RA, Daher S, Leary J, et al. The survival of ultrashort locking-taper implants[J]. Int J Oral Maxillofac Implants, 2012, 27(3):644-654.
[13] Draenert FG, Sagheb K, Baumgardt K, et al. Retros-pective analysis of survival rates and marginal bone loss on short implants in the mandible[J]. Clin Oral Implants Res, 2012, 23(9):1063-1069.
[14] Lai HC, Si MS, Zhuang LF, et al. Long-term out-comes of short dental implants supporting single crowns in posterior region: a clinical retrospective study of 5-10 years[J]. Clin Oral Implants Res, 2013, 24(2):230-237.
[15] Sun HL, Huang C, Wu YR, et al. Failure rates of short(≤10 mm) dental implants and factors influen-cing their failure: a systematic review[J]. Int J Oral Maxillofac Implants, 2011, 26(4):816-825.
[16] 王美青. 口腔解剖生理学[M]. 7版. 北京: 人民卫生出版社, 2012:40.
Wang MQ. Oral anatomy and physiology[M]. 7th ed. Beijing: People’s Medical Publishing House, 2012:40.
[17] 顾章愉, 黄健, 阮宏, 等. 两个种植体倾斜植入联合修复时应力分布的初步研究[J]. 中国临床医学, 2007, 14(6):906-908.
Gu ZY, Huang J, Ruan H, et al. Preliminary research of stress distribution around two united implants[J]. Clin Med J Chin, 2007, 14(6):906-908.
[1] 唐蓓,赵文俊,王虎,郑广宁,游梦. 根管超填导致下牙槽神经损伤2例[J]. 国际口腔医学杂志, 2020, 47(3): 293-296.
[2] 章婷婷,胡常红,彭燕,周文翘,张慧聪,刘蝶. 300例不同年龄段有牙颌人群上唇软组织侧貌的锥形束CT三维测量分析[J]. 国际口腔医学杂志, 2020, 47(2): 182-188.
[3] 王春林,刘从华,宋思吟,周丽淑,林丽佳. 运用锥形束CT诊断上下颌横向发育不调的研究进展[J]. 国际口腔医学杂志, 2020, 47(1): 121-124.
[4] 黎祺, 黄少宏. 岭南地区广府民系人群下颌第二恒磨牙牙根和根管形态的锥形束CT研究[J]. 国际口腔医学杂志, 2019, 46(6): 640-649.
[5] 李业平,郑谦,尹恒,郭春丽,石冰,李承浩. 影响单侧唇裂鼻畸形二期整复主观评价结果的鼻测量指标探究[J]. 国际口腔医学杂志, 2019, 46(4): 407-412.
[6] 于婉琦,周延民,赵静辉. 口腔种植体新材料的研究现状[J]. 国际口腔医学杂志, 2019, 46(4): 488-496.
[7] 黄满英,付云. 牙龈生物型的测量方法[J]. 国际口腔医学杂志, 2019, 46(2): 171-176.
[8] 曹焜,李家锋,孙玉华,鲍强,卢秋宁,唐巍. 下颌下窝的锥形束CT影像分析[J]. 国际口腔医学杂志, 2019, 46(2): 209-212.
[9] 刘玲玲,刘树泰. 上颌腭侧软组织厚度的测量方法及影响因素[J]. 国际口腔医学杂志, 2019, 46(2): 234-237.
[10] 孟怡彤,张晓东. 成人个别正常颌上气道不同软件三维测量的比较研究[J]. 国际口腔医学杂志, 2018, 45(6): 690-694.
[11] 樊永杰, 阿荣高娃. 三维摄影术测量蒙古族正常成人面部软组织的研究[J]. 国际口腔医学杂志, 2018, 45(3): 291-294.
[12] 朱宸佑, 邓佳, 干洲杰, 刘浏, 王天璐, 曹聪, 屈依丽. 锥形束电子计算机断层扫描在上颌前牙区牙槽骨的测量方法与分型标准中的应用[J]. 国际口腔医学杂志, 2018, 45(1): 59-63.
[13] 袁艺航, 张成晓雪, 王扬, 何双双, 宋雪娟, 王虎. 成都正常人群上颌前牙区鼻腭管相关解剖结构的锥形束CT研究[J]. 国际口腔医学杂志, 2017, 44(5): 566-572.
[14] 吴杉杉, 张茹, 侯本祥. 钙化根管的诊断与治疗[J]. 国际口腔医学杂志, 2017, 44(3): 279-283.
[15] 罗志强, 叶钟泰. 新疆地区不同人群上颌窦外侧骨壁厚度的锥形束CT测量分析[J]. 国际口腔医学杂志, 2017, 44(1): 55-58.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 李子夏,包广洁. 龋病病因相关因素的激光扫描共聚焦显微镜研究[J]. 国际口腔医学杂志, 2008, 35(S1): .