国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (1): 59-63.doi: 10.7518/gjkq.2018.01.012

• 综述 • 上一篇    下一篇

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

朱宸佑, 邓佳, 干洲杰, 刘浏, 王天璐, 曹聪, 屈依丽   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院种植科 成都 610041
  • 收稿日期:2017-03-18 修回日期:2017-08-20 发布日期:2018-01-15
  • 通讯作者: 屈依丽,副教授,博士,Email：qqyili@126.com
  • 作者简介:朱宸佑,学士,Email：tn00992786@qq.com
  • 基金资助:
    四川省科学技术厅支撑项目（2014SZ0019）

The application of cone-beam computed tomography in implant surgery of maxillary anterior teeth area

Zhu Chenyou, Deng Jia, Gan Zhoujie, Liu Liu, Wang Tianlu, Cao Cong, Qu Yili   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-03-18 Revised:2017-08-20 Published:2018-01-15
  • Supported by:
    This study was supported by Science and Technology Support Program of Sichuan Province (2014SZ0019).

RichHTML

8

PDF (PC)

247

被引次数

1

摘要： 在牙种植领域,拔牙后牙槽骨的形态和尺寸对种植体的存活率有较大影响。其中,牙槽骨壁的高度和厚度是进行种植时重要的参考指标,锥形束电子计算机断层扫描常被用于获取牙槽骨的三维图像并进行测量,但由于牙槽骨三维结构较为复杂,形态多样,目前存在不同的测量方法和分型标准。上颌前牙区是进行牙种植手术的常见部位,本文主要综述了上颌前牙区牙槽骨的测量方法与分型标准的作用,为牙科种植手术术前方案设计和临床科研提供参考。

关键词: 锥形束电子计算机断层扫描, 上前牙, 种植, 测量

Abstract: In dental implantology, the changes of shapes and dimensions on the alveolar ridge have great impacts on the implant success rate. Moreover, the height and width of the alveolar ridge are crucial indexes in implant placement. Cone-beam computed tomography is usually used to obtain the 3-dimensional images and measurements of the alveolar ridge. However, the 3-dimentional structure of the alveolar ridge is complex and has shape diversity. Therefore, there are different methods of measurement and various standards of classification in the studies. The upper anterior teeth are common surgical sites in dental implant surgery. Therefore, in the present study we review several methods of measurement and classification of the upper anterior teeth,in order to provide a reference for proper planning before implantation and clinical research.

Key words: cone-beam computed tomography, maxillary anterior teeth, dental implant, measurement

中图分类号: 

  • R783.6
[1]Yim JH, Ryu DM, Lee BS, et al. Analysis of digi-talized panorama and conebeam computed tomo-graphic image distortion for the diagnosis of dental implantsurgery[J]. J Craniofac Surg, 2011, 22(2): 669-673.
[2]Brief J, Edinger D, Hassfeld S, et al. Accuracy of image-guided implantology[J]. Clin Oral Implants Res, 2005, 16(4):495-501.
[3]Andersson JE, Svartz K. CT-scanning in the pre-operative planning of osseointegrated implants in the maxilla[J]. Int J Oral Maxillofac Surg, 1988, 17(1): 33-35.
[4]Neugebauer J, Shirani R, Mischkowski RA, et al. Comparison of cone-beam volumetric imaging and combined plain radiographs for localization of the mandibular canal before removal of impacted lower third molars[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 105(5):633-643.
[5]Arai Y, Tammisalo E, Iwai K, et al. Development of a compact computed tomographic apparatus for dental use[J]. Dentomaxillofac Radiol, 1999, 28(4): 245-248.
[6]Aranyarachkul P, Caruso J, Gantes B, et al. Bone density assessments of dental implant sites: 2. Quan-titative cone-beam computerized tomography[J]. Int J Oral Maxillofac Implants, 2005, 20(3):416-424.
[7]Draenert FG, Coppenrath E, Herzog P, et al. Beam hardening artefacts occur in dental implant scans with the NewTom cone beam CT but not with the dental 4-row multidetector CT[J]. Dentomaxillofac Radiol, 2007, 36(4):198-203.
[8]Wang D, Künzel A, Golubovic V, et al. Accuracy of peri-implant bone thickness and validity of assessing boneaugmentation material using cone beam com-puted tomography[J]. Clin Oral Investig, 2013, 17 (6):1601-1609.
[9]Shiratori LN, Marotti J, Yamanouchi J, et al. Mea-surement of buccal bone volume of dental implants by means of cone-beam computed tomography[J]. Clin Oral Implants Res, 2012, 23(7):797-804.
[10]Schropp L, Wenzel A, Kostopoulos L, et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study[J]. Int J Periodontics Restorative Dent, 2003, 23(4):313-323.
[11]Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog[J]. J Clin Periodontol, 2005, 32(2):212-218.
[12]Wakimoto M, Matsumura T, Ueno T, et al. Bone quality and quantity of the anterior maxillary tra-becular bone in dental implant sites[J]. Clin Oral Implants Res, 2012, 23(11):1314-1319.
[13]Eufinger H, König S, Eufinger A. The role of alveolar ridge width in dental implantology[J]. Clin Oral In-vestig, 1997, 1(4):169-177.
[14]Karaca C, Er N, Gulsahi A, et al. Alveolar ridge preservation with a free gingival graft in the anterior maxilla: volumetric evaluation in a randomized clinical trial[J]. Int J Oral Maxillofac Surg, 2015, 44 (6):774-780.
[15]Braut V, Bornstein MM, Belser U, et al. Thickness of the anterior maxillary facial bone wall-a retrospec-tive radiographic study using cone beam computed tomography[J]. Int J Periodontics Restorative Dent, 2011, 31(2):125-131.
[16]Kan JY, Roe P, Rungcharassaeng K, et al. Classifica-tion of sagittal root position in relation to the anterior maxillary osseous housing for immediate implant placement: a cone beam computed tomography study [J]. Int J Oral Maxillofac Implants, 2011, 26(4):873- 876.
[17]Garaicoa C, Suarez F, Fu JH, et al. Using cone beam computed tomography angle for predicting the out-come of horizontal bone augmentation[J]. Clin Implant Dent Relat Res, 2015, 17(4):717-723.
[18]Demircan S, Demircan E. Dental cone beam com-puted tomography analyses of the anterior maxillary bone thickness for immediate implant placement[J]. Implant Dent, 2015, 24(6):664-668.
[19]Zhang WJ, Skrypczak A, Weltman R. Anterior maxilla alveolar ridge dimension and morphology measurement by cone beam computerized tomo-graphy (CBCT) for immediate implant treatment planning[J]. BMC Oral Health, 2015, 15(1):1-8.
[20]Lee SL, Kim HJ, Son MK, et al. Anthropometric analysis of maxillary anterior buccal bone of Korean adults using cone-beam CT[J]. J Adv Prosthodont, 2010, 2(3):92-96.
[21]Araújo MG, Sukekava F, Wennström JL, et al. Tissue modeling following implant placement in fresh ex-traction sockets[J]. Clin Oral Implants Res, 2006, 17 (6):615-624.
[22]Araújo MG, Wennström JL, Lindhe J. Modeling of the buccal and lingual bonewalls of fresh extraction sites following implant installation[J]. Clin Oral Im-plants Res, 2006, 17(6):606-614.
[23]Grütter L, Belser UC. Implant loading protocols for the partially edentulousesthetic zone[J]. Int J Oral Maxillofac Implants, 2009, 24(Suppl):169-179.
[24]Tortamano P, Camargo LO, Bello-Silva MS, et al. Immediate implantplacement and restoration in the esthetic zone: a prospective study with 18 months of follow-up[J]. Int J Oral Maxillofac Implants, 2010, 25(2):345-350.
[25]Agbaje JO, Jacobs R, Maes F, et al. Volumetric ana-lysis of extraction sockets using cone beam compu-ted tomography: a pilot studyon ex vivo jaw bone[J]. J Clin Periodontol, 2007, 34(11):985-990.
[26]Jacobs R, Lambrichts I, Liang X, et al. Neurovas-cularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(5):683-693.
[27]Liang X, Jacobs R, Martens W, et al. Macro- and micro-anatomical, histological and computed tomo-graphy scan characterization of the nasopalatine canal[J]. J Clin Periodontol, 2009, 36(7):598-603.
[28]Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations inthe anterior maxilla: ana-tomic and surgical considerations[J]. Int J Oral Ma-xillofac Implants, 2004, 19(Suppl):43-61.
[29]Mraiwa N, Jacobs R, Van Cleynenbreugel J, et al. The nasopalatine canal revisited using 2D and 3D CT imaging[J]. Dentomaxillofac Radiol, 2004, 33 (6):396-402.
[30]Bornstein MM, Balsiger R, Sendi P, et al. Morpho-logy of the nasopalatine canal and dental implant surgery: a radiographic analysis of 100 consecutive patients using limited cone-beam computed tomogra-phy[J]. Clin Oral Implants Res, 2011, 22(3):295-301.
[31]Ruppin J, Popovic A, Strauss M, et al. Evaluation of the accuracy of three different computer-aided sur-gery systems in dentalimplantology: optical tracking vs. stereolithographic splint systems[J]. Clin Oral Implants Res, 2008, 19(7):709-716.
[32]Meitner SW, Tallents RH. Surgical templates for prosthetically guided implant placement[J]. J Pros-thet Dent, 2004, 92(6):569-574.
[33]Sarment DP, Sukovic P, Clinthorne N. Accuracy of implant placement with a stereolithographic surgical guide[J]. Int J Oral Maxillofac Implants, 2003, 18 (4):571-577.
[34]Ito K, Gomi Y, Sato S, et al. Clinical application of a newcompact CT system to assess 3-D images for the preoperative treatment planning of implants in the posterior mandible A case report[J]. Clin Oral Im-plants Res, 2001, 12(5):539-542.
[35]BouSerhal C, Jacobs R, Quirynen M, et al. Imaging technique selection for the preoperative planning of oral implants: a review of theliterature[J]. Clin Im-plant Dent Relat Res, 2002, 4(3):156-172.
[36]Katsoulis J, Pazera P, Mericske-Stern R. Prosthetically driven,computer-guided implant planning for the edentulous maxilla: a model study[J]. Clin Implant Dent Relat Res, 2009, 11(3):238-245.
[37]Verstreken K, Van Cleynenbreugel J, Martens K, et al. An image-guided planning system for endosseous oral implants[J]. IEEE Trans Med Imag, 1998, 17 (5):842-852.
[1] 王欢,刘洋,戚孟春,李静怡,刘梦楠,孙红. 微弧氧化技术制备钛基种植体表面涂层的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 439-444.
[2] 张敏,万浩元. 种植体周围炎药物治疗与激光治疗的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 463-470.
[3] 吴秋月,李治邦. 药物辅助治疗种植体周围炎的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 471-477.
[4] 肖雨晗,于海洋. 种植义齿邻接触丧失的研究现状[J]. 国际口腔医学杂志, 2020, 47(2): 202-205.
[5] 田青鹭,赵志河. 微型种植体在口腔正畸中稳定性的研究进展[J]. 国际口腔医学杂志, 2020, 47(2): 212-218.
[6] 王剑,张鑫. 种植盾构术修复前牙外伤1例[J]. 国际口腔医学杂志, 2020, 47(1): 10-16.
[7] 邹俊东,刘定坤,杨楠,王谜,刘志辉. 生物活性玻璃/壳聚糖复合材料在生物医学领域的应用[J]. 国际口腔医学杂志, 2020, 47(1): 90-94.
[8] 蔡潇潇. 美学区数字化种植策略与流程[J]. 国际口腔医学杂志, 2019, 46(6): 621-630.
[9] 黄萧瑜,李明云,周学东,程磊. 全身及局部因素对种植体周围稳态的影响[J]. 国际口腔医学杂志, 2019, 46(6): 730-734.
[10] 青薇,黄丽娟,郑佳俊,任静,李成龙,庹嫱,任小华,牟雁东. 16S核糖体DNA高通量测序研究种植体龈沟液微生物的变化[J]. 国际口腔医学杂志, 2019, 46(5): 532-539.
[11] 付栩楠,谢志刚. 种植固定修复中基台机械并发症的研究进展[J]. 国际口腔医学杂志, 2019, 46(5): 571-577.
[12] 颜丹,张锡忠,王建国. 螺纹深度对支抗微种植体和颌骨影响的三维有限元分析[J]. 国际口腔医学杂志, 2019, 46(4): 387-392.
[13] 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.
[14] 郑铮,陈文川. 生物学宽度概念在口腔种植中的结构、尺度及功能意义[J]. 国际口腔医学杂志, 2019, 46(4): 481-487.
[15] 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.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 潘劲松. 颈总动脉指压和颈内动脉球囊阻断试验在大脑血液动力学中的不同影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 王昆润. 后牙冠根斜形牙折的治疗[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 杨锦波. 嵌合体防龋疫苗的研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 王昆润. 下颔骨成形术用网状钛板固定植骨块[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 汪月月,郭莉莉. 口腔机能与老化—痴呆危险因素流行病学研究[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 丁刚. 应用硬组织代用品种植体行丰颏术[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 戴青. 口腔念珠菌病的新分类[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 王金涛 刘美娟 孙宏晨 欧阳喈. 牙槽嵴牵张成骨[J]. 国际口腔医学杂志, 2004, 31(02): 146 -148 .