国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (4): 405-410.doi: 10.7518/gjkq.2021073

• 影像专栏 • 上一篇    下一篇

影像学预测上颌尖牙阻生的研究进展

邵冰婷(),曹丹,严斌()   

  1. 南京医科大学附属口腔医院正畸科 口腔疾病研究江苏省重点实验室江苏省口腔转化医学工程研究中心 南京 210029
  • 收稿日期:2021-02-12 修回日期:2021-04-13 出版日期:2021-07-01 发布日期:2021-06-30
  • 通讯作者: 严斌
  • 作者简介:邵冰婷,医师,硕士,Email： 838977012@qq.com

Research progress on the use of radiography to predict maxillary canine impaction

Shao Bingting(),Cao Dan,Yan Bin()   

  1. Dept. of Orthodontics, The Affiliated Stomatological Hospital, Jiangsu Key Laboratory of Oral Diseases & Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing Medical University, Nanjing 210029, China
  • Received:2021-02-12 Revised:2021-04-13 Online:2021-07-01 Published:2021-06-30
  • Contact: Bin Yan

RichHTML

199

PDF (PC)

1179

摘要：

上颌阻生尖牙是临床上常见的难题。早期对可能发生阻生的上颌尖牙进行干预,常常可以减轻其阻生的严重程度,甚至可以使尖牙正常萌出。临床上常通过影像学方法对上颌尖牙阻生进行早期预测。其中影像学检查不仅包括传统的全口曲面体层片等二维影像,也包括近年来发展比较迅速的锥形束CT三维影像。本文通过回顾以往研究来总结目前影像学预测上颌尖牙阻生的研究进展,以指导临床早期预测上颌尖牙阻生并选择合适的干预时机。

关键词: 阻生, 上颌尖牙, 预测

Abstract:

Maxillary canine impaction is a common dental problem. Predicting the potential of maxillary canines to become impacted at an early stage often reduces the severity of impaction and even allows the canines to erupt normally. Maxillary canine impaction can be predicted early by radiography. Radiographic tools include not only traditional two-dimensional radiographs, such as panoramic films, but also three-dimensional images obtained via cone-beam computed tomography, which was developed only recently. In this review, we summarized current progress in the early prediction of maxillary impacted canines via radiological examinations to guide the clinical prediction of maxillary canine impaction and the assessment of optimal treatment timing.

Key words: impaction, maxillary canine, prediction

中图分类号: 

  • R783.5

图1

未萌尖牙牙尖位置分区法 1：位于连接阻生尖牙邻牙侧切牙远中冠根外形高点所形成的切线远中;2：位于区域1近中到侧切牙长轴远中之间;3：位于区域2近中到连接侧切牙近中冠根外形高点形成的切线之间;4：位于区域3近中。"

图2

曲面体层片常用预测指标 A：尖牙牙体长轴与切牙中线间的角度;B：未萌尖牙牙尖至上颌牙合平面的垂直距离;R：右;L：左。"

[1] Alqerban A. Impacted maxillary canine in unilateral cleft lip and palate: a literature review[J]. Saudi Dent J, 2019,31(1):84-92.
doi: 10.1016/j.sdentj.2018.11.001
[2] Mucedero M, Rozzi M, Milazzo A, et al. Morphometric analysis of the palatal shape and arch dimension in subjects with palatally displaced canine[J]. Eur J Orthod, 2019,41(5):460-467.
doi: 10.1093/ejo/cjy080 pmid: 30602006
[3] Becker A, Chaushu S. Etiology of maxillary canine impaction: a review[J]. Am J Orthod Dentofacial Orthop, 2015,148(4):557-567.
doi: 10.1016/j.ajodo.2015.06.013
[4] Ortiz PM, Tabbaa S, Flores-Mir C, et al. A CBCT investigation of the association between sella-Turcica bridging and maxillary palatal canine impaction[J]. Biomed Res Int, 2018,2018:4329050.
[5] Sajnani AK. Permanent maxillary canines‒review of eruption pattern and local etiological factors lea-ding to impaction[J]. J Investig Clin Dent, 2015,6(1):1-7.
doi: 10.1111/jicd.12067
[6] Alqerban A, Jacobs R, Fieuws S, et al. Radiographic predictors for maxillary canine impaction[J]. Am J Orthod Dentofacial Orthop, 2015,147(3):345-354.
doi: 10.1016/j.ajodo.2014.11.018 pmid: 25726402
[7] Naoumova J, Kjellberg H. The use of panoramic radiographs to decide when interceptive extraction is beneficial in children with palatally displaced canines based on a randomized clinical trial[J]. Eur J Orthod, 2018,40(6):565-574.
doi: 10.1093/ejo/cjy002 pmid: 29462471
[8] 金玲玲, 阮文华. 上颌恒尖牙萌出障碍的研究进展[J]. 口腔医学, 2020,40(2):184-187.
Jin LL, Ruan WH. Research progress of the eruption abnormity of permanent maxillary canines[J]. Stoma-tology, 2020,40(2):184-187.
[9] 安舒, 姜春苗, 詹育香. 上颌尖牙阻生的诊断和早期干预[J]. 国际口腔医学杂志, 2011,38(6):721-724.
An S, Jiang CM, Zhan YX. The study on the diagno-sis and prevention of impacted maxillary canines[J]. Inter J Stomatol, 2011,38(6):721-724.
[10] Zeno KG, Ghafari JG. Palatally impacted canines: a new 3-dimensional assessment of severity based on treatment objective[J]. Am J Orthod Dentofacial Orthop, 2018,153(3):387-395.
doi: 10.1016/j.ajodo.2017.07.020
[11] Kim SH, Son WS, Yamaguchi T, et al. Assessment of the root apex position of impacted maxillary canines on panoramic films[J]. Am J Orthod Dentofacial Orthop, 2017,152(4):489-493.
doi: 10.1016/j.ajodo.2017.01.027
[12] Mercuri E, Cassetta M, Cavallini C, et al. Dental anomalies and clinical features in patients with ma-xillary canine impaction[J]. Angle Orthod, 2013,83(1):22-28.
doi: 10.2319/021712-149.1
[13] Kanavakis G, Curran KM, Wiseman KC, et al. Eva-luation of crown-root angulation of lateral incisors adjacent to palatally impacted canines[J]. Prog Orthod, 2015,16:4.
doi: 10.1186/s40510-015-0074-0 pmid: 25749110
[14] Bertl MH, Foltin A, Lettner S, et al. Association between maxillary lateral incisors’ root volume and pa-latally displaced canines: an instrumental variables approach to the guidance theory[J]. Angle Orthod, 2018,88(6):719-725.
doi: 10.2319/020818-107.1
[15] Alhaija ESA, Wazwaz FT. Third molar tooth agenesis and pattern of impaction in patients with palatally displaced canines[J]. Angle Orthod, 2019,89(1):64-70.
doi: 10.2319/031318-203.1 pmid: 30324806
[16] Becker A, Chaushu S. Dental age in maxillary canine ectopia[J]. Am J Orthod Dentofacial Orthop, 2000,117(6):657-662.
doi: 10.1016/S0889-5406(00)70174-0
[17] Rozylo-Kalinowska I, Kolasa-Raczka A, Kalinowski P. Dental age in patients with impacted maxillary canines related to the position of the impacted teeth[J]. Eur J Orthod, 2011,33(5):492-497.
doi: 10.1093/ejo/cjq123 pmid: 21262933
[18] Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth[J]. Ann Hum Biol, 1976,3(5):411-421.
pmid: 984727
[19] Sajnani A, King N. Dental age of children and adolescents with impacted maxillary canines[J]. J Orofac Orthop, 2012,73(5):359-364.
pmid: 22948209
[20] Uribe P, Ransjö M, Westerlund A. Clinical predictors of maxillary canine impaction: a novel approach using multivariate analysis[J]. Eur J Orthod, 2017,39(2):153-160.
doi: 10.1093/ejo/cjw042
[21] Ericson S, Kurol J. Early treatment of palatally erup-ting maxillary canines by extraction of the primary canines[J]. Eur J Orthod, 1988,10(4):283-295.
doi: 10.1093/ejo/10.1.283
[22] Lindauer SJ, Rubenstein LK, Hang WM, et al. Canine impaction identified early with panoramic radiographs[J]. J Am Dent Assoc, 1992,123(3): 91-92, 95-97.
doi: 10.14219/jada.archive.1992.0307
[23] Power SM, Short MB. An investigation into the response of palatally displaced canines to the removal of deciduous canines and an assessment of factors contributing to favourable eruption[J]. Br J Orthod, 1993,20(3):215-223.
pmid: 8399054
[24] Alejos-Montante K, Martínez-Zumarán A, Torre-Delgadillo G, et al. Early identification of permanent ma-xillary canine impaction: a radiographic comparative study in a Mexican population[J]. J Clin Exp Dent, 2019,11(3):e282-e286.
[25] Warford JH Jr, Grandhi RK, Tira DE. Prediction of maxillary canine impaction using sectors and angular measurement[J]. Am J Orthod Dentofacial Orthop, 2003,124(6):651-655.
doi: 10.1016/S0889-5406(03)00621-8
[26] Sajnani AK, King NM. Early prediction of maxillary canine impaction from panoramic radiographs[J]. Am J Orthod Dentofacial Orthop, 2012,142(1):45-51.
doi: 10.1016/j.ajodo.2012.02.021 pmid: 22748989
[27] Alqerban A, Storms AS, Voet M, et al. Early prediction of maxillary canine impaction[J]. Dentomaxillofac Radiol, 2016,45(3):20150232.
doi: 10.1259/dmfr.20150232
[28] Laurenziello M, Montaruli G, Gallo C, et al. Determinants of maxillary canine impaction: retrospective clinical and radiographic study[J]. J Clin Exp Dent, 2017,9(11):e1304-e1309.
[29] Malik DES, Fida M, Sukhia RH. Correlation between radiographic parameters for the prediction of palatally impacted maxillary canines[J]. J Orthod, 2019,46(1):6-13.
[30] Cacciatore G, Poletti L, Sforza C. Early diagnosed impacted maxillary canines and the morphology of the maxilla: a three-dimensional study[J]. Prog Orthod, 2018,19(1):20.
doi: 10.1186/s40510-018-0220-6 pmid: 30009340
[31] Simões Holz I, Martinelli Carvalho R, Lauris JR, et al. Permanent canine eruption into the alveolar cleft region after secondary alveolar bone grafting: are there prediction factors for impaction[J]. Am J Orthod Dentofacial Orthop, 2018,154(5):657-663.
doi: 10.1016/j.ajodo.2018.01.016
[32] 慕创创, 李刚. 基于神经网络的深度学习在医学影像中的研究进展[J]. 中华口腔医学杂志, 2019,54(7):492-497.
Mu CC, Li G. Research progress in medical imaging based on deep learning of neural network[J]. Chin J Stomatol, 2019,54(7):492-497.
[33] Chen S, Wang L, Li G, et al. Machine learning in orthodontics: introducing a 3D auto-segmentation and auto-landmark finder of CBCT images to assess maxillary constriction in unilateral impacted canine patients[J]. Angle Orthod, 2020,90(1):77-84.
doi: 10.2319/012919-59.1 pmid: 31403836
[34] Eslami E, Barkhordar H, Abramovitch K, et al. Cone-beam computed tomography vs conventional radio-graphy in visualization of maxillary impacted-canine localization: a systematic review of comparative stu-dies[J]. Am J Orthod Dentofacial Orthop, 2017,151(2):248-258.
doi: S0889-5406(16)30651-5 pmid: 28153153
[35] Jawad Z, Carmichael F, Houghton N, et al. A review of cone beam computed tomography for the diagnosis of root resorption associated with impacted canines, introducing an innovative root resorption scale[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2016,122(6):765-771.
doi: 10.1016/j.oooo.2016.08.015
[36] Cao D, Zhu L, Chen Y, et al. Buccally impacted ma-xillary canines increase the likelihood of root separation in adjacent first premolars[J]. Oral Dis, 2017,23(1):36-41.
doi: 10.1111/odi.12566 pmid: 27500892
[37] 李铎, 郑博文, 刘奕. 唇腭裂畸形患者蝶鞍鞍桥发生的研究[J]. 中华口腔正畸学杂志, 2018,25(4):196-200.
Li D, Zheng BW, Liu Y. Research on prevalence of sella bridge in patients with cleft lip and palate[J]. Chin J Orthod, 2018,25(4):196-200.
[38] Ali B, Shaikh A, Fida M. Association between sella turcica bridging and palatal canine impaction[J]. Am J Orthod Dentofacial Orthop, 2014,146(4):437-441.
doi: 10.1016/j.ajodo.2014.06.010
[39] Berkhout WE. The ALARA-principle. Backgrounds and enforcement in dental practices[J]. Ned Tijdschr Tandheelkd, 2015,122(5):263-270.
doi: 10.5177/ntvt.2015.5.14227 pmid: 26210218
[40] 梁宇红, 岳林. 锥形束CT在牙髓根尖周病诊治中的合理应用与思考[J]. 中华口腔医学杂志, 2019,54(9):591-597.
Liang YH, Yue L. A discussion on three-dimensional digital imaging technology: application of cone-beam CT in endodontics[J]. Chin J Stomatol, 2019,54(9):591-597.
[41] Abdelkarim A. Cone-beam computed tomography in orthodontics[J]. Dent J (Basel), 2019,7(3):89.
[42] Grybienė V, Juozėnaitė D, Kubiliūtė K. Diagnostic methods and treatment strategies of impacted maxillary canines: a literature review[J]. Stomatologija, 2019,21(1):3-12.
[43] Almasoud NN. Extraction of primary canines for interceptive orthodontic treatment of palatally displa-ced permanent canines: a systematic review[J]. Angle Orthod, 2017,87(6):878-885.
doi: 10.2319/021417-105.1 pmid: 28800259
[1] 刘艺,刘奕. 上颌埋伏阻生尖牙与牙弓及腭部形态的相关性[J]. 国际口腔医学杂志, 2021, 48(2): 243-248.
[2] 张旭,李妍熹,李涵识,魏洁雅,鄢鑫语,郑玮,李宇. 正畸软组织侧貌改变预测的研究进展[J]. 国际口腔医学杂志, 2019, 46(1): 105-111.
[3] 陈静, 黄晓峰. 激光在口腔正畸临床应用中的进展[J]. 国际口腔医学杂志, 2017, 44(6): 712-716.
[4] 李小兵，郭维华，黄诗言，徐舒豪，饶南荃，张扬根. 低位乳磨牙伴下颌第一前磨牙水平阻生1例[J]. 国际口腔医学杂志, 2016, 43(4): 377-379.
[5] 刘莉，柯华峰，武传君，田军. 上颌腭侧阻生尖牙非手术与手术助萌的比较研究[J]. 国际口腔医学杂志, 2015, 42(2): 163-165.
[6] 蔡勇涛1,2 罗顺云1 李旭艳2. 45°涡轮钻在第三磨牙拔除术中的改良应用[J]. 国际口腔医学杂志, 2013, 40(5): 577-579.
[7] 姜世同1 刘军2 陈玉长2 王作君3 马德庆1 焦广军1 姜良坤1. 近中水平阻生下颌第三磨牙的矫治探索[J]. 国际口腔医学杂志, 2012, 39(6): 730-732.
[8] 卿萍 高姗姗 朱卓立 樊弘毅 于海洋. 伴靠近下颌神经管埋伏牙的种植修复1 例[J]. 国际口腔医学杂志, 2012, 39(6): 736-738.
[9] 任家银 王虎 李果 赵书平 吴万红 袁珊珊. 成都地区12 岁青少年第三磨牙发育的X 线分析[J]. 国际口腔医学杂志, 2012, 39(3): 297-300.
[10] 赵书平 王虎 李果 任家银 吴万红 袁珊珊. 下颌第三磨牙近中阻生相关因素的头影测量分析[J]. 国际口腔医学杂志, 2012, 39(3): 305-307.
[11] 安舒 姜春苗 詹育香综述 王军审校. 上颌尖牙阻生的诊断和早期干预[J]. 国际口腔医学杂志, 2011, 38(6): 721-725.
[12] 姜世同1 王作君2 安忠军1 焦广军1 姜良坤1 罗圆圆1. 倒位埋伏阻生上中切牙的临床矫治探索[J]. 国际口腔医学杂志, 2011, 38(5): 515-517.
[13] 杨洪1 谢德林2. 微种植支抗正畸矫正下颌磨牙重度阻生1 例[J]. 国际口腔医学杂志, 2011, 38(3): 286-287.
[14] 周宏志综述 胡开进审校. 下颌阻生第三磨牙拔除创伤控制的相关研究[J]. 国际口腔医学杂志, 2010, 37(4): 470-473.
[15] 王镶珊综述 胡荣党审校. 上颌埋伏阻生中切牙的治疗[J]. 国际口腔医学杂志, 2010, 37(02): 240-240～243.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 冯璐,孟文霞. 常见口腔黏膜疾病患者行种植修复相关问题的研究进展[J]. 国际口腔医学杂志, 2021, 48(2): 147 -155 .
[2] 王立冬,马文,付帅,张长彬,崔庆赢,梁燕,黎明. 不同方法制作正颌手术数字化牙合板的研究及精确性分析[J]. 国际口腔医学杂志, 2021, 48(2): 156 -164 .
[3] 李米雪子,张琛. 椅旁计算机辅助设计/计算机辅助制作髓腔固位冠修复根管治疗后磨牙的临床考量[J]. 国际口腔医学杂志, 2021, 48(3): 274 -279 .
[4] 赵吉宏. 口腔局部麻醉新概念[J]. 国际口腔医学杂志, 2021, 48(4): 373 -379 .
[5] 朱轩智,赵蕾. 甲状腺功能减退症与牙周炎相关性的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 380 -384 .
[6] 丁旭,李鑫,李艳,夏博园,于维先. 氧化应激和线粒体质量控制与牙周炎关系的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 385 -390 .
[7] 赵文俊,陈宇. 引导组织/骨再生牙周功能梯度膜的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 391 -397 .
[8] 施丹妮,杨鑫,吴建勇. 锥形束CT三维头影测量参考坐标系的研究进展[J]. 国际口腔医学杂志, 2021, 48(4): 398 -404 .
[9] 杨祺,郭丽娟. 自体脂肪移植联合唇部组织瓣在修复唇萎缩畸形缺损中的应用[J]. 国际口腔医学杂志, 2021, 48(4): 411 -416 .
[10] 方苓力,谭玺,叶雨丝,黄兰,何瑶. 颞下颌关节退行性变早期髁突软骨细胞行为改变的实验研究[J]. 国际口腔医学杂志, 2021, 48(4): 417 -425 .