国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (3): 295-300.doi: 10.7518/gjkq.2018.03.010

• 影像学专栏 • 上一篇    下一篇

儿童埋伏多生牙拔除术锥形束计算机断层扫描影像学定位的应用进展

刘晓华1, 王恩博2   

  1. 1.青岛市口腔医院口腔颌面外科 青岛 266001;
    2.北京大学口腔医院口腔颌面外科 北京 100081
  • 收稿日期:2017-10-21 修回日期:2018-01-15 发布日期:2018-05-08
  • 通讯作者: 王恩博,副主任医师,博士,Email：wang_nbo@126.com
  • 作者简介:刘晓华,主治医师,博士,Email：Liunxhua@126.com
  • 基金资助:
    青岛市卫生科技发展计划项目（2017-WJZD127）

Application progress on cone beam computed tomography imaging localization in extraction of embedded supernumerary teeth in children

Liu Xiaohua1, Wang Enbo2   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Qingdao Stomatological Hospital, Qingdao 266001, China;
    2. Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Peking University, Beijing 100081, China
  • Received:2017-10-21 Revised:2018-01-15 Published:2018-05-08
  • Supported by:
    This study was supported by Program for Qingdao Health Science and Technology Development (2017-WJZD127).

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摘要： 儿童埋伏多生牙影响正常恒牙的萌出,常导致错畸形,并可伴发囊肿等破坏性病损,临床中多需尽早拔除。在拔除术中,埋伏多生牙的准确定位至关重要,在精确的定位引导下可以正确地制定手术方案,选择合适的手术入路,减少牙槽外科的手术创伤。近十几年来,在口腔牙槽外科诊疗中,锥形束计算机断层扫描（CBCT）可以说是最先进、精准的影像学技术。目前,CBCT是理想的判定埋伏牙位置的技术手段,其提供的三维图像可在不同的轴向观察埋伏牙及其与邻牙的关系,并判断埋伏牙唇腭侧骨板的距离。当前,CBCT在口腔诊疗中的应用越来越广泛,并发挥了其独特的优势。本文就CBCT在儿童埋伏多生牙定位的临床应用进展作一综述。

关键词: 儿童, 埋伏多生牙, 锥形束计算机断层扫描, 牙槽外科

Abstract: The presence of supernumerary teeth in children affect the eruption of normal permanent teeth, resulting in malocclusion, and accompanied by destructive lesions such as cysts, which require early removal. Accurate localization of embedded supernumerary teeth during removal is critical. Under the guidance of accurate positioning, the surgical procedure can be correctly formulated and the appropriate surgical approach could be chosen to reduce the trauma of alveolar surgery. Over the past ten years, cone beam computed tomography (CBCT) has been the most advanced and accurate imaging technique in oral and alveolar surgery. At present, CBCT is an ideal technique for determining the location of impacted teeth. The three-dimensional images can be used to observe the relationship between the impacted teeth and their adjacent teeth in different axial directions. It can determine the distance between the bony plates of the labial and palatal sides of the impacted teeth. CBCT is more and more widely used in oral diagnosis and treatment, and has its unique advantages. This paper reviews the clinical application of CBCT in the localization of supernumerary teeth in children.

Key words: children, embedded supernumerary teeth, cone beam computed tomography, alveolar surgery

中图分类号: 

  • R788
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