三维CT评价支抗种植体和磨牙的移位.docVIP

  三维 CT 评价支抗种植体和磨牙的移位# 吕涛1,2，刘东旭1,2** （1. 山东大学口腔医院正畸科，济南 250012； 5 10 15 20 25 30 35 40 45 2. 山东省口腔生物医学重点实验室，济南 250012） 摘要：目的:尽管微种植支抗被许多学者和临床医生称之为绝对支抗，但是施力后微种植支 抗可否发生移位尚不清楚。本实验旨在利用三维 CT 探讨正畸治疗过程中微种植支抗的位置 变化。方法：60 例正畸治疗患者，上牙槽前突，UD-SN、U1-SN 大于正常一个标准差，轻 度拥挤，正畸需拔除第一前磨牙，以种植支抗辅助内收切牙。正畸治疗前、后，分别拍摄头 颅 CT、三维重建，确定微种植体、磨牙、切牙的位置，通过前后 CT 图像重叠配准，分析 微种植体、磨牙、切牙治疗前后的移位程度。测量数据应用 SAS9.13 软件包进行配对 t 检验。 结果：微种植体头部近中移动 0.23mm,尾部近中移动 0.23mm,上颌第一磨牙牙冠近中移动 0.92mm,牙根近中移动 0.91mm,上颌中切牙切嵴和根尖处分别内收 5.94mm 和 1.40mm，伴有 上颌中切牙 1.84mm 内收。结论：在种植支抗辅助正畸治疗中，微种植体和磨牙均发生了不 同程度的近中移动，选择偏近中的位点植入微种植体可能有利于种植支抗的稳定和组织安 全。 关键词：口腔医学；种植支抗；位移；牙移动；三维 CT 中图分类号：R783.5 Movement of miniscrews and molars for anchorage under orthodontic force:3-dimensional computed tomography registration evaluation LV Tao1,2, LIU Dongxu1,2 (1. Department of Orthodontics, College of Stomatology, Shandong University, JiNan 250012; 2. Shandong Provincial Key Laboratory of Oral Biomedicine, JiNan 250012) Abstract: Purpose Although miniscrews have been used as absolute anchorage for a long time, their behavior under Orthodontic loading is still unclear clinically. Therefore, this study was designed to evaluate the behavior of miniscrews under loading by retrospective 3-dimensional registration. Methods Sixty adult patients who had miniscrews as anchorage for en-masse retraction of anterior teeth were studied. Computerized tomography scans were made before force application and after closure of the extraction spaces, respectively. The 3-dimensional reconstruction and registration of before and after computerized tomography data were performed to assess the displacement of the miniscrews，first molars, and maxillary central incisors. Results The miniscrews and the maxillary first molars drifted mesially 0.23 and 0.91mm apically, and 0.23 and 0.92mm coronally; the amounts of maxillary incisor retraction at the edge and the apex were 5.94 and 1.40mm, respectively, with 1.84mm of maxillary central incisor intrusion. Conclusions Our results indicated