临床研究CT三维重建在埋伏牙治疗与设计中的应用.pdfVIP

·2026 · 南方医科大学学报（J South Med Univ ） 2011;31(12) ·临床研究· 螺旋CT 三维重建在埋伏牙治疗与设计中的应用 黄妙琼，冯 航，郭伟成 广东省省人民医院/广东省医学科学院口腔科，广东 广州 510080 摘要：目的探讨螺旋CT 三维重建在埋伏牙正畸治疗设计中的作用。方法选取32 例年龄13~ 17岁，常规曲面断层难以定 位埋伏牙空间位置的正畸病人，进行螺旋CT 扫描并进行三维重建，其中15例上颌尖牙异位埋伏阻生，8例双尖牙低位埋 伏阻生，9例下颌第二磨牙埋伏阻生。所有病人利用螺旋CT 扫描并进行三维重建了解阻生牙的牙冠形态、牙根形态、与相 邻牙的位置关系以指导正畸治疗计划的制定、外科手术暴露的路径、附件粘结的位置、牵引力的方向等。结果15例上颌 埋伏尖牙、5例低位埋伏双尖牙成功牵引至合平面建立正常咬合；3 例有畸形中央尖的低位双尖牙牵引后拔除；9 例埋伏第 二磨牙在拔除第三磨牙或近中移动第一磨牙后竖直并到达合平面。结论螺旋CT 三维重建可以准确定位埋伏牙，真实再 现埋伏牙在颌骨中的位置，有利于埋伏牙的矫治设计，提高矫治成功率。 关键词：三维重建；埋伏牙；矫治设计 中图分类号：R783.5 文献标志码：A 文章编号：1673-4254（2011）12-2026-05 Application of spiral CT three-dimensional reconstruction in treatment planning of impacted teeth HUANG Miao-qiong, FENG Hang, GUO Wei-cheng Department of Stomatology, Guangdong Academy of Medical Sciences Guangdong General Hospital, Guangzhou 510080, China Abstract: Objective To assess the value of three-dimensional (3D) reconstruction in treatment planning of impacted teeth. Methods Thirty-two orthodontic patients with impacted teeth aged from 13 to 17 years were enrolled, including 15 with impacted maxillary canines, 8 with impacted premolars and 6 with second molar impaction and retention. All the impacted teeth were examined by spiral CT scan and 3D reconstruction to determine the 3D position of the tooth in relation to both the crown and root, and the proximity to the roots of other teeth. The data were used for treatment planning and determination of the suitable direction of the orthodontic forces, approaches of surgical exposure, and the position of the attachment to be bonded. Results Normal occlusion was achieved for 15 patients with transposition maxillary canines and 5