牙科锥形束CT评价上颌前牙唇面形态对转矩的影响.docVIP

牙科锥形束CT评价上颌前牙唇面形态对转矩的影响 牙科锥形束CT评价上颌前牙唇面形态对转矩的影响 作者：胡湘权 孔卫东 蔡斌 陈敏莹 作者单位：1.广州军区机关门诊部 口腔科，广东 广州 510080；2.暨南大学附属第一医院 口腔科，广东 广州 510632；3.中山大学光华口腔医学院·附属口腔医院 正畸科，广东 广州 510055；4.深圳市龙华人民医院 口腔科，广东 深圳 518109 　　【摘要】 目的 研究上颌前牙的唇面形态及牙冠牙根成角关系对转矩的影响，为临床治疗中调整牙齿的转矩提供参考。方法 选择206颗离体上颌前牙为研究对象，其中中切牙77颗、侧切牙68颗、尖牙61颗。利用牙科锥形束CT将全部牙齿进行扫描，在CT工具软件下进行影像的三维重建并提取全部牙的正中矢状切面图像，利用Auto CAD软件测量图像，分别测量牙冠唇面4个不同高度的切线与牙冠长轴所成的角度，以及牙冠长轴与牙根长轴所成的角度（冠根角）。结果 当托槽高度为3.5～5.0 mm时，其高度每变化0.5 mm，上颌中切牙转矩变化约为1.5°，上颌侧切牙和尖牙的转矩变化约为2°。上颌中切牙、侧切牙、尖牙冠根角的均数分别为0.88°、3.87°、-3.30°。结论 牙体形态的生物学变化从多方面影响矫治后牙齿的转矩角。 　　【关键词】 锥形束CT 前牙 解剖形态 冠根角 转矩 　　Evaluation of the effect of maxillary anterior teeth morphology on torque using cone beam dental computed tomography HU Xiang-quan1, KONG Wei-dong2, CAI Bin3, CHEN Min-ying4. （1. Dept. of Stomatology, Out-pa-tient Department, Guangzhou Military Authorities, Guangzhou 510080, China; 2. Dept. of Stomatology, The First Af-filiated Hospital of Jinan University, Guangzhou 510632, China; 3. Dept. of Orthodontics, Guanghua College of Stomatology, SUN Yat-Sen University, Guangzhou 510055, China; 4. Dept. of Stomatology, Shenzhen Longhua People′s Hospital, Shenzhen 518109, China） 　　[Abstract] Objective This study was undertaken to evaluate the influence of labial surface contours and collum angles of the maxillary anterior teeth on torque. Methods 206 extracted maxillary teeth were selected, including 77 central incisors, 68 lateral incisors and 61 canines. All specimens were scanned by cone beam dental computed tomography（CT）. Three-dimensional reconstructed images were made by using the CT software. The median sagittalplanes of all teeth were selected and then analyzed by the Auto CAD software. For each tooth, the angles between tangent lines to the labial surface at four different heights along the surface and the longitudinal axis of the crown were measured. The collum angle was also measured. Results Between 3.5 mm and 5.0 mm level of bracket heights, for the vari