恒牙邻面去釉之牙釉质厚度的CBCT研究.docVIP

恒牙邻面去釉之牙釉质厚度的CBCT研究 　　[摘要] 目的 通过锥体束CT（CBCT）测量恒牙近、远中邻接区牙釉质厚度，为口腔临床进行邻面去釉提供参考。方法 从临床拍摄的CBCT影像资料中筛选出55例30岁以下患者的144颗牙齿，运用三维测量软件InVivo Dental分别测量恒牙近、远中邻接区的牙釉质厚度，进行统计学分析。 结果 恒牙近、远中邻接区牙釉质厚度无统计学差异（P0.05）；上（下）颌侧切牙与中切牙邻接区牙釉质厚度无统计学差异（P0.05），上（下）颌尖牙、前磨牙及第一磨牙牙釉质厚度均大于中切牙牙釉质厚度（P0.05）。 结论 不同恒牙近、远中邻接区牙釉质厚度并非均匀一致，切牙区最小，每邻接区两牙邻面去釉量最多0.5 mm的指导原则更适用于切牙区，后牙区或可适当增大 [关键词] 恒牙；牙釉质；牙列拥挤；邻面去釉；锥体束CT [中图分类号] R783.5 [文献标识码] B [文章编号] 1673-9701（2016）25-0067-03 CBCT study of enamel thickness of the permanent tooth with interproximal enamel reduction CHEN Runxiang1 CHEN Xiaoyan2 DING Wanghui2 JIANG Juanwen1 1.Department of Stomatology， Hangzhou Hospital of Traditional Chinese Medicine， Hangzhou 310007， China； 2.Department of Orthodontics， Stomatology Hospital Affiliated to Zhejiang University of Medicine， Hangzhou 310006， China [Abstract] Objective To measure the enamel thickness between the proximal， distal and medium adjacent area of the permanent tooth by the cone beam computerized tomography （CBCT） and provide evidence for the interproximal enamel reduction. Methods 144 teeth were screened out from 55 patients under 30 years old by the clinical imaged CBCT materials and 3D measurement software InVivo Dental was applied to respectively measure the thickness of the enamel in the proximal， distal and medium adjacent area of the permanent teeth and statistical analysis was performed. Results The enamel thickness of the proximal， distal and medium adjacent area of the permanent teeth was no significantly different （P0.05）； the enamel thickness of adjacent area of maxillary （mandible） the lateral incisor and central incisor was no significantly different （P0.05）； the enamel thickness of maxillary （mandible） canine tooth， premolar tooth and first molar were all thicker than the thickness of the central incisor （P0.05）. Conclusion The enamel thickness of proximal， distal and medium adjacent area of different permanent tooth is not homogeneous and the incisor area is the least. The guide