cbct与数字根尖片评价根管充填长度的比较.docVIP

精品论文 参考文献 CBCT与数字根尖片评价根管充填长度的比较 （河北省承德市口腔医院 河北 承德 067000） 【摘 要】目的：分析应用CBCT评价根管充填长度的临床价值。方法：选择数字根尖片（DPR）显示恰填（根充材料末端至根尖孔0-2mm）的43颗患牙（107个根管）拍摄CBCT，记录CBCT判断的恰填根管数，依据DPR中根充材料末端至根尖孔的距离具体分0-0.5mm；0,5-1mm；1-2mm三组，计算恰填率。结果：DPR显示恰填的107个根管在CBCT中80个根管恰填，17个根管超填，10个根管欠填，恰填率74.77%，CBCT与DPR对比差异有统计学意义；三组中0.5-1mm组恰填率最高。结论：CBCT在评价根管充填长度方面更精准；DPR显示根充材料距离根尖孔0.5-1mm时CBCT诊断为恰填的概率最高。 【关键词】CBCT；根管充填长度 【中图分类号】R445 【文献标识码】B 【文章编号】1003-5028（2015）7-0213-01 Comparative analysis of evaluation for root canal filling length by CBCT and digital periapical radiography XU Xihong YANG Jie FENG Ying LIU Li WANG Dongmei DONG Shitao （Chengde Stomatological Hospital of Hebei Province ,Hebei Province ,Chengde 067000,China） 【Abstract】Objective：To investigate the clinical value of CBCT in Root canal filling length. Methods：43 teeth(107 root canals) were adequate filled (0-2 mm short of the radiographic apex on DPR images ),then we took CBCT ,recording the measurement results of the root canals by CBCT.The 107 root canals were particularly divided into three groups 0-0.5mm,0.5-1mm,1-2mm,according to the distance from the filling tip to the radiographic apex on DPR images,calculating the adequate rate . Results： All of the 107 root canals were adequate in DPR，but the adequate rate was 74.77％by CBCT.80 were adequate,17 were overextended and 10 were underextended of the 107 root canals．The adequate rate of CBCT was compared with DPR,the difference was statistically significant (Plt;0.05)．The highest adequate rate by CBCT was group 0.5-1mm. Conclusions：CBCT is more accurate in the evaluation of root canal filling length.When the distance from the filling tip to the radiographic apex was 0.5-1mm on the DPR image ,the adequate rate is highest by CBCT. 【Key words】cone—beam computed tomography(CBCT)；root canal filling length； 口腔颌面锥形束CT(cone beam computed tomography， CBCT)，又称数字容积体层摄影，是针对口腔颌面部较复杂的解剖结构而设计的计算机断层摄影仪器，是一种新型影像学检查技术，在口腔临床方面有广泛应用，与传统螺旋CT相比，照射剂量低、扫描、重建时间短；与数字根尖片（DPR）相比，其1