锥形束ct和根尖片诊断根尖区牙根外吸收的准确性研究.docVIP

锥形束CT和根尖片诊断根尖区牙根外吸收的比较研究 董艳玲1,2 邱燕*2,3邓锋1,2郑雷蕾1,2陈军1,2 （1.重庆医科大学附属口腔医院 正畸科，重庆 401147； 重庆市口腔疾病与生物医学研究中心，重庆 401147； 重庆医科大学附属口腔医院 修复科，重庆 401147） 作者介绍：董艳玲（1987-），女，硕士，研究方向：口腔正畸学，联系电话E-mail：472495197@ 通讯作者:邱燕，女，主治医师，联系电话E-Mail:qiuyan509@ [摘要] 目的 比较锥形束CT（cone-beam computed tomography, CBCT）和根尖片诊断根尖区牙根外吸收（根尖吸收）的准确性。方法 选取160颗单根前磨牙，用以模拟4种不同程度的根尖吸收：无（完整的牙根）、轻度（根尖区表面1.0 mm直径和深度的洞形）、中度（1.0 mm牙根缩短）、重度（3.0 mm牙根缩短）。模拟完成后，对所有牙齿拍摄CBCT和根尖片获取两组影像学资料。正畸医师通过对影像学资料的分析独立地评估所有牙齿根尖吸收的严重程度。采用McNemar检验对比分析两种成像技术诊断不同程度根尖吸收的准确率。结果 CBCT诊断无、轻度、中度、重度及总的根尖吸收的准确率分别为95%、97.5%、42.5%、87.5%和80.6%，而根尖片的准确率分别为85%、42.5%、70%、92.5%和72.5%。两种成像技术对于轻度(P0.001)、中度(P0.001)及全部(P0.025)根尖吸收的诊断结果均有显著的统计学差异。结论 相比于根尖片，CBCT对根尖吸收具有更高的检出率，但其对中度吸收的敏感性较低。在正畸临床中，CBCT可用于对根尖吸收进行早期诊断，从而为继续或修正当前的正畸治疗提供必要的参考意见。 [关键词] 锥形束CT；根尖片；牙根吸收；正畸治疗 A comparative study of cone-beam computed tomography and periapical radiography in the diagnosis of external apical root resorption DONG Yan-ling1,2, QIU yan 2,3, DENG Feng1,2, ZHENG Lei-lei1,2 Dept. of Orthodontics, The Affiliated Stomatology Hospital, Chongqing Medical University, Chongqing 401147, China; 2.Chongqing Research Center for Oral Diseases and Biomedical Science,Chongqing 401147, China 3.Dept. of ?prosthetics， The Affiliated Stomatology Hospital, Chongqing Medical University, Chongqing 401147, China) [Abstract] Objective To compare the accuracy of cone-beam computed tomography (CBCT) and periapical radiography in the diagnosis of simulated external apical root resorption (EARR). Methods The study sample comprised 160 single-rooted premolars for simulating 4 degrees of EARR: no (intact teeth), mild (cavity of 1.0 mm in diameter and depth in root surface), moderate (1.0 mm root shortening), and severe (3.0 mm root shortening). Two sets of radiographic images were acquired with CBCT and periapical radiography. The severity for all resorption lesions were evaluated blindly by one calibrated examiner. The percentages of correct classification of each degree