不同年龄腭部软硬组织厚度CBCT研究.docVIP

不同年龄腭部软硬组织厚度的CBCT研究 　　[摘要]目的：研究腭部?硬组织厚度，并初步探讨年龄因素对腭部组织厚度的影响，为腭部植入微种植体提供参考。方法：选取青少年、青年、中年患者各30例，共90例患者的CBCT资料，测量腭中缝处及腭中缝旁各区域的骨质厚度、皮质骨厚度和黏膜厚度，将各组的测量值进行比较，并分析其相关性。结果：腭部骨质厚度测量结果显示：青年组与中年组均值间比较，差异无统计学意义，而青少年组均值较其他两组小，差异有统计学意义；三组的最大值均在腭中缝旁3mm处，腭中缝旁6mm处最小；腭部皮质骨厚度测量结果显示：青年组与中年组均值比较，差异无统计学意义；青少年组均值小于其他两组，差异有统计学意义；但三组的所有测量点皮质骨厚度均大于1mm；腭部黏膜厚度测量结果显示：不同年龄段患者的腭黏膜厚度比较，差异无统计学意义；分布情况均为从前向后逐渐减小，从腭中缝处向颊侧逐渐增大，在腭中缝处最小。结论：青少年患者的微种植体安全植入区是切牙孔后4mm，腭中缝旁3mm、9mm处；对于成年患者，腭中缝处植入微种植体亦可获得良好的固位和稳定。 　　[关键词]微种植体；腭部；软硬组织厚度；锥形束计算机断层扫描 　　[中图分类号]R783.5 [文献标志码]A [文章编号]1008-6455（2018）04-0112-04 　　Thickness Analysis of the Hard and Soft Tissue in Palate of Different Ages with Cone-Beam Computed Tomography 　　LI Shu-hua，ZHANG Xiao-min，CHEN Yin-mei，HU Lu-lu，WANG Yuan-yin 　　（Stomatologic Hospital College， Anhui Medical University， Hefei 230032， Anhui， China） 　　Abstract： Objective To investigate the thickness of the palatal bone、cortical bone and mucosa ，and disscuss the influence of age factor on the thickness of palate，for purposes of miniscrew placement. Methods A cone-beam computed tomography was obtained from 90 patients they were equally divided into three groups based on the ages（adolescent，young，middle-aged）.Palatal bone、cortical bone and mucosa thickness were measured at midpalatal suture and paramedian region，compared the mean measurements among the three groups.The datas were statistically analyzed. Results The mean palatal bone thickness measurements between the young and middle-age had no statistically significant，but compared with the other two groups the adolescant group had a lower measurement，and the difference was statistically significant.The maxinum value of all the three groups was 3mm bilaterally the suture，and the 6mm region was the smallest.The mean palatal cortical bone thickness measurements of the young and middle-aged groups had no statistically significant，the adolescant group mean measurement was lower and the differences were statistically significant.The palatal cortical