成年人正畸治疗中上前牙牙根吸收CBCT研究.docVIP

成年人正畸治疗中上前牙牙根吸收CBCT研究 　　【摘要】 目的：本研究使用三维影像CBCT进行评价旨在提高正畸治疗中牙根吸收的精确性。方法：选取进行正畸拔牙治疗的患者10例，并在治疗前和治疗12个月分别拍摄CBCT，测量治疗前后上颌6个牙齿的长度（双侧中切牙、侧切牙和尖牙），计算得出牙根吸收的数值。结果：所有测量牙齿治疗前后牙根长度比较均有统计学意义（P0.05）。牙吸收量最大为上颌侧切，左右侧分别为：1.13 mm和1.14 mm；其次为上颌双侧中切牙，左右侧分别为：0.97 mm和0.96 mm；上颌双侧尖牙吸收最少，左右侧分别为0.87 mm和0.95 mm。结论：（1）结果显示正畸拔牙矫正患者治疗中有一个明显的牙根吸收。（2）本研究证实使用CBCT评价牙根吸收是一个有效而且精确的方法。 　　【关键词】 成人正畸； 牙根吸收； CBCT； 正畸治疗 　　【Abstract】 Objective：To evaluate the correlations between root resorption during orthodontic treatment using cone-beam computed tomography （CBCT）.Method：10 patients who treated for orthodontic tooth were selected， and measured the root resorption around six teeth （bilateral maxillary central incisors， lateral incisors， and canines） by using CBCT， before orthodontic treatment and after 12 months treatment， the correlation was calculated between root resorption.Result：The length of all measuring tooth root were compared before and after treatment， and the differences were statistically significant （P0.05）. The root resorption was largest in the maxillary lateral incisors， the left and right lateral incisors were 1.13 mm and 1.14 mm respectively； followed by the maxillary central incisors， the left and right central incisors were 0.97 mm and 0.96 mm； and then was the maxillary canines， the left and right canines were 0.87 mm and 0.95 mm.Conclusion：（1）The patients have an obvious root absorption in the treatment of orthodontic tooth orthodontic.（2）This study has demonstrated that CBCT is a useful approach for evaluating apical root resorption after orthodontic treatment. 　　【Key words】 Adult orthodontics； Root resorption； Cone beam computed tomography； Treatment of orthodontics 　　First-author’s address：Oral Medicine College of Zhengzhou University，Zhengzhou 450052，China 　　doi：10.3969/j.issn.1674-4985.2014.18.002 　　牙根吸收是正畸治疗中一个常见的并发症，可分为两种类型：牙根表面吸收和牙根整体吸收[1]。一般情况下，正畸治疗后牙根会出现瞬间的炎症吸收，未成年牙根吸收会伴随着牙骨质自行修复，但当吸收严重的牙根超过它的修复能力的时候，牙骨质会被分离形成不可逆的牙根吸收，永久的牙根吸收大多发生在牙根尖部。而对于根尖部牙根吸收程度的研究最精确的莫过于三维成像，三维成像