BT与数字根尖片对比评价根管充填致密度的分析.docVIP

CBCT与数字根尖片对比评价根管充填致密度的分析 徐丙红 河北省承德市口腔医院口腔内科河北承德067000 】目的：探讨CBCT判断根管充填致密度的临床价值。方法：68颗 患牙分为两组，分别采用冷牙胶侧压充填法((LC组)和热牙胶垂直加压充填(VC 组)，根充结束后分别拍摄CBCT和数字根尖片，对比这两种影像学方法的观察情 况。结果：在LC组和VC组的比较中CBCT与数字根尖片对比差异均有统计学意 义(Plt;0.05)o结论：CBCT可从三维角度不同层面观察根充致密度，精确度优 于根尖片。 关键词】CBCT ；热牙胶垂直加压技术；冷牙胶侧压技术；根尖片 】R445 】B 】1764-8999 ( 2015) 7-0628-02 Comparative analysis of evaluation for root canal filling density by CBCT and dental periapical X-ray film XU Xihong Department of Endodontics, Chengde Stomatological Hospital of Hebei Province ,Hebei Province ,Chengde 067000,China [Abstract] Objective： To investigate the clinical value of CBCT in Root canal filling density. Methods： 68 teeth were divided into two groups and the root canals were fill with conventional cold laterally condensed gutta-percha (group LC) and warm vertically condensed gutta-percha (group VC). After filling, we took CBCT or dental periapical X-ray film respectively to comparing the defferences of the two methods. Results： CBCT could clearly display the images of root canals both in LC and VC, The results were statistically significant (Plt;0.05). Conclusions： Root canal filling density could be observed from three-dimensional by CBCT. It took the advantages of accuracy is better than dental periapical X-ray film. Key words】CBCT (Cone beam computed tomography), VC(vertical compaction technique), LC(lateral condensation technique ), dental periapical X-ray film 口腔颜面锥形束 CT (cone beam computed tomography, CBCT)是近 10 余 年开始应用于临床的一种新型影像学检查方法，其放射剂量低、空间分辨率高、 图像精准，在口腔种植、口腔正畸、口腔颌面外科手术、牙体牙髓病和牙周炎诊 治方面有广泛应用。 根管充填是根管治疗中的重要步骤，充填不完善可导致根管治疗失败，而评 价充填材料的致密度是评价根管充填质量的一个重要方面。根管充填术后常规拍 摄根尖片判断根充质量，但根尖片提供的二维图像不能准确反映牙齿和牙周组织 的三维结构，重叠的影像会不可避免的影响判断的准确性，而CBCT图像可在冠状 面、矢状面和水平面三维观察需要査看的部位。本研究应用CBCT和数字根尖片 (DPR)两种影像学手段在评价根管充填致密度方面进行对比分析，探讨CBCT 在判断根管充填严密性方面的应用价值。 1材料和方法 1.1材料 1.1.1仪器和材料:登士柏X-smart机用Protaper; EDTA凝胶;标准牙胶尖; 非标准牙胶尖；牙胶颗粒；侧方和垂直加压器；AH-plus根管充填糊剂；Bamp;L 高温热塑牙胶注射根管系统；德国西诺德CBCT;德国西诺德数字牙片机 1.1.2临床资料：选取我院门诊根管治疗需要拍摄CBCT患者33例，患牙 68颗，共计181个根管。男14例，女