锥形束CT在上颌前牙区埋伏牙定位中的临床应用.docxVIP

锥形束CT在上颌前牙区埋伏牙定位中的临床应用 李婵秀1王萍1黄江勇2 (1中山大学附属第三医院口腔科 广东广州510630; 2 T州医学院口腔医院 广东广州 510140) 【摘要】目的探讨锥形束CT (CBCT)在上颌前牙区埋伏牙定位中的临床应用 价值。方法收集广州医学院口腔医院2011-2012年经普通曲面断层片确定有 埋伏牙，但不能具体定位的患者23例，进行CBCT扫描和三维重建，确定埋伏 牙在颌骨内的具体位置。结果 经CBCT扫描和三维重建后，所有患者均可直观 再现埋伏牙的形态、数目、在颌骨中的具体位置。根据CBCT结果制订治疗方案， 获得满意的治疗效果。结论CBCT三维重建对于上颌前牙区埋伏牙治疗方案的 设计及实施具有重要意义。 【关键词】锥形束CT埋伏牙 定位 【中图分类号】R782 【文献标识码】A 【文章编号】2095-1752 (2013) 29-0049-01 Application of Cone Beam CT in Location of Impacted Teeth in Maxillary Anterior Region LI Cha rvxiul* Hua ng Jiang?yong 2,Lia ng Hua ng n dash;youl (l.Department of Stomatology, the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou ,510630, Guangdong Provinee, china;2.Department of prosthodontics, Stomatology hospital of Guangzhou Medical university, Guangzhou ,510630, Guangdong Province, china) [Abstract] Objective To investigate the treatment of impacted maxillary teeth with cone-beam computed tomography (CBCT).Methods Twenty three cases were collected in our hospital from 2011 to 2013. they had Maxillary impacted teeth on the panoramie radiographs which could not provide accurate position.The Maxillary impacted teeth were seanned by CBCT.The three-dimensional images of Maxillary impacted teeth were obtained by multiplanar reconstructions to determine the specific location .In the maxillary.Results The morphology, the number ,the specific locati on and spital relati on ship with adjace nt structures of the Maxillary impacted teeth could be showed by CBCT seanning and multiplanar reconstructions .The study.made treatment plan according to the results of CBC^and obtain satisfactory curative effect.Conclusion It is important to resign and implement treatment for impacted teeth in maxillary anterior region by using CBCT and multipla nar rec on structi ons. 【key words] Cone beam computed tomography impacted teeth Position 埋伏牙包括埋伏阻生牙和埋伏多生牙，是由于萌出位置不够，或周围存 在阻力，牙不能萌出至正常位置者，是临床上较常见的一种发育异常，会造成牙 移位、牙列紊乱并影响颜面美观。X线检查对埋伏牙的诊断和治疗起着非常重要 的作用，但是，由于口腔颌面组织解剖结构的复杂性和传统影像技术的局限性, 已不能满足现代