锥形束CT在上颌埋伏中切牙诊断中的应用.docxVIP

锥形束CT在上颌埋伏中切牙诊断中的应用 锥形束CT在上颌埋伏中切牙诊断中的应用 28（6）实用口腔医学杂志（J Pract Stomatol ）2021Nov ，·717· 锥形束CT 在上颌埋伏中切牙诊断中的应用 【摘要】目的：探讨锥形束CT （CBCT ）在上颌埋伏中切牙诊断中的作用。方法：选择正畸临床33例上颌中切牙埋伏阻生患拍摄全景片和CBCT ，由10位正畸医生对33例埋伏牙患者的全景片和CBCT 分别进行测量、分析，填写研究者作为研究对象， Kappa 检验和配对t 检验进行统计学分析。结果：CBCT 与全景片对表格。所得数据用SPSS 17．0软件，采用McNemar 检验、埋伏牙是否弯根、近中切角距中线距离和有无多生牙等分析项目没有统计学差异，其余分析项目均有统计学差异。结论：对CBCT 更直观、三维测量更精确，更好地指导临床。上颌埋伏中切牙诊断， 【关键词】上颌埋伏中切牙; 锥体束CT ; 全景片 Application of cone beam computed tomography in the diagnosis of unerupted maxillary central incisor GU Yueguang ，WANG Shan ，GU Yan ，ZHAO Chunyang ，XU Yuan ，LIU Ke ，WANG Lin．210029，Department of Orthodontics ，Institution of Stomatology ，Nanjing Medical University ，China 【Abstract 】Objective :To study the effect of cone beam computed tomography (CBCT ) in the diagnosis of unerupted maxillary central incisor．Methods :33patients undergoing orthodontic treatment were included．For each unerupted maxillary central incisor ，pano-ramic radiograph (PR ) and CBCT were used in diagnosis．Ten orthodontic dentists completed the table which had been formulated．The images were measured and the data analysis was performed using McNemar test ，Kappa test and paired t -test by SPSS 17．0soft ware．Results :The dimension data of the central incisor ，the distance between the mesial incisor angle and the midline of the arch ，dilacera-tion of the central incisor root and the existence supernumerary teeth obtained by PR and CBCT showed no statistic difference ，while the other analysis items did．Conclusion :CBCT diagnosis of the unerupted incisor is more direct and more accuracy than panoramic radio-graph． 【Key words 】Unerupted maxillary central incisor ; Cone beam computed tomography (CBCT ) ; Panoramic radio-graph 中图分类号:R783．5 文献标识码:A doi :10．3969/j．issn．1001－3733．2021．06．011 上颌中切牙埋伏阻生常出现邻牙的移位、牙列紊 乱，影响患者的美观及咀嚼功能。对上颌中切牙的埋伏阻生常采用的治疗方法有拔除和牵引，治疗方法 的选择及治疗效果取决于埋伏牙的影像学诊断。既往临床通常采用全景片、根尖片等对埋伏牙进行诊断，但上述X 线片系二维影像，影像重叠、变形，不能 ［3］测量分析等，不能