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论文摘要

2种锥形束CT诊断牙根纵裂准确性的研究

Comparative study of two cone beam computed tomography systems in the detection of vertical root fractures

作者:翟菲1 祈森荣2 侯本祥1

Author:Zhai Fei1, Qi Senrong2, Hou Benxiang1

收稿日期:2015-02-07          年卷(期)页码:2016,43(1):13-

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:牙根纵裂,锥形束CT,根管充填,伪影,

Key words:vertical root fracture, cone beam computed tomography,root canal filling,artifact,

基金项目:

首都卫生发展科研专项基金联合攻关项目(2011-2014-05)

中文摘要

目的 比较2种锥形束CT(CBCT)诊断牙根纵裂的准确性,评估根充物、观察面、牙根观察位置对CBCT诊断的影响。方法 纳入20例单根恒下颌前磨牙作为研究对象,牙根置于人下颌骨标本第一前磨牙牙槽窝内,根据先后不同处理步骤依次拍摄4次大视野及小视野CBCT,记录下列4种情况:无根纵裂+无根充物、无根纵裂+热牙胶根充、有根纵裂+无根充物、有根纵裂+热牙胶根充。2名牙体牙髓科主治医师对结果进行判读。结果 1)无论根管内是否存在根充物,小视野CBCT诊断牙根纵裂的灵敏度均明显高于大视野CBCT(P

英文摘要

Objective To compare the sensitivity of two clinically used cone beam computed tomography(CBCT) systems in detecting vertical root fracture(VRF) with or without canal filling of gutta-percha and evaluate the impacts of reconstruction plane(axial, sagittal or coronal) and root plane(cervical, middle or apical) on the sensitivity of diagnosis. Methods The 20 single constant mandibular premolar were researched, root in the specimens of mandibular first before grinding fang, alveolus socket according to different processing steps in turn has taken CBCT with small and large fov respectively four times, record the following 4 kinds of circumstances: no VRF+no root filling, no VRF+gutta-percha filling, VRF+no root filling, VRF+gutta-percha filling. The images were evaluated by two independent observers. Results 1)In the absence and presence of gutta-percha, CBCT with small fov was the most sensitive and accurate method in diagnosing VRF, compared with CBCT with large fov(P

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