期刊导航

论文摘要

下颌正中管的锥形束CT成像研究

Mandibular incisive canal by cone beam CT

作者:黄弘 刘鹏 李晓东 裴仲秋 杨小竺 白石 黄元丁

Author:Huang Hong1,2, Liu Peng2,3, Li Xiaodong1,2, Pei Zhongqiu1,2, Yang Xiaozhu1,2, Bai Shi1,2, Huang Yuanding1,2.

收稿日期:2012-11-21          年卷(期)页码:2013,31(5):479-479-482

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:锥形束CT,下颌正中管,种植修复,

Key words:cone beam CT,mandibular incisive canal,dental implantation,

基金项目:

重庆市教委科学技术研究基金资助项目(KJ110306)

中文摘要

目的 通过锥形束CT(CBCT)对下颌正中管(MIC)的三维位置、走向及毗邻关系进行测量,为确保颏孔前区域牙种植手术的安全提供依据。方法 回顾80例患者的双侧下颌骨CBCT影像,对MIC的直径和毗邻关系进行测量分析,包括MIC至下颌下缘、下颌牙根尖、下颌骨颊侧壁和舌侧壁,以及双侧颏孔连线平面的垂直距离。结果 80例患者中,63例(占78.75%)的CBCT影像上可以观测到MIC影像,其管径大小为(1.21±0.29)mm。在垂直方向上,MIC距下颌下缘和下颌牙根尖的距离分别为(7.82±1.86)、(7.24±2.82)mm;在颊舌方向上,MIC距下颌骨颊侧壁和舌侧壁的距离分别为(3.80±1.37)、(4.45±1.34)mm;MIC距双侧颏孔连线平面的垂直距离为(5.62±2.21)mm。结论 CBCT通过多平面重建后,可以清晰显示MIC在下颌骨中的三维空间位置、走向及毗邻关系;利用CBCT 对MIC的位置和走行进行研究是可行的。

英文摘要

Objective This study was conducted to determine the three-dimensional structure, course, and adjacent struc-ture of the mandibular incisive canal (MIC) to ensure safety of dental implantation by cone beam CT (CBCT).Methods The CBCT images of the bilateral mandibles of 80 patients were retrospectively studied. The diameters of the mandibular incisive canal and the location in the adjacent structure were determined, including the distances between the MIC and the buccal and lingual plates of the alveolar bone, the inferior border of the mandible and the tooth apex, and the horizontal plane of the men-tal foramen.Results Approximately 78.75% (63 cases) of the CBCT scans showed the presence of the MIC with a mean diameter of 1.21 mm±0.29 mm. The distances from the canal to the inferior border of the mandible and to the tooth apex were 7.82 mm±1.86 mm and 7.24 mm±2.82 mm, respectively. The distances between the canal and the buccal plate as well as between the canal and the lingual plate of the alveolar bone were 3.80 mm±1.37 mm and 4.45 mm±1.34 mm, respectively. The distance from the canal to the horizontal plane of the mental foramen was 5.62 mm±2.21 mm.Conclusion CBCT could clearly show the three-dimensional structure, course, and adjacent structure of the MIC. Therefore, this technique could provide guidance for dental implantation in clinical applications.

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