›› 2013, Vol. 4 ›› Issue (4): 181-185.

• 论著 • 上一篇    下一篇

基于CBCT的下颌前牙区颌骨形态学研究

孔娜娜1,苗芬2,3,袁华4,孙超2,5,陈宁6   

  1. 1. 南京医科大学附属口腔医院
    2.
    3. 南京医科大学口腔医学研究所
    4. 南京医科大学附属口腔医院口腔颌面外科
    5. 南京医科大学附属口腔医院放射科
    6. 南京医科大学口腔医学院
  • 收稿日期:2013-11-19 修回日期:2013-12-15 出版日期:2013-12-25 发布日期:2014-01-09
  • 通讯作者: 陈宁 E-mail:njcn@njmu.edu.cn
  • 基金资助:
    国家重点基础研究发展计划;江苏高校优势学科建设工程一期项目

Morphology of anterior mandibular jaw bone: a study based on CBCT

  • Received:2013-11-19 Revised:2013-12-15 Online:2013-12-25 Published:2014-01-09

摘要: 目的 利用锥形束CT(CBCT)图像研究测量下颌前牙区的颌骨形态和宽度,为临床种植手术提供治疗依据。方法 选取2011年—2013年间50名成年受试者的CBCT检查结果,利用CBCT图像对下颌前牙区颌骨外形、唇舌侧宽度、近远中距离等进行观察和测量。结果 1.下颌前牙区颌骨形态唇侧均为凹形,最凹点位于下颌骨上中份,舌侧外形多样化,凸形比例最高。2.下颌骨前牙区颌骨唇舌侧宽度在下颌骨中1/2和下颌骨下缘较宽,牙槽嵴顶和根尖区较窄。3.左右尖牙、侧切牙、中切牙于牙槽嵴顶的近远中距离是4.46 mm—6.94 mm,尖牙最长,侧切牙次之,中切牙最小。结论 下颌前牙缺失后,尤其是下颌侧切牙或中切牙个别缺失,如行种植修复近远中距离可能不足,易损伤邻牙;植入种植体等手术时应当注意下前牙区颌骨外形,避免因倒凹导致唇舌侧穿通;CBCT可作为下颌前牙区种植手术术前的常规影像学检查手段。

Abstract: Objective To investigate and measure anterior mandibular jaw bone for clinical application using cone beam computed tomography (CBCT). Methods Fifty Han-Chinese adults were selected in this study between Jan. 2011 and Jan. 2013. All CBCT of the 50 adults were reconstructed to evaluate and measure shape, bucca-lingual width and mesial and distal distance at alveolar crest of anterior region of mandible. Result Buccal shape of anterior mandible was concave in all cases and the most concave point was located on the upper and middle one third of mandible mostly. Shape of lingual was diversified, and convex took a high percentage. For the bucca-lingual width, middle and lower margin of anterior mandibular jaw bone were wider than that of alveolar crest and apex of tooth. Mesial and distal distance at alveolar crest of anterior mandible were between 4.46mm and 6.94 mm, canine had maximum distance, lateral incisor had the second and central incisor had minimum distance. Conclusion When implanting in mandibular anterior alveolar, especially single central incisor or lateral incisor missing, implant may not achieve enough space and adjacent teeth were easy to be affected. Take care of shape of mandible to avoid buccal and lingual penetrating when doing implant surgery in anterior mandible. It was suggested that CBCT should be a routine examination before implant surgery.