口腔生物医学 ›› 2023, Vol. 14 ›› Issue (1): 41-45.

• 论著 • 上一篇    下一篇

上颌磨牙区腭侧种植相关的影像学测量及分析研究

杜令仪,吴雯丽,陈盈盈,沈铭*   

  1. 南京医科大学附属口腔医院综合诊疗科,江苏省口腔疾病研究重点实验室,江苏省口腔转化医学工程研究中心
  • 收稿日期:2022-12-13 修回日期:2023-01-04 出版日期:2023-03-25 发布日期:2023-03-29
  • 通讯作者: 沈铭 E-mail:shenming@njmu.edu.cn

Imaging measurement and analysis of palatal implantations in maxillary molar area

  • Received:2022-12-13 Revised:2023-01-04 Online:2023-03-25 Published:2023-03-29

摘要: 目的:研究上颌磨牙缺牙区的解剖特征,为腭侧入路侧壁开窗的上颌窦底提升术和腭侧倾斜种植提供影像学依据。方法:本研究采集并选取500例上颌磨牙缺失患者的CBCT影像资料。测量第一磨牙、第二磨牙缺牙位点腭侧骨板最小厚度、腭侧入路侧壁开窗的上颌窦底提升术可用骨板长度、腭侧倾斜种植最小和最大可用角及腭侧倾斜种植可用长度,并进行统计分析。结果:可采用腭侧入路侧壁开窗的上颌窦底提升术的比例,上颌第一磨牙区和上颌第二磨牙区无统计学差异(P>0.05)。可行腭侧倾斜种植的比例情况显示,上颌第一磨牙区域左侧为42.13%,右侧为46.19%;上颌第二磨牙左侧为29.91%,右侧为33.59%(P<0.05)。腭侧倾斜种植植入角度情况显示,右上第一磨牙为(23.70±10.66)°至(32.98±10.20)°,右上第二磨牙为(17.82±10.39)°至(34.36±11.04)°,左上第一磨牙为(23.95±10.48)°至(33.23±11.97)°,左上第二磨牙为(17.87±9.88)°至(35.59±10.81)°,第一磨牙与第二磨牙间腭侧倾斜种植比例及最小可用角有差异(P<0.05),相同位点左右两侧相比无差异(P>0.05)。结论:通过对上颌磨牙缺失患者CBCT影像测量及分析,部分患者可以选择腭侧倾斜种植,部分需行侧壁开窗上颌窦底提升术的患者可以选择腭侧入路行上颌窦底提升术来完成种植修复。

Abstract: Objective:?To study the anatomical characteristics of bone at the edentulous maxillary molar sites in order to provide the basis of the palatal sinus elevation and the implantation with palatal angulation. Methods:?In this study, CBCT data of 500 patients with maxillary molar loss were collected. The minimum thickness of the palatal bone plate, the length of the bone plate applicable for the palatal sinus elevation, the minimum and maximum angle and the length of the bone plate applicable for the implantation with palatal angulation at the edentulous maxillary molar sites were measured and statistically analyzed. Results:?There is no statistically significant difference between the ratio of applicable cases of the palatal sinus elevation in the maxillary first molar region and in the maxillary second molar region (P>0.05). The ratio of applicable cases of the implantation with palatal angulation is 42.13% and 46.19% at the left and right upper first molar missing site respectively along with 29.91% and 33.59% at the left and right upper second molar missing site (P<0.05). The ratio of applicable cases of the implantation with palatal angulation is 42.13% and 46.19% at the left and right upper first molar missing site respectively along with 29.91% and 33.59% at the left and right upper second molar missing site. The implantation angle is (23.7±10.66)°to (32.98±10.20)°at the right maxillary first molar missing site,(23.95±10.48)°to (33.23±11.97)°at the right maxillary second molar missing site,(17.82±10.39)°to (34.36±11.04)°at the left maxillary first molar missing site and(17.87±9.88)°to(35.59±10.81)°at the left maxillary second molar missing site. The ratio of implantation with palatal angulation and the minimum implantation angle between the first molar and the second molar were statistically different (P<0.05). No difference was observed on the left and right sides of the same dental position (P>0.05). Conclusions:?Through CBCT imaging measurements and analyses, as for patients with maxillary molars missing, some can choose the implantations with palatal angulation and some who need lateral sinus elevations can choose the palatal approach sinus elevations to fulfill implant restorations.