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锥形束CT对切牙管及其相对位置关系的测量分析

王智 邹立东

北京大学学报(医学版)2015,Vol.47Issue(6):994-999,6.
北京大学学报(医学版)2015,Vol.47Issue(6):994-999,6.DOI:10.3969/j.issn.1671-167X.2015.06.019

锥形束CT对切牙管及其相对位置关系的测量分析

Measurement and analysis of the nasopalatine canal and its relative position by cone-beam computed tomography

王智 1邹立东1

作者信息

  • 1. 北京大学口腔医学院·口腔医院第二门诊部,北京 100101
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摘要

Abstract

Objective: To evaluate dimensions of the nasopalatine canal and the relationship between the canal and the central incisors, and the canal and the crest, by using cone-beam computed tomography ( CBCT) . Methods:This study included 129 CBCTs, and the sagittal slices were used to measure the lower diameter ( Sda) , median diameter ( Sdb) , and higher diameter ( Sdc) , for calculating the average sagittal diameter ( Sd ); the coronal slices through canals were used to measure the lower diameter ( Hda) , median diameter ( Hdb ) , and higher diameter ( Hdc ) for calculating the average horizontal diameter ( Hd) , length ( H);the sagittal slices were used to measure the buccal bone thickness off the canal ( Bt) , and the distance to the crest off the lowest point ( At) , the horizontal slices were used to measure the distance between the canal and the central incisors ( Id) . These subjects were divided into two groups by gender;and divided into three groups by ages: (1) ≤30 years old, (2) 31 -50 years old, and (3) ≥51 years old. SPSS 17. 0 statistical software was used for statistical analysis. Results:The overall Sd was (3. 41 ± 0. 87) mm, the Hd was (5. 16 ± 0. 93) mm, and the difference was statisti-cally significant. The H was (14. 29 ± 3. 27) mm, the Bt was (7. 49 ± 1. 05) mm, the At was (8. 25 ± 1. 71) mm, and the Id was (2. 71 ± 0. 89) mm. Of the male and female, the Sd were (3. 64 ± 0. 90) mm and (3. 28 ± 0. 82) mm, P=0. 017; the Hd were (4. 98 ± 0. 89) mm and (5. 27 ± 0. 94) mm, P=0. 081;the H were (15. 47 ± 2. 75) mm and (13. 59 ± 3. 32) mm, P=0. 001;the Bt were (7. 90 ± 0. 96) mm and (7. 25 ± 1. 03) mm, P=0. 001; the At were (7. 41 ± 1. 86) mm and (8. 44 ± 1. 90) mm, P=0. 001; the Id were (2. 71 ± 0. 87) mm and (2. 72 ± 0. 91) mm, P =0. 983. Among the groups, no statistically significant differences were detected of the Sd (P =0. 325), of the Hd (P =0 . 636 ) , of the H ( P=0 . 292 ) , and of the Bt ( P=0 . 116 );statistically significant differences were de-tected of the At ( P=0 . 010 ) , and of the Id ( P<0 . 001 ) . Conclusion:The nasopalatine canal anatomy is highly variable. Gender is related to the nasopalatine canal length, Bt width, and At distance. While age was related to At, and Id, but no effect on nasopalatine dimensions. The CBCT is a useful device for studying the nasopalatine canal in three dimensions, prior to dental implant placement.

关键词

切牙管/锥束计算机体层摄影术/牙种植

Key words

Nasopalatine canal/Cone-beam computed tomography/Dental implant

分类

医药卫生

引用本文复制引用

王智,邹立东..锥形束CT对切牙管及其相对位置关系的测量分析[J].北京大学学报(医学版),2015,47(6):994-999,6.

北京大学学报(医学版)

OA北大核心CSCDCSTPCD

1671-167X

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