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基于锥形束CT的改良牙槽骨骨量测量方法分析

郭祥 王一名 刘儒雷 滕腾 薛洋 周宏志 胡开进 邓天阁

中国实用口腔科杂志2024,Vol.17Issue(3):294-298,5.
中国实用口腔科杂志2024,Vol.17Issue(3):294-298,5.DOI:10.19538/j.kq.2024.03.006

基于锥形束CT的改良牙槽骨骨量测量方法分析

Analysis of improved alveolar bone mass measurement method based on cone beam CT

郭祥 1王一名 2刘儒雷 3滕腾 4薛洋 2周宏志 2胡开进 2邓天阁2

作者信息

  • 1. 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔外科,陕西西安 710032||联勤保障部队第941医院口腔科,青海西宁 810000
  • 2. 口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,空军军医大学第三附属医院口腔外科,陕西西安 710032
  • 3. 兖矿新里程总医院口腔中心,山东邹城 273599
  • 4. 滨州医学院附属烟台口腔医院颌面外科,山东烟台 264000
  • 折叠

摘要

Abstract

Objective To analyze the stability and accuracy of improved alveolar bone mass measurement method based on cone beam CT.Methods From February to October 2023,a retrospective analysis was conducted on clinical and ra-diographic data of 70 patients undergoing tooth extraction surgery in the Department of Oral Surgery,the Third Affiliated Hospital of Air Force Medical University.The measurements of alveolar socket depth after tooth extraction were recorded as the measured group.Based on immediate postoperative CBCT images of the 70 patients,three methods were used by three doctors to measure alveolar bone height and alveo-lar bone width,respectively.These methods were labeled as the study group(improved CBCT measurement meth-od),traditional group A(Ivanova's measurement meth-od),and traditional group B(Pickert's measurement meth-od).In addition,the study group measured the alveolar depth and compared it with the measured group.Intra-class correlation coefficient(ICC)and analysis of variance were used to compare the differences of the three doctors in alveolar bone height and width measurements within each group.Results As for intraclass consistency evaluation,the ICC values for alveolar bone height were 0.972,0.961,and 0.908 for the study group,traditional group A,and traditional group B,respectively,while for alveolar bone width,the ICC values were 0.984,0.927,and 0.901,respectively,demonstrating good measurement consistency(all P<0.001).There was no statistical significance in the measurement results of alveolar bone height and width among 3 doc-tors in the study group(F value was 0.769 and 0.187,respectively,P>0.05).There was statistical significance in the measurement results of alveolar bone height and width between the three doctors in the traditional group A and the tradi-tional group B(P<0.05).The alveolar depth of the study group was(12.64±2.52)mm,and there was no statistical sig-nificance compared with the measured group[(12.42±2.27)mm](t=1.536,P=0.129).Conclusion The modified CBCT measurement method demonstrates superior stability and accuracy in alveolar bone mass measurement.It is recom-mended for wider clinical application.

关键词

牙槽骨/锥形束CT/位点保存/影像学测量

Key words

alveolar bone/cone beam CT/alveolar bone preservation/imaging measurement

分类

医药卫生

引用本文复制引用

郭祥,王一名,刘儒雷,滕腾,薛洋,周宏志,胡开进,邓天阁..基于锥形束CT的改良牙槽骨骨量测量方法分析[J].中国实用口腔科杂志,2024,17(3):294-298,5.

基金项目

国家自然科学基金(81970954) (81970954)

空军军医大学第三附属医院新技术新业务项目(LX2021-332) (LX2021-332)

陕西省自然科学基金(2024SF-YBXM-263) (2024SF-YBXM-263)

中国实用口腔科杂志

OACSTPCD

1674-1595

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