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下前牙唇侧骨壁厚度和正中舌孔深度的CBCT测量及其临床意义

曾识锦 李姝宏 周利平 谢翠柳

口腔颌面外科杂志2024,Vol.34Issue(4):289-294,6.
口腔颌面外科杂志2024,Vol.34Issue(4):289-294,6.DOI:10.12439/kqhm.1005-4979.2024.04.006

下前牙唇侧骨壁厚度和正中舌孔深度的CBCT测量及其临床意义

CBCT measurement of labial bone thickness of mandibular anterior teeth and depth of medial lingual foramina and their clinical significance

曾识锦 1李姝宏 1周利平 1谢翠柳2

作者信息

  • 1. 西南医科大学附属口腔医院口颌面修复重建与再生实验室,泸州 646000
  • 2. 西南医科大学附属口腔医院口颌面修复重建与再生实验室,泸州 646000||西南医科大学附属口腔医院修复科,泸州 646000
  • 折叠

摘要

Abstract

Objective:To measure the labial bone thickness of mandibular anterior teeth and depth of medial lingual foramina(MLF)by cone beam CT(CBCT)and to provide data for immediate implant in the mandible anterior region.Methods:Two hundred patients aged 18 to 40 years old were selected.CBCT was used to measure the labial bone thickness at 2.0 mm(P1),5.0 mm(P2)and 8.0 mm(P3)below the enamel-cemental junction of mandibular central incisors,mandibular lateral incisors and mandibular canines,and the distance between the MLF and the alveolar crest.The means and standard deviations were calculated,and the data was statistically analyzed by SPSS 25.0.Results:At P1,the percentage of the thickness of mandibular central incisors,lateral incisors and canines less than 1.0 mm was 81.0%,87.0%and 91.5%;at P2,the percentage of the thickness of mandibular central incisors,lateral incisors and canines less than 1.0 mm was 94.0%,98.0%and 95.0%;at P3,the percentage of the thickness of mandibular central incisors,lateral incisors and canines less than 1.0 mm was 35.5%,65.5%and 70.0%respectively.The labial bone thickness in male patients of mandibular central incisors at P2 and canines at P2 and P3 were thicker than that in female patients(P<0.05).The detection rate of MLF was 97.9%for male patients and 96.2%for female patients,with no significant difference(P>0.05).The closest distance between the MLF and alveolar crest was 11.4 mm.7.2%of the distance were less than 14.0 mm,78.4%of the distance were concentrated between 14.0 mm and 24.0 mm,and 14.4%of the distance were more than 24.0 mm.The majority of MLF was 1,accounting for 72.2%,and the maximum number was 3."Large lingual foramina"with excessive diameter was also found.Conclusion:Most of the labial bone thickness in mandible was less than 1.0 mm,and only got thickened at 8.0 mm below the enamel-cemental junction of mandibular central incisor.The MLF is generally safe for implant,but there are variations in location,number,and diameter.

关键词

下颌前牙/即刻种植/唇侧骨壁厚度/正中舌孔/锥形束CT

Key words

mandibular anterior region/immediate implant/labial bone thickness/medial lingual foramina/cone beam CT

分类

医药卫生

引用本文复制引用

曾识锦,李姝宏,周利平,谢翠柳..下前牙唇侧骨壁厚度和正中舌孔深度的CBCT测量及其临床意义[J].口腔颌面外科杂志,2024,34(4):289-294,6.

口腔颌面外科杂志

OACSTPCD

1005-4979

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