临床误诊误治2024,Vol.37Issue(1) :89-92.DOI:10.3969/j.issn.1002-3429.2024.01.017

锥形束CT对安氏Ⅰ~Ⅲ类错颌畸形正畸治疗患者牙根吸收的诊断效果研究

Study on the Effect of Conical Beam CT on the Diagnosis of Root Resorp-tion in Patients with Class Ⅰ-Ⅲ Malocclusion

姚海 王道荣 胡娟 卞惠惠 刘瑜
临床误诊误治2024,Vol.37Issue(1) :89-92.DOI:10.3969/j.issn.1002-3429.2024.01.017

锥形束CT对安氏Ⅰ~Ⅲ类错颌畸形正畸治疗患者牙根吸收的诊断效果研究

Study on the Effect of Conical Beam CT on the Diagnosis of Root Resorp-tion in Patients with Class Ⅰ-Ⅲ Malocclusion

姚海 1王道荣 1胡娟 1卞惠惠 1刘瑜1
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作者信息

  • 1. 230011 合肥,合肥市第二人民医院口腔科
  • 折叠

摘要

目的 探讨安氏Ⅰ~Ⅲ类错颌畸形患者在正畸治疗中应用锥形束CT的价值.方法 选取 2022 年 7月—2023 年7 月错颌畸形76 例,分别给予曲面体层X线及锥形束CT检查,后依据结果给予正畸治疗,并再次行锥形束CT检查.将X线头影结果作为诊断金标准,比较2 种方法诊断牙根吸收情况的准确率和治疗前后牙根体积变化情况.结果 锥形束CT诊断牙根吸收的总准确率为 88.16%(67/76)高于曲面体层X线检查的 57.89%(44/76)(P<0.05).和治疗前相比,治疗后患者右上中、右下侧、右上侧、右下中切牙及左上中、左下侧、左上侧、左下中切牙体积缩小(P<0.05).结论 安氏Ⅰ~Ⅲ类错颌畸形患者正畸治疗后有较高概率发生牙根吸收情况.锥形束CT具有操作简便、准确率高的特点,可清晰有效显示牙根吸收程度及体积变化情况,是一种快捷、有效且安全的辅助诊断方式.

Abstract

Objective To investigate the value of conical beam CT in orthodontic treatment of patients with classⅠ-Ⅲ malocclusion.Methods From July 2022 to July 2023,76 patients with malocclusion were selected,and examined by curved body X-ray and conical beam CT respectively.Subsequently,orthodontic treatment was given according to the results,and conical beam CT was performed again.X-ray examination results were used as the gold standard to compare the accuracy of the two methods in diagnosing root resorption and the change of root volume before and after treatment.Results The total accuracy of cone beam CT in the diagnosis of tooth root absorption was 88.16%(67/76),which was higher than that[57.89%(44/76)]of curved body X-ray examination(P<0.05).Compared with those before treatment,the volume of the right upper middle,right lower middle,right upper middle,right lower middle incisor,left upper middle,left lower middle incisor,left upper middle,and left lower middle incisor were smaller after treatment(P<0.05).Conclusion There is a high probability of root resorption in patients with class I~III malocclusion after orthodontic treatment.Cone beam CT has the characteristics of simple operation and high accuracy,which can clearly and effectively display the degree of tooth root absorp-tion and volume change,as a rapid,effective and safe diagnostic method.

关键词

错颌畸形/正畸治疗/锥形束CT/牙根吸收/牙根体积/诊断准确率

Key words

Malocclusion/Orthodontic treatment/Conical beam CT/Root resorption/Root volume/Diagnostic ac-curacy

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基金项目

合肥市第二人民医院2021年度立项科研项目(2021ygkt27)

出版年

2024
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量15
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