不同上颌窦底分型患者上颌后牙微种植钉植入区骨质厚度的CBCT研究
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夏尔古丽?木合塔尔(1995.10-),女,新疆新源县人,硕士研究生,主要从事口腔正畸学研究

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古力巴哈?买买提力(1965.10-),女,新疆乌鲁木齐人,硕士,主任医师,教授,博士生导师,主要从事口腔正畸 学研究

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R782.1

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CBCT Study on the Bone Thickness of Maxillary Posterior Teeth Micro-implant Insertion Area in Patients with Different Maxillary Sinus Floor Types
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    摘要:

    通过对不同上颌窦底分型患者CBCT分析,测量颧牙槽嵴区骨质厚度和骨皮质厚度,为临床 上不同上颌窦底分型患者植入微种植钉提供参考。方法 选取2020年9月-2022年10月新疆医科大学第二附 属医院就诊成人患者80例作为研究对象,依上颌窦底位置分为窦高组与窦低组,每组40例。所有患者均 进行CBCT扫描和三维重建,分别测量上颌第一、第二磨牙间距牙槽嵴顶2 mm、4 mm、6 mm三个位点以 30°、45°、60°角度植入时骨质及骨皮质厚度。结果 两组上颌第一、第二磨牙间颧牙槽嵴区不同测量 高度的不同角度骨质厚度、骨皮质厚度比较,差异有统计学意义(P <0.05),且两组骨质厚度最大值均 位于距离牙槽嵴顶2 mm与骨表面呈60°,骨皮质厚度最大值均位于距离牙槽嵴顶6 mm与骨表面呈30°。 结论 通过对测量数据的分析明确了不同上颌窦底分型下上颌第一、二磨牙间颧牙槽嵴区骨皮质及骨质厚 度,可为临床上安全植入微种植钉提供参考。

    Abstract:

    To analyze the CBCT images of patients with different maxillary sinus floor types, and measure the bone thickness and cortical thickness in the alveolar ridge area of the maxillary molars, in order to provide reference for safe implantation of micro-implants in patients with different maxillary sinus floor types. Methods From September 2020 to October 2022, 80 adult patients in the Second Affiliated Hospital of Xinjiang Medical University were selected as the research objects. According to the location of maxillary sinus floor, they were divided into high sinus group and low sinus group, with 40 patients in each group. The bone thickness and cortical thickness at three positions (2 mm, 4 mm, and 6 mm from the crestal alveolar ridge) were measured when implants were inserted at angles of 30°, 45°and 60° between the first and second molars was measured. Results There were statistically significant differences in bone thickness and cortical thickness at different angles of different measurement heights in the zygomatic alveolar ridge area of the maxillary first and second molars between the two groups (P <0.05). The maximum bone thickness of the two groups was located at 2 mm from the alveolar ridge top and the bone surface was 60°, and the maximum cortical thickness was located at 6 mm from the alveolar ridge top and the bone surface was 30°. Conclusion By analyzing measurement data, this study provides clear information about bone density differences among different maxillary sinus floor types when inserting micro-implants safely into the alveolar ridge area between first molar to second molar region during dental implant surgery.

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夏尔古丽·木合塔尔,祖丽胡马尔?努尔艾合买提,帕合登,等.不同上颌窦底分型患者上颌后牙微种植钉植入区骨质厚度的CBCT研究[J].医学美学美容,2024,33(1):47-51.

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  • 在线发布日期: 2024-01-24
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