与内牙病变相关的周骨骨反应的放射图案
Poorya Jalali1, Jessica Riccobono1, Robert A Augsburger1
1Department of Endodontics, Texas A&M University (TAMU) School of Dentistry, Dallas, TX, USA.
Restorative dentistry & endodontics
|September 7, 2023
概括
与顶端牙周炎相关的周骨骨反应 (PBR) 似乎不具侵略性,通常呈现为平行模式. 圆束计算机断层扫描 (CBCT) 显示这些反应很常见,特别是在大部,与病变大小无关.
科学领域:
- 牙科放射学 牙科放射学
- 口腔病理学 口腔病理学
背景情况:
- 周骨骨反应 (PBR) 是周骨在对损伤的反应中形成新的骨.
- 尾牙周炎,根顶部的炎症性病变,可以引起PBR.
研究的目的:
- 评估形束计算断层扫描 (CBCT) 模式的周骨骨反应 (PBR) 与周骨炎症病变相关.
- 描述PBR在内牙科环境中的形态和位置.
主要方法:
- 分析了22个使用PBR的CBCT扫描.
- 评估的参数包括病变体积,皮层化,根顶附近,以及PBR特征 (位置,图案,直径).
- 统计分析包括Wilcoxon Ranksum,费舍尔的精确,斯皮尔曼相关性,并配对的t测试.
主要成果:
- PBR主要呈现为平行 (90.9%) 或不规则 (9.1%) 的模式.
- 在周周病变体积和PBR直径 (p > 0.05) 之间没有发现显著的相关性.
- 在72.7%的病例中发生皮层化,PBR最常见的口腔和普遍存在于部.
结论:
- 与内牙相关的PBR通常表现为非侵略性形态 (平行或不规则).
- 观察到的PBR模式缺乏像Codman的三角形或螺纹这样的侵略性特征.
- CBCT对于评估与顶端牙周炎相关的PBR非常有价值.
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