骨矿物质密度作为初级植入物稳定性的标准:回顾性CBCT分析
Tahseen Ali Khan1, Mehnaaz Sultana Syeda2, Pradeep Koppolu3
1Department of Surgical and Diagnostic Sciences, Dar Al Uloom University, Riyadh, KSA.
National journal of maxillofacial surgery
|June 13, 2025
概括
通过圆束计算机断层扫描 (CBCT) 测量较高的骨密度与更大的插入扭矩和改善的牙科植入成功率有关. CBCT有助于评估骨质量,以防止植入物失败.
科学领域:
- 牙科 牙科是指牙科的专业.
- 在口腔外科手术.
- 放射学 放射学是一门学科.
背景情况:
- 牙植入成功受到骨质的影响.
- 准确评估骨密度对于可预测的植入物结果至关重要.
- 圆束计算机断层扫描 (CBCT) 提供了大骨的详细成像.
研究的目的:
- 为了研究通过CBCT测量的骨密度与插入扭矩值之间的相关性.
- 评估各种大和下部位的骨密度与口腔植入成功之间的关系.
主要方法:
- 七十三名患者在2008年至2011年期间接受了118个诺贝尔替换选择圆形植入物.
- 使用CBCT扫描来评估骨密度,用Hounsfield单位 (HU) 进行测量.
- 在植入物放置期间,插入扭矩以牛顿厘米 (Ncm) 记录.
主要成果:
- 在所有部位的骨密度和插入扭矩之间发现了强烈的正相关性.
- 成功的植入物 (112) 的平均骨密度为678 ± 217 HU,扭矩为36 ± 2 Ncm.
- 失败的植入物 (6) 呈现较低的平均骨密度 (459 ± 131 HU) 和扭矩 (28 ± 5 Ncm).
结论:
- 在植入牙之前,CBCT是评估骨密度的宝贵工具.
- 通过CBCT评估骨质量可以帮助临床医生避免在骨密度差的区域进行植入,降低失败风险.
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