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引导美学冠状延长:基于CBCT的改变被动喷发的修改分类
Kitichai Janaphan1, Thanasak Rakmanee2
1Center for Implant Dentistry and Periodontics, Faculty of Dentistry and Research Unit in Innovations in Periodontics, Oral Surgery and Advanced Technology in Implant Dentistry, Thammasat University, Patum Thani 12120, Thailand.
Dentistry journal
|January 27, 2026
概括
改变的被动喷发 (APE) 导致过度的牙表现. 预计美学冠状延长 (ECL) 将在三分之二的患者中减少这种情况,修改后的APE分类指导手术选择.
科学领域:
- 牙科 牙科是指牙科的专业.
- 牙周病学 牙周病学
- 审美牙科 审美牙科
背景情况:
- 改变的被动喷发 (APE) 是过度的牙显示的关键原因.
- 目前的分类为美学冠状延长 (ECL) 治疗选择提供了有限的指导.
- APE通常需要进行美容干预,以改善微笑的外观.
研究的目的:
- 用数字微笑分析评估ECL在纠正过度牙显示 (≥4毫米) 的有效性.
- 根据修改的APE分类系统来评估牙和患者的分布.
- 为了将临床发现与APE治疗计划的新型分类相关联.
主要方法:
- 数字微笑评估,口内扫描和CBCT对42名泰国患者进行了APE.
- 预测的牙显示 (PGD) 被计算为预测ECL结果.
- 应用了修改后的APE分类,包括CEJ-BC距离和口腔骨厚度.
主要成果:
- 在92.86%的患者中存在过度的牙表现 (≥4毫米),平均表现为6.04毫米.
- 在66.67%的患者中,预计ECL将牙显示减少到<4毫米.
- 修改后的APE分类确定了II型和III型在患者层面的流行率 (分别为11.9%和88.1%).
结论:
- 预计CEJ层面的美学冠状延长将在约三分之二的APE患者中解决过度的牙表现.
- 修改后的APE分类有助于选择适合APE的外科手术技术.
- 开放式门程序通常是必要的,而无门方法在管理APE方面应用有限.
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