葡萄牙人群中受影响的第三牙的患病率和放射图案:一项回顾性骨造影 (OPG) 和圆束计算机断层扫描 (CBCT) 研究
Ana Catarina Pinto1,2, Helena Francisco1,2,3, Maria Inês Charro1
1Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal.
Journal of clinical medicine
|February 13, 2026
概括
受影响的第三牙很常见,特别是在下. 圆束计算机断层扫描 (CBCT) 揭示了与下膜通道 (IAC) 的详细3D关系,有助于手术风险评估.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 受影响的第三牙是普遍存在的,可以使手术复杂化.
- 靠近下膜通道 (IAC) 增加了手术复杂性.
- 了解下第三牙和IAC之间的3D关系至关重要.
研究的目的:
- 确定葡萄牙人口中第三牙的流行率和冲击模式.
- 使用CBCT分析下第三牙和IAC之间的3D关系.
- 为了评估皮质完整性和舌膜板厚度与IAC近距离相关.
主要方法:
- 对于1062个骨科影像 (OPG) 的回顾性分析,以发现患病率和全景模式.
- 对205名患者进行的IAC位置,接触,皮质完整性和舌腔板厚度的CBCT评估.
- 使用了Winter,Pell和Gregory分类以及Rood-Shehab标志.
主要成果:
- 34.9%的第三牙受到了影响,主要是在下.
- 垂直冲击是最常见的模式.
- CBCT显示了各种IAC接触模式;皮质完整性的损失与全景高风险迹象相关.
结论:
- 受影响的第三牙的全景图案是一致的.
- CBCT提供了关键的3D风险描述器,如IAC接触类型和皮质完整性.
- 基于解剖学风险指标的选择性CBCT使用得到了支持,而不是常规成像.
关键词:
圆束计算机断层扫描技术冲击冲击的影响.下膜管道的下部膜管道.整形手术术 (orthopantomography) 是一种手术.全景射线图 (Panoramic Radiography) 是一个全景射线图.放射性风险指标 放射性风险指标第三个牙的第三个牙更多相关视频
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