[1]周 娜. 锥形束CT在上颌磨牙根分叉病变临床治疗决策中的作用[J].中国美容医学,2019,(01):112-114.
　ZHOU Na. The Effect of Maxillofacial CBCT in the Clinical Treatment Decisions of MaxillaryMolar Root Bifurcation Lesions[J].Medical Aesthetics and Beauty,2019,(01):112-114.
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 锥形束CT在上颌磨牙根分叉病变临床治疗决策中的作用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年01期
页码:
112-114
栏目:
出版日期:
2019-01-15

文章信息/Info

Title:
 The Effect of Maxillofacial CBCT in the Clinical Treatment Decisions of Maxillary
Molar Root Bifurcation Lesions
文章编号:
1008-6455（2019）01-0112-03
作者:
周 娜
Author(s):
ZHOU Na
关键词:
[关键词]锥形束CT; 颌面; 牙根分叉; 磨牙; 治疗决策
Keywords:
Key words: cone-beam computed tomography(CBCT);  maxillofacial;  root furcation;  molar;  clinical treatment decisi
分类号:
R783.9
文献标志码:
A
摘要:
[摘要]目的：探讨锥形束CT(cone-beam computed tomography,CBCT)在上颌磨牙根分叉病变临床治疗决策中的作用。方法：
回顾2016年1月-2017年12月长沙市第一医院口腔科因慢性牙周炎就诊的32例患者病例资料，上颌后磨牙根分叉病变患牙共95
颗，2名牙周专业主治医师分别使用传统诊断方法(传统诊断组)与CBCT(CBCT组)对根分叉病变程度诊断并选择治疗方案，治
疗方案无法确定时可选两项。比较两种诊断方法对根分叉病变程度诊断及治疗方案选择的差异。结果：95颗患牙中，两组方
法的根分叉病变诊断结果有显著性差异，具有统计学意义（P =0.000）；传统诊断组有35颗患牙(17例患者，占36.8%)选择两
项治疗方案，CBCT组则仅7颗患牙(5例患者，7.4%)选择两项治疗方案。有两项治疗方案时，均取偏保守治疗进行比较，两组
有显著性差异(P =0.001)，其中63.2%(60/95)的患牙治疗方案相同，29.5%(28/95)的CBCT组选择治疗方案保守度低于传统诊
断方法组；取偏侵袭治疗时，两组差异有统计学意义(P =0.045)，其中86.3%(82/95)的患牙治疗方案相同，3.2%(3/95)的患
牙CBCT组选择治疗方案保守度低于传统诊断方法组。结论：CBCT可为临床医师提供更多根分叉病变的结构信息，为制定治疗
计划提供可靠的基础。

Abstract:
Abstract: Objective To discuss the effect of maxillofacial cone beam CT(CBCT) in the clinical treatment decisions of
maxillary molar root bifurcation lesions. Methods Thirty-two subjects were selected from the pool of patients at the
Department of Periodontology in our hospital from January 2015 to December 2017. All the patients have a diagnosis of
generalized chronic periodontitis. Ninety-five maxillary molar with FI from the radiography database were analysed. Two
doctors used conventional approach and CBCT images to assess FI and make treatment decision respectively. If the clinical and
radiographic findings did not clearly indicate a distinct periodontal therapy, two treatment options were considered. Results
There was statistical difference of the FI diagnosis between traditional group and CBCT group assessment of the 95 molars
(P =0.000). Thirty-five maxillary molars (36.8%,17 patients) got two treatment recommendations by conventional approach
but 7 (7.4%, patients) by CBCT-based approach. When with the less invasive treatment recommendation, there was statistical
difference between conventional approach and CBCT-based approach (P =0.001). An agreement was observed in 63.2% (60/95)
of the teeth, while in another 29.5% (28/95) the CBCT-based treatment decision was more invasive than the conventional
approach. When with the more invasive treatment recommendation, there was also statistical difference between two approaches
(P =0.045). An agreement was observed in 86.3% (82/95) of the teeth, while in another 3.2% (3/95) the CBCT-based treatment
decision was more invasive than the conventional approach. Conclusion CBCT images of maxillary molars may provide
detailed information of FI and a reliable basis for treatment decision.

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更新日期/Last Update: 2019-02-01