Cone-beam CT undersøgelse af retinerede hjørnetænder i overkæben

Peter Stoustrup, Annelise Küseler, Louise Hauge Matzen
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Abstract

Impaction of the maxillary canine has a population-based prevalence of 0.27-2.4%. Timely diagnosis and intervention are important factors in order to achieve a good long-term prognosis. Optimal treatment planning is based on relevant information from clinical and radiological examination methods. 3D radiological examination based on cone-beam CT provides a superior information about the canine anatomy, canine position, and the presence of pathological changes in the adjacent teeth (e.g. root resorption), when compared to 2D radiological examinations. However, despite these beneficial properties, research has suggested that routine CBCT radiology, in addition to a 2D radiological examination, seldom leads to a significant change in the treatment planning of impacted maxillary canines. The decision whether to use supplement CBCT examination should account for the financial costs and extra radiation dose to the patient, which is particularly critical for children and adolescents in growth.
上颌犬嵌塞的人群患病率为0.27-2.4%。及时诊断和干预是获得良好长期预后的重要因素。最佳治疗计划是基于临床和放射学检查方法的相关信息。与二维放射检查相比,基于锥束CT的三维放射检查提供了关于犬的解剖结构、犬的位置和邻近牙齿的病理变化(如牙根吸收)的更好信息。然而,尽管有这些有益的特性,研究表明,常规的CBCT放射检查,除了二维放射检查,很少导致上颌埋伏牙治疗计划的重大改变。是否使用补充CBCT检查的决定应考虑到患者的经济成本和额外的辐射剂量,这对生长中的儿童和青少年尤其重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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