3 dimensional diagnosis unravelling prognosis of multiple impacted teeth - a case report.

Journal of international oral health : JIOH Pub Date : 2013-08-01 Epub Date: 2013-08-28
Adusumilli Gopinath, Naveen Admala Reddy, Mayur G Rohra
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Abstract

Impaction of teeth results from the interplay between nature and nurture. Radiographs play an important role in assessment of both the location and the typing of impacted teeth. In general, periapical, occlusal, and/or panoramic radiographs are sufficient for providing the information required by the clinician. Recent advances in diagnostic imaging enables to visualize , diagnose and prognose the treatment outcome of the impacted teeth. This case report discusses the value of cone beam computerized tomography (CBCT) for evaluation of the critical parameters like bone thickness , tooth position and tooth morphology of multiple impacted teeth by 3 dimensional radiography - CBCT. In this report, we present a case of 27-year-old male patient with multiple missing teeth. Radiographs revealed multiple impacted permanent teeth, though medical and family history along with physical examination was not suggestive of any syndromes. Intraoral periapical radiograph, Orthopantomograph, Occlusal radiograph, Cone beam computed tomography were taken for the same patient to determine the exact position of multiple impacted teeth and prognose the treatment plan with the associated factors to impacted teeth. Cone beam computed tomography is an accurate modality to localize and determine the prognosing factors associated with multiple impacted teeth. Three-dimensional volumetric imaging might provide information for improved diagnosis and treatment plans, and ultimately result in more successful treatment outcomes and better care for patients. How to cite this article: Gopinath A, Reddy NA, Rohra MG. 3 Dimensional Diagnosis Unravelling Prognosis of Multiple Impacted Teeth - A Case Report. J Int Oral Health 2013; 5(4):78-83.

多牙阻生的三维诊断及预后分析1例。
牙齿嵌塞是先天和后天相互作用的结果。x线片在评估阻生牙的位置和类型方面起着重要的作用。一般来说,根尖周片、咬合片和/或全景片足以提供临床医生所需的信息。近年来在诊断成像方面的进展使得对阻生牙的治疗结果的可视化、诊断和预测成为可能。本病例报告讨论了锥形束ct (cone beam computed tomography, CBCT)在多层阻生牙三维x线摄影(CBCT)评估骨厚、牙位、牙形态等关键参数的价值。在这个报告中,我们提出一个27岁的男性患者有多颗牙齿缺失。x线片显示多颗阻生恒牙,但病史和家族史以及体格检查并未提示任何综合征。对同一患者进行口腔内根尖周x线片、矫形体层摄影、咬合x线片、锥形束计算机断层扫描,确定多颗阻生牙的确切位置,并预测治疗方案及相关因素对阻生牙的影响。锥束计算机断层扫描是一种精确的方式来定位和确定与多牙埋伏相关的预后因素。三维体积成像可能为改进诊断和治疗计划提供信息,最终导致更成功的治疗结果和更好的患者护理。如何引用本文:Gopinath A, Reddy NA, Rohra MG。三维诊断揭示多牙阻生预后1例。国际口腔卫生杂志;2013;5(4): 78 - 83。
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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