成人骨骼III类错牙合伪装正畸治疗后切牙根吸收形态学研究

Lin-na Wang, H. Yan, Yu-ze Zhang, Wei-wei Chang, Zi-yang Liu, Li-ru Zhao, Shi-xuan An, Wen-sheng Ma
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引用次数: 0

摘要

目的:应用CBCT和Mimics软件研究成人骨骼III类错牙合伪装正畸治疗后切牙根吸收的变化。方法:对30例成人恒牙列骨型III型错牙合患者在正畸科就诊。获取每位患者治疗前后的CBCT数据,重建三维数字模型。对伪装治疗前后各切牙三维模型进行图像配准。对三维模型重叠进行观察、分类和统计,描述根吸收的形态变化。结果:(1)上切牙和下切牙坡形吸收比例最高,分别为49.17%、46.67%;51.67%, 49.16%),其次为锥形吸收,扁平吸收比例较小。上切牙根吸收以舌唇方向为主(46.67%、41.67%),下切牙根吸收以舌唇方向为主(46.67%、41.67%)。(2) Kappa一致性检验结果较好(K=0.471, 0.441)。结论:成人骨骼III类错牙合伪装治疗后,上、下切牙牙根出现了不同形态的改变。吸收主要表现为坡形和锥形吸收,也可见平形吸收。三维模型配准可以作为根系吸收形态研究的一种可靠的辅助方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Morphological Research of Incisor Root Resorption After Camouflaged Orthodontic Treatment of Adult Skeletal Class III Malocclusion
: Objective : CBCT and Mimics software were performed to investigate the incisor root resorption after camouflaged orthodontic treatment of adult skeletal class III malocclusion. Methods : Thirty permanent dentition adult patients with skeletal class III malocclusion were included in orthodontic department. CBCT data of each patient at pretreatment and posttreatment were acquired and three-dimensional (3D) digital models were reconstructed. Image registration was performed of each incisor 3D model before and after camouflaged treatment. Observation, classification and statistics of 3D model overlap were performed, as well as the morphological changes of root resorption were described. Results: (1) Either the upper or lower incisors, slope form resorption had the most percentage (49.17%, 46.67%; 51.67%, 49.16%), followed by cone-shaped form resorption, and flat form resorption had the less percentage. In the upper incisors, the root resorption was mainly in the lingual-labial direction (46.67%, 41.67%), while in the lower incisors, it was in the labial-lingual direction. (2) The result of Kappa consistency test is good (K=0.471, 0.441). Conclusions : The root of the upper and lower incisors showed various morphological changes after camouflaged treatment of adult skeletal class III malocclusion. The absorption was mainly manifested as slope form and cone-shaped form, and flat form resorption can be seen. 3D model registration can be used as a reliable auxiliary method for the morphological study of root absorption.
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