首页> 中文期刊> 《实用口腔医学杂志》 >青少年颌骨囊性病变开窗减压术后阻生恒牙萌出的临床观察

青少年颌骨囊性病变开窗减压术后阻生恒牙萌出的临床观察

         

摘要

Objective:To investigate the eruption of cystic lesion associated impacted permanent teeth(CAIPT)of the jaws after fe-nestrating decompression in adolescents and to analyze the related factors that affect the eruption of CAIPT.Methods:32 cases of CAIPT were examined restrospectively by panoramic radiographs.The subjects were divided into erupted group(n =22),and nonerupt-ed group(n =10).Patient age,angulation of the CAIPT,the cusp depth,eruption space and the level of dental root formation meas-ured on intial panoramic radiograph,were subjected to statistical analysis.Results:The eruption of the impacted mandibular molar was significantly related to the cusp depth,level of dental root formation and the patient's age(P <0.05).The eruption of the impacted man-dibular premolar was significantly related to the cusp depth,level of dental root formation,the angulation of the tooth and the patient's age (P <0.05),but not to dental space for the eruption(P >0.05).Conclusion:The patient's age,angulation of impacted permanent teeth,cusp depth,eruption space,level of dental root formation should be considered in the management of CAIPT.%目的:观察青少年颌骨囊性病变开窗减压术后,与囊性病变有关的阻生恒牙(CAIPT)萌出情况,分析影响 CAIPT萌出的相关因素。方法:术后患者随访拍摄全颌曲面断层片观察32颗 CAIPT 的萌出情况。分为萌出(22例)和未萌出(10例)2组。观察及测量 CAIPT 相关参数(牙尖深度、牙齿的角度、萌出间隙、牙根的形成水平),对32例患者的年龄及其 CAIPT的相关参数进行统计学分析。结果:阻生下颌磨牙的萌出与其牙尖深度、牙根的形成水平、患者的年龄有关(P <0.05)。阻生下颌前磨牙的萌出与其牙尖深度、牙根的形成水平、牙齿的角度、患者的年龄有关(P <0.05),与牙齿的萌出间隙无关(P >0.05)。结论:在处理 CAIPT 时应考虑患者的年龄及阻生恒牙的牙尖深度、牙齿的角度、萌出间隙、牙根的形成水平。

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