螺旋CT三维重建在上颌埋伏牙诊断中的应用

目的：评价螺旋CT三维重建技术在上颌骨埋伏牙诊断中的应用价值。方法：对常规口腔全景片和咬合片不能清楚定位上颌骨埋伏牙的47例患者行螺旋CT轴面扫描,采用最大密度投影（MIP）和多平面重建（multiplane reconstruction,MPR）2种方式重建图像,以显示埋伏牙的形态、位置及与邻牙的关系。结果：上颌埋伏牙47例,共计67颗牙,螺旋CT扫描重建清楚显示了埋伏牙的形态、唇腭向位置、萌出方向及与邻牙的关系。结论：螺旋CT三维重建技术弥补了传统X线片的不足,在上颌骨埋伏牙的正畸诊断和治疗中具有很高的应用价值。

Clinical application of spiral 3-D CT reconstruction for maxillary impacted teeth

PURPOSE: To evaluate the clinical usefulness of spiral 3-D CT reconstruction for maxillary impacted teeth. METHODS: Spiral CT was performed in 47 patients whose maxillary impacted teeth couldn't be judged clearly through the panoramic radiograph and occlusal film. 3-D reconstruction, including MIP (maximum intensity projection) and MPR (multiplanar reconstructions) was made to display the impacted teeth's shape, location and its relationship with adjacent teeth. RESULTS: There were 67 maxillary impacted teeth in 47 patients. Spiral 3-D CT could clearly demonstrate the dental image including crown, root, neck and root bifurcation, and 3-D imaging could clearly display the maxilla anatomy and the dental structure. CONCLUSION: Spiral CT 3-D reconstruction is a useful technique to display three-dimensional configuration of teeth.Three dimensional reconstruction is an accurate and effective method to localize impacted teeth before orthodontic treatment.