파노라마 방사선사진과 CBCT를 이용한 매복 상악 견치의 위치 평가
Evaluation of Impacted Maxillary Canine Position Using Panoramic Radiographs and Cone-beam Computed Tomography
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
이 연구의 목적은 파노라마 방사선사진에서 분석한 매복 상악 견치의 위치와 각도를CBCT 영상에서 분석한 매복된 견치의 순구개측 위치, 인접 치아의 치근흡수와 비교 및 평가하는 것이다. 총 54명의 환자, 69개의 매복 상악 견치가 연구에 포함되었다. 파노라마 방사선사진에서 매복 상악 견치의 근원심 위치(구역 I - V)와 각도, 수직적 위치가 평가되었다. 순구개측 위치와 인접 치아의 치근흡수는 CBCT 상에서 평가되었다. 파노라마 방사선사진의 근원심 위치 분석에서 순측 매복은 구역 I에서 가장 많았다. 치열궁 내 매복은 구역I과 II에서 가장 많았다. 구개측 매복은 구역 III, IV, V에서 가장 많았다. 파노라마 방사선사진에서 근심에 위치할수록 구개측에 매복되는 경향이 있었다. 인접 치아 치근흡수의 대부분은 구역 III, IV, V에서 발생했다. 수평 기준선에 대해 작은 각도를 가진 매복 견치는구개측에 매복되고 인접 치아의 치근흡수를 일으키는 경향이 있었다. 파노라마 방사선사진에서 매복 상악 견치의 근원심 위치와 각도에 대한 분석은 매복 견치의 순구개측 위치와인접 치아 치근흡수의 예측 가능성을 보여주었으며, 이는 CBCT 촬영에 대한 의사결정에유용할 수 있다.
Abstract
The purpose of this study was to compare the mesio-distal and vertical position of impacted maxillary canines on panoramic radiographs with the labio-palatal position of impacted canines and root resorption of adjacent teeth on CBCT (Cone- Beam Computed Tomography). A total of 54 patients with 69 impacted maxillary canines were included in this study. On panoramic radiographs, the mesio-distal (Sector I - V), and vertical position, and angulation of impacted maxillary canines were evaluated. Labio-palatal position and root resorption of adjacent teeth were evaluated on CBCT. Labial impaction of canines was most frequent in panoramic sector I. Impaction within the arch was most frequent in sector I and II. Palatal impaction was most frequent in sector III, IV, and V. Mesially positioned canines on panoramic radiographs tended to be palatally impacted. Most of the root resorption of adjacent teeth occurred in sector III, IV, and V (p < 0.05). Canines with low angulation on panoramic radiographs tended to be palatally impacted and resorb the roots of adjacent teeth. The vertical position of impacted canines on panoramic radiographs was not statistically significant with respect to labio-palatal position and root resorption of adjacent teeth on CBCT. Analysis of the mesio-distal position and angulation of impacted maxillary canines on panoramic radiographs can be used to predict the labio-palatal position of impacted canines and root resorption of adjacent teeth.
참고문헌 (33)
- Dachi SF, "A survey of 3,874 routine fullmonth radiographs. II. A study of impacted teeth", Oral Surg Oral Med Oral Pathol, 14, pp.1165~1169 (1961)
- Peck S, "The palatally displaced canine as a dental anomaly of genetic origin", Angle Orthod, 64, pp.249~256 (1994)
- Ericson S, "Radiographic examination of ectopically erupting maxillary canines", Am J Orthod Dentofacial Orthop, 91, pp.483~492 (1987)
- Walker L, "Three-dimensional localization of maxillary canines with cone-beam computed tomography", Am J Orthod Dentofacial Orthop, 128, pp.418~423 (2005)
- Alqerban A, "Root resorption of the maxillary lateral incisor caused by impacted canine : a literature review", Clin Oral Investig, 13, pp.247~255 (2009)
- Park SB, "Orthodontic management of impacted teeth: From basic to clinics", pp.53~ (2020), Punsan national university press
- Liu DG, "Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 105, pp.91~98 (2008)
- Bishara SE, "Impacted maxitlary canines : A review", Am J Orthod Dentofacial Orthop, 101, pp.159~171 (1992)
- Power SM, "An investigation into the response of palatally displaced canines to the removal of deciduous canines and an assessment of factors contributing to favourable eruption", Br J Orthod, 20, pp.215~223 (1993)
- Baccetti T, "A controlled study of associated dental anomalies", Angle Orthod, 68, pp.267~274 (1988)
- Sacerdoti R, "Dentoskeletal features associated with unilateral or bilateral palatal displacement of maxillary canines", Angle Orthod, 74, pp.725~732 (2004)
- Ericson S, "Incisor root resorptions due to ectopic maxillary canines imaged by computerized tomography : a comparative study in extracted teeth", Angle Orthod, 70, pp.276~283 (2000)
- Stewart JA, "Factors that relate to treatment duration for patients with palatally impacted maxillary canines", Am J Orthod Dentofacial Orthop, 119, pp.216~225 (2001)
- Lindauer SJ, "Canine impaction identified early with panoramic radiographs", J Am Dent Assoc, 123, pp.91~92 (1992)
- Alqerban A, "Pre-surgical treatment planning of maxillary canine impactions using panoramic vs cone beam CT imaging", Dentomaxillofac Radiol, 42, pp.20130157~ (2013)
- Elefteriadis JN, "Evaluation of impacted canines by means of computerized tomography", Int J Adult Orthodon Orthognath Surg, 11, pp.257~264 (1996)
- Freisfeld M, "X-ray diagnosis of impacted upper canines in panoramic radiographs and computed tomographs", J Orofac Orthop, 60, pp.177~184 (1999)
- Bedoya MM, "A review of the diagnosis and management of impacted maxillary canines", J Am Dent Assoc, 140, pp.1485~1493 (2009)
- Alqerban A, "In-vitro comparison of 2 cone-beam computed tomography systems and panoramic imaging for detecting simulated canine impaction-induced external root resorption in maxillary lateral incisors", Am J Orthod Dentofacial Orthop, 136, pp.764.E1~764.E11 (2009)
- Korean academy of oral and maxillofacial radiology, "Oral and maxillofacial radiology", pp.230~232 (2015), Narae publishing
- Baccetti T, "A randomized clinical study of two interceptive approaches to palatally displaced canines", Eur J Orthod, 30, pp.381~385 (2008)
- Warford JH Jr, "Prediction of maxillary canine impaction using sectors and angular measurement", Am J Orthod Dentofacial Orthop, 124, pp.651~655 (2003)
- Park JH, "Impacted maxillary canines:diagnosis and management", Dent Today, 31, pp.62~ (2012)
- Ericson S, "Early treatment of palatally erupting maxillary canines by extraction of the primary canines", Eur J Orthod, 10, pp.283~295 (1988)
- Rossini G, "Localization of impacted maxillary canines using cone beam computed tomography", Review of the literature. Ann Stomatol(Roma), 3, pp.14~18 (2012)
- Nagpal A, "Localization of impacted maxillary canines using panoramic radiography", J Oral Sci, 51, pp.37~45 (2009)
- Ericson S, "Resorption of maxillary lateral incisors caused by ectopic eruption of the canines. A clinical and radiographic analysis of predisposing factors", Am J Orthod Dentofacial Orthop, 94, pp.503~513 (1988)
- Ericson S, "Resorption of incisors after ectopic eruption of maxillary canines : a CT study", Angle Orthod, 70, pp.415~423 (2000)
- Stivaros N, "Radiographic factors affecting the management of impacted upper permanent canines", J Orthod, 27, pp.169~173 (2000)
- Fournier A, "Orthodontic considerations in the treatment of maxillary impacted canines", Am J Orthod, 81, pp.236~239 (1982)
- Oliver RG, "Morphology of the maxillary lateral incisor in cases of unilateral impaction of the maxillary canine", Br J Orthod, 16, pp.9~16 (1989)
- 전상윤, "Cone beam CT와 파노라마방사선사진을 이용한 매복 상악 견치의 3차원적 분석", 대한소아치과학회지, 40(2), pp.106~117 (2013), 대한소아치과학회[DOI]
- Jacoby H, "The etiology of maxillary canine impactions", Am J Orthod, 84, pp.125~132 (1983)