상악전치부 임플란트 식립 시 상악전치부 치근첨에서 비강저까지 치조골의 수직적 길이 측정

The Measurement of Vertical Length from the Root Tip of Maxillary Anterior Teeth to Nasal Floor, When Maxillary Anterior Implants Placed

  • 장해만 (경북대학교 일반대학원 치의학과교실) ;
  • 김진욱 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 권대근 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 장현중 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김진수 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이상한 (경북대학교 치의학전문대학원 구강악안면외과학교실)
  • Jang, Hae-Man (Department of Dentistry, Graduate School, Kyungpook National University) ;
  • Kim, Jin-Wook (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyunpook National University) ;
  • Kwon, Tae-Geon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyunpook National University) ;
  • Jang, Hyun-Joong (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyunpook National University) ;
  • Kim, Chin-Soo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyunpook National University) ;
  • Lee, Sang-Han (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyunpook National University)
  • 투고 : 2012.07.02
  • 심사 : 2012.08.09
  • 발행 : 2012.09.30

초록

Purpose: Length measurement from maxillary anterior teeth root tip to nasal floor is incorrect in panoramic radiography. Comparison of cone beam computed tomography (CBCT) and panoramic radiography should be helpful in determining the vertical length. Methods: Sixty nine patients were taken CBCT and panoramic radiography of the maxillary anterior. First measurement is length of parallel lines from the central incisor and lateral incisor root tip to nasal floor on CBCT. Second measurement is length of perpendicular lines from the central incisor and lateral incisor root tip to nasal floor on CBCT. Third measurement is length from the central incisor and lateral incisor root tip to nasal floor on panoramic radiographys. Results: In the first measurement of the maxillary central incisors, an average of $11.36{\pm}2.49$ mm in males and $10.49{\pm}2.17$ mm in females. In the second measurement of the maxillary central incisors, $10.41{\pm}2.42$ mm in males and $9.18{\pm}2.08$ mm in females. In the third measurement of the maxillary central incisors, $10.71{\pm}2.20$ mm in males and $9.27{\pm}2.10$ mm in females. In the first measurement of the maxillary lateral incisors, an average of $13.40{\pm}2.04$ mm in males and $11.96{\pm}2.20$ mm in females. In the second measurement of the maxillary lateral incisors, $11.25{\pm}1.82$ mm in males and $10.06{\pm}1.68$ mm in females. In the third measurement of the maxillary lateral incisors, $11.47{\pm}2.01$ mm in males and $10.13{\pm}1.70$ mm in females. Conclusion: The vertical length from root tip to nasal floor was longer in male than female (P>0.05). First measurement was longer than third measurement (P<0.05). This is the actual placement of the implant site measured on the vertical length than the length of the panorama means that there are a few more free. The first measurement was longer than 114% over the third measurement.

키워드

참고문헌

  1. Cosyn J, Eghbali A, De Bruyn H, Collys K, Cleymaet R, De Rouck T. Immediate single-tooth implants in the anterior maxilla: 3-year results of a case series on hard and soft tissue response and aesthetics. J Clin Periodontol 2011;38: 746-53. https://doi.org/10.1111/j.1600-051X.2011.01748.x
  2. Schropp L, Isidor F, Kostopoulos L, Wenzel A. Interproximal papilla levels following early versus delayed placement of single-tooth implants: a controlled clinical trial. Int J Oral Maxillofac Implants 2005;20:753-61.
  3. Gokcen-Rohlig B, Meric U, Keskin H. Clinical and radiographic outcomes of implants immediately placed in fresh extraction sockets. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e1-7.
  4. Schropp L, Kostopoulos L, Wenzel A. Bone healing following immediate versus delayed placement of titanium implants into extraction sockets: a prospective clinical study. Int J Oral Maxillofac Implants 2003;18:189-99.
  5. Wexler A, Tzadok S, Casap N. Computerized navigation surgery for the safe placement of palatal implants. Am J Orthod Dentofacial Orthop 2007;131:S100-5. https://doi.org/10.1016/j.ajodo.2006.06.016
  6. Cheng S, Cheng J, Huang W. Preliminary study of anatomic relation among nasopalatine duct, central incisor root andfloor of nasal cavity with X-ray measurement. Zhonghua Kou Qiang Yi Xue Za Zhi 1997;32:149-51.
  7. Taschieri S, Weinstein T, Rosano G, Del Fabbro M. Morphological features of the maxillary incisors roots and relationship with neighbouring anatomical structures: possible implications in endodontic surgery. Int J Oral Maxillofac Surg 2012;41:616-23. https://doi.org/10.1016/j.ijom.2011.11.006
  8. Muhammed AH, Manson-Hing LR, Ala B. A comparison of panoramic and intraoral radiographic surveys in evaluating a dental clinic population. Oral Surg Oral Med Oral Pathol 1982;54:108-17. https://doi.org/10.1016/0030-4220(82)90425-X
  9. Rushton VE, Horner K. The use of panoramic radiology in dental practice. J Dent 1996;24:185-201. https://doi.org/10.1016/0300-5712(95)00055-0
  10. Angelopoulos C, Thomas SL, Hechler S, Parissis N, Hlavacek M. Comparison between digital panoramic radiography and cone-beam computed tomography for the identification of the mandibular canal as part of presurgical dental implant assessment. J Oral Maxillofac Surg 2008;66:2130-5. https://doi.org/10.1016/j.joms.2008.06.021
  11. Perrelet LA, Bernhard M, Spirgi M. Panoramic radiography in the examination of edentulous patients. J Prosthet Dent 1977;37:494-8. https://doi.org/10.1016/0022-3913(77)90161-5
  12. Association of Korean Professors of Oral and Maxillofacial Radiology, editors. Oral and maxillofcial radiology. 3rd ed. Seoul: Narae Publishing Inc.; 2001. p.139-45.
  13. Frederiksen NL. Diagnostic imaging in dental implantology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:540-54. https://doi.org/10.1016/S1079-2104(05)80153-2
  14. Lam EW, Ruprecht A, Yang J. Comparison of two-dimensional orthoradially reformatted computed tomography and panoramic radiography for dental implant treatment planning. J Prosthet Dent 1995;74:42-6. https://doi.org/10.1016/S0022-3913(05)80227-6
  15. Reijnen AL, Sanderink GC. The variation in appearance of the hard palate and the nasal floor in rotational panoramic radiography. Oral Surg Oral Med Oral Pathol 1987;63:115-9. https://doi.org/10.1016/0030-4220(87)90350-1
  16. Azevedo LR, Damante JH. The image of the hard palate/nasal fossa floor in panoramic radiography: the controversy is over. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;92:464-9. https://doi.org/10.1067/moe.2001.116493
  17. Damante JH, Filho LI, Silva MA. Radiographic image of the hard palate and nasal fossa floor in panoramic radiography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:479-84. https://doi.org/10.1016/S1079-2104(98)90078-6
  18. El-Ghareeb M, Pi-Anfruns J, Khosousi M, Aghaloo T, Moy P. Nasal floor augmentation for the reconstruction of the atrophic maxilla: a case series. J Oral Maxillofac Surg 2012; 70:e235-41. https://doi.org/10.1016/j.joms.2011.09.032
  19. Yim JH, Ryu DM, Lee BS, Kwon YD. Analysis of digitalized panorama and cone beam computed tomographic image distortion for the diagnosis of dental implant surgery. J Craniofac Surg 2011;22:669-73. https://doi.org/10.1097/SCS.0b013e31820745a7