本文關(guān)鍵詞： 微種植體 牙間乳頭 安全區(qū)域 正畸 骨性錯(cuò)牙合　出處：《河北醫(yī)科大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:支抗是影響正畸治療效果的關(guān)鍵因素。微型種植體支抗的應(yīng)用極大地拓寬了正畸治療的范圍,顯著提高了正畸治療的效果,受到廣大正畸醫(yī)師和患者的青睞。但微型種植體尺寸小、手術(shù)方便的同時(shí)也影響了其穩(wěn)定性,脫落情況時(shí)有發(fā)生。植入部位的牙槽骨狀況及手術(shù)方式是影響微型種植體穩(wěn)定性的主要原因,其中牙槽骨的厚度、硬度、及種植體周圍的骨量關(guān)系到種植體尺寸和形態(tài)、手術(shù)方式及載荷力值等的選擇,受到大家的廣泛關(guān)注。許多學(xué)者通過CT掃描研究了牙槽骨不同高度骨皮質(zhì)厚度和硬度的分布規(guī)律及牙根間距離,有研究表明牙根間水平距離與骨面類型相關(guān)。大量臨床試驗(yàn)表明以膜齦聯(lián)合線作為種植體植入位點(diǎn),其穩(wěn)定性更高,但口腔各處膜齦聯(lián)合線到牙槽嵴頂?shù)木嚯x不一,且具有明顯的個(gè)體差異。微型種植體常用植入位置的膜齦聯(lián)合線到牙槽嵴頂距離的分布情況,國內(nèi)外文獻(xiàn)未見報(bào)道。本實(shí)驗(yàn)通過測(cè)量微型種植體常用植入位置膜齦聯(lián)合線到牙槽嵴頂?shù)木嚯x,探索牙齦乳頭作為參考標(biāo)志的可能性、膜齦聯(lián)合線到牙槽嵴頂?shù)木嚯x的分布規(guī)律及與骨性面型的相關(guān)性,為微型種植體臨床應(yīng)用提供理論依據(jù)。方法:測(cè)量位置:上頜中切牙與側(cè)切牙間(U12)、第二前磨牙和第一磨牙間(U56)、下頜中切牙與側(cè)切牙間(L12)、第二前磨牙和第一磨牙間(L56)、第一磨牙和第二磨牙間(L67)。測(cè)量項(xiàng)目:牙齦乳頭高度、膜齦聯(lián)合線到牙槽嵴頂?shù)木嚯x及頭顱側(cè)位片的測(cè)量。1牙齦乳頭高度(d1):牙周探針沿著遠(yuǎn)中牙齦乳頭輕輕插入,有輕微阻力感后停止,然后讀出牙周探針上的數(shù)據(jù)。2膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯x:2.1牙齦乳頭尖至齦溝底的距離d1:同前2.2牙齦乳頭尖至膜齦聯(lián)合線處的距離d2:使牙周探針以牙長(zhǎng)軸為標(biāo)準(zhǔn),測(cè)量從牙齦乳頭尖處至膜齦聯(lián)合的距離。2.3附著齦寬度:牙齦乳頭尖至膜齦聯(lián)合線的距離減去牙齦乳頭尖至齦溝底的距離即為附著齦的寬度(d2-d1)。2.4膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯xd:附著齦寬度減去2mm(生物學(xué)寬度)。公式:d(mm)=d2-d1-2mm3頭顱側(cè)位片的測(cè)量:使用Smart’n Ceph Researcher V 9.0軟件(泰國清邁設(shè)計(jì))測(cè)量每位患者的SNA、SNB、ANB角。SNA:SN與NA連線的夾角(82.8°±4.0°)SNB:SN與NB連線的夾角(80.1°±3.9°)ANB:NA與NB連線的夾角(2.7°±2.0°)結(jié)果:1各處膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯xd在左右同名牙齒間、男女之間差別無統(tǒng)計(jì)學(xué)意義(P0.05),因此數(shù)據(jù)合并。2牙齦乳頭尖至牙槽嵴頂?shù)木嚯x:同名牙齒間牙齦乳頭尖至牙槽嵴頂?shù)木嚯x在左右側(cè)及男女間的差別無統(tǒng)計(jì)學(xué)意義(P0.05)。U56與U12,L12,L56,L67之間有統(tǒng)計(jì)學(xué)意義(P0.05),但U12,L12,L56,L67之間無統(tǒng)計(jì)學(xué)意義(P0.05)。3膜齦聯(lián)合線處到牙槽嵴頂?shù)木嚯x:上頜膜齦聯(lián)合處至牙槽嵴頂?shù)木嚯x稍大于下頜,上下頜前部膜齦聯(lián)合處至牙槽嵴頂?shù)木嚯x分別大于后部距離。U12及U56的距離為7.3±1.2mm、6.5±1.7mm,L12、L56及L67的距離分別為5.5±1.0mm、5.0±1.2mm及4.7±1.5mm。除L56和L67之外U56,U12,L12,L56,L67兩兩比較均有統(tǒng)計(jì)學(xué)意義(P0.05)。4膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯x在不同骨性錯(cuò)牙合類型之間無統(tǒng)計(jì)學(xué)差異(P0.05)。結(jié)論:1膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯x在不同骨性錯(cuò)牙合面型之間差別無統(tǒng)計(jì)學(xué)意義。2上頜膜齦聯(lián)合處至牙槽嵴頂?shù)木嚯x稍大于下頜,上下頜前部膜齦聯(lián)合處至牙槽嵴頂?shù)木嚯x分別大于后部距離。
[Abstract]:Objective: anchorage is the key factor to effect the orthodontic treatment. Mini implant applications greatly broaden the scope of orthodontic treatment significantly improved the effect of orthodontic treatment, by the majority of Orthodontists and patients of all ages. But the micro implant with small size, convenient operation and also affect its stability, fall off when circumstances have occurred. The alveolar bone condition and surgical implant site is the main reason affecting the stability of Micro Implant and alveolar bone thickness, hardness, and peri implant bone to implant size and shape, operation mode and load value choice, all the attention of many scholars. Through the study on CT scanning distance distribution of different height of alveolar bone and root cortical bone thickness and hardness, studies have shown that the root between the horizontal distance and the bone surface types. A large number of clinical trials The results show that the mucogingival junction line as the implant site, the stability is higher, but the mouth throughout the mucogingival junction line to the alveolarridge distance is not the same, and has obvious individual differences. The micro implant implantation position of the mucogingival junction line to the crest of the ridge distance distribution, the domestic and foreign literature has not been reported. The experiments of measuring micro implant implantation position of mucogingival junction line to the alveolarridge distance of gingival papilla possibility as a reference marker, mucogingival junction line to the correlation distribution of alveolar ridge distance and bone surface type, and provide a theoretical basis for the clinical application of micro implant. Methods: to measure the position of the incisor and lateral maxillary incisor (U12), between the second premolar and first molar (U56), and the lateral incisor mandibular incisor (L12), between the second premolar and first molar (L56), and the first molar Two molar (L67). The measurement items: gingival papilla height, mucogingival junction line to the distance and lateral cephalometric radiographs of the alveolar crest height of gingival papilla measurement of.1 (D1): periodontal probe along the distal gingival papilla gently inserted, stop feeling after a slight resistance, and then read the data.2 mucogingiva joint line to the alveolar periodontal probe on the top of the distance: 2.1 gingival papilla tip to the sulcus at the end of the distance of d1: with 2.2 gingival papilla tip to mucogingival junction line at the distance of d2: to the periodontal probe in the long axis of the tooth as the standard, measured from the tip to the gingival papilla membrane combined with the distance.2.3 width of attached gingiva: gingival papilla tip to mucogingival junction line distance minus the papilla tip to the sulcus bottom as the distance of the width of attached gingiva (d2-d1).2.4 mucogingiva joint line to the alveolarridge distance d: width of attached gingiva minus 2mm (biological width). Formula: D (mm) = d2-d1-2mm3 cephalometric the test The amount of Smart n Ceph Researcher ": the use of V 9 Software (Thailand Chiang Mai) measurement of each patient's SNA, SNB,.SNA:SN and NA angle ANB angle line (82.8 degrees - 4 degrees) the angle between SNB:SN and NB lines (80.1 degrees - 3.9 degrees) the angle between ANB:NA and NB lines (2.7 degrees - 2 degrees results: 1) throughout the mucogingival junction line to the alveolarridge distance d between the teeth around the same, no significant difference between men and women (P0.05), so the data with.2 gingival papilla tip to the alveolarridge distance: between isonym tooth papilla tip to the alveolarridge distance on the left side and the difference between men and women there was no statistically significant difference between.U56 and U12 (P0.05), L12, L56, there was statistical significance between L67 (P0.05), but U12, L12, L56, no statistical significance between L67 (P0.05) from the.3 line at the mucogingival junction to the alveolar crest: maxillary mucogingival junction to the alveolar ridge distance slightly larger than the lower jaw, upper and lower anterior membrane The gingival and alveolar crest distance were greater than the rear distance.U12 and U56 distance was 7.3 + 1.2mm, 6.5 + 1.7mm, L12, L56 and L67 distances were 5.5 + 1.0mm, 5 + 1.2mm and 4.7 + 1.5mm. in addition to L56 and L67 U56, U12, L12, L56, L67 were 22 statistical significance (P0.05) there is no significant difference between.4 mucogingival junction line to the alveolarridge distance in different skeletal malocclusion type (P0.05). Conclusion: 1 mucogingival junction line to the alveolarridge distance in different skeletal malocclusion type had no significant difference between.2 maxillary mucogingival junction to the alveolar ridge distance is slightly larger than the upper jaw, anterior mandibular mucogingiva joint to the alveolarridge distance are larger than the rear distance.

【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R783.5

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周婷;陸守昌;;重度牙槽嵴萎縮牙槽骨重建的研究進(jìn)展[J];中華老年口腔醫(yī)學(xué)雜志;2008年03期

2 董宇,何勇,趙輝,馮星,呂文君,柴淳;牙槽嵴黏骨膜擴(kuò)增術(shù)應(yīng)用于牙槽嵴增高的研究[J];臨床口腔醫(yī)學(xué)雜志;2005年03期

3 趙森;鄔玉龍;楊菊芳;;先天性上下牙槽嵴粘連伴舌腭粘連1例[J];臨床軍醫(yī)雜志;2010年04期

4 席戈,姚宏;羥基磷灰石在恢復(fù)牙槽嵴嚴(yán)重吸收中的應(yīng)用[J];西北國防醫(yī)學(xué)雜志;2001年01期

5 韓雪松;朱國光;;拔牙后牙槽嵴保存的研究現(xiàn)狀[J];中國口腔種植學(xué)雜志;2012年01期

6 張虎威,周曉東,王學(xué)理,向軍,莫云凌;羥基磷灰石復(fù)合骨誘導(dǎo)蛋白“夾心”式植入牙槽嵴加高術(shù)[J];中華口腔醫(yī)學(xué)雜志;1997年01期

7 徐世同,周磊,宋光保,徐淑蘭,張雪洋;上頜前牙區(qū)牙槽嵴骨劈開增量同期種植術(shù)的臨床研究[J];中國口腔種植學(xué)雜志;2004年02期

8 王超,王鵬來,劉剛;牙槽嵴裂修復(fù)中自體髂骨松質(zhì)骨的應(yīng)用[J];中國煤炭工業(yè)醫(yī)學(xué)雜志;2005年04期

9 王海云;鐘梅;賴仁發(fā);;防治牙槽嵴萎縮的研究進(jìn)展[J];中國口腔種植學(xué)雜志;2006年01期

10 朱一博;邱立新;吳茴;李健慧;高明;王興;;應(yīng)用骨膠原及富血小板纖維蛋白保存牙槽嵴[J];實(shí)用口腔醫(yī)學(xué)雜志;2014年01期

相關(guān)碩士學(xué)位論文 前10條

1 楊P;Ⅱ類拔牙窩中牙槽嵴位點(diǎn)保存術(shù)雙層蓋膜與單層蓋膜成骨效能比較的動(dòng)物實(shí)驗(yàn)研究[D];暨南大學(xué);2015年

2 孫睿男;改良牙槽嵴頂結(jié)締組織轉(zhuǎn)瓣技術(shù)在上頜前牙種植美學(xué)修復(fù)中應(yīng)用的研究[D];山東大學(xué);2016年

3 錢姝嬌;經(jīng)牙槽嵴頂上頜竇提升術(shù)植入種植體的共振頻率分析[D];上海交通大學(xué);2015年

4 趙歡歡;膜齦聯(lián)合線至牙槽嵴頂?shù)木嚯x及與面型之間的關(guān)系[D];河北醫(yī)科大學(xué);2016年

5 許霞;顴牙槽嵴處微螺釘植入角度的研究[D];山東大學(xué);2009年

6 連珊;牙槽嵴位點(diǎn)保存的動(dòng)物實(shí)驗(yàn)研究[D];南方醫(yī)科大學(xué);2014年

7 張峗;復(fù)合氰基丙烯酸酯-BMP生物膠預(yù)防大鼠牙槽嵴萎縮的實(shí)驗(yàn)研究[D];蘭州大學(xué);2013年

8 張亞軍;幾種提高下頜牙槽嵴低平總義齒固位方法的臨床體會(huì)[D];大連醫(yī)科大學(xué);2011年

9 萬永;富血小板纖維蛋白在牙槽嵴位點(diǎn)保存應(yīng)用中的臨床研究[D];瀘州醫(yī)學(xué)院;2014年

10 周容;錐形束CT對(duì)牙槽嵴裂植骨術(shù)后的評(píng)價(jià)[D];青島大學(xué);2013年

，

本文編號(hào)：1499410