中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (2): 129-134.DOI: 10.12337/zgkqzzxzz.2021.04.010

• 综述 • 上一篇    下一篇

即刻种植修复前骨密度影像学评估方法的研究进展

冯澜1,2, 顾新华1   

  1. 1浙江大学医学院附属第一医院口腔科,杭州 310003;
    2浙江大学医学院口腔医学系,杭州 310058
  • 收稿日期:2021-03-17 出版日期:2021-04-10 发布日期:2021-07-14
  • 通讯作者: 顾新华,Email:guxh@zju.edu.cn,电话:0571-87236338
  • 作者简介:顾新华, 博士、主任医师、博士生导师,研究方向:主要从事人体硬组织仿生矿化和口腔种植临床研究;冯澜, 硕士在读,研究方向:口腔颌面影像学在牙种植术中的应用

Research progress on imaging evaluation methods of bone mineral density before immediate implant restoration

Feng Lan1,2, Gu Xinhua1   

  1. 1Department of Stomatology, The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China;
    2Department of Stomatology, Zhejiang University School of Medicine, Hangzhou 310058, China
  • Received:2021-03-17 Online:2021-04-10 Published:2021-07-14
  • Contact: Gu Xinhua, Email:guxh@zju.edu.cn, Tel: 0086-571-87236338

摘要: 牙槽骨密度被认为是影响即刻种植修复疗效的最重要因素之一。利用骨密度可对种植体的初始稳定性进行预测,从而为即刻种植修复治疗的术前计划、种植体选择、手术方式等提供决策,同时从骨密度角度细化种植治疗的适应证。大量研究表明,影像学方法例如双能X射线吸收法、曲面体层放射线片、根尖放射线片、微型计算机体层成像、多层计算机体层成像、锥形束计算机体层成像等可对受体骨的骨密度进行评估,然而利用影像学方法制定明确详细的骨密度分类用于患者即刻种植修复,尤其是无牙颌患者的临床决策有待进一步研究。本文对利用影像学方法获取骨密度数据的研究进行了综述。

关键词: 骨密度, 影像学, 体层成像, 锥体束计算机体层成像, 牙种植

Abstract: Alveolar bone density is considered to be one of the most important factors affecting the clinical outcome of immediate implant restoration. The bone density can be used to predict the initial stability of the implant, so as to decide the preoperative plan, implant selection, surgical protocal for immediate implant treatment, and at the same time refine the indications of implant treatment from the perspective of bone density. A large number of studies have shown that imaging methods such as dual-energy X-ray absorptiometry, panoramic X-ray film, periapical X-ray film, Micro-computed tomography, multi-slice computed tomography, cone beam computed tomography, etc., can assess the bone density of the recipient bone. However, the use of imaging methods to formulate the classification of bone mineral density used in clinical decision-making for immediate implant treatment of patients, especially in the treatment of patients with edentulous jaws, needs further research. This article reviews the research on obtaining bone mineral density data using imaging methods.

Key words: Bone density, Imaging, Tomography, Cone-beam computed tomography, Dental implants