锥形束计算机断层扫描对下颌第三磨牙阻生的评价

José Raimundo Soares de Carvalho, Josélia da Silva Leite, Rudyard dos Santos Oliveira
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摘要

本研究的目的是利用锥束计算机断层扫描确定下颌第三磨牙阻生的患病率,并根据Winter、Pell、Gregory和Maglione进行分类。样本包括250份CBCT检查。采用CS三维成像软件对所选图像进行轴向、横切面和全景重建切片评价。通过填写包含Winter、Pell、Gregory和Maglione分类的表格来收集数据。数据分析通过频率(绝对和相对)的分布进行,并与95%置信区间的构成相关联。在分析的250例断层扫描检查中,113例(45.2%)为男性,137例(54.8%)为女性。根据Winter, Pell & Gregory和Maglione分类,最常见的侧位和差异分别为:中角- 29.8% (95% CI: 25.8% -33.8%),右侧(30.4%),左侧(29.2%);II类- 31.2% (95% CI: 27.1% -35.3%);A位右侧(30.4%)左侧(32.0%);1A型- 39.8% (95% CI: 35.5% -44.1%),右侧(40.0%),左侧(39.6%)。因此,根据Winter分类,中角位置的患病率较高,与Pell和Gregory分类相比,II / a类位置的患病率较高;而根据Maglione的分类,最普遍的位置是1A类。
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Evaluation of Impacted Lower Third Molars Using Cone Beam Computed Tomography
The aim of the study was to define the prevalence of impacted lower third molars using cone beam computed tomography and to classify according to Winter, Pell and Gregory and Maglione. The sample consisted of 250 CBCT exams. The evaluation of the selected images was performed using CS 3D imaging software using axial, cross-section and panoramic reconstruction sections. Data collection was performed by filling out the forms containing the classifications of Winter, Pell and Gregory and Maglione. Data analysis was performed through the distribution of frequencies (absolute and relative) associated with the construction of 95% confidence intervals of proportions. Of the 250 tomography exams analyzed, 113 (45.2%) were male and 137 (54.8%) were female. The positions and differences between the most frequent sides according to the Winter, Pell & Gregory and Maglione classification, respectively, were: Mesioangular - 29.8% (95% CI: 25.8% -33.8%), right side (30.4 %), left side (29.2%); Class II - 31.2% (95% CI: 27.1% -35.3%); position A, right side (30.4%) left side (32.0%); Class 1A - 39.8% (95% CI: 35.5% -44.1%), right side (40.0%), left side (39.6%). Thus, there was a higher prevalence in the mesioangular position according to the Winter classification and, in relation to the Pell and Gregory classification, the class II / A position; while, according to Maglione's classification, the most prevalent position is Class 1A. 
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