不同形态鼻腭管与上颌中切牙牙根位置关系的CBCT分析

doi:10.19439/j.sjos.2025.02.011

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (2): 171-176.doi: 10.19439/j.sjos.2025.02.011

不同形态鼻腭管与上颌中切牙牙根位置关系的CBCT分析

朱婉瑜^1,2, 石晓宇^1,2, 杨洁^1,2, 聂晶^1,2,3

1.新疆医科大学第一附属医院（附属口腔医院）口腔正畸科,新疆乌鲁木齐 830054;
2.西安交通大学口腔医学院陕西省牙颌疾病临床医学研究中心,陕西西安 710004;
3.新疆维吾尔自治区口腔医学研究所,新疆乌鲁木齐 830054

收稿日期:2023-08-15 修回日期:2023-10-12 出版日期:2025-04-25 发布日期:2025-05-15
通讯作者: 聂晶,E-mail: dentistnj@163.com
作者简介:朱婉瑜（1997-）,女,硕士,E-mail: 1304392879@qq.com
基金资助:
陕西省牙颌疾病临床医学研究中心开放课题（2021YHJB09）

The study on the effects of different shapes of nasopalatine canals on tooth movement and implantation during orthodontic and implant treatment with CBCT

Zhu Wanyu^1,2, Shi Xiaoyu^1,2, Yang Jie^1,2, Nie Jing^1,2,3

1. Department of Orthodontics, the First Affiliated Hospital of Xinjiang Medical University, School & Hospital of Stomatology, Xinjiang Medical University. Urumqi 830054, Xinjiang Uygur Autonomous Region;
2. Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University. Xi'an 710004, Shaanxi Province;
3. Stomatological Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, Xinjiang Uygur Autonomous Region, China

Received:2023-08-15 Revised:2023-10-12 Online:2025-04-25 Published:2025-05-15

摘要/Abstract

摘要： 目的：通过评估鼻腭管形状特征及其与上颌中切牙的距离,探讨鼻腭管（NPC）的形态计量特征对预期牙移动的影响。方法：选择符合纳入标准的200例CBCT影像资料,在矢状面上对鼻腭管进行分类,测量切牙孔直径、鼻腭管长度、切牙孔的前后直径（A-P IF）、斯坦森孔前后直径（A-P NF）和鼻腭管1/2长度处的直径（M-L IF）以及鼻腭管和中切牙牙根之间的距离。采用SPSS 26.0 软件包对数据进行统计学分析。结果：4种形状鼻腭管中,切牙孔直径（P=0.045）、A-P IF（P=0.001）、M-L IF（P<0.001）、A-P NF（P<0.001）差异具有统计学意义。通过线性回归分析不同截面上不同形态鼻腭管与中切牙牙根之间的距离关系发现,圆柱形鼻腭管在鼻腭管长度上显著相关;漏斗形鼻腭管在A-P IF和鼻腭管长度上显著相关。沙漏形鼻腭管在A-P IF、A-P NF和鼻腭管长度上显著相关。结论：不同形状鼻腭管都对不同截面鼻腭管直径和其到中切牙牙根的距离有一定影响。

关键词: 鼻腭管, 中切牙牙根, 牙移动, 形态计量分析

Abstract: PURPOSE: The aim of this study was to evaluate the impact of the nasopalatine canal(NPC) shape and its morphometric characteristics on expected teeth movement by assessing the distance to maxillary central incisors (MCIs) according to NPC type. METHODS: A total of 200 patients with CBCT imaging data meeting the inclusion criteria were selected. The nasopharyngeal canal in the sagittal plane was classified. The following parameters were obtained: incisor foramen diameter, nasopalatine canal length, anterio-posterior diameter of incisor foramen (A-P IF), anterio-posterior diameter of Stenson foramen (A-P NF), nasopalatine tube 1/2 length diameter(M-L IF), and the distance between NPC and MCIs. The data were analyzed with SPSS 26.0 software package. RESULTS: Diameter of incisor hole（P=0.045）, A-P IF（P=0.001）, M-L IF（P<0.001）, A-P NF（P<0.001） had significant difference. In cylindrical-shaped NPC, a significant correlation was observed for NPC length, while in funnel-shaped NPC, a significant correlation was observed for A-P IF and NPC length. In hourglass-shaped NPC, a significant correlation was observed for A-P IF, A-P NF, and NPC length. CONCLUSIONS: Each NPC shape showed specific impacts on the relationship between NPC diameters at different sections and distances to MCIs.

Key words: Nasopalatine canal, NPC, Root of central incisor, Teeth movement, Morphometric analysis

中图分类号:

R782.1

朱婉瑜, 石晓宇, 杨洁, 聂晶. 不同形态鼻腭管与上颌中切牙牙根位置关系的CBCT分析[J]. 上海口腔医学, 2025, 34(2): 171-176.

Zhu Wanyu, Shi Xiaoyu, Yang Jie, Nie Jing. The study on the effects of different shapes of nasopalatine canals on tooth movement and implantation during orthodontic and implant treatment with CBCT[J]. Shanghai Journal of Stomatology, 2025, 34(2): 171-176.

参考文献

[1] Weltman B, Vig KWL, Fields HW, et al.Root resorption associated with orthodontic tooth movement: a systematic review[J]. Am J Orthod Dentofacial Orthop, 2010, 137(4): 462-476.
[2] Yu JH, Nguyen T, Kim YI, et al.Morphologic changes of the incisive canal and its proximity to maxillary incisor roots after anterior tooth movement[J]. Am J Orthod Dentofacial Orthop, 2022, 161(3): 396-403.
[3] Chung WE, Rubenstein JE, Phillips KM, et al.Outcomes assessment of patients treated with osseointegrated dental implants at the University of Washington Graduate Prosthodontic Program, 1988 to 2000[J]. Int J Oral Maxillofac Implants, 2009, 24(5): 927-935.
[4] Casado PL, Donner M, Pascarelli B, et al.Immediate dental implant failure associated with nasopalatine duct cyst[J]. Implant Dent, 2008, 17(2): 169-175.
[5] Etoz M, Sisman Y.Evaluation of the nasopalatine canal and variations with cone-beam computed tomography[J]. Surg Radiol Anat, 2014, 36(8): 805-812.
[6] 王敬夫, 张宁, 杨勇, 等. 69例中老年人群切牙管形态学特征的CBCT测量分析[J]. 中国口腔颌面外科杂志, 2024, 22(4):385-389.
[7] Khurana S, Parasher P, Mukherjee P, et al.Cone beam computed tomographic-based retrospective study on newark population for the assessment of distance between incisive canal and maxillary central incisors: clinical implications[J]. Indian J Dent Res, 2020, 31(2): 175-179.
[8] Sudheer A, Rani K, Kumari A, et al.Morphological variation of the nasopalatine canal: a cone-beam computed tomography study[J]. J Indian Acad Oral Med Radiol, 2020, 32(1): 27-30.
[9] 吴连俊, 姚李韬, 张彩霞, 等.切牙管形态学特征的CBCT测量分析[J].口腔医学研究, 2020, 36(7): 693-697.
[10] Arnaut A, Milanovic P, Vasiljevic M, et al.The shape of nasopalatine canal as a determining factor in therapeutic approach for orthodontic teeth movement-a CBCT study[J]. Diagnostics (Basel), 2021, 11(12): 2345-2358.
[11] Vasiljevic M, Milanovic P, Jovicic N, et al.Morphological and morphometric characteristics of anterior maxilla accessory canals and relationship with nasopalatine canal type-a CBCT study[J]. Diagnostics (Basel),2021,11(8):1510-1522.
[12] Chung CJ, Nguyen T, Lee J H, et al.Incisive canal remodelling following maximum anterior retraction reduces apical root resorption[J]. Orthodont Craniofac Res, 2021, 24(Suppl 1): 59-65.
[13] Pan Y, Chen S.Contact of the incisive canal and upper central incisors causing root resorption after retraction with orthodontic mini-implants: a CBCT study[J]. Angle Orthodont, 2019, 89(2): 200-205.
[14] Proffit WR, Fields Jr HW, Sarver DM.Contemporary orthodontics[M]. New York: Elsevier Health Sciences, 2006.
[15] Cho EA, Kim SJ, Choi YJ, et al.Morphologic evaluation of the incisive canal and its proximity to the maxillary central incisors using computed tomography images[J]. Angle Orthodont, 2016, 86(4): 571-576.
[16] Gull MAB, Maqbool S, Mushtaq M, et al.Evaluation of morphologic features and proximity of incisive canal to the maxillary central incisors using cone beam computed tomography[J]. J Dent Med Sci, 2018, 17: 46-50.
[17] 柯华峰, 刘莉, 苑子艺, 等. 切牙管与上颌中切牙牙根位置关系的CBCT研究[J]. 实用口腔医学杂志, 2018, 34(3): 385-388.
[18] Asaumi R, Kawai T, Sato I, et al.Three-dimensional assessment of the nasopalatine canal and the surrounding bone using cone-beam computed tomography[J]. Oral Radiol, 2010, 26: 20-28.
[19] Gil-Marques B, Sanchis-Gimeno JA, Brizuela-Velasco A, et al.Differences in the shape and direction-course of the nasopalatine canal among dentate, partially edentulous and completely edentulous subjects[J]. Anat Sci Int, 2020, 95(1): 76-84.
[20] 郭明, 木合塔尔·霍加. 乌鲁木齐市维吾尔族与汉族正常鼻腭管解剖形态的对比研究[J].临床口腔医学杂志, 2019, 35(2): 89-92.
[21] Jia X, Hu W, Meng H.Relationship of central incisor implant placement to the ridge configuration anterior to the nasopalatine canal in dentate and partially edentulous individuals: a comparative study[J]. PeerJ, 2015, 3: e1315.
[22] 王扬, 姜曚, 袁艺航, 等. 鼻腭管解剖形态多样性的锥形束CT研究[J]. 临床口腔医学杂志, 2015, 31(12): 710-714.
[23] Kjaer I.Correlated appearance of ossification and nerve tissue in human fetal jaws[J]. J Craniofac Genet Dev Biol, 1990, 10(3): 329-336.
[24] Presley R.Craniofacial embryology[J]. J Anat, 1989, 167: 247.
[25] Krishnan V, Davidovitch Z. Cellular, molecular,tissue-level reactions to orthodontic force[J]. Am J Orthod Dentofacial Ortho, 2006, 129(4): 469.e1-32.
[26] Krishnan V, Davidovitch Z.On a path to unfolding the biological mechanisms of orthodontic tooth movement[J]. J Dent Res, 2009, 88(7): 597-608.
[27] Guo R, Zhang L, Hu M, et al.Alveolar bone changes in maxillary and mandibular anterior teeth during orthodontic treatment: a systematic review and meta-analysis[J]. Orthod Craniofac Res, 2021, 24(2): 165-179.

不同形态鼻腭管与上颌中切牙牙根位置关系的CBCT分析

The study on the effects of different shapes of nasopalatine canals on tooth movement and implantation during orthodontic and implant treatment with CBCT

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	欧晓丽, 方志欣, 龙智灵, 罗海欧, 唐倩. 无托槽隐形矫治器内收前牙时后牙移动趋势及牙周膜应力分布[J]. 上海口腔医学, 2024, 33(3): 239-244.
[2]	刘维佳, 唐镇, 张琦, 姜莉萍. 低能量微波照射对大鼠正畸牙移动及牙周组织改建的影响[J]. 上海口腔医学, 2022, 31(2): 156-161.
[3]	刘帆, 刘琳, 王艳红. Insignia固定矫治器定制系统在正畸治疗中的效果评价[J]. 上海口腔医学, 2022, 31(1): 96-99.
[4]	李光辉, 潘晓岗. 双膜透明矫治器移动兔下颌中切牙的效果评价[J]. 上海口腔医学, 2021, 30(1): 38-43.
[5]	袁文秀, 王旭霞, 张丽娜, 苏玉然, 杨帆, 张君. 蛇床子素对大鼠正畸牙牙周组织改建的影响[J]. 上海口腔医学, 2019, 28(6): 561-566.
[6]	陈婉红, 蔡世雄, 吴小榕. 正畸牙移动中牙周血管内皮祖细胞在骨改建中的作用机制探讨[J]. 上海口腔医学, 2019, 28(6): 610-615.
[7]	刘小灿, 王旭霞, 吴晓晓, 刘悦, 闫召月, 张君. 补骨脂对大鼠正畸后稳定性的影响[J]. 上海口腔医学, 2019, 28(5): 455-459.
[8]	张飞飞, 包世婕, 叶盛佳, 魏斌, 宫耀. 兔BMSCs复合β-TCP修复牙槽骨缺损后牙移动时机的探讨[J]. 上海口腔医学, 2019, 28(3): 231-236.
[9]	李一涵, 张飞飞, 包世婕, 魏斌, 宫耀. 组织工程修复区早期牙移动压力侧牙周组织的改建[J]. 上海口腔医学, 2018, 27(5): 461-466.
[10]	周璨，龙思岑，黄兰，戴红卫. 大鼠正畸牙移动牙周组织中叉头框蛋白O1和成骨特异转录因子RUNX2的表达[J]. 上海口腔医学, 2018, 27(3): 230-234.
[11]	崔金婕, 王旭霞, 王媛, 陈佩佩, 马丹, 张君. 不同浓度木通皂苷D对大鼠正畸牙移动的影响[J]. 上海口腔医学, 2018, 27(2): 129-134.
[12]	杨盼盼, 王旭霞, 陈云, 汪倩倩, 王英姿, 张君. 淫羊藿苷对大鼠正畸牙移动过程中牙槽骨改建的影响[J]. 上海口腔医学, 2017, 26(5): 465-470.
[13]	胡琴, 徐小淋, 周建萍, 戴红卫. 釉基质蛋白衍生物对大鼠牙移动后复发和牙根修复的影响[J]. 上海口腔医学, 2017, 26(2): 156-161.
[14]	朱绍跃, 袁长永, 刘宗响, 李晓明, 王鹏来. 骨皮质切开加速大鼠正畸牙移动的机制研究[J]. 上海口腔医学, 2017, 26(1): 12-16.
[15]	李明贺, 王阳, 廖囡囡, 李金源, 董青. 药物干预下骨质疏松大鼠正畸牙移动中TGF-β1表达的变化[J]. 上海口腔医学, 2017, 26(1): 17-20.