Digital Software in Diagnosis and Treatment of Multiple Impacted Supernumerary Teeth

doi:10.3969/j.issn.1005-4979.2018.06.004

Abstract

Abstract: Objective: To explore the application of CBCT software and third-party digital software in the diagnosis and treatment of multiple impacted supernumerary teeth. Methods: Based on the DICOM data of 10 patients, CBCT software and the third-party software Mimics20.0 (Materialise, Belgium, 2017) were used accurately to segment, reconstruct, and measure the supernumerary teeth, determine the location and number of the ambushed supernumerary teeth, guide the extraction of the supernumerary teeth at the virtual model. Results: CBCT software was easy to operate with no charge, which could help us to diagnose quickly for simple supernumerary teeth. The third-party software was complex and expensive. However, the third-party digital software could improve the accuracy of diagnosis of multiple impacted supernumerary teeth. The application of a preoperative simulation of three-dimensional reeconstructions in surgery could prevent mistaken extraction, protect important anatomical structures, and shorten the operation time length. Conclusion: Two different methods have their own advantages and disadvantages, which are available for different cases.

Key words: Multiple supernumerary teeth, Digital software, Tooth extraction, CBCT, Impacted tooth

摘要： 目的：探讨CBCT自带软件与第三方数字化软件在诊断与治疗多发性埋伏多生牙中的应用。方法：基于10例患者的DICOM数据，应用CBCT自带软件及第三方软件Mimics20.0（Materialise, Belgium, 2017）分别对多生牙进行精准图像分割、重建及测量分析，确定埋伏多生牙的位置和数量，虚拟建模后指导拔除多生牙。结果：CBCT自带软件操作简单，无需费用，对于简单多生牙，诊断快速。第三方数字化软件操作复杂，费用昂贵；但第三方数字化软件能提高多发性埋伏多生牙诊断的精确性，将术前模拟三维信息应用到术中，可防止误拔、误伤，保护周围重要解剖结构，缩短手术时间。结论：两种不同方法具有各自的优缺点，对于不同的病例可有不同的选择。

关键词: 多发性多生牙, 数字化软件, 拔牙, CBCT, 埋伏牙

CLC Number:

R782.4

LIANG Yan, MA Wen, FU Shuai, ZHANG Chang-bin, CUI Qing-ying, WANG Li-dong, LI Ming. Digital Software in Diagnosis and Treatment of Multiple Impacted Supernumerary Teeth[J]. 《Journal of Oral and Maxillofacial Surgery》, doi: 10.3969/j.issn.1005-4979.2018.06.004.

梁燕, 马文, 付帅, 张长彬, 崔庆赢, 王立冬, 黎明. 数字化软件在多发性埋伏多生牙诊疗中的应用[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2018.06.004.

/ / Recommend / Download Citations

URL: https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2018.06.004

https://journal06.magtech.org.cn/Jweb_joms/EN/Y2018/V28/I6/322

References

[1] Tanwar R, Jaitly V, Sharma A, et al. Non-syndromic multiple supernumerary premolars: Clinicoradiographic report of five cases[J]. J Dent Res Dent Clin Dent Prospects, 2017, 11(1): 48-52.

[2] 于晓红, 于晓华, 杜平功. 罕见颌骨多发性12颗多生牙(附1例病例报告及文献复习)[J]. 现代口腔医学杂志, 2015, 29(4): 251-253.

[3] 孙香, 慕彩琴. 罕见双侧上下颌对称性8颗埋伏多生牙1例[J]. 口腔医学研究, 2013, 29(7): 681.

[4] Hemmy DC. Wire mesh for cranial vault reconstruction[J]. Plast Reconstr Surg, 1987, 79(2): 306-307.

[5] Wang TH, Ma H, Tseng CS, et al. Using free navigation reference points and prefabricated bone plates for zygoma fracture model surgeries[J]. J Med Biol Eng, 2016, 36: 316-324.

[6] Vahid-Dastjerdi E, Borzabadi-Farahani A, Mahdian M, et al. Supernumerary teeth amongst Iranian orthodontic patients. A retrospective radiographic and clinical survey[J]. Acta Odontol Scand, 2011, 69(2): 125-128.

[7] 翁汝涟, 张国权, 陈圳华, 等. 上颌埋伏多生牙的定位与临床治疗分析[J]. 广东牙病防治, 2008, 16(10): 466-467.

[8] Demiriz L, Hazar Bodrumlu E, ?魰?觭en M, et al. Evaluation of the accuracy of cone beam computed tomography on measuring impacted supernumerary teeth[J]. Scanning, 2016, 38(6): 579-584.

[9] Liu DG, Zhang WL, Zhang ZY, et al. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(3): 403-411.

[10] Kim KD, Ruprecht A, Jeon KJ, et al. Personal computer-based three-dimensional computed tomographic images of the teeth for evaluating supernumerary or ectopically impacted teeth[J]. Angle Orthod, 2003, 73(5): 614-621.

[11] Wang W, Somar M, Lv K. Safer alternative for extraction of impacted supernumerary teeth of a patient in the mixed dentition stage with the aid of an image-guided operating system[J]. Br J Oral Maxillofac Surg, 2017, 55(5): 551-553.

[12] Hu YK, Xie QY, Yang C, et al. Computer-designed surgical guide template compared with free-hand operation for mesiodens extraction in premaxilla using "trapdoor" method[J]. Medicine (Baltimore), 2017, 96(26): e7310.

[13] Wang J, Cui NH, Guo YJ, et al. Navigation-guided extraction of impacted supernumerary teeth: a case report[J]. J Oral Maxillofac Surg, 2017, 75(6): 1136 e1-e1136. e5.

[14] Jo C, Bae D, Choi B, et al. Removal of supernumerary teeth utilizing a computer-aided design/computer-aided manufacturing surgical guide[J]. J Oral Maxillofac Surg, 2017, 75(5): 924 e1-e924. e9.

[1]	SHAO Peng, GE Diankui, ZHAO Qitao. Removal of the low-positioned dental root fragments through bony fenestration: A clinical summary [J]. 《Journal of Oral and Maxillofacial Surgery》, 2023, 33(6): 391-393.
[2]	HU Yingying, ZHANG Jianhua, XUE Changao, WU Xin, ZHANG Rui. Tooth extraction in patients with anticoagulant therapy after heart valve replacement: A clinical observation [J]. 《Journal of Oral and Maxillofacial Surgery》, 2023, 33(6): 394-396.
[3]	MI Dawei, ZHOU Bi, PENG Bo, YAN Xu. Clinical application of high-speed turbine combined with pneumatic tooth elevator on mandibular impacted third molar extraction [J]. 《Journal of Oral and Maxillofacial Surgery》, 2023, 33(5): 326-329.
[4]	HU Yingying, ZHANG Jianhua, ZHANG Rui. A clinical study on the perioperative period of tooth extraction in patients with long-term oral antithrombotic medication [J]. 《Journal of Oral and Maxillofacial Surgery》, 2022, 32(4): 236-239.
[5]	WU Qing, WANG Huihui, HUA Hongfei, ZHANG Ting, XIAO Guoxiu, XU Bin. Autogenous bone combined with PRF in the treatment of distal osseous defect of mandibular second molar after impacted third molar tooth extraction: A randomized controlled trial [J]. 《Journal of Oral and Maxillofacial Surgery》, 2022, 32(2): 100-105.
[6]	. Outcome of Painless Technology in Exodontia of Patients with Cardiovascular Disease under Electrocardiogram Monitoring [J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(5): 320-323.
[7]	ZHU Keji, SHI Xiong. Comparison of Dental Crown Image Artifacts between CBCT and Spiral CT [J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(4): 249-.
[8]	XU Yuli, RAN Ming, YANG Xingmin. Study on Alveolar Ridge Preservation with Different Implant Materials after Tooth Extraction for Bone Resorption and Aesthetic Effects [J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(1): 23-.
[9]	DING Hongzhong1, XU Congping1, DING Xiaoyan2, WANG Xiaoping1. Clinical Discussion on the Prevention and Treatment of Impacted Mandibular Teeth Strayed into Pterygomandibular Space during Extraction [J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(1): 33-.
[10]	WANG Liuhong1, CHENG Gang2, LOU Xintian1, YANG Hui1, WANG Yilin1. Application of Orthodontic Traction in Extraction of Impacted Mandibular Third Molar [J]. 《Journal of Oral and Maxillofacial Surgery》, 2020, 30(1): 36-.
[11]	HOU Lei, HU Xiao, YEWENG San-jie, WU Zhong-xing. Distribution of the Lingual Foramen in Mandibular Anterior Teeth by CBCT Study [J]. 《Journal of Oral and Maxillofacial Surgery》, 2019, 29(6): 339-.
[12]	SHI Xiong, LI Sheng-jiao, ZHOU Jian-ping, ZHANG li, LI Bai-long. The Role of CBCT in the Diagnosis of Dens Invaginatus [J]. 《Journal of Oral and Maxillofacial Surgery》, 2019, 29(3): 164-.
[13]	ZHOU Yang-yifan，ZHANG Xue-ming，HOU Guang-yu，WANG Wei-wei，LIAO Jian-xing， KANG Fei-wu. Application of the Buccal Bone Osteotomy with Piezosurgery in Extracting Deeply Impacted Mandibular Third Molars. [J]. 《Journal of Oral and Maxillofacial Surgery》, 2019, 29(1): 30-33.
[14]	ZHANG Zhan-bo, ZHAO Song-bo, BO Jian-ping, LIU Jing, GUO Jia, SUN Chao-chao. Clinical Study on the Timing of Extraction of Eruption Supernumerary Teeth [J]. 《Journal of Oral and Maxillofacial Surgery》, 2018, 28(6): 349-.
[15]	JIN Fu-rong, WANG Wei-wei, LIAO Jian-xing. Site Preservation in Posterior Region of the Mandible. An Experimental Study in the Dog [J]. 《Journal of Oral and Maxillofacial Surgery》, 2018, 28(5): 258-262.

Please choose a citation manager

Content to export