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| 与种植体植入相关的颞骨区骨性结构的应用解剖研究 | |
| 引用本文： | 牛学刚,赵铱民,邹昌旭. 与种植体植入相关的颞骨区骨性结构的应用解剖研究[J]. 华西口腔医学杂志, 2004, 22(4): 302-304 |
| 作者姓名： | 牛学刚 赵铱民 邹昌旭 |
| 作者单位： | 第四军医大学口腔医院,修复科,陕西,西安,710032;第四军医大学口腔医院,修复科,陕西,西安,710032;第四军医大学口腔医院,修复科,陕西,西安,710032 |
| 摘 要： | 目的 测量颞骨区骨性结构,为颞骨区种植体的植入提供参考依据。方法 以游标卡尺、弯角规等测量工具对73例颅骨标本进行实体定量测量。结果 在颞骨区,最小骨厚度均值分别为,①11点位:6.77 mm(男), 5.18 mm(女);②10点位:8.60 mm(男),6.77 mm(女);③9点位:9.85 mm(男),7.30 mm(女);④8点位:14.50 mm (男),10.80 mm(女)。结论 ①在颞骨区(以右侧为例),以外耳道口中心为圆心, 8~11点位,距中心16~22 mm区域,为适宜种植区。适宜植入的种植体长度分别是11点位:4~5 mm(男)和3~4 mm(女);10点位:4~7 mm(男)和 4~5 mm(女);9点位:4~8 mm(男)和4~6 mm(女);8点位:4~12 mm(男)和4~8 mm(女)。②在颞骨区,由12点位向11点位(颞骨鳞部),由10点位向8点位(乳突部),由距外耳道口中心22 mm位向16 mm位,骨厚度逐渐增大,因此,在临床上,当拟定的种植点骨量不足时,可将种植点向外耳道口或逆时针(左侧为顺时针)方向调整。③在颞骨区,男女骨量差别显著,男性优于女性,在临床工作中应区别对待。 |
| 关 键 词： | 解剖 种植 测量 骨性结构 |
| 文章编号： | 1000-1182(2004)04-0302-03 |
| 收稿时间： | 2004-08-25 |
| 修稿时间： | 2004-01-26 |
Applied Anatomy Study Related to Implants in the Temporal Bone Region |
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| NIU Xue-gang,ZHAO Yi-min,ZOU Chang-xu.. Applied Anatomy Study Related to Implants in the Temporal Bone Region[J]. West China journal of stomatology, 2004, 22(4): 302-304 | |
| Authors: | NIU Xue-gang ZHAO Yi-min ZOU Chang-xu. |
| Affiliation: | Dept.ofProsthodontics,Stomatological College,the Fourth MilitaryMedical University,Xi′an710032,China |
| Abstract: | OBJECTIVE: To study the bone anatomic structure of the temporal bone region and provide reference in implant surgery in this region. METHODS: Manual quantitative measurements of the bone structure were performed in 73 skull specimens (38 from male and 35 from female). RESULTS: In the area of 8:00-11:00 (right ear) and 16-22 mm from center of the external auditory canal in the temporal bone region, the minimum bone thickness is as follows: 11:00: 6.77 mm in male, 5.18 mm in female; 10:00: 8.60 mm in male, 6.77 mm in female; 9:00: 9.85 mm in male, 7.30 mm in female; 8:00: 14.50 mm in male, 10.80 mm in female. CONCLUSION: (1) In the temporal bone region, the area of 8:00-11:00 (right ear) and 16-22 mm from center of the external auditory canal offers sufficient bone for implants. The length of implants should be as follows: 11:00: 4-5 mm in male, 3-4 mm in female; 10:00: 4-7 mm in male, 4-5 mm in female; 9:00: 4-8 mm in male, 4-6 mm in female; 8:00: 4-12 mm in male, 4-8 mm in female. (2) Towards the external auditory canal and from 12:00 to 11:00, 10:00 to 8:00, the bone became thicker, so, if no ample bone is available in the initial site, the location should be shifted anti-clockwise in right side (clockwise in left side) and closer to the external auditory canal. (3) The differences between male and female are statistically significant in the temporal bone region, so they should be treated distinguishingly during the clinical practices. |
| Keywords: | anatomy implant measurement bone structure |
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