Application of CBCT in Diagnosis and Treatment of Odontoma: Report of A Case

錐束電腦斷層攝影在齒瘤診斷及治療上之應用

黃耀德(Yao-Der Huang) ； 蔡迪姍(Stephanie Tsai) ； 黃瑞明(Ruey-Ming Huang) ； 章浩宏(Hao-Hung Chang) ； 陳木熊(Mu-Hsiung Chen)

《北市醫放雜誌》 2卷1期 (2012/12) Pp. 41-46

https://doi.org/10.6663/TPART.2012.2.1.41

摘要

齒瘤是相當常見的齒源性腫瘤，大多能僅由放射影像進行被發現。近年研發的牙科錐束電腦斷層 (CBCT)，特別在植牙、正顎、口腔顎面外科等手術方面，已成為牙科治療的有力工具。CBCT相較傳 統的多切電腦斷層掃描（MSCT），能在較低暴射劑量下提供更高品質的頭頸部立體放射影像。我們在 此報告一病例，為十四歲男孩藉由CBCT的輔助摘除複合性齒瘤和阻生齒。其輔助軟體能支援不規則 圖像切割和立體空間中任意方向的測量，更有利於手術醫師的操作。

關鍵字

錐束電腦斷層攝影 ； 複合性牙瘤 ； 齒源性腫瘤 ； 阻生齒

並列摘要

Odontoma may be the most common odontogenic tumors and may only be discovered clinically by radiography. The recently developed dental cone beam computed tomography (CBCT) is a powerful tool for dental treatments, especially in implant, orthognathic and maxillofacial surgery. The high quality 3D images provide more detailed information and could be taken under low radial doses comparing to traditional multi-slice computed tomography (MSCT). Its supporting software provides irregular image cutting and reconstruction beyond each arch which also benefits the surgeon. We report a case of a 14 y/o boy removing complex odontoma and impacted tooth via the aid of CBCT.

並列關鍵字

Cone Beam Computed Tomography (CBCT) ； complex odontoma ； odontogenic tumor ； impacted teeth