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下颌骨

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Results There were obvious mandible changes such as the increase of SNB angle and decrease of ANB angle and overjet after treatment with Twinblock, suggestive of mandible growth, increase of facial angle, reduction of mandible process angle, mild adduction of upper incisors, and mild anteversion of lower incisors.

结果 矫治前后下颌骨的变化具有统计学意义,表现在SNB角的增大和ANB角、OJ的减小,提示下颌骨的生长、面角增加和颌突角减小,上前牙轻度内收和下前牙少量前倾。

Methods Three mandibular impact fracture models were prepared using intact human mandibular specimens and simulated maxillary models according to the Hanau principle of articulator and a MTS-858 biological material testing machine.

目的 利用MTS-858生物材料试验机进行下颌骨撞击试验和三维有限元分析方法揭示下颌骨骨折生物力学机制。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODSThe intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

ABSTRACT:OBJECTIVETo study the correlation between anatomic structure of the inferior alveolar nerve canal and dental implantation by measuring mandible innervation esemplarsMETHODS The intramandibular course of mandibular canal and its dimendion were measured in 15 mandibles with teeth; the relationship between blood vessel and nerve was observed in 5 fresh samples in which the artery was filled; and then the data were analyzed by statisticsRESULTSThe mandibular canal was close to the lingual side and the inferior margin of the mandible, the mandibular canal and the 10mm underside of mandible were parallel in the region of the first and the second molars, it runned outboard to genal aperture when it was hereabout genal aperture, and the blood vessel lay above nerve in the mandibular canalCONCLUSIONIn implant operation performed according to normal anatomy, injury to inferior alveolar nerve may be avoided.

[目的]探讨下颌管的解剖结构与牙种植的关系[方法]选取15具牙列完整的成人离体下颌骨标本和5具经过动脉血管内灌注的新鲜标本,测量下颌骨在每个牙位截面上有关牙槽嵴及下颌管的相关数据,进行统计学分析[结果]牙槽嵴顶以及下方10mm宽度由前向后逐渐增宽;牙槽嵴由上向下逐渐增宽;下颌管位于下颌骨体内下方走行中偏舌侧,并近下颌骨下缘,在下颌第1,2磨牙区下颌管走行与下颌下缘成平行状,在近颏孔处转向外和向颊侧出颏孔;下颌管内血管位于下牙槽神经之上[结论]牙种植术中按正常解剖部位并且侧重颊侧骨板操作,可避免损伤下牙槽神经;如果术中下颌管内突然涌出大量新鲜血液,则提示若继续手术可能损伤下牙槽神经。

Second: Comparetive study of ordinary X-ray film, CT and 3D-CT in the jaws fractures. Ordinary X-ray film, CT and 3D-CT was performed in 61 cases of jaws fractures. The diagnosis of these three imaging methods was compared with each other and with the operation findings. The result shows that the fractures in body and angle part of mandibal could be shown excellently by all these imaging methods. 3D- CT is the best method in showing the mandibular fractures. Ordinary X- ray film is poor, and the accuracy of CT and 3D-CT is similar in showing the macxillary fractures.

二。颌骨骨折的常规X线、CT和三维CT对比研究:通过对61例不同类型的上、下颌骨骨折常规X线、CT和三维CT显示情况的对比分析,同时与手术结果相对照,结果表明对下颌骨体部和角部的骨折三种影像学检查均显示准确;对下颌骨髁状突骨折的显示三维CT优于CT和常规X线;对上颌骨骨折的显示常规X线显示较差,CT和三维CT显示准确率相似。

METHODS: A 3-D finite element model of mandible was made to analyze the regularty of stress distribution under different impact loading by using mandibular impacting tests.

建立下颌骨三维有限元模型,在人尸体下颌骨撞击实验的基础上,分析下颌骨不同结构的受力规律。

Firstly in this paper human mandibula was scanned by spiral CT. Then the data from CT was import into software (MIMICS 7.10) to reconstruct 3-D digital model. Software (Surfacer 10.5) was used to remove useless points , smooth the curves and output the STL file. The file was input into the rapid prototyping system, and was converted to slice format.

本研究首先用螺旋CT扫描离体人下颌骨,得到断层图像数据不经任何转换直接输入MIMICS软件进行三维重建,得到CAD三维数模,输入Surfacer软件除去杂点干扰,平滑曲面后,保存为STL文件,输入SLS快速成形系统通过激光烧结精铸蜡粉所制作的人下颌骨复制体,其形态、大小及结构与下颌骨实体标本基本一致。

Methods:The artificial defects of 20 rabbits were repaired with frozen allogeneic mandible and fresh syngeneic mandible to study the revascularization's dynamic process of mandible transplantation by the inkgelation vascular perfusion,vascular corroisioncast,Nuclein scintigraphy;the 85 cases received frozen allogeneic mandible transplantation and the measures to improve revascularization;The defects were implanted with bFGF and allogeneic bone,the defects were only repaired with allogeneic bone as control group.

通过冷冻异体下颌骨和新鲜自体骨移植修复20例家兔下颌骨缺损的动物实验,经墨汁明胶血管灌注法、血管铸型法、放射性核素骨显像研究了异体下颌骨移植再血管化及骨改建的动态过程;同时另20例采用bFGF和异体骨修复作为实验组,单纯异体骨修复作为对照组,植入后1个月、3个月行墨汁明胶血管灌注透明法及组织学观察。

In this study the composites were applied to repair the rabbits'mandibular defects and implanted at the surface as onlay grafts that was fixed with dental implants. The ability of the composites repairing maxillofacial defects was evaluated with general observation, radiological and histological examination and compared with autogenous bone and coral.

本研究通过观察rhBMP-2、胶原、珊瑚复合骨修复兔下颌骨缺损,加高狗下颌骨骨面及与牙种植体结合,并与新鲜自体骨和珊瑚的修复作用比较,(1)应用复合骨修复兔下颌骨缺损,1、2、3个月取材,(2)将复合骨植于狗下颌骨体部颊侧骨膜下,采用钛种植体固定,1.5、3个月取材,通过体视及测量,X线片,组织学等观测指标,分析rhBMP-2、胶原、珊瑚复合骨修复骨缺损特点和体内降解特点。

Materials and methods: A three diamensions finite element model of one unembalmed human cadaver mandible osteodistraction was established in this study with the CT scanned transverse sections and computer program(AutoCAD and I-DEAS).The stress distraction and lateral forces were evaluated.

材料和方法通过CT扫描一完整成年男性的下颌骨标本,使用CAD和I-DEAS软件建立下颌骨三维有限元模型,计算机模拟在两种不同方向上通过温度载荷施加外力,分别分析下颌骨所受侧方力和骨应力的分布及大小情况。

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