
China Journal of Oral and Maxillofacial Surgery ›› 2025, Vol. 23 ›› Issue (6): 635-640.doi: 10.19438/j.cjoms.2025.06.015
• Review Articles • Previous Articles
Lu Ruizhi1, Lu Xingwei2, Xiao Wenlei3, Huang Xingtai3, Zhai Qianglan3, Liu Chao3
Received:2025-04-07
Revised:2025-08-06
Online:2025-11-20
Published:2025-12-04
CLC Number:
Lu Ruizhi, Lu Xingwei, Xiao Wenlei, Huang Xingtai, Zhai Qianglan, Liu Chao. Clinical application of CBCT and digital guide technology in the treatment of impacted teeth[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(6): 635-640.
| [1] 冉雪琪, 李建锋, 曹绍艾. 探讨低剂量口腔CBCT检查中耳鼻喉相关组织的表现[J]. CT理论与应用研究, 2022, 31(3): 392-398. Ran XQ, Li JF, Cao SA.Analysis of the manifestations of ENT in low-dose oral CBCT examination[J]. Computerized Tomography Theory and Applications, 2022, 31(3): 392-398. [2] 李彤, 王倩, 卫星宇, 等. 骨科手术中锥形束CT与超声骨刀的联合应用及效果分析[J]. 影像科学与光化学, 2024, 42(6): 558-564. Li T, Wang Q, Wang XY, et al.Combined application and effect analysis of cone-beam CT and ultrasonic bone knife in orthopedic surgery[J]. Imaging Science and Photochemistry, 2024, 42(6): 558-564. [3] 花蕾, 吴艳, 伍松, 等. 锥形束CT联合全景片用于下颌骨阻生牙拔除术前检查的临床价值[J]. 分子影像学杂志, 2022, 45(2): 194-198. Hua L, Wu Y, Wu S, et al.Clinical value of cone-beam CT combined with panoramic radiography in impacted mandibular teeth extraction[J]. Journal of Molecular Imaging, 2022, 45(2): 194-198. [4] 靳淑梅, 任旭升. 锥形束CT与全景片对上颌中切牙牙根长度的测量分析[J]. 影像研究与医学应用, 2020, 4(21): 195-196. Jin SM, Ren XS.Measurement and analysis of the root length of the maxillary central incisors by cone-beam CT and panoramic films[J]. Journal of Imaging Research and Medical Applications, 2020, 4(21): 195-196. [5] Pauwels R, Beinsberger J, Stamatakis H, et al.Comparison of spatial and contrast resolution for cone-beam computed tomography scanners[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2012, 114(1): 127-135. [6] Patel S, Bhuva B, Bose R.Present status and future directions: vertical root fractures in root filled teeth[J]. Int Endod J, 2022, 55(Suppl 3): 804-826. [7] Agbaje JO, Van de Casteele E, Salem AS, et al. Tracking of the inferior alveolar nerve: its implication in surgical planning[J]. Clin Oral Invest, 2017, 21(7): 2213-2220. [8] 赵锡鹏, 顾枭成, 陈飞, 等. CT剂量、层厚和射线质对图像高对比度分辨力的影响研究[J]. 中国医学装备, 2023, 20(1): 12-16. Zhao XP, Gu XC, Chen F, et al.Study on the effects of dose, slice thickness and radiation quality on the resolution with high contrast of CT images[J]. China Medical Equipment, 2023, 20(1): 12-16. [9] 吴晨静. 螺旋CT重建层厚/层间距对肋骨不全骨折诊断准确率的影响[J]. 浙江创伤外科, 2023, 28(10): 1977-1980. Wu CJ.The influence of spiral CT reconstruction layer thickness/layer spacing on the diagnostic accuracy of incomplete rib fractures[J]. Zhejiang Journal of Traumatic Surgery, 2023, 28(10): 1977-1980. [10] Lee NJ, Jung SY, Park KM, et al.Factors affecting root migration after coronectomy of the mandibular third molar[J]. Medicine (Baltimore), 2021, 100(20): e25974. [11] Vizzotto MB, Silveira PF, Arús NA, et al.CBCT for the assessment of second mesiobuccal (MB2) canals in maxillary molar teeth: effect of voxel size and presence of root filling[J]. Int Endod J, 2013, 46(9): 870-876. [12] Haney E, Gansky SA, Lee JS, et al.Comparative analysis of traditional radiographs and cone-beam computed tomography volumetric images in the diagnosis and treatment planning of maxillary impacted canines[J]. Am J Orthod Dentofacial Orthop, 2010, 137(5): 590-597. [13] Robben J, Muallah J, Wesemann C, et al.Suitability and accuracy of CBCT model scan: an [14] Popowicz W, Palatyńska-Ulatowska A, Kohli MR.Targeted endodontic microsurgery: computed tomography-based guided stent approach with platelet-rich fibrin graft: a report of 2 cases[J]. J Endod, 2019, 45(12): 1535-1542. [15] Pauwels R, Beinsberger J, Collaert B, et al.Effective dose range for dental cone beam computed tomography scanners[J]. Eur J Radiol, 2012, 81(2): 267-271. [16] Hung KF, Yeung AWK, Wong MCM, et al.Comparing standard-and low-dose CBCT in diagnosis and treatment decisions for impacted mandibular third molars: a non-inferiority randomised clinical study[J]. Clin Oral Investig, 2024, 28(12): 647. [17] 吕金, 王超铭. 锥形束CT在口腔正畸埋伏阻生牙诊疗中的临床应用[J]. 浙江创伤外科, 2014, 19(1): 157-159. Lyu J, Wang CM.Clinical application of cone-beam CT in the diagnosis and treatment of impacted teeth in orthodontics[J]. Zhejiang Journal of Traumatic Surgery, 2014, 19(1): 157-159. [18] Fangfang X, Yuxin G, Ahmadi S, et al.A prospective randomized study on the efficacy of real-time dynamic navigation in deep horizontal mandibular third molar extractions[J]. BMC Oral Health, 2024, 24(1): 1234. [19] Yang Y, Hu C, Zhang Y, et al.Comparing digital and traditional guides in first molar implant surgery: a randomized clinical trial[J]. Technol Health Care, 2022, 30(S1): 403-412. [20] Gjelvold B, Mahmood DJH, Wennerberg A.Accuracy of surgical guides from 2 different desktop 3D printers for computed tomography-guided surgery[J]. J Prosthet Dent, 2019, 121(3): 498-503. [21] Liu J, Wang X, Shan P, et al.A randomized controlled trial: evaluation of efficiency and safety of a novel surgical guide in the extraction of deeply impacted supernumerary teeth in the anterior maxilla[J]. Ann Transl Med, 2022, 10(6): 292-301. [22] 高梓翔, 赵一姣, 朱玉佳, 等. 下颌阻生第三磨牙拔除序列分牙导板的数字化设计方法应用初探[J]. 中华口腔医学杂志, 2023, 58(5): 435-441. Gao ZX, Zhao YJ, Zhu YJ, et al.Designing method of the digital sequential tooth-sectioning guide for the extraction of mandibular impacted third molars[J]. Chinese Journal of Stomatology, 2023, 58(5): 435-441. [23] Zhu F, Ji L, Zhou C, et al.Accuracy of microimplant placement using a 3D guide plate for orthodontic anchorage[J]. Appl Bionics Biomech, 2023, 2023: 9060046. [24] Wu Y, Huang L, Ge B, et al.Application of 3D-printed resin guides for the removal of molar fiber posts[J]. J Dent, 2025, 153: 105462. [25] AlGhamdi MA, Alatiyyah FM, Almedarham RF, et al. Impact of nanoparticle addition on the surface and color properties of three-dimensional (3D) printed polymer-based provisional restorations[J]. Nanomaterials (Basel), 2024, 14(8): 665. [26] Zhuang W, Ye G, Wu J, et al.A 3D-printed bioactive polycaprolactone scaffold assembled with core/shell microspheres as a sustained BMP2-releasing system for bone repair[J]. Biomater Adv, 2022, 133: 112619. [27] 许明悠, 刘永恒, 汪鹏生, 等. 生物活性玻璃基骨修复材料的研究进展[J]. 中华骨科杂志, 2019, 39(7): 440-448. Xu MY, Liu YH, Wang PS, et al.Research progress of bioactive glasses based bone repair materials[J]. Chinese Journal of Orthopaedics, 2019, 39(7): 440-448. [28] Czyzewski W, Jachimczyk J, Hoffman Z, et al.Low-cost cranioplasty-a systematic review of 3D printing in medicine[J]. Materials (Basel), 2022, 15(14): 4731. [29] Li B, Wang S, Wei H, et al.The use of patient-specific implants in genioplasty and its clinical accuracy: a preliminary study[J]. Int J Oral Maxillofac Surg, 2020, 49(4): 461-465. [30] 黄雅欣, 陈坤利, 刘艳春, 等. CBCT与根尖片在下颌磨牙根分叉病变鉴别诊断中的应用价值[J]. 中国临床实用医学, 2025, 16(2): 115-119. Huang YX, Chen KL, Liu YC, et al.The value of cone beam computed toenography and periapical film in the differential diagnosis of furcation involvement in mandibular molars[J]. China Clinical Practical Medicine, 2025, 16(2): 115-119. [31] 冯二玫, 杨剑珍, 张彦霞. TF和S3预备磨牙重度弯曲根管的效果评价[J]. 上海口腔医学, 2020, 29(2): 146-149. Feng EM, Yang JZ, Zhang YX.Evaluation of the effects of TF and S3 nickel-titanium instruments in severely curved molar root canal preparation[J]. Shanghai Journal of Stomatology, 2020, 29(2): 146-149. [32] 朱芳芳, 蒋勇. CBCT测量骨小梁孔隙率评价骨小梁结构的应用研究[J]. 中国医疗美容, 2021, 11(1): 88-93. Zhu FF, Jiang Y.Application of CBCT in measuring trabecular porosity and evaluating trabecular structure[J]. China Medical Cosmetology, 2021, 11(1): 88-93. [33] 姜鑫淼, 徐智博, 甄雨琦, 等. 基于下颌第一前磨牙根管预备前后牙本质应力分布差异的CBCT和三维有限元分析[J]. 吉林大学学报(医学版), 2024, 50(5): 1259-1265. Jiang XM, Xu ZB, Zhen YQ, et al.CBCT and three-dimensional finite element analysis based on differences in dentin stress distribution before and after root canal preparation of mandibular first premolar teeth[J]. Journal of Jilin University:Medicine Edition, 2024, 50(5): 1259-1265. [34] 刘煜, 张蕾, 李坤, 等. 管电压, 管电流和相邻钛种植体对锥形束CT评估根管治疗后牙根纵裂的影响[J]. 口腔医学研究, 2022, 38(6): 553-558. Liu Y, Zhang L, Li K, et al.Influence of tube voltage,tube current,and adjacent titanium implant on detection of vertical root fractures after root canal therapy using cone-beam computed tomography[J]. Journal of Oral Science Research, 2022, 38(6): 553-558. [35] 钟波, 邓凯雄, 陈英. 上颌第一恒磨牙近中颊根第二根管口的锥形束CT定位研究[J]. 广东牙病防治, 2014, 22(6): 308-311. Zhong B, Deng KX, Chen Y.Cone-beam CT research of location of MB2 in maxillary first molars[J]. Journal of Dental Prevention and Treatment, 2014, 22(6): 308-311. [36] Vidya KC, Pathi J, Rout S, et al.Inferior alveolar nerve canal position in relation to mandibular molars: a cone-beam computed tomography study[J]. Natl J Maxillofac Surg, 2019, 10(2): 168-174. [37] 梁艺, 康非吾. 完全埋伏阻生的下颌第三磨牙拔除术后第二磨牙远中骨缺损的修复[J]. 口腔医学, 2020, 40(1): 78-82. Liang Y, Kang FW.Repair of distal bone defect of the second molar after extraction of fully impacted mandibular third molars[J]. Stomatology, 2020, 40(1): 78-82. [38] Zhang HX, Yan ZY, Cui NH, et al.Accuracy of computer-assisted dynamic navigation when performing coronectomy of the mandibular third molar: a pilot study[J]. J Dent, 2023, 139: 104762. [39] 王菲, 张馨月, 刘木清, 等. 顺牙长轴拔牙法在下颌近中与水平智齿拔除术中的应用及三维有限元分析[J]. 北京大学学报(医学版), 2025, 57(1): 106-112. Wang F, Zhang X, Liu M, et al.Clinical application and three-dimensional finite element analysis of along-axis extraction method in mandibular mesial and horizontally impacted third molar surgery[J]. Journal of Peking University (Health Sciences), 2025, 57(1): 106-112. [40] Kim U, Kim S, Kim E.The application of "bone window technique" using piezoelectric saws and a CAD/CAM-guided surgical stent in endodontic microsurgery on a mandibular molar case[J]. Restor Dent Endod, 2020, 45(3): e27. [41] 曾红, 王超, 周建萍, 等. 无托槽隐形矫治不同控根附件对磨牙近中移动力学影响的三维有限元分析[J]. 上海口腔医学, 2018, 27(2): 139-145. Zeng H, Wang C, Zhou JP, et al.Effect of different root control attachments on the mesially movement of upper molar with plastic aligner[J]. Shanghai Journal of Stomatology, 2018, 27(2): 139-145. [42] Yu JH, Wang YT, Lin CL.Customized surgical template fabrication under biomechanical consideration by integrating CBCT image, CAD system and finite element analysis[J]. Dent Mater J, 2018, 37(1): 6-14. [43] 徐静, 胡敏. 正畸微种植体定位方法研究进展[J]. 口腔医学研究, 2023, 39(2): 101-104. Xu J, Hu M.Advances in orthodontic mini-implant localization[J]. Journal of Oral Science Research, 2023, 39(2): 101-104. [44] 徐宇琛, 尹路. 数字化导板引导下拆除纤维桩并一体化纤维桩核修复1例[J]. 华西口腔医学杂志, 2024, 42(4): 538-542. Xu YC, Yin L.Removal of fiber post under the guidance of digital guide plate and one-piece glass fiber posts-and-cores repair:a clinical report[J]. West China Journal of Stomatology, 2024, 42(04): 538-542. [45] 杜建东, 韩保迪, 李芳兰, 等. 两种矫治设计在下颌近中唇侧阻生异位尖牙治疗中对邻近切牙牙根吸收的对比研究[J]. 实用口腔医学杂志, 2022, 38(4): 471-478. Du JD, Han BD, Li FL, et al.Comparative study of mandibular adjacent incisor root resorption following orthodontic management of mandibular mesial-labial impacted ectopic canines between two correction designs[J]. Journal of Practical Stomatology, 2022, 38(4): 471-478. [46] Tang X, Lai Q, Xue R, et al.Hard tissue preservation and recovery in minimally invasive alveolar surgery using three-dimensional printing guide plate[J]. J Craniofac Surg, 2022, 33(5): e476-e481. [47] Sivolella S, Brunello G, Fincato A, et al.Computer-guided bone lid technique for surgical extraction of deeply impacted mandibular third molars: a technical report[J]. Appl Sci, 2024, 14(9): 3580. [48] 贾骏, 段嫄嫄, 张少锋, 等. 下颌第一磨牙半切术三维有限元模型的建立[J]. 中国美容医学, 2006, 15(11): 1291-1293, 1340. Jia J, Duan YY, Zhang SF, et al.Construction of a three-dimensional finite element analysis model of the first mandibular molar with hemisection prosthodontic therapy[J]. Chinese Journal of Aesthetic Medicine, 2006, 15(11): 1291-1293, 1340. [49] 贾骏, 段嫄嫄, 周建学, 等. 下颌第一磨牙三维有限元模型的建立[J]. 医学临床研究, 2006, 23(5): 644-646. Jia J, Duan YY, Zhou JX, et al.Construction of a three-dimensional finite element analysis model of the first mandibular molar[J]. Journal of Clinical Research, 2006, 23(5): 644-646. [50] 李长顺. 数字化导板在下颌舌侧埋伏多生牙拔除中的应用 [D]. 南京: 南京医科大学, 2022. Li CS.Application of digital guide plate in extraction of impacted supernumerary teeth in the lingual region of mandibular posterior region [D]. Nanjing: Nanjing Medical University, 2022 [51] Zirek T, Öziç Mü, Tassoker M.AI-Driven localization of all impacted teeth and prediction of winter angulation for third molars on panoramic radiographs: Clinical user interface design[J]. Comput Biol Med, 2024, 178: 108755. [52] 曹晖, 顾佳毅. 人工智能医疗给外科医生带来的挑战、机遇与思考[J]. 中国实用外科杂志, 2018, 38(1): 28-33. Cao H, Gu JY.Artificial intelligence in medicine: challenges,opportunities and reflections for surgeons[J]. Chinese Journal of Practical Surgery, 2018, 38(1): 28-33. [53] Yang S, Zhu Y, Ji C, et al.A five-in-one novel MOF-modified injectable hydrogel with thermo-sensitive and adhesive properties for promoting alveolar bone repair in periodontitis: antibacterial, hemostasis, immune reprogramming, pro-osteo-/angiogenesis and recruitment[J]. Bioact Mater, 2024, 41: 239-256. [54] 范德增. 口腔数字化诊疗技术及材料的发展现状与趋势[J]. 新材料产业, 2019 (12): 15-19. Fan DZ.Development status and trends of digital diagnosis and treatment technologies and materials in dentistry[J]. Advanced Materials Industry, 2019 (12): 15-19. |
| [1] | LIU Ying-xue, CHENG Li-jun, WEI Ze-quan, PAN Xiang-feng, ZHAO Min-chao. The relationship between mandibular fracture and dental injury in children and adolescents analyzed based on CBCT [J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(6): 572-577. |
| [2] | WU Jiong-rui, CHEN Liang, GAO Yi-ming. CBCT analysis of anatomy of maxillary sinus septa in 987 cases [J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(6): 578-583. |
| [3] | HE Yu-long, BAO Chong-yun. Artificial intelligence oral surgeon analyzing the source of resistance of mandibular third molars based on CBCT images [J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(4): 339-345. |
| [4] | WANG Jing-fu, ZHANG Ning, YANG Yong, ZHANG Wei-han, CHANG Xin. Measurements of morphological characteristics of incisal canals in 65 middle-aged and elderly patients by CBCT [J]. China Journal of Oral and Maxillofacial Surgery, 2024, 22(4): 385-389. |
| [5] | LIU Xiao-lin, WANG Ze-chen, REN Qun, LIU Xiao, LIU Wen-jing, FENG Ying, FENG Xiao-wei. Clinical data analysis of 119 supernumerary teeth in posterior teeth area [J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(3): 243-247. |
| [6] | WANG Chen-xin, PENG Jing, HUANG Xin, SHI Le, DAI Xiao-feng. Effect of columnar collagen sponge on the extraction of impacted teeth and the risk of complications [J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(2): 146-151. |
| [7] | WU Ye, LIU Huan-huan, CHEN Jia-min, NIU Gang, WANG Tao, XIE Fu-ping, LIN Li-song. Application of virtual, simulation technology in experimental teaching of mandibular impacted tooth extraction [J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(3): 303-306. |
| [8] | ZHANG Chu-nan, NI Jie, MO Jia-ji, QIAO Shi-chong, WANG Bei, GU Ying-xin. Early regenerated buccal bone remodeling following dental implant surgery with guided bone regeneration in the esthetic area using bone xenografts [J]. China Journal of Oral and Maxillofacial Surgery, 2018, 16(1): 29-33. |
| [9] | ZHANG Chu-nan, MO Jia-ji, QIAO Shi-chong, NI Jie, WANG Bei, GU Ying-xin.. Crestal bone resorption during the healing period of guided bone regeneration with simultaneous implant placement in anterior aesthetic area: a prospective clinical study [J]. China Journal of Oral and Maxillofacial Surgery, 2017, 15(5): 416-421. |
| [10] | QU Wei-guo, SHENG Lan-lan, LI Yang, QU Zhen-yu, YUE Bai, WANG Ji. Three dimensional survey of trend of inferior alveolar nerve canal and mandibular morphology by cone-beam CT between patients with mandibular deviation and normal individuals [J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(4): 344-351. |
| [11] | HU Ying-kai, XU Guang-zhou, YANG Chi. A clinical analysis of impacted teeth in 37 elder patients [J]. China Journal of Oral and Maxillofacial Surgery, 2016, 14(1): 72-75. |
| [12] | XU Guang-zhou, YANG Chi, FAN Xin-dong, YU Chuang-qi, WANG Yong, ZHANG Ying. Classification of the impacted mandibular third molar using the mandibular canal as a reference and its clinical significance [J]. China Journal of Oral and Maxillofacial Surgery, 2014, 12(2): 131-135. |
| Viewed | ||||||
|
Full text |
|
|||||
|
Abstract |
|
|||||