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牙中牙(牙内陷)。两例单侧及一例双侧病例报告。

Dens in dente (dens invaginatus). Report of two unilateral and one bilateral case.

作者信息

Kannan S Karthiga, Bharadwaj T P, Urraj G

机构信息

Departments of Oral Medicine & Radiology, Conservative Dentistry, Oral Pathology, Meenakshi Amma Dental College, Chennai, India.

出版信息

Indian J Dent Res. 2003 Apr-Jun;14(2):125-9.

Abstract

Dens invaginatus is a deep surface invagination of the crown or root that is lined by enamel. It is one of the developmental anomalies affecting the teeth. It commonly affects maxillary lateral incisor, followed by central incisor, premolar, canine and molar tooth. Maxillary teeth are more commonly involved than mandibular teeth. It usually occurs unilaterally although 43% occur bilaterally. The invagination within the tooth can be single, double and even triple has been reported. The affected tooth usually is thick, barrel shaped with a small round palatal opening to the invagination. It usually traps plaque, food debris and is prone for dental caries, which may lead to pulpal and periapical pathology. So if detected early the dens invaginatus should be prophylatically restored. Two unilateral and one bilateral case of dens invaginatus are reported here.

摘要

牙中牙是牙冠或牙根表面的一种深凹陷,其内壁衬有牙釉质。它是影响牙齿的发育异常之一。它通常影响上颌侧切牙,其次是中切牙、前磨牙、尖牙和磨牙。上颌牙比下颌牙更常受累。它通常单侧发生,尽管有43%是双侧发生。牙内的凹陷可以是单一的、双重的,甚至有报道称是三重的。患牙通常较厚,呈桶状,有一个通向凹陷的小圆形腭侧开口。它通常会滞留菌斑、食物残渣,容易发生龋齿,这可能导致牙髓和根尖周病变。因此,如果早期发现牙中牙,应进行预防性修复。本文报告了两例单侧和一例双侧牙中牙病例。

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