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下颌第三磨牙无牙根暴露的过度萌出与牙周健康

Overeruption without root exposure of third molars and periodontal health in the mandible.

作者信息

Yamaoka M, Hashimoto M, Sugiura M, Matsuura T, Shiba T, Uematsu T, Furusawa K

机构信息

Department of Oral and Maxillofacial Surgery, Matsumoto Dental University School of Dentistry, Shiojiri, Nagano 399-0781, Japan.

出版信息

Clin Oral Investig. 2005 Sep;9(3):192-6. doi: 10.1007/s00784-005-0314-7. Epub 2005 Jun 7.

Abstract

Bone formation is seen around the third molar even when the tooth is exposed to the oral environment due to overeruption. To determine if overeruption of the third molar with or without root exposure is related to the status of the exposure of other teeth in the mandible, using orthopantomographs, 424 third molars were studied in 371 patients who were over 41 years of age. The rate of overeruption and root exposure in third molars was measured, and its relationship to the number of teeth lost and the rate of root exposure in other teeth in the mandible was analyzed. Tooth loss in the group of third molars with overeruption without root exposure was greater than in that without overeruption or root exposure in men, whereas the relationship was not seen in women. We found that root exposures of other teeth in the group of third molars with overeruption without root exposure were significantly smaller than in those with root exposure in both genders. Third molars with overeruption without root exposure, in which bone formation was easy to observe for radiographic diagnosis, were correlated with periodontal health in the mandible, suggesting a component of precision determination for predicting resistance to periodontitis.

摘要

即使第三磨牙因过度萌出而暴露于口腔环境中,仍可见其周围有骨形成。为了确定第三磨牙有无牙根暴露的过度萌出是否与下颌其他牙齿的暴露状况有关,利用曲面体层片,对371例41岁以上患者的424颗第三磨牙进行了研究。测量了第三磨牙的过度萌出率和牙根暴露率,并分析了其与下颌其他牙齿缺失数量及牙根暴露率的关系。在男性中,无牙根暴露的过度萌出的第三磨牙组的牙齿缺失率高于无过度萌出或牙根暴露的组,而在女性中未观察到这种关系。我们发现,在无牙根暴露的过度萌出的第三磨牙组中,无论男女,其他牙齿的牙根暴露均明显小于有牙根暴露的组。无牙根暴露的过度萌出的第三磨牙易于通过影像学诊断观察到骨形成,这与下颌的牙周健康相关,提示其在预测牙周炎抵抗力方面具有精确判定的作用。

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