年轻患者恒牙侧切牙的发育异常
Developmental anomalies of permanent lateral incisors in young patients.
作者信息
Fujita Yuko, Hidaka Akiko, Nishida Ikuko, Morikawa Kazumasa, Hashiguchi Daisuke, Maki Kenshi
机构信息
Division of Developmental Stomatognathic Function Science, Department of Growth and Development of Functions, Kyushu Dental College, Kitakyushu, Japan.
出版信息
J Clin Pediatr Dent. 2009 Spring;33(3):211-5. doi: 10.17796/jcpd.33.3.c74j49r738676671.
OBJECTIVE
To elucidate the prevalence of developmental anomalies of permanent lateral incisors among young patients in Japan. STUDY DEIGN: A total of 1375 patients were observed between 1990 and 2008 at the Department of Pediatric Dentistry in the Kyushu Dental College Hospital and four private pediatric dental clinics in Kitakyushu City. Panoramic and periapical radiographs were examined for all those patients aged 5 to 19 years.
RESULTS
The prevalence of agenesis of the lateral incisors was 7.3% (100 patients), with more girls than boys being affected. The prevalence rates of absent upper and lower lateral incisors were 2.7 and 4.8% (34 and 63 patients), respectively. Nine (0.7%) of the total patients had microdontia. Eruption disturbance was present in five patients (0.4%). Two of five patients presented with a disturbed eruption owing to an odontoma or a supernumerary tooth.
CONCLUSION
In our study, the prevalence of agenesis of the lateral incisors was higher in Japanese children than in other populations, and eruption disturbance occurred less frequently than agenesis and microdontia. Nevertheless, the early differential diagnosis of an eruption disturbance is important in order to begin appropriate treatment at the optimal time.
目的
阐明日本年轻患者中恒侧切牙发育异常的患病率。研究设计:1990年至2008年期间,对九州齿科大学医院儿科牙科以及北九州市四家私立儿科牙科诊所的1375例患者进行了观察。对所有5至19岁的患者进行了全景和根尖片检查。
结果
侧切牙缺失的患病率为7.3%(100例患者),受影响的女孩多于男孩。上颌和下颌侧切牙缺失的患病率分别为2.7%和4.8%(34例和63例患者)。在所有患者中有9例(0.7%)出现过小牙。5例患者(0.4%)存在萌出障碍。5例患者中有2例因牙瘤或多生牙导致萌出障碍。
结论
在我们的研究中,日本儿童侧切牙缺失的患病率高于其他人群,萌出障碍的发生率低于缺失和过小牙。然而,为了在最佳时机开始适当的治疗,对萌出障碍进行早期鉴别诊断很重要。