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病例报告:通过锥形束计算机断层扫描定位的非综合征性多生牙

Case report: non-syndromic multiple supernumerary teeth localized by cone beam computed tomography.

作者信息

Brauer H U

机构信息

Private Practice of Oral and Maxillofacial Surgery, Kollwitzstrasse 8, 73728 Esslingen, Germany.

出版信息

Eur Arch Paediatr Dent. 2010 Feb;11(1):41-3. doi: 10.1007/BF03262709.

DOI:10.1007/BF03262709
PMID:20129033
Abstract

BACKGROUND

Supernumerary teeth are an infrequent developmental alteration that can appear in any area of the dental arches and which are often associated with several syndromes such as cleidocranial dysplasia or Gardner syndrome. Multiple supernumerary teeth in individuals with no other associated diseases or syndromes are very uncommon.

CASE REPORT

A 14-year-old male patient presented with 13 unerupted supernumerary teeth distributed in all four quadrants.

TREATMENT

After taking a cone beam computed tomograph (CBCT), surgical extraction was performed under general anaesthesia in two steps in order to minimize the risk of airway-constriction by haematoma.

FOLLOW-UP: Follow-up examination was uneventful. Further orthodontic treatment is planned which will secure the orthodontic alignment and correct occlusion.

CONCLUSION

Cone beam computed tomography is crucial for exact localization, for treatment planning, and for the surgical approach in cases of multiple supernumerary teeth.

摘要

背景

多生牙是一种罕见的发育异常,可出现在牙弓的任何区域,常与锁骨颅骨发育不全或加德纳综合征等多种综合征相关。在没有其他相关疾病或综合征的个体中出现多个多生牙非常罕见。

病例报告

一名14岁男性患者有13颗未萌出的多生牙,分布在所有四个象限。

治疗

在进行锥形束计算机断层扫描(CBCT)后,在全身麻醉下分两步进行手术拔除,以尽量减少血肿导致气道狭窄的风险。

随访

随访检查无异常。计划进一步进行正畸治疗,以确保正畸排齐并矫正咬合。

结论

锥形束计算机断层扫描对于多生牙病例的精确定位、治疗计划和手术方法至关重要。

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Int J Clin Pediatr Dent. 2017 Apr-Jun;10(2):217-222. doi: 10.5005/jp-journals-10005-1439. Epub 2017 Jun 1.
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Late developing supernumerary premolars: reports of two cases.

本文引用的文献

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Cone beam CT in dental practice.牙科实践中的锥形束CT
Br Dent J. 2009 Jul 11;207(1):23-8. doi: 10.1038/sj.bdj.2009.560.
2
Multiple supernumerary teeth not associated with complex syndromes: a retrospective study.多生牙与复杂综合征无关:一项回顾性研究
Med Oral Patol Oral Cir Bucal. 2009 Jul 1;14(7):E331-6.
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Nonsyndromic multiple mandibular supernumerary premolars.非综合征性多发性下颌额外前磨牙
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Non-syndrome multiple supernumerary teeth: A case report.非综合征性多生牙:一例报告。
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Autosomal dominant inherence of multiple supernumerary teeth.多生牙的常染色体显性遗传。
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Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases.使用锥形束计算机断层扫描对487例多生牙进行三维评估。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Mar;103(3):403-11. doi: 10.1016/j.tripleo.2006.03.026. Epub 2006 Aug 4.
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Retrospective study of 145 supernumerary teeth.145颗多生牙的回顾性研究。
Med Oral Patol Oral Cir Bucal. 2006 Jul 1;11(4):E339-44.
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Characteristics and prevalence of non-syndrome multiple supernumerary teeth: a retrospective study.非综合征性多生牙的特征与患病率:一项回顾性研究
Dentomaxillofac Radiol. 2006 May;35(3):185-90. doi: 10.1259/dmfr/21956432.
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Radiographic examination of mesiodens and their associated complications.正中多生牙及其相关并发症的影像学检查。
Dentomaxillofac Radiol. 2004 Mar;33(2):125-7. doi: 10.1259/dmfr/68039278.
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Supernumerary teeth: review of the literature and a survey of 152 cases.多生牙:文献综述及152例病例调查
Int J Paediatr Dent. 2002 Jul;12(4):244-54. doi: 10.1046/j.1365-263x.2002.00366.x.