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[阻生第三磨牙致下颌第二磨牙牙根吸收。1例病例报告及相关文献复习]

[Root resorption of mandibular second molars by impacted third molars. A case report with some reviews].

作者信息

Sakai S, Miyajima K, Yamakawa T

机构信息

Department of Orthodontics, School of Dentistry, Aichi-Gakuin University, Nagoya, Japan.

出版信息

Aichi Gakuin Daigaku Shigakkai Shi. 1990 Mar;28(1 Pt 1):259-66.

PMID:2135109
Abstract

A case is presented here in which mandibular third molars resorbed second molars bilaterally 4 years 9 months after orthodontic treatment was finished. The initial problem was open bite, which was treated by non-extraction followed by a period for observing the third molars. During that period, the mandibular third molars moved mesially to resorb the roots of the second molars. The injured second molars were, therefore, extracted and the third molars were uprighted. During adolescence, third molars are erupting. When the posterior space is not enough for the third molars, they often erupt buccally or lingually, or impact distally toward the second molars and cause root resorption. It is suggested that the third molars should be observed carefully till they erupt or are extracted.

摘要

本文介绍了一个病例,正畸治疗结束4年9个月后,下颌第三磨牙双侧吸收第二磨牙。最初的问题是开牙合,采用非拔牙治疗,随后观察第三磨牙一段时间。在此期间,下颌第三磨牙向近中移动,吸收第二磨牙的牙根。因此,拔除了受损的第二磨牙,并扶正了第三磨牙。在青春期,第三磨牙正在萌出。当后部空间不足以容纳第三磨牙时,它们通常会颊向或舌向萌出,或向远中方向抵住第二磨牙并导致牙根吸收。建议仔细观察第三磨牙,直到它们萌出或被拔除。

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