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埋伏正中牙的特发性吸收:一项影像学研究。

Idiopathic resorption of impacted mesiodentes: a radiographic study.

作者信息

Mensah T M S, Garvald H, Grindefjord M, Robertson A, Koch G, Ullbro C

机构信息

Clinic of Paediatric Dentistry, Public Dental Service, Hagagatan 6, 652 20, Karlstad, Värmland, Sweden,

出版信息

Eur Arch Paediatr Dent. 2015 Jun;16(3):291-6. doi: 10.1007/s40368-014-0162-8. Epub 2015 Jan 17.

DOI:10.1007/s40368-014-0162-8
PMID:25596019
Abstract

BACKGROUND

Although a large number of mesiodentes are left in situ, only a few are found in radiographs from epidemiological studies of adult populations. This leads to the development of a hypothesis that mesiodentes may be resorbed and disappear over time. The aim of this study was to radiographically investigate the frequency of resorptions and pathologies in relation to mesiodentes left in situ.

METHODS

The study population consisted of 44 individuals, with 49 mesiodentes left in situ at an early age. The individuals were 18-38 years old when re-examined. The inclusion criteria were that the mesiodentes had been diagnosed in childhood and left in situ, and that each individual was over 18 years of age at the time of re-examination. Either digital or analogue intraoral radiographs were used at the re-examination and compared with earlier analogue radiographs.

RESULTS

Forty-one per cent of the impacted mesiodentes showed resorptions-from limited to nearly complete resorption. No pathologies in connection to the mesiodentes were found.

CONCLUSION

About half of the mesiodentes examined displayed resorption. No pathologies caused by the mesiodentes were recorded.

摘要

背景

尽管大量额外牙留在原位,但在成人群体的流行病学研究的X光片中仅发现少数额外牙。这导致一种假说的形成,即额外牙可能会随着时间的推移被吸收并消失。本研究的目的是通过X光片调查与留在原位的额外牙相关的吸收和病变的频率。

方法

研究人群由44名个体组成,他们在幼年时共有49颗额外牙留在原位。重新检查时,这些个体的年龄在18至38岁之间。纳入标准是额外牙在儿童期被诊断出并留在原位,且每个个体在重新检查时年龄超过18岁。重新检查时使用了数字或模拟口腔内X光片,并与早期的模拟X光片进行比较。

结果

41%的埋伏额外牙出现了吸收——从有限吸收到几乎完全吸收。未发现与额外牙相关的病变。

结论

约一半接受检查的额外牙显示有吸收。未记录到由额外牙引起的病变。

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本文引用的文献

1
Prevalence of mesiodens in orthodontic patients with deciduous and mixed dentition and its association with other dental anomalies.乳牙列和混合牙列正畸患者中额外牙的患病率及其与其他牙齿异常的关联。
Dental Press J Orthod. 2013 Nov-Dec;18(6):93-9. doi: 10.1590/s2176-94512013000600014.
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Aetiology of supernumerary teeth: a literature review.多生牙的病因学:文献综述
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Determination of the optimum time for surgical removal of unerupted anterior supernumerary teeth.
确定拔除未萌出上前额外牙的最佳手术时间。
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Clinical characteristics and complications associated with mesiodentes.与正中多生牙相关的临床特征及并发症。
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Ectopic maxillary canines and root resorption of adjacent incisors. Does computed tomography (CT) influence decision-making by orthodontists?上颌异位尖牙及相邻切牙的牙根吸收。计算机断层扫描(CT)是否会影响正畸医生的决策?
Swed Dent J. 2008;32(4):179-85.
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Unraveling the molecular mechanisms that lead to supernumerary teeth in mice and men: current concepts and novel approaches.解析导致小鼠和人类多生牙的分子机制:当前概念与新方法
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Location, complications and treatment of mesiodentes--a retrospective study in children.正中多生牙的位置、并发症及治疗——一项儿童回顾性研究
Swed Dent J. 2005;29(1):1-9.
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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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Comparison of radiation levels from computed tomography and conventional dental radiographs.计算机断层扫描与传统牙科X光片辐射水平的比较。
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