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[牙本质发育异常的鉴别诊断难点。病例报告]

[Difficulties in differential diagnosis of dentin dysplasia. Case report].

作者信息

Komlós György, Joób-Fancsaly Árpád, Pataky Levente, Shkolnik Tatiana, Bogdán Sándor

出版信息

Fogorv Sz. 2015 Jun;108(2):53-6.

PMID:26434208
Abstract

In cases of periapical lesions of unknown origin we have to keep in mind the possibility of dentin dysplasia. From the differential diagnostic point of view of differential diagnosis it is important to recognize this disease as it significantly influences the treatment modality. It is an anomaly of unknown etiology that could affect both deciduous and permanent dentition. Dentin dysplasia presentation varies clinically and radiologically. A rare manifestation which affects 1: 100000 patients is spontaneously occurring either as periapical abscess or odontogenic cyst. The affected teeth could become mobile and eventually lost. Dentin dysplasia is a genetic disease which shows autosomal dominant inheritance and characterized by abnormal formation of dentin structure which occurs during tooth development. For this article we have reviewed available literature and PubMed database. Dentin dysplasia increases the risk of early tooth loss and associated with it esthetic and functional disturbances. As a result it can influence the psychological and social status of the patients and affect their quality of life.

摘要

在病因不明的根尖周病变病例中,我们必须考虑牙本质发育异常的可能性。从鉴别诊断的角度来看,认识到这种疾病很重要,因为它会显著影响治疗方式。这是一种病因不明的异常情况,可影响乳牙和恒牙列。牙本质发育异常在临床和影像学上表现各异。一种罕见的表现形式(发生率为1:100000)是自发出现根尖周脓肿或牙源性囊肿。患牙可能会松动并最终脱落。牙本质发育异常是一种遗传性疾病,呈常染色体显性遗传,其特征是在牙齿发育过程中牙本质结构形成异常。在撰写本文时,我们查阅了现有文献和PubMed数据库。牙本质发育异常会增加早期牙齿脱落的风险,并伴有美观和功能障碍。因此,它会影响患者的心理和社会状况,进而影响他们的生活质量。

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1
[Difficulties in differential diagnosis of dentin dysplasia. Case report].[牙本质发育异常的鉴别诊断难点。病例报告]
Fogorv Sz. 2015 Jun;108(2):53-6.
2
Dentin dysplasia type I: report of atypical cases in the permanent and mixed dentitions.I型牙本质发育异常:恒牙列和混合牙列中不典型病例报告
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Inhabitual autosomal recessive form of dentin dysplasia type I in a large consanguineous Moroccan family.一个大型摩洛哥近亲家族中I型牙本质发育不全的常染色体隐性遗传形式。
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