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[锁骨颅骨发育不全中恒牙列滞留及异位牙的外科正畸分类]

[The surgical-orthodontic classification of retained and dystopic teeth of the second dentition in dysostosis cleidocranialis].

作者信息

Tränkmann J

出版信息

Fortschr Kieferorthop. 1989 Aug;50(4):316-25. doi: 10.1007/BF02164309.

Abstract

Dysostosis cleidocranialis concerns both teeth and jaw and is characterized by supernumerary teeth, dentitio tarda, tooth impaction and eventually follicular cysts. The concept of treatment can be divided in two stages: 1. At the beginning of the delayed secondary dentition (dentitio tarda) the operative removal of the supernumerary tooth germs and 2. corresponding to the belated morphological development (dentitio tarda) the operative exposure of the impacted teeth of the secondary dentition. The first operation facilitates a morphological development and especially a vertical drift without any obstacles. The second becomes necessary when only the morphological development, but not the vertical drift of the teeth of the secondary dentition takes place. The operative exposure is done using a self-developed technique [13, 18]. At the same time as the exposed teeth undergo a spontaneous vertical drift, orthopedic treatment for anomaly is started.

摘要

锁骨颅骨发育不全涉及牙齿和颌骨,其特征为多生牙、出牙延迟、牙齿阻生并最终形成滤泡囊肿。治疗理念可分为两个阶段:1. 在继发性牙列延迟(出牙延迟)开始时,手术拔除多生牙胚;2. 对应发育迟缓的形态学发育(出牙延迟),手术暴露继发性牙列中阻生的牙齿。首次手术有助于形态学发育,特别是无阻碍的垂直萌出。当继发性牙列的牙齿仅发生形态学发育,而未发生垂直萌出时,则需要进行第二次手术。手术暴露采用自行研发的技术[13, 18]。在暴露的牙齿自发进行垂直萌出的同时,开始针对异常情况的正畸治疗。

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