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城市牙科学校环境下非综合征人群多生牙的特征

Characteristics of Supernumerary Teeth in Nonsyndromic Population in an Urban Dental School Setting.

作者信息

McBeain Mackensie, Miloro Michael

机构信息

Former Oral and Maxillofacial Surgery Intern, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, College of Dentistry, Department of Oral and Maxillofacial Surgery, Chicago, IL.

Professor and Head, Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, College of Dentistry, Department of Oral and Maxillofacial Surgery, Chicago, IL.

出版信息

J Oral Maxillofac Surg. 2018 May;76(5):933-938. doi: 10.1016/j.joms.2017.10.013. Epub 2017 Oct 16.

DOI:10.1016/j.joms.2017.10.013
PMID:29127774
Abstract

PURPOSE

The purpose of this study was to analyze the clinical records of all patients evaluated for supernumerary teeth at the University of Illinois-Chicago Department of Oral and Maxillofacial Surgery postgraduate clinic from January 1, 2010 to October 31, 2015 to determine the demographics of impacted supernumerary teeth among different ethnicities in the city of Chicago.

MATERIALS AND METHODS

A retrospective case series was completed on patients eligible for inclusion in the study who had a diagnosis of at least 1 full bony impacted supernumerary tooth (D7240). Other variables evaluated included date of surgical intervention, age at time of treatment, gender, ethnicity, location and number of supernumerary teeth present, and family history of supernumerary teeth.

RESULTS

There were 459 male and 308 female patients (male-to-female ratio, 1.5:1). Patient ages ranged from 4 to 51 years (average, 13.1) at the time of surgery. Five hundred seventy-three patients (74.7%) were of Hispanic descent. Supernumerary teeth were found most frequently in the maxilla (69.9%), specifically in the central incisor region (526 teeth; 51.2%). Of the responding patient sample (258 patients), 53 patients (20.5%) reported a family history of supernumerary dentition. Of these 53 patients who reported a family history of supernumerary dentition, 37 (69.8%) were of Hispanic descent. Most of these Hispanic patients (83.8%) originated from Mexico.

CONCLUSIONS

The incidence of supernumerary teeth is higher in male patients (male-to-female ratio, 1.5:1), and these teeth are most frequently found in the maxilla (69.9%), specifically the central incisor region (51.2%). A large percentage of patients (20.5%) also had first-degree relatives with a supernumerary dentition, and this fact might warrant further investigation into the possible genetics responsible for the formation of supernumerary teeth.

摘要

目的

本研究旨在分析2010年1月1日至2015年10月31日期间在伊利诺伊大学芝加哥分校口腔颌面外科研究生诊所接受多生牙评估的所有患者的临床记录,以确定芝加哥市不同种族中埋伏多生牙的人口统计学特征。

材料与方法

对符合纳入研究标准、诊断为至少1颗完全骨埋伏多生牙(D7240)的患者完成一项回顾性病例系列研究。评估的其他变量包括手术干预日期、治疗时的年龄、性别、种族、多生牙的位置和数量以及多生牙家族史。

结果

有459例男性患者和308例女性患者(男女性别比为1.5:1)。手术时患者年龄在4至51岁之间(平均13.1岁)。573例患者(74.7%)为西班牙裔。多生牙最常见于上颌(69.9%),特别是中切牙区域(526颗牙;51.2%)。在有回应的患者样本(258例患者)中,53例患者(20.5%)报告有多生牙家族史。在这53例报告有多生牙家族史的患者中,37例(69.8%)为西班牙裔。这些西班牙裔患者中的大多数(83.8%)来自墨西哥。

结论

多生牙在男性患者中的发生率较高(男女性别比为1.5:1),并且这些牙齿最常见于上颌(69.9%),特别是中切牙区域(51.2%)。很大比例的患者(20.5%)还有一级亲属有多生牙,这一事实可能值得进一步研究导致多生牙形成的潜在遗传学因素。

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