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1型神经纤维瘤病患者的龋齿、缺失牙和修复牙

Decayed, missing, and restored teeth in patients with Neurofibromatosis Type 1.

作者信息

Friedrich Reinhard E, Reul Anika

机构信息

Prof. Dr. med. Dr. med. dent, Department of Oral and Craniomaxillofacial Surgery.

Senior registrar, Department of Prosthodontics, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany.

出版信息

J Clin Exp Dent. 2018 Feb 1;10(2):e107-e115. doi: 10.4317/jced.54561. eCollection 2018 Feb.

Abstract

BACKGROUND

NF1 is a relatively frequently occurring autosomal dominant inherited disease. There are conflicting reports about oral health status in NF1. The aim of this study was to analyze the dental status of patients with neurofibromatosis type 1 (NF1).

MATERIAL AND METHODS

Radiographs of 179 patients with NF1 were analyzed for decayed, missing, and filled teeth (DMFT) in a cross-sectional, retrospective study. The results were compared to age- and sex-matched controls of individuals not affected by NF1. The NF1 group was differentiated for facial tumor type and localization.

RESULTS

Missing teeth were more frequently registered in the NF1 group. On the other hand, decayed teeth were more frequent in the reference group. However, these findings had to be interpreted with caution, because the type and localization of the facial tumor affected the measured values.

CONCLUSIONS

Dental health in terms of DMFT differed between NF1 patients and the control group. The presented results indicate the need for special care in dentistry in NF1 patients in order to preserve dental health, particularly in individuals affected with certain types of facial tumors. DMFT index, neurofibromatosis type 1, plexiform neurofibroma, oral health.

摘要

背景

1型神经纤维瘤病(NF1)是一种相对常见的常染色体显性遗传病。关于NF1患者的口腔健康状况,存在相互矛盾的报道。本研究的目的是分析1型神经纤维瘤病(NF1)患者的牙齿状况。

材料与方法

在一项横断面回顾性研究中,对179例NF1患者的X线片进行龋、失、补牙数(DMFT)分析。将结果与年龄和性别匹配的未受NF1影响的个体对照组进行比较。根据面部肿瘤类型和部位对NF1组进行区分。

结果

NF1组中牙齿缺失的情况更为常见。另一方面,参照组中龋齿更为常见。然而,这些发现必须谨慎解读,因为面部肿瘤的类型和部位会影响测量值。

结论

NF1患者和对照组在DMFT方面的牙齿健康状况有所不同。呈现的结果表明,为了保持牙齿健康,NF1患者在牙科方面需要特别护理,尤其是患有某些类型面部肿瘤的个体。DMFT指数、1型神经纤维瘤病、丛状神经纤维瘤、口腔健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c596/5899786/a6cb57b02be8/jced-10-e107-g001.jpg

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