Tan Chiewee, Ekambaram Manikandan, Lee Gillian H M, Yiu Cynthia K Y
Discipline of Paediatric Dentistry, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Discipline of Paediatric Dentistry, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
J Investig Clin Dent. 2019 May;10(2):e12395. doi: 10.1111/jicd.12395. Epub 2019 Jan 28.
The aim of the present study was to investigate the association between unerupted permanent incisors and dental anomalies among children and adolescents.
The clinical records of patients between January 2005 and December 2014 were retrieved to identify those with unerupted permanent incisors. A retrospective audit on the presence or absence of any dental anomalies was done from all available records of the included patients.
A total of 266 patients with 320 unerupted permanent incisors were identified from the 15 987 patients in the study. Among the unerupted permanent incisors, 222 (69.4%) were associated with dental anomalies, which was significantly higher than those showing an absence of dental anomalies (N = 98, 30.6%, P < 0.001). For the unerupted maxillary central incisors, a significantly higher proportion was associated with supernumerary teeth (P < 0.001). For the unerupted maxillary lateral incisors, a significantly higher proportion was associated with the ectopic eruption of permanent canines when compared with other dental anomalies (P < 0.001). The presence of the ectopic eruption of permanent canine, double teeth, and hyperdontia was significantly higher among male patients with unerupted permanent incisors.
Unerupted permanent incisors were associated with supernumerary teeth and ectopic eruption of permanent canines. Specifically, a higher proportion of unerupted maxillary central incisors was associated with the presence of supernumerary teeth, whereas a higher percentage of unerupted maxillary lateral incisors was associated with the ectopic eruption of permanent canines.
本研究旨在调查儿童和青少年中未萌出的恒切牙与牙齿异常之间的关联。
检索2005年1月至2014年12月期间患者的临床记录,以确定那些有未萌出恒切牙的患者。对纳入患者的所有可用记录进行回顾性审核,以确定是否存在任何牙齿异常。
在该研究的15987名患者中,共识别出266例有320颗未萌出恒切牙的患者。在未萌出的恒切牙中,222颗(69.4%)与牙齿异常有关,这显著高于无牙齿异常的牙齿(n = 98,30.6%,P < 0.001)。对于未萌出的上颌中切牙,与多生牙相关的比例显著更高(P < 0.001)。对于未萌出的上颌侧切牙,与其他牙齿异常相比,与恒尖牙异位萌出相关的比例显著更高(P < 0.001)。在有未萌出恒切牙的男性患者中,恒尖牙异位萌出、双牙和多生牙的发生率显著更高。
未萌出的恒切牙与多生牙和恒尖牙异位萌出有关。具体而言,未萌出的上颌中切牙中,与多生牙存在相关的比例更高,而未萌出的上颌侧切牙中,与恒尖牙异位萌出相关的百分比更高。