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犬猫未萌出牙的临床、影像学及组织学研究:73例病例(2001 - 2018年)

A Clinical, Radiographic and Histological Study of Unerupted Teeth in Dogs and Cats: 73 Cases (2001-2018).

作者信息

Bellei Emma, Ferro Silvia, Zini Eric, Gracis Margherita

机构信息

Department of Veterinary Medical Science, Alma Mater Studiorum-Bologna University, Bologna, Italy.

"I Portoni Rossi" Veterinary Hospital, Bologna, Italy.

出版信息

Front Vet Sci. 2019 Nov 8;6:357. doi: 10.3389/fvets.2019.00357. eCollection 2019.


DOI:10.3389/fvets.2019.00357
PMID:31788479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6856145/
Abstract

Lack of dental eruption may be accompanied by development of dentigerous cysts and has also been rarely associated with neoplasia. However, little information is available on prevalence of unerupted teeth and associated lesions in dogs and cats. The main objective of this study was to describe the epidemiologic data of canine and feline dental patients with unerupted teeth, and assess the prevalence of associated dentigerous cysts and tumors. Secondary aims included the evaluation of possible factors implicated in cystic development, and description of the histological features of dentigerous cysts. Medical and dental records, intraoral photographs, intraoral radiographs of client-owned dogs and cats with clinically missing teeth examined between 2001 and March 2018 were reviewed. Collected data included signalment, reason for presentation, number, type, depth of inclusion and angulation of unerupted teeth, presence of cystic lesions or tumors, abnormalities affecting involved teeth, histopathological findings, performed treatment and outcome. Seventy-three animals (69 dogs and 4 cats) with 113 unerupted teeth were included. The most frequent unerupted tooth in dogs was the first premolar teeth (78%), followed by the canine and third molar teeth. Dentigerous cysts were diagnosed associated with 48 (44.4%) teeth in dogs and one out of five unerupted teeth in cats. The affected teeth in dogs were predominantly in horizontal inclination (40%) and in soft tissue inclusion (77%). Brachycephalic canine breeds were overrepresented. The only unerupted tooth in boxer dogs was the first premolar tooth (32 teeth). Ninety percentage of boxers with unerupted teeth developed associated lesions (25 dentigerous cysts and one tumor). Two ameloblastomas (one in a dog and one in a cat) and one osteosarcoma (in a dog) were diagnosed in association with three unerupted teeth. Histology was essential in diagnosing two odontogenic cysts not evident on radiographs. In all cases that were followed-up, treatment (i.e., extraction, extraction and surgical curettage, or operculectomy) appeared successful. Untreated dentigerous cysts showed progression at re-examination. None of the unerupted teeth without evidence of cyst at the time of diagnosis showed incipient cystic development. None of the evaluated factors were associated with lack of eruption and/or development of associated lesions.

摘要

牙齿未萌出可能伴有含牙囊肿的形成,也很少与肿瘤相关。然而,关于犬猫未萌出牙齿及相关病变的患病率的信息却很少。本研究的主要目的是描述患有未萌出牙齿的犬猫牙科患者的流行病学数据,并评估相关含牙囊肿和肿瘤的患病率。次要目的包括评估与囊肿形成可能相关的因素,以及描述含牙囊肿的组织学特征。回顾了2001年至2018年3月期间接受检查的客户拥有的患有临床缺失牙的犬猫的医疗和牙科记录、口腔内照片、口腔内X光片。收集的数据包括特征、就诊原因、未萌出牙齿的数量、类型、埋伏深度和角度、囊肿性病变或肿瘤的存在、影响受累牙齿的异常情况、组织病理学发现、进行的治疗和结果。纳入了73只动物(69只犬和4只猫),共有113颗未萌出牙齿。犬最常见的未萌出牙齿是第一前磨牙(78%),其次是犬齿和第三磨牙。在犬中,48颗(44.4%)牙齿被诊断与含牙囊肿有关,猫中五分之一的未萌出牙齿也与含牙囊肿有关。犬中受累牙齿主要呈水平倾斜(40%)且位于软组织内(77%)。短头犬种占比过高。拳师犬唯一未萌出的牙齿是第一前磨牙(32颗)。90%有未萌出牙齿的拳师犬出现了相关病变(25个含牙囊肿和1个肿瘤)。与3颗未萌出牙齿相关诊断出2例成釉细胞瘤(1例犬和1例猫)和1例骨肉瘤(犬)。组织学检查对于诊断2例X光片上不明显的牙源性囊肿至关重要。在所有接受随访的病例中,治疗(即拔牙、拔牙并手术刮除或龈瓣切除术)似乎是成功的。未经治疗的含牙囊肿在复查时出现进展。诊断时无囊肿证据的未萌出牙齿均未显示出早期囊肿形成。所评估的因素均与牙齿未萌出和/或相关病变的发生无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/4ae8c26cab62/fvets-06-00357-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/575f0ae6071a/fvets-06-00357-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/e0c56411bdf2/fvets-06-00357-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/efdbb517678e/fvets-06-00357-g0003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/4ae8c26cab62/fvets-06-00357-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/575f0ae6071a/fvets-06-00357-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/e0c56411bdf2/fvets-06-00357-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/efdbb517678e/fvets-06-00357-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/9cd3383f9107/fvets-06-00357-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7afc/6856145/4ae8c26cab62/fvets-06-00357-g0005.jpg

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本文引用的文献

[1]
Modified Conservative Treatment of an Extensive Dentigerous Cyst in a Dog.

J Vet Dent. 2014-12

[2]
Skull pathology in 10 cats with patellar fracture and dental anomaly syndrome.

J Feline Med Surg. 2019-8

[3]
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J Am Vet Med Assoc. 2018-7-1

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J Am Vet Med Assoc. 2017-12-1

[5]
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J Am Vet Med Assoc. 2017-4-15

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J Vet Dent. 2016-12

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Incidence of Radiographic Cystic Lesions Associated With Unerupted Teeth in Dogs.

J Vet Dent. 2016-12

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