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下颌管、上颌窦及下颌髁突内的异位牙。

Ectopic Tooth in Mandibular Canal, Maxillary Sinus, and Mandibular Condyle.

作者信息

Akbas Mert, Karabıyık Zülfikar, Varol Altan

机构信息

Istanbul University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery, Turkey.

Kütahya Health Science University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery, Turkey.

出版信息

Case Rep Dent. 2022 Jan 22;2022:3118998. doi: 10.1155/2022/3118998. eCollection 2022.

Abstract

Eruption of tooth into place other than tooth-bearing region is defined as ectopic eruption. Although ectopic eruption of tooth is rare, there have been cases in the maxillary sinus, mandibular condyle, nasal cavity, chin, palate, and orbital floor. Due to ectopic teeth's rarity and lack of consensus for ıts treatment, incidence was entitled to be added to literature and discussed. It was reported that odontogenic tumors and cysts can develop around the ectopic tooth. Thus, ectopic teeth can be followed up regularly in case of no signs and symptoms. If the patient has unusual orofacial pain, undiagnosed nasal discharge, maxillary sinusitis, preauricular pain, preauricular fistula, trismus, and lip paresthesia, the patient should be evaluated in terms of ectopic tooth. Whether the patient has signs and symptoms related to ectopic tooth, early intervention for the removal of ectopic tooth along with accompanying lesion is the treatment of choice. Specialists choose intervention way based on their experience. When selecting the intervention, minimally invasive and less morbid way should be preferred. Intraoral approach rather than extraorally should be the first choice to prevent unesthetic scar and damage to facial nerve.

摘要

牙齿萌出于非牙列区域被定义为异位萌出。尽管牙齿异位萌出很少见,但已有发生在上颌窦、下颌髁突、鼻腔、下巴、腭部和眶底的病例。由于异位牙罕见且其治疗缺乏共识,故有必要将其发病率补充到文献中并进行讨论。据报道,牙源性肿瘤和囊肿可在异位牙周围发生。因此,若无体征和症状,异位牙可定期随访。如果患者有异常的口面部疼痛、不明原因的鼻分泌物、上颌窦炎、耳前疼痛、耳前瘘管、牙关紧闭和唇部感觉异常,应评估患者是否存在异位牙。无论患者是否有与异位牙相关的体征和症状,早期干预切除异位牙及伴随病变是首选治疗方法。专家根据经验选择干预方式。选择干预措施时,应优先采用微创且创伤较小的方式。应首选口内途径而非口外途径,以防止出现不美观的瘢痕和对面神经造成损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a1/8800632/3d17df38174d/CRID2022-3118998.001.jpg

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