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重塑微笑:牙本质发育异常的多学科治疗方法

Reviving a Smile: A Multidisciplinary Approach to Dentin Dysplasia.

作者信息

Kr Arun Vignesh, Raja Krishnakumar, Krishnan Raj Kumar, Vijayakumar Pavithra, Kalaimani Arul Prakash

机构信息

Oral and Maxillofacial Surgery, SRM Dental College and Hospitals, Chennai, IND.

Oral and Maxillofacial Surgery, SRM Dental College, Chennai, IND.

出版信息

Cureus. 2024 May 5;16(5):e59697. doi: 10.7759/cureus.59697. eCollection 2024 May.

Abstract

Dentin dysplasia Type 1 (DD1) is an uncommon inherited condition marked by structural irregularities in dentin, leading to notable dental abnormalities. Clinically, patients typically present with generalized slight yellowish discoloration and tooth mobility, while radiographic examination often reveals a reduced pulp chamber with the absence of pulp stones, a hallmark feature of DD1. Treatment involves a multidisciplinary approach including extraction of affected teeth, direct sinus lift procedure bilaterally, implant placement, and subsequent fixed prosthesis placement. In a recent case, after six months, a patient demonstrated improved oral health-related quality of life with stabilized implant-supported prostheses providing functional and esthetic benefits. This emphasizes the importance of early diagnosis and intervention in managing DD1, underscoring the effectiveness of a multidisciplinary approach in enhancing oral function and esthetics. Further research is warranted to deepen our understanding of the genetic basis of this condition and develop targeted therapies.

摘要

牙本质发育不全1型(DD1)是一种罕见的遗传性疾病,其特征是牙本质结构异常,导致明显的牙齿异常。临床上,患者通常表现为全身性轻度发黄和牙齿松动,而影像学检查常显示牙髓腔缩小且无髓石,这是DD1的一个标志性特征。治疗采用多学科方法,包括拔除患牙、双侧直接窦底提升术、种植体植入以及随后的固定修复体植入。在最近的一个病例中,六个月后,一名患者的口腔健康相关生活质量得到改善,种植体支持的修复体稳定,提供了功能和美学上的益处。这强调了早期诊断和干预在管理DD1中的重要性,并突出了多学科方法在改善口腔功能和美学方面的有效性。有必要进行进一步的研究,以加深我们对这种疾病遗传基础的理解,并开发针对性的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0bb/11150178/eac8e66b8a49/cureus-0016-00000059697-i01.jpg

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