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非梅毒性患者的桑椹第二磨牙 1 例独特病例报告。

A unique case report of mulberry second molar in a non-syphilitic patient.

机构信息

Department of Anatomy, Histology and Embryology, Faculty of Medicine, Medical University-Plovdiv, Plovdiv, Bulgaria.

Department of Neurology, Faculty of Medicine, Medical University-Plovdiv, Plovdiv, Bulgaria.

出版信息

Medicine (Baltimore). 2024 Jul 26;103(30):e39127. doi: 10.1097/MD.0000000000039127.

DOI:10.1097/MD.0000000000039127
PMID:39058872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11272299/
Abstract

RATIONALE

The common embryologic neural origin of the ectoderm includes the epidermal layer of the skin and the amelodentinal components of the teeth which can result in numerous diseases damaging both skin and dentition. Three main dental abnormalities were described as a consequence of congenital syphilis: Hutchinson incisors, bud molars, and mulberry molars which usually affect all permanent first molars.

PATIENT CONCERNS

As far as we know, this case is the first reported for mulberry second molar in a non-syphilitic patient. Ten projections globular in shape were presented on the occlusal surface of the second mandibular molar.

DIAGNOSES

The findings were characteristic for mulberry molars and therefore diagnosed as mulberry molars.

INTERVENTIONS AND OUTCOMES

No prosthetic treatment was conducted, just topical fluoride application was performed, and periodic observations were scheduled.

LESSONS

It is recommended that gynecologists and pediatricians should be provided with additional information about the local and systemic factors that can lead to developmental diseases of the teeth.

摘要

背景

外胚层的共同胚胎神经起源包括皮肤的表皮层和牙齿的釉质-牙本质成分,这可能导致许多损害皮肤和牙齿的疾病。先天性梅毒可导致三种主要的牙齿异常:哈钦森切牙、萌芽磨牙和桑葚磨牙,这些异常通常影响所有的恒牙第一磨牙。

病例介绍

据我们所知,这是首例非梅毒患者的桑葚第二磨牙病例报告。第二下颌磨牙的咬合面上呈现出十个球形突起。

诊断

这些发现具有桑葚磨牙的特征,因此被诊断为桑葚磨牙。

干预措施和结果

未进行修复治疗,仅进行了局部氟化物应用,并安排了定期观察。

结论

建议向妇科医生和儿科医生提供有关可能导致牙齿发育疾病的局部和全身因素的额外信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a22/11272299/54d4d5cd0ba7/medi-103-e39127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a22/11272299/54d4d5cd0ba7/medi-103-e39127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a22/11272299/54d4d5cd0ba7/medi-103-e39127-g001.jpg

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Nonsyphilitic occurrence of mulberry molars: A rare case report.桑椹状磨牙的非梅毒病因:一例罕见病例报告。
J Oral Maxillofac Pathol. 2019 Feb;23(Suppl 1):106-110. doi: 10.4103/jomfp.JOMFP_74_18.
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Dental Stigmata of Congenital Syphilis: A Historic Review With Present Day Relevance.先天性梅毒的牙征:具有当代相关性的历史回顾
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