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混合牙列期全口牙齿出现多个髓石：一例报告。

Multiple pulp stones emerge across all teeth during mixed dentition: A case report.

作者信息

Lv Yuan, Zhu Jie, Fu Cheng-Tao, Liu Le, Wang Jing, Li Yan-Feng

机构信息

Department of Stomatology, China Aerospace Science & Industry Corporation 731 Hospital, Beijing 100074, China.

School of Medicine, Huzhou University, Huzhou 313204, Zhejiang Province, China.

出版信息

World J Clin Cases. 2024 Aug 6;12(22):5189-5195. doi: 10.12998/wjcc.v12.i22.5189.

DOI:10.12998/wjcc.v12.i22.5189
PMID:39109051
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11238816/
Abstract

BACKGROUND

This paper reports a rare presentation of multiple pulp stones (PSs) emerging in all teeth during mixed dentition. It offers valuable insights into the clinical diagnosis, treatment, and prognosis of multiple PSs, shedding light on their occurrence during the mixed dentition period.

CASE SUMMARY

A 10-year-old girl presented with repeated pain in the mandibular right posterior teeth. Intraoral examination revealed carious lesions, abnormal tooth shapes, and anomalies in tooth number. Radiographic examinations showed multiple PSs with diverse shapes, sizes, and quantities in all teeth, alongside anomalies in tooth shape and number. Root canal therapy was initiated, but the patient initially lacked timely follow-up. Upon return for treatment completion, an extracted tooth revealed irregular calculus within the pulp cavity.

CONCLUSION

This case underscores the importance of considering multiple PSs in mixed dentition, necessitating comprehensive evaluation and management strategies.

摘要

背景

本文报道了一例罕见的在混合牙列期所有牙齿均出现多个髓石（PSs）的病例。该病例为混合牙列期多个髓石的临床诊断、治疗及预后提供了有价值的见解。

病例摘要

一名10岁女孩因下颌右侧后牙反复疼痛就诊。口腔检查发现龋损、牙齿形态异常及牙数异常。影像学检查显示所有牙齿均有多个形状、大小和数量各异的髓石，同时伴有牙齿形态和数量异常。开始进行根管治疗，但患者最初未及时复诊。复诊完成治疗时，拔除的一颗牙齿显示牙髓腔内有不规则结石。

结论

该病例强调了在混合牙列期考虑多个髓石的重要性，需要综合评估和管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/b2b4d970a79e/WJCC-12-5189-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/d4d4e5b7fcd9/WJCC-12-5189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/cdc1947b4582/WJCC-12-5189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/bf0c69b98260/WJCC-12-5189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/b2b4d970a79e/WJCC-12-5189-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/d4d4e5b7fcd9/WJCC-12-5189-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/cdc1947b4582/WJCC-12-5189-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/bf0c69b98260/WJCC-12-5189-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11238816/b2b4d970a79e/WJCC-12-5189-g004.jpg

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Epithelium-derived SCUBE3 promotes polarized odontoblastic differentiation of dental mesenchymal stem cells and pulp regeneration.上皮细胞衍生的 SCUBE3 促进牙间充质干细胞的极化成牙本质分化和牙髓再生。
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