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下颌尖牙异位萌出的综合管理:多学科方法

Comprehensive Management of Mandibular Canine Transmigration: A Multidisciplinary Approach.

作者信息

Singh Ashish K, Ahuja Dhruv, Batra Puneet, Dogra Priya, Lego Toni

机构信息

Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, IND.

出版信息

Cureus. 2024 Sep 19;16(9):e69738. doi: 10.7759/cureus.69738. eCollection 2024 Sep.

DOI:10.7759/cureus.69738
PMID:39429344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11490302/
Abstract

Transmigration of mandibular canine teeth is a rare dental anomaly characterized by the tooth's aberrant migration through the alveolar bone. This deviation from the expected eruption pathway can lead to tooth impaction, root resorption, periodontal problems, and aesthetic concerns. The exact cause of transmigration is not fully understood, but it is believed to be influenced by a combination of genetic, developmental, and environmental factors. Early diagnosis and appropriate treatment are essential to prevent complications and achieve optimal functional and aesthetic outcomes. This case report presents a 19-year-old female with impacted left mandibular canine teeth. An interdisciplinary approach involving orthodontic therapy and surgical exposure to disimpact the transmigrated canine into the normal occlusal position. The treatment utilized modified orthodontic mechanics, including uprighting springs and temporary anchorage devices (TADs) to treat transmigration. This case also highlights the importance of early diagnosis and timely intervention for transmigrated canine teeth to prevent complications and achieve optimal aesthetic and functional outcomes.

摘要

下颌尖牙异位萌出是一种罕见的牙齿异常,其特征是牙齿通过牙槽骨发生异常移位。这种与预期萌出路径的偏差可导致牙齿阻生、牙根吸收、牙周问题和美观问题。异位萌出的确切原因尚未完全明确,但据信是由遗传、发育和环境因素共同影响所致。早期诊断和适当治疗对于预防并发症以及实现最佳的功能和美观效果至关重要。本病例报告介绍了一名19岁的女性,其左下颌尖牙阻生。采用了一种跨学科方法,包括正畸治疗和手术暴露,以使异位萌出的尖牙萌出到正常咬合位置。治疗采用了改良的正畸力学方法,包括直立弹簧和临时锚固装置(TADs)来治疗异位萌出。本病例还强调了对异位萌出尖牙进行早期诊断和及时干预以预防并发症并实现最佳美观和功能效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/9623dd3896ea/cureus-0016-00000069738-i11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/cd991482892f/cureus-0016-00000069738-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/5bf0c01198a1/cureus-0016-00000069738-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/12087260812c/cureus-0016-00000069738-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/52d018e9f992/cureus-0016-00000069738-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/97255fb8dfcd/cureus-0016-00000069738-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/e00dc7edffac/cureus-0016-00000069738-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/9623dd3896ea/cureus-0016-00000069738-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/d92d110c31a9/cureus-0016-00000069738-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/c267ff42e205/cureus-0016-00000069738-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/2ef11c00285f/cureus-0016-00000069738-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/51099599b4f3/cureus-0016-00000069738-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/cd991482892f/cureus-0016-00000069738-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/5bf0c01198a1/cureus-0016-00000069738-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/12087260812c/cureus-0016-00000069738-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/52d018e9f992/cureus-0016-00000069738-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/97255fb8dfcd/cureus-0016-00000069738-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/e00dc7edffac/cureus-0016-00000069738-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b27b/11490302/9623dd3896ea/cureus-0016-00000069738-i11.jpg

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本文引用的文献

1
Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review.萌出阻生及异位的下颌尖牙的患病率、病因、临床特征及处理:系统综述。
BMC Oral Health. 2023 Dec 7;23(1):975. doi: 10.1186/s12903-023-03717-1.
2
Dental Transmigration: An Observational Retrospective Study OF52 Mandibular Canines.牙移位:一项对52颗下颌尖牙的观察性回顾研究
Biology (Basel). 2022 Nov 30;11(12):1751. doi: 10.3390/biology11121751.
3
Predictive factors associated with adjacent teeth root resorption of palatally impacted canines in Arabian population: a cone-beam computed tomography analysis.
与阿拉伯人群上颌埋伏阻生尖牙邻牙牙根吸收相关的预测因素:锥形束 CT 分析。
BMC Oral Health. 2022 Jun 3;22(1):220. doi: 10.1186/s12903-022-02249-4.
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Mandibular Canine Transmigration: Report of Three Cases and Literature Review.下颌尖牙异位萌出:三例报告及文献综述
J Int Soc Prev Community Dent. 2017 Jan-Feb;7(1):8-14. doi: 10.4103/jispcd.JISPCD_231_16. Epub 2017 Feb 21.
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Combined orthodontic-surgical management of a transmigrated mandibular canine.下颌移位尖牙的正畸-外科联合治疗
Angle Orthod. 2016 Jul;86(4):681-91. doi: 10.2319/050615-309.1. Epub 2015 Oct 26.
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Unusual intrabony transmigration of mandibular canine: case series (report of 4 cases).下颌尖牙罕见的骨内移位:病例系列(4例报告)
BMJ Case Rep. 2015 Sep 11;2015:bcr2014205398. doi: 10.1136/bcr-2014-205398.
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Abberantly placed impacted mandibular canine.位置异常的阻生下颌尖牙。
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Transmigration of mandibular canines.下颌尖牙的移位
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Canine transmigration: comprehensive literature review and report of 4 new Australian cases.犬类移行症:综合文献综述及4例澳大利亚新病例报告
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