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上颌恒中切牙面尖牙状牙尖的保守治疗:一例报告

Conservative Management of Facial Talon Cusp in a Permanent Maxillary Central Incisor: A Case Report.

作者信息

Alqahtani Abdulelah, Alnajashi Adeeb

机构信息

Pediatric Dentistry, University Dental Hospital, King Saud University, Riyadh, SAU.

College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU.

出版信息

Cureus. 2024 Oct 19;16(10):e71842. doi: 10.7759/cureus.71842. eCollection 2024 Oct.

DOI:10.7759/cureus.71842
PMID:39559648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11571104/
Abstract

Facial talon cusp is a rare developmental dental anomaly with unknown etiology. This case report is about an 11-year-old boy who presented with discomfort associated with tooth #11. After clinical and radiographical examination, the diagnosis of facial talon cusp (stage 1) was established. Treatment options and steps were discussed in detail. To the best of our knowledge, this is the first reported case of facial talon cusp in Saudi Arabia. The management of facial talon cusp is highly dependent on the individual patients. There are cases that only require fissure sealants; on the other hand, some cases need more aggressive treatment such as removal of the cusp, root canal treatment, or extraction. Dentists should be aware of the different treatment modalities in order to deliver the correct treatment for the patients. Clinical and radiographic examinations are important to rule out other dental anomalies. A standardized classification should be followed in classifying facial talon cusp in order to link each stage with its treatment.

摘要

面部爪形尖牙是一种病因不明的罕见牙齿发育异常。本病例报告讲述的是一名11岁男孩,他因11号牙出现不适前来就诊。经过临床和影像学检查,确诊为面部爪形尖牙(1期)。详细讨论了治疗方案和步骤。据我们所知,这是沙特阿拉伯首例报道的面部爪形尖牙病例。面部爪形尖牙的治疗高度依赖于个体患者。有些病例仅需窝沟封闭;另一方面,有些病例则需要更积极的治疗,如去除尖牙、根管治疗或拔牙。牙医应了解不同的治疗方式,以便为患者提供正确的治疗。临床和影像学检查对于排除其他牙齿异常很重要。在对面部爪形尖牙进行分类时应遵循标准化分类,以便将每个阶段与其治疗方法联系起来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/327f50aa9b68/cureus-0016-00000071842-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/3a6cdcf83e26/cureus-0016-00000071842-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/34e790bab629/cureus-0016-00000071842-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/ac2c5dfe9ce9/cureus-0016-00000071842-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/eff838aa3bac/cureus-0016-00000071842-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/327f50aa9b68/cureus-0016-00000071842-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/3a6cdcf83e26/cureus-0016-00000071842-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/34e790bab629/cureus-0016-00000071842-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/ac2c5dfe9ce9/cureus-0016-00000071842-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/eff838aa3bac/cureus-0016-00000071842-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316d/11571104/327f50aa9b68/cureus-0016-00000071842-i05.jpg

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本文引用的文献

1
Double facial talons on maxillary incisor-A rare case report and new proposed classification system.上颌切牙双面部爪状畸形——1例罕见病例报告及新提出的分类系统
J Oral Maxillofac Pathol. 2022 Jul-Sep;26(3):423. doi: 10.4103/jomfp.jomfp_43_22. Epub 2022 Oct 17.
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Bilateral gemination of permanent maxillary canine with labial and palatal talon's cusps: A rare entity.双侧恒牙上颌尖牙伴唇侧和腭侧尖状牙尖双生:一种罕见情况。
J Oral Maxillofac Pathol. 2021 Mar;25(Suppl 1):S71-S75. doi: 10.4103/jomfp.JOMFP_118_20. Epub 2021 Mar 19.
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A Rare Familial Presentation of Facial Talon Cusp.
面部爪形尖的罕见家族性表现。
J Clin Diagn Res. 2017 Jan;11(1):ZD15-ZD17. doi: 10.7860/JCDR/2017/22589.9162. Epub 2017 Jan 1.
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Management of non-syndromic dens evaginatus affecting permanent maxillary central incisors: a systematic review.影响恒上颌中切牙的非综合征型牙内陷的管理:一项系统评价
BMJ Case Rep. 2016 Oct 5;2016:bcr2016216672. doi: 10.1136/bcr-2016-216672.
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Talon cusp variations: 2 case reports.
Gen Dent. 2015 Mar-Apr;63(2):58-60.
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Double talon cusps on supernumerary tooth fused to maxillary central incisor: Review of literature and report of case.与上颌中切牙融合的多生牙上的双尖牙:文献综述及病例报告
J Clin Exp Dent. 2014 Oct 1;6(4):e400-7. doi: 10.4317/jced.51428. eCollection 2014 Oct.
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A rare report of mandibular facial talon cusp and its management.下颌面部爪状尖的罕见病例报告及其处理
J Conserv Dent. 2014 Sep;17(5):499-502. doi: 10.4103/0972-0707.139854.
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Facial talon cusp on mandibular incisor: a rare case report with review of literature.下颌切牙的面部爪形尖:1例罕见病例报告并文献复习
Indian J Dent Res. 2014 May-Jun;25(3):398-400. doi: 10.4103/0970-9290.138355.
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Mandibular facial talon cusp: a rare case report.下颌面部爪状尖牙:一例罕见病例报告。
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J Esthet Restor Dent. 2014 Nov-Dec;26(6):374-81. doi: 10.1111/jerd.12101. Epub 2014 Apr 23.