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一颗同时具有多个额外牙尖和牛牙样牙特征并伴有其他牛牙样牙的牙齿:一例罕见病例报告。

A tooth with multiple supernumerary cusps and taurodontism concurrently accompanied with other taurodont teeth: a rare case report.

作者信息

Tang Zihui, Zhang Hongchen, Dang Rongrong, Zhang Qiushi, Huang Yan, Yang Yanwei

机构信息

The 940th Hospital of Joint Logistic Support Force of the Chinese People's Liberation Army, Lanzhou, 730050, People's Republic of China.

School of Stomatology, Lanzhou University, Lanzhou, 730000, People's Republic of China.

出版信息

Surg Radiol Anat. 2025 Jun 27;47(1):167. doi: 10.1007/s00276-025-03682-0.

DOI:10.1007/s00276-025-03682-0
PMID:40579559
Abstract

PURPOSE

Supernumerary cusps and taurodontism are both dental anomalies with complex etiology. Their combination in a non-syndromic patient is rare and requires special dental considerations.This case report is to present this occurrence and discuss its clinical significance.

METHODS

A 34-year-old male patient's cone beam computed tomography (CBCT) images were investigated.

RESULTS

Ten cusps and a pyramidal pulp chamber were observed on tooth 47. Mimics 21.0 and Geomagic 21.0 software were used for three-dimensional (3D) reconstruction of the deformed tooth. Moreover, teeth 16, 17, 26 and 27 were classified as hypotaurodontism based on CBCT analysis.

CONCLUSION

Simultaneous occurrence of supernumerary cusps and taurodontism in one tooth or patient is rare. Clinicians should be able to identify these anomalies and provide appropriate management and treatment strategy.

摘要

目的

额外尖和牛牙样牙本质都是病因复杂的牙齿异常。它们在非综合征患者中的联合出现较为罕见,需要特殊的牙科考量。本病例报告旨在呈现这种情况并讨论其临床意义。

方法

对一名34岁男性患者的锥形束计算机断层扫描(CBCT)图像进行了研究。

结果

在47号牙上观察到10个尖和一个锥形牙髓腔。使用Mimics 21.0和Geomagic 21.0软件对变形牙进行三维(3D)重建。此外,根据CBCT分析,16、17、26和27号牙被归类为低牛牙样牙本质。

结论

一颗牙齿或一名患者同时出现额外尖和牛牙样牙本质的情况很少见。临床医生应能够识别这些异常并提供适当的管理和治疗策略。

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本文引用的文献

1
Endodontic characteristics of mandibular premolar with dens evaginatus: a retrospective study.下颌前磨牙畸形中央尖的牙髓腔特征:一项回顾性研究。
Restor Dent Endod. 2024 Jul 11;49(3):e28. doi: 10.5395/rde.2024.49.e28. eCollection 2024 Aug.
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Deciduous Mandibular First Molar with Single Root and Single Canal: An Astounding Occurrence.下颌第一乳磨牙单根单根管:一种惊人的情况。
Int J Clin Pediatr Dent. 2024 Feb;17(2):198-201. doi: 10.5005/jp-journals-10005-2743.
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Multiple Developmental Dental Anomalies in a Nonsyndromic Patient: A Rare Case Report.
非综合征型患者的多种牙齿发育异常:一例罕见病例报告
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S810-S813. doi: 10.4103/jpbs.jpbs_521_22. Epub 2023 Jul 5.
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Double Labial Talon Cusp on Permanent Incisior-An Unusual Occurrence.恒牙切牙上的双唇状爪形尖——一种罕见情况。
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S789-S791. doi: 10.4103/jpbs.jpbs_594_22. Epub 2023 Jul 5.
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Endodontic management of maxillary first molar with protostylid: a rare case report.上颌第一磨牙原基型的牙髓治疗:罕见病例报告。
BMC Oral Health. 2023 Aug 29;23(1):606. doi: 10.1186/s12903-023-03315-1.
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Challenges and Treatment Considerations with Comprehensive Rehabilitation of a Case of Taurodontism in Primary Dentition: A Case Report and Review.乳牙列牛牙症综合康复治疗的挑战与考量:一例病例报告及文献综述
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A Mutation in Is Associated with Multiple Supernumerary Cusps and Root Maldevelopment.[基因名称]中的一种突变与多个额外牙尖和牙根发育异常有关。
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The Study of Prevalence and Distribution of Shape Anomalies of Teeth in Indian Population on the Basis of Age and Gender.基于年龄和性别的印度人群牙齿形态异常患病率及分布研究
Cureus. 2022 Aug 29;14(8):e28532. doi: 10.7759/cureus.28532. eCollection 2022 Aug.
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Clinical implications of a diagnosis of taurodontism: A literature review.诊断尖牙畸形的临床意义:文献综述。
Adv Clin Exp Med. 2022 Dec;31(12):1385-1389. doi: 10.17219/acem/152120.
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Taurodontism in dental genetics.牙遗传学中的牛牙样牙症
BDJ Open. 2021 Jul 9;7(1):25. doi: 10.1038/s41405-021-00081-6.