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与埋伏阻生尖牙相关的上颌侧切牙吸收与未吸收的体积和形态特征的比较评估

Comparative evaluation of the volumetric and morphological characteristics of resorbed and non-resorbed maxillary lateral incisors associated with impacted canine.

作者信息

Albayrak Elif, Senisik Neslihan Ebru

机构信息

Department of Orthodontics, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.

出版信息

BMC Oral Health. 2025 Jul 2;25(1):1018. doi: 10.1186/s12903-025-06383-7.

DOI:10.1186/s12903-025-06383-7
PMID:40604673
Abstract

BACKGROUND

This study aimed to evaluate the morphological characteristics of resorbed and non-resorbed lateral incisors adjacent to unilateral palatally impacted maxillary canines intended to be positioned in the dental arch during orthodontic treatment. The volumetric and morphological differences between lateral incisors adjacent to impacted canines and those adjacent to erupted canines were examined.

METHODS

The study group consisted of fifty participants with unilateral palatally impacted maxillary canines. The sample was divided into two groups: the resorbed group (RG) and the non-resorbed group (NRG), based on the resorption status of the lateral incisor adjacent to the maxillary impacted canine. Volumetric, dimensional, and angular differences were evaluated between these groups.

RESULTS

No statistically significant difference was found between the RG and NRG groups in terms of lateral incisors. In both groups, there was a statistically significant decrease in lateral incisor volume, mesiodistal and buccolingual root width, and crown-root angle on the impacted side compared to the other side. In the RG group, the cervical, middle, and apical third volumes of the resorbed lateral root on the impacted side were statistically lower than on the other side.

CONCLUSIONS

In the RG and NRG groups, the volume and morphological features of the lateral incisors adjacent to the impacted canines were similar and smaller than those of the lateral incisors on the erupted side. In cases where it is desired to maintain the lateral incisors, whether slightly resorbed or not, in the dental arch, it is recommended that orthodontic treatment be optimized for stabilization.

摘要

背景

本研究旨在评估单侧腭侧阻生上颌尖牙正畸治疗时拟排入牙弓,与之相邻的吸收和未吸收侧切牙的形态特征。研究了阻生尖牙相邻侧切牙与萌出尖牙相邻侧切牙之间的体积和形态差异。

方法

研究组由50名单侧腭侧阻生上颌尖牙患者组成。根据上颌阻生尖牙相邻侧切牙的吸收情况,将样本分为两组:吸收组(RG)和未吸收组(NRG)。评估两组之间的体积、尺寸和角度差异。

结果

RG组和NRG组的侧切牙在统计学上无显著差异。两组中,与另一侧相比,阻生侧侧切牙的体积、近远中根宽和颊舌根宽以及冠根角均有统计学意义的减小。在RG组中,阻生侧吸收侧切牙根的颈段、中段和根尖段体积在统计学上低于另一侧。

结论

在RG组和NRG组中,阻生尖牙相邻侧切牙的体积和形态特征相似,且小于萌出侧侧切牙。在希望将侧切牙(无论是否有轻微吸收)保留在牙弓中的情况下,建议优化正畸治疗以实现稳定。

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BMC Oral Health. 2024 Aug 9;24(1):920. doi: 10.1186/s12903-024-04493-2.
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Interdisciplinary management of maxillary incisors with root resorption caused by impacted canines: A case report.上颌尖牙阻生致上颌切牙牙根吸收的多学科管理:一例报告。
J Orthod. 2024 Mar;51(1):53-59. doi: 10.1177/14653125231169797. Epub 2023 Apr 20.
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Cone beam computed tomography indications for interdisciplinary therapy planning of impacted canines.
锥形束计算机断层扫描在阻生尖牙多学科治疗计划中的应用指征
Oral Surg Oral Med Oral Pathol Oral Radiol. 2023 Jan;135(1):e1-e9. doi: 10.1016/j.oooo.2022.06.013. Epub 2022 Jul 3.
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Maxillary lateral incisor agenesis is associated with maxillary form: a geometric morphometric analysis.上颌侧切牙缺失与上颌形态相关:一项几何形态测量学分析。
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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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A Radiographic Study of the Root-to-Crown Ratio of Natural Permanent Teeth in 81 Saudi Adults.81 例沙特成年人天然恒牙的根冠比放射研究。
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J Educ Eval Health Prof. 2021;18:17. doi: 10.3352/jeehp.2021.18.17. Epub 2021 Jul 30.
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