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单侧局限性牙齿发育停滞合并听力损失的病因学及正畸治疗

Etiologic aspects and orthodontic treatment of unilateral localized arrested tooth-development combined with hearing loss.

作者信息

Bang E, Kjaer I, Christensen L R

机构信息

Department of Orthodontics, School of Dentistry, University of Copenhagen, Denmark.

出版信息

Am J Orthod Dentofacial Orthop. 1995 Aug;108(2):154-61. doi: 10.1016/s0889-5406(95)70078-1.

DOI:10.1016/s0889-5406(95)70078-1
PMID:7625389
Abstract

In this study a case has been presented involving localized, arrested maxillary tooth development, asymmetric maxillary development, and unilateral loss of hearing. No similar case seems to have been described before. The orthodontic treatment comprised extraction of four permanent tooth germs in the maxilla and autotransplantation of mandibular teeth, followed by the use of fixed orthodontic appliances and a one-unit bridge restoration. Etiologic aspects are discussed. It is suggested that a severe attack of mumps that involved massive swelling of the parotid glands immediately after chicken pox and measles at the age of 4 to 5 years, may have resulted in a neurologic reduction of hearing and arrested tooth development. The teeth in which root development in relation to mumps does not appear to have been reported previously, whereas hearing loss after mumps has been reported. In the search for verification of this possible connection, children with arrested tooth development should be examined for reduction of hearing, and children with hearing loss after mumps ought to have their dental development checked.

摘要

在本研究中,呈现了一个涉及上颌牙齿局部发育停滞、上颌发育不对称以及单侧听力丧失的病例。此前似乎尚未有类似病例的描述。正畸治疗包括拔除上颌的四个恒牙胚并进行下颌牙齿的自体移植,随后使用固定正畸矫治器和单单位桥修复。对病因学方面进行了讨论。有人提出,在4至5岁时患水痘和麻疹后紧接着腮腺炎严重发作,腮腺大量肿胀,可能导致了听力的神经性减退和牙齿发育停滞。此前似乎尚未有关于与腮腺炎相关的牙根发育情况的报道,而腮腺炎后听力丧失已有报道。为了验证这种可能的关联,对于牙齿发育停滞的儿童应检查听力减退情况,而对于患腮腺炎后听力丧失的儿童则应检查其牙齿发育情况。

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