Ectopic eruption

异位喷发
  • 文章类型: Case Reports
    简介:上颌窦异位异物很少发生。异位牙萌出很少发生在眼眶,鼻腔,上颌窦,和其他地方。上颌窦中牙齿的异位萌出最常见的是与智齿有关,很少与多余的牙齿有关。这种罕见的现象可能伴有慢性复发性鼻窦炎,伴有头痛和面部疼痛。然而,鼻旁窦的纤维骨性病变是在X射线图像上偶然发现的,通常无症状。骨瘤是在鼻旁窦和鼻窦发展的最常见的纤维骨病变。骨瘤很少引起严重症状,如眼眶病变和颅内侵犯。病例介绍:我们报告了一例罕见的上颌窦内含有多生牙的外生体。在计算机断层扫描上具有清晰边界的特征性带蒂骨病变是上颌窦中未定义的正骨图射线不透性,病变包含多余的牙齿。由于病人有慢性鼻塞,手术切除了肿瘤.病理上,手术标本显示骨瘤。患者的慢性鼻窦炎症状消失。因为病人没有面部创伤或手术史,推测多余的牙齿在慢性鼻窦炎引起的反应性成骨过程中迁移。结论:上颌窦异物可通过计算机断层扫描轻松诊断。如果异物有症状或占据上颌窦的一半以上,建议手术切除。这可以帮助解决慢性鼻窦炎症状并防止将来发生严重的并发症。
    Introduction: Ectopic foreign bodies in the maxillary sinus occur rarely. Ectopic tooth eruption rarely occurs in the orbit, nasal cavity, maxillary sinus, and elsewhere. Ectopic eruption of teeth in the maxillary sinus is most commonly associated with wisdom teeth and is rarely associated with supernumerary teeth. This rare phenomenon may be accompanied by chronic recurrent sinusitis with headaches and facial pain. However, fibro-osseous lesions in the paranasal sinuses are discovered incidentally on X-ray images and are often asymptomatic. Osteoma is the most common fibro-osseous lesion that develops in the paranasal and nasal sinuses. Osteomas rarely cause serious symptoms such as orbital lesions and intracranial invasion. Case Presentation: We report a rare case of exostosis containing supernumerary teeth within the maxillary sinus. A characteristic pedicled bone lesion with a clear border on computed tomography was the undefined orthopantomogram radiopacity in the maxillary sinus, and the lesion contained supernumerary teeth. As the patient had chronic nasal congestion, the tumor was surgically removed. Pathologically, the surgical specimen revealed an osteoma. The patient\'s symptoms of chronic sinusitis disappeared. Because the patient had no history of midface trauma or surgery, the supernumerary teeth were speculated to have migrated during a reactive osteogenic process caused by chronic sinusitis. Conclusions: A foreign body in the maxillary sinus can be easily diagnosed by computed tomography. Surgical removal is recommended if the foreign body is symptomatic or occupies more than half of the maxillary sinus. This can help resolve chronic sinusitis symptoms and prevent serious complications in the future.
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  • 文章类型: Journal Article
    Ectopic eruption of the second permanent molar is a tooth replacement disorder during adolescence. If not treated in time, it can cause hard tissue of the adjacent first molar resorption, early tooth loss, decreased chewing efficiency, and other serious malocclusions. Timely detection and treatment of ectopic eruption of the second permanent molar are of great significance in preventing malocclusions in adolescents and establishing normal occlusion relationships. However, current case reports on the ectopic eruption of the mandibular second molar are relatively rare and are mostly concentrated on surgical and orthodontic treatments, and long-term follow-up is lacking. This paper reports a case in which brass wire ligation was used to treat ectopic eruption of the mandibular second permanent molar, allowing the permanent teeth to erupt smoothly and establish a normal occlusion. The patient was observed for five years after the operation. The occlusion was stable, and the tooth root development, pulp vitality, and periodontal conditions were normal. This paper provides a clinical approach that is short in treatment duration, simple, and minimally invasive for young mandibular second permanent molars with moderate mesial inclination and partial eruption. This method is of importance in helping children establish physiological occlusion.
    第二恒磨牙异位萌出若未得到及时治疗,会导致相邻的第一磨牙牙体组织吸收、牙齿早失、咀嚼效率下降及其他严重的错牙合畸形。及时发现和处理第二恒磨牙异位萌出,对预防青少年错牙合畸形、建立正常咬合关系具有重要的意义。然而,目前针对下颌第二恒磨牙异位萌出的病例报告比较少见,大多治疗方法主要为手术及正畸的方式,且缺乏长期的随访。本文报道1例采用铜丝结扎法治疗下颌第二恒磨牙异位萌出,使恒牙顺利萌出并建立正常咬合。术后观察5年,咬合稳定,牙根发育、牙髓活力及牙周状况正常。本文为近中倾斜度不大且已经部分萌出的阻生年轻下颌第二恒磨牙提供一种治疗周期短、简便及微创的临床思路。.
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  • 文章类型: Journal Article
    上颌第一恒磨牙(FPM)异位萌出(EE)的病因仍不清楚且存在争议。本研究旨在探讨儿童FPMEE的牙齿和骨骼因素。
    招募6-10岁儿童参加本研究。受试者被分配到异位爆发组(EEG)和正常爆发组(NEG)。通过角度和线性指数测量侧位头颅X射线照片和全景X射线照片。
    上颌FPM的EE患病率在男性和年轻年龄段较高。患有骨骼III类错牙合的受试者更有可能被诊断为上颌FPM的EE。SNA,ANB,FMIA,Wits,Ptm-A,ANS-PNS,过位,EEG和NEG之间的过度喷射显着不同。上颌牙槽骨后部的长度,U6-OP,上颌FPM的萌出角度在两组之间有统计学差异。
    男性,骨骼III类错牙合,上颌FPM的中斜,上颌骨发育不全,上颌牙槽骨后部长度不足与上颌FPM的EE有关。
    UNASSIGNED: The etiology of the ectopic eruption (EE) of the maxillary first permanent molars (FPM) remains unclear and controversial. This study was designed to explore the dental and skeletal factors for EE of the FPM in children.
    UNASSIGNED: Children aged 6-10 years were recruited to this study. Subjects were assigned to the ectopic eruption group (EEG) and the normal eruption group (NEG). Lateral cephalometric radiographs and panoramic radiographs were measured by angular and linear indices.
    UNASSIGNED: The prevalence of EE of maxillary FPM was higher in males and at younger ages. Subjects with skeletal class III malocclusion were more likely to be diagnosed with EE of maxillary FPM. The SNA, ANB, FMIA, Wits, Ptm-A, ANS-PNS, overbite, and overjet were significantly different between the EEG and the NEG. The length of the posterior region of the maxillary alveolar bone, U6-OP, and eruptive angulation of the maxillary FPM were statistically different between the two groups.
    UNASSIGNED: Male sex, skeletal class III malocclusion, mesial inclination of the maxillary FPM, hypoplasia of the maxilla, and insufficient length of the posterior region of the maxillary alveolar bone were related to EE of the maxillary FPM.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景技术早期发现和处理第一恒磨牙(FPM)的异位喷发(EE)对于避免以后复杂的治疗至关重要。目的本研究旨在评估麦加儿童中FPMsEE的患病率和严重程度,沙特阿拉伯。方法这项回顾性研究基于对UmmAl-Qura大学牙科教育医院和麦加安全部队医院就诊的儿童进行的1,008张牙科全景X光片的影像学评估。患者年龄,性别,牙齿位置,并评估了EE的严重程度。该研究遵循了加强流行病学观察研究报告(STROBE)的横断面研究指南。结果在1,008例回顾病例中,18例(1.79%)被诊断为FPMs的EE。在11例男性患者中,81.82%表现为严重EE,7例女性患者中57.14%表现为中度重度EE。上颌骨和下颌骨中EE的患病率分别为1.59%和0.20%,分别。相比之下,右侧和左侧之间FPM的EE发生相似。结论在本研究中,麦加儿童FPMsEE的患病率为1.79%。男性患者的频率和严重程度均高于女性患者。虽然在上颌骨观察到的FPMEE明显多于下颌骨,右侧和左侧之间没有显着差异。
    Background Early detection and management of ectopic eruption (EE) of first permanent molars (FPMs) are crucial to avoid complicated treatments later. Aim This study aimed to assess the prevalence and severity of EE of FPMs among children in Makkah, Saudi Arabia. Methods This retrospective study was based on a radiographic evaluation of 1,008 dental panoramic radiographs performed for children attending the Dental Educational Hospital at Umm Al-Qura University and the Security Forces Hospital in Makkah. Patients\' age, sex, tooth location, and severity of EE were assessed. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline for cross-sectional studies.  Results Of the 1,008 reviewed cases, 18 (1.79%) were diagnosed with EE of FPMs. Among the 11 male patients, 81.82% showed severe EE, while 57.14% exhibited moderately severe EE among the seven female patients. The prevalences of EE in the maxilla and mandible were 1.59% and 0.20%, respectively. In contrast, the occurrence of EE of FPMs was similar between the right and left sides. Conclusion In this study, the prevalence of EE of FPMs among children in Makkah was 1.79%. The frequency and severity were both greater in male patients compared to female patients. While significantly more EE of FPMs was observed in the maxilla than in the mandible, there was no significant difference between the right and left sides.
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  • 文章类型: Journal Article
    本研究的主要目的是根据永久性牙列的早期,评估口腔移位犬(BDC)的发生与the和颅面形态之间的关系。作为实验组,选择了100名中国种族(平均年龄13.05岁)的拥挤和口腔移位犬(BDC-c)的青少年,与相同数量的没有BDC和拥挤的候选人(平均年龄12.59岁)作为对照组进行比较。收集数字牙模和头颅图进行三维(3D)和头颅测量。使用独立样本T检验比较两组之间的头颅测量值。逻辑回归作为经验研究中常用的统计方法,包括分类因变量,用于识别牙科变量的联合效应\'3D测量。当与上述分析进行比较时,BDC患者显示出统计学上显著的狭窄和较高的腭穹顶.对于头颅测量变量,前颅底长度,上颌骨矢状位置(SNA),下颌骨矢状位置(SNB),上颌骨和下颌骨(ANB)之间的骨骼关系似乎较小,而腭平面角(SN-PP),法兰克福-下颌平面角(FMA),前面部高度,BDC-c对照组面部高度较低(p<0.05)。在预测模型中,较小的第一前磨牙间宽度是显着的(p=0.002)。这项研究强调,早期恒牙的BDC-c参与者表现出更窄的牙弓和更高的腭穹顶,其中较小的第一前磨牙间宽度将显着增加BDC的发生。
    The main objective of the present research study is to evaluate the association between the occurrence of buccally displaced canine (BDC) and the palatal as well as the craniofacial morphology in adolescents in accordance at the early permanent dentition. As the experimental group, 100 adolescents of Chinese ethnicity (mean age 13.05 years) with crowding and buccally displaced canine (BDC-c) were selected in comparison with the same number of candidates (mean age 12.59 years) without BDC and crowding as control group. Digital dental casts and cephalograms were collected for three dimensional (3D) and cephalometric measurements. An independent sample T-test was used to compare the cephalometric values between the two groups. Logistic regression as commonly statistical methods used in empirical study including categorical dependent variables was used to identify the joint effects of the dental variables\' 3D measurements. When comparing the groups with above analysis, patients with BDC showed a statistically significant narrower and higher palatal vault. For the cephalometric variables, the anterior cranial base length, sagittal position of the maxilla (SNA), sagittal position of the mandible (SNB), and skeletal relationship between maxilla and mandible (ANB) appeared to be smaller, whilst palatal plane angle (SN-PP), Frankfort-mandibular plane angle (FMA), anterior facial height, and lower facial height were larger in BDC-c control group (p < 0.05). A smaller inter-first premolar width was significant in the prediction model (p = 0.002). This study highlights that BDC-c participants in early permanent dentition exhibited a narrower dental arch and higher palatal vault, of which a smaller inter-first premolar width would significantly increase the occurrence of BDC.
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  • 文章类型: Journal Article
    目的:本研究旨在描述22例下颌区域多生牙的临床和影像学分析。
    方法:回顾性研究。
    方法:本研究纳入2016年8月至2022年9月在西安交通大学口腔医院行锥形束CT(CBCT)诊断为多生牙的患者。参与者包括两种性别的7-29岁的个人。检查了以下变量:多余牙齿的数量,location,形状,方向,长度,与相邻牙齿和周围解剖结构的关系,和次要影响。
    结果:在236名受试者中,下颌区域有22颗(6.02%)的牙齿,共识别出62颗牙齿。男女比例为5:6。大多数多余的牙齿位于下颌区域的舌侧,特别是在34-35牙齿区域(21.66%),其次是44-45牙齿区域。绝大多数多余牙齿(96.77%)受累,超过一半(51.67%)位于精神神经管附近。多余牙齿的平均长度为10.5mm。虽然没有观察到原发性并发症,注意到一些次要症状,例如相邻牙齿的异位萌出和恒牙的拥挤。
    结论:下颌区域的多余牙齿具有区域特征,可以为临床诊断和治疗提供依据。CBCT可以准确分析多余牙齿的位置及其次要影响,并在此基础上提供治疗计划。
    OBJECTIVE: This study aimed to describe clinical and imaging analysis of supernumerary teeth in the mandibular region of 22 cases.
    METHODS: Retrospective study.
    METHODS: This study enrolled patients diagnosed with supernumerary teeth who underwent cone beam computed tomography (CBCT) at Stomatology Hospital of Xi\'an Jiaotong University from August 2016 to September 2022. Participants included individuals aged 7-29 years of both genders. The following variables were examined: number of supernumerary teeth, location, shape, direction, length, relationship with adjacent teeth and surrounding anatomical structures, and secondary effects.
    RESULTS: Out of 236 subjects, 22 (6.02%) were found to have supernumerary teeth in the mandibular region, with a total of 62 teeth identified. The male-to-female ratio was 5:6. Most supernumerary teeth were located in the lingual side of the mandibular region, particularly in the 34-35 tooth area (21.66%), followed by the 44-45 tooth region. The vast majority of supernumerary teeth (96.77%) were impacted, and more than half (51.67%) were located near the mental nerve canal. The average length of the supernumerary teeth was 10.5 mm. While no primary complications were observed, some secondary symptoms were noted, such as the ectopic eruption of adjacent teeth and crowding of permanent teeth.
    CONCLUSIONS: The supernumerary teeth in the mandibular area have regional characteristics, which can provide for clinical diagnosis and treatment. CBCT can accurately analyze the location of supernumerary teeth and their secondary effects, and provides the treatment plan on that basis.
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  • 文章类型: Journal Article
    UNASSIGNED: To evaluate the null hypothesis that there is no difference in a set of clinical predictors of potentially impacted canines between low-risk patients with and without displaced canines.
    UNASSIGNED: The normal canine position group consisted of 30 patients with 60 normally erupting canines ranked in sector I (age, 9.30 ± 0.94 years). The displaced canine group comprised 30 patients with 41 potentially impacted canines ranked in sectors II to IV (age, 9.46 ± 0.78 years). Maxillary lateral incisor crown angulation, inclination, rotation, width, height, and shape, as well as palatal depth, arch length, width, and perimeter composed a set of clinical predictors, which were evaluated on digital dental casts. Statistical analyses consisted of group comparisons and variable correlations (p < 0.05).
    UNASSIGNED: There was a significant association between sex and mesially displaced canines. Unilateral canine displacement was more prevalent than bilateral displacement. The crown of the maxillary lateral incisors was significantly angulated more mesially and rotated mesiolabially in low-risk patients with displaced canines, who also had a shallower palate and shorter anterior dental arch length. Lateral incisor crown angulation and rotation, as well as palatal depth and arch length, were significantly correlated with the canine displacement severity.
    UNASSIGNED: The null hypothesis was rejected. Maxillary lateral incisor angulation inconsistent with the \"ugly duckling\" stage as well as a shallow palate and short arch length are clinical predictors that can significantly contribute to the early screening of ectopic canines in low-risk patients.
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  • 文章类型: Case Reports
    背景:如果不及时治疗,第一磨牙的异位萌出会导致咬合不正。尽管有一些报道的病因和治疗选择,从未记录过由相邻牙齿修复不当引起的异位萌出以及简单的解决方案。
    方法:描述了一个8岁男孩,该男孩在邻近的第二磨牙的预制金属冠(PMC)的适应性差的边缘下,有一个异位的下颌第一磨牙。用轮廓良好的边缘的PMC替换,然后在两颗牙齿的近端接触之间插入分离模块,从而在一个月内成功地解决了这种情况。
    结论:这种具有良好跨学科交流的简单方法对于纠正由于PMC适应性较差而导致的喷发问题非常实用,并具有长期令人满意的结果。为了避免随后的错牙合畸形和不必要的治疗,牙医在操纵PMC并在胶结之前评估边际适应时必须保持警惕。
    Ectopic eruption of the permanent first molar can lead to malocclusion if left untreated. Despite several reported etiologic factors and treatment options, ectopic eruption caused by an improper restoration on an adjacent tooth and a simple solution have never been documented. Case report: An 8-year-old boy presented with an entrapped ectopic permanent mandibular first molar under the poorly adapted margin of a preformed metal crown (PMC) on the adjacent primary second molar. Replacement with a PMC that had well-contoured margins followed by inserting a separating module between the proximal contact of the two teeth resulted in successful management of this situation in 1 month. Conclusion: This simple approach with good interdisciplinary communication is practical for correcting eruption problems due to a poorly adapted PMC, with long-term satisfactory results. To avoid subsequent malocclusion and unnecessary treatments, dental practitioners must be vigilant when manipulating PMCs and assessing the marginal adaptation prior to their cementation.
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  • 文章类型: Journal Article
    异位萌出是由于牙齿发育和萌出受到干扰,导致长出或未长出的牙齿处于意外的解剖位置。这个回顾性病例系列描述了地点,position,形式,以及与狗异位爆发相关的临床症状。在2017-2020年的三个临床实践中,有35只狗(46颗牙齿)被诊断为异位萌出。这些病例是根据地点描述的,发展和喷发状况,临床症状,后果,和进行的治疗。对收集的数据进行统计分析,以确定可能的后果。结果表明,在评估病例中,异位萌出涉及恒牙,主要位于上颌骨,而且大部分没有爆发。位于下颌骨的受影响明显大于位于上颌骨的受影响。这项研究得出结论,牙齿拥挤和错牙合(39.1%),面部肿胀(8.6%),和牙周病(8.6%)与异位喷发的存在有关,因此,大多数(65.2%)病例需要治疗.
    Ectopic eruption results from a disturbance in tooth development and eruption, leading to an erupted or non-erupted tooth being in an unexpected anatomical location. This retrospective case series describes the location, position, form, and clinical signs associated with ectopic eruption in dogs. Thirty-five dogs (46 teeth) were diagnosed with ectopic eruption at three clinical practices during 2017-2020. The cases were described in terms of the location, the development and eruption status, the clinical signs, the consequences, and the treatment performed. The collected data were statistically analyzed to establish possible ramifications. The results showed that the ectopic eruption in the evaluated cases involved permanent teeth, mainly located in the maxilla, and mostly unerupted. Those located in the mandible were significantly more impacted than those located in the maxilla. This study concluded that tooth crowding and malocclusion (39.1%), facial swelling (8.6%), and periodontal disease (8.6%) were associated with the presence of ectopic eruption, and consequently, treatment was required in the majority (65.2%) of cases.
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