目的:区域性牙列发育不良(RO)是一种罕见的牙齿异常,影响原发性和/或永久性牙列,并导致需要综合治疗。这项研究的目的是用RO呈现更大的连续样本,讨论RO患者的治疗策略,并回顾文献。
方法:A连续,7名RO儿童的回顾性样本(6名男性,1名女性),包括在丹麦东部被诊断为RO的所有患者,为期15年。评估包括性别,定位和治疗结果。对过去15年中发表的文献和案例进行了回顾。
结果:转诊年龄为2-12岁(平均7.3岁)。性别比例为1:6(女性:男性),左右比例为3:4。71%的患者下颌骨有RO,上颌骨有29%。43%的恒牙有RO,而原发性和永久性牙列均受影响的占57%。通常,RO影响门牙和犬齿。在一些患者中,RO还影响更多的远端牙齿类型。治疗包括早期多次拔除和随后的联合正畸,手术和假肢.对过去15年中发表的RO病例进行了搜索,其中包括44例。审查显示男性和上颌占优势。RO最常见的处理是提取。
结论:RO的治疗应跨学科进行,专业团队,并设计个人治疗方案。在一般麻醉下,更少但更广泛的治疗疗程可以最大程度地减少患者的护理负担。
OBJECTIVE: Regional
odontodysplasia (RO) is a rare dental anomaly affecting primary and/or permanent dentition, and leads to comprehensive treatment need. The purpose of this study was to present a larger consecutive sample with RO, discuss treatment strategies for patients with RO, and
review the literature.
METHODS: A consecutive, retrospective sample of seven children with RO (6 males, 1 female) including all patients diagnosed with RO in the eastern part of Denmark was conducted over a period of 15 years. The evaluation included gender, localisation and treatment outcome. A
review of the literature and cases published within the last 15 years was conducted.
RESULTS: Referral age was 2-12 years (mean: 7.3 years). The gender ratio was 1:6 (female:male), and the right:left ratio was 3:4. 71% of the patients had RO in the mandible and 29% in the maxilla. 43% had RO in the permanent dentition, while both primary and permanent dentition were affected in 57%. Typically, RO affected incisors and canines. In some patients, RO also affected more distal tooth types. Treatment included early multiple extractions and subsequent combined orthodontics, surgery and prosthetics. A search on RO cases published within the last 15 years was conducted and included 44 cases. The
review showed a male and maxillary preponderance. The most common treatment of RO is extraction.
CONCLUSIONS: Treatment of RO should take place in interdisciplinary, specialised teams, and individual treatment plans should be designed. Fewer but more extensive treatment sessions under general anesthaesia may minimise the burden of care for the patients.