Palatally displaced canine

  • 文章类型: Journal Article
    目的:为了检测腭移位犬(PDC)和鼻中隔偏曲(NSD)之间的任何关联,腭骨厚度和体积,和鼻气道的尺寸和体积。
    方法:共纳入92例患者,并细分为两组:第1组,单侧PDCs(44例),和第2组,正常爆发犬(NDC)(48名受试者)。使用锥形束计算机断层扫描测量以下变量:NSD的存在和类型,鼻宽,下位的圣甲,硬腭和鼻中隔厚度,上颌骨和鼻气道体积。
    结果:在77%和50%的PDC和NDC受试者中检测到NSD,分别。在PDC受试者中,发现移位和非移位侧之间存在显着差异。犬科地区的腭厚度增加,而磨牙地区的腭厚度减少。与对照组相比,PDC受试者的腭厚度减少,鼻气道容积降低。两个预测因子对于预测PDC发生的几率具有重要意义:NSD和上颌骨体积。
    结论:NSD在PDC受试者中更为常见。PDC受试者的腭厚度减少,鼻气道体积减少。在NSD的存在下,发展PDC的几率增加了3.35倍,上颌骨体积每增加一个单位,发生PDC的几率降低20%。
    OBJECTIVE: To detect any association between palatally displaced canine (PDC) and nasal septal deviation (NSD), palatal bone thickness and volume, and nasal airway dimensions and volume.
    METHODS: A total of 92 patients were included and subdivided into two groups: group 1, unilateral PDCs (44 patients), and group 2, normally erupted canines (NDCs) (48 subjects). The following variables were measured using cone-beam computed tomography: presence and type of NSD, nasal width, inferior conchae, hard palate and nasal septum thickness, maxillary bone and nasal airway volumes.
    RESULTS: NSD was detected in 77% and 50% of PDC and NDC subjects, respectively. Within the PDC subjects, significant differences between the displaced and nondisplaced sides were detected. Palate thickness was increased in the canine region and reduced in the molar region. Compared with the control group, PDC subjects had reduced palate thickness and lower nasal airway volume. Two predictors were significant for predicting the odds of PDC occurrence: NSD and maxillary bone volume.
    CONCLUSIONS: NSD is more frequent in PDC subjects. PDC subjects have reduced palate thickness and decreased nasal airway volume. In the presence of NSD, the odds of developing PDC increase by 3.35 times, and for each one-unit increase in the maxillary bone volume, the odds of developing PDC decrease by 20%.
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  • 文章类型: Observational Study
    背景:一个或多个基因中的突变可导致低体及其特征性特征。大量研究表明,遗传对低体症的发生有很强的影响,并鉴定了几个基因,包括AXIN2,EDA,FGF3,FGFR2,FGFR10,WNT10A,MSX1和PAX9与牙体发育不全和癌变直接相关。这项研究的目的是调查牙齿发育不全的发生和模式,microdontia,诊断为甲状腺乳头状癌(PTC)的女性患者的腭移位犬(PDC),与没有任何恶性肿瘤或甲状腺疾病的对照组女性相比。
    方法:本病例对照研究在口腔正畸科进行。萨格勒布大学牙科医学院,和肿瘤和核医学部门SestreMilosrdnice大学医院中心。该研究涉及临床检查和评估牙齿状况,全景X射线分析,对116例20-40岁女性PTC患者的病史和家族史进行评估,以及对照组中年龄相似的424名女性。
    结果:低酮症的患病率,microdontia,女性PTC患者的PDC在统计学上高于对照组。实验组牙体功能低下的患病率为11.3%,对照组为3.5%。实验组上侧切牙缺失发生率较高,左下中央切牙,与对照组相比,所有第三磨牙(左上除外)。女性PTC患者PDC患病率明显高于对照组(3.5%,0.7%,p=0.002)。作为临床发现的牙髓不足的概率增加了2.6倍,在PTC女性中,microdontia的发生率是其7.7倍。
    结论:我们的研究表明牙本质发育与PTC之间可能存在联系。没有恒牙可能会增加女性患PTC的可能性。在关键的早期检测窗口内,利用7岁正像图识别PTC高危女性,可以通过积极的干预措施显着改善口腔健康结果和PTC预后。
    BACKGROUND: Mutations in one or multiple genes can lead to hypodontia and its characteristic features. Numerous studies have shown a strong genetic influence on the occurrence of hypodontia, and identified several genes, including AXIN2, EDA, FGF3, FGFR2, FGFR10, WNT10A, MSX1, and PAX9, that are directly associated with dental agenesis and carcinogenesis. The objective of this study was to investigate the occurrence and pattern of tooth agenesis, microdontia, and palatally displaced canine (PDC) in women diagnosed with papillary thyroid cancer (PTC), compared to a control group of women without any malignancy or thyroid disease.
    METHODS: This case-control study was carried at the Department of Orthodontics, School of Dental Medicine University of Zagreb, and Department of Oncology and Nuclear Medicine Sestre Milosrdnice University Hospital Centre. The study involved a clinical examination and evaluation of dental status, panoramic X-ray analysis, and assessment of medical and family history of 116 female patients aged 20-40 with PTC, as well as 424 females in the control group who were of similar age.
    RESULTS: The prevalence of hypodontia, microdontia, and PDC was statistically higher in women with PTC than in the control group. The prevalence rate of hypodontia was 11.3% in the experimental group and 3.5% in the control group. The experimental group showed a higher occurrence of missing upper lateral incisors, lower left central incisors, and all the third molars (except the upper left) compared to the control group. Women with PTC showed the prevalence of PDC significantly higher than the control group (3.5%, 0.7%, p = 0.002). The probability of hypodontia as a clinical finding increases 2.6 times, and microdontia occurs 7.7 times more frequently in women with PTC.
    CONCLUSIONS: Our study suggests a possible link between odontogenesis and PTC. The absence of permanent teeth may increase the likelihood of PTC in women. Leveraging the age-7 orthopantomogram to identify women at high risk for PTC within a critical early detection window could significantly improve oral health outcomes and PTC prognosis through proactive interventions.
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  • 文章类型: Comparative Study
    OBJECTIVE: To examine the relationship between palatally displaced maxillary canines (PDC) and the maxillary transverse dimension using cone-beam computed tomography (CBCT).
    METHODS: Thirty-three patients (11 males and 22 females, mean age 18.2 years) with PDC were matched to 66 patients (22 males and 44 females, mean age 18.1 years) without PDC (control) by gender, age, and posterior occlusion. A CBCT image was taken on all the patients prior to any orthodontic treatment. For each patient the maxillary basal bone widths and interdental widths at the maxillary first molars and first and second premolars were measured on axial and coronal sections of CBCT images. In addition, the presence of permanent tooth agenesis and the widths of maxillary incisors were recorded.
    RESULTS: Similar maxillary transverse dimensions, both skeletally and dentally, were found between the PDC and control groups. In the PDC group, the number of patients with permanent tooth agenesis was six times higher than in the control group. In addition, the maxillary lateral incisors on PDC-affected sides were smaller than those of control group (P < .05).
    CONCLUSIONS: The maxillary transverse dimension, both skeletally and dentally, had no effect on the occurrence of PDC. The higher prevalence of permanent tooth agenesis was found in the PDC group. Moreover, the mean mesiodistal width of maxillary lateral incisors in the PDC group was significantly smaller than in the control group (P < .05).
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