Unerupted tooth

未萌出的牙齿
  • 文章类型: Systematic Review
    牙齿萌出是颅面发育过程中一个重要而独特的生物学过程。遗传和环境因素都会干扰这一过程。在这里,我们旨在找到五种遗传疾病中牙齿萌出的失败模式。系统评价和荟萃分析均用于确定未萌出牙齿的基因型-表型关联。该荟萃分析基于223例PTH1R突变患者异常牙齿萌出的特征,分别为RUNX2、COL1A1/2、CLCN7和FAM20A。我们发现所有患者均出现选择性牙齿萌出(SFTE)失败。具有PTH1R突变的喷发患者的原发性失败在第一和第二磨牙中显示出原发性或孤立的SFTE1(分别为59.3%和52%)。RUNX2相关的锁骨颅骨发育不良通常在犬和前磨牙有SFTE2,而与COL1A1/2相关的成骨不全症主要引起上颌第二磨牙的SFTE3(22.9%)。在CLCN7相关的骨硬化中,第二磨牙和下颌第一磨牙受影响最大。而FAM20A相关的牙釉质肾综合征在第二磨牙(86.2%)和上颌犬中引起SFTE5。总之,SFTE是大多数具有异常孤立性或综合征性牙齿萌出的遗传疾病的共同特征。未萌出牙齿的选择性模式是基因依赖性的。在这里,我们建议SFTE对那些遗传性未萌出的牙齿进行分类,并指导精确的分子诊断和治疗。
    Tooth eruption is an important and unique biological process during craniofacial development. Both the genetic and environmental factors can interfere with this process. Here we aimed to find the failure pattern of tooth eruption among five genetic diseases. Both systematic review and meta-analysis were used to identify the genotype-phenotype associations of unerupted teeth. The meta-analysis was based on the characteristics of abnormal tooth eruption in 223 patients with the mutations in PTH1R, RUNX2, COL1A1/2, CLCN7, and FAM20A respectively. We found all the patients presented selective failure of tooth eruption (SFTE). Primary failure of eruption patients with PTH1R mutations showed primary or isolated SFTE1 in the first and second molars (59.3% and 52% respectively). RUNX2 related cleidocranial dysplasia usually had SFTE2 in canines and premolars, while COL1A1/2 related osteogenesis imperfecta mostly caused SFTE3 in the maxillary second molars (22.9%). In CLCN7 related osteopetrosis, the second molars and mandibular first molars were the most affected. While FAM20A related enamel renal syndrome most caused SFTE5 in the second molars (86.2%) and maxillary canines. In conclusion, the SFTE was the common characteristics of most genetic diseases with abnormal isolated or syndromic tooth eruption. The selective pattern of unerupted teeth was gene-dependent. Here we recommend SFTE to classify those genetic unerupted teeth and guide for precise molecular diagnosis and treatment.
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  • 文章类型: Journal Article
    UNASSIGNED:本系统综述旨在评估正畸牵引牙齿与未牵引对侧牙齿的牙周参数。
    UNASSIGNED:为六个电子数据库和灰色文献开发了搜索策略。对感兴趣的结果进行随机效应荟萃分析。此外,使用等级(建议评估的等级,发展,和评估)工具。
    未经评估:总的来说,确定了2,082篇文章,其中24人被选作定性合成。当评估牙龈指数时,在患侧和对侧牙齿之间观察到显着差异(平均差[MD]=0.25;95%置信区间[CI]=0.10-0.40;I2=0%)。此外,受影响的牙齿显示出更大的探测深度,两组之间的平均差异显着(MD=0.14;95%CI=0.07-0.20;I2=6%)。大多数研究的偏倚风险较低;然而,由于现有研究的设计,证据的确定性非常低.
    UNASSIGNED:文献中的证据表明,牵引牙齿可能显示与牙龈指数和探查深度有关的牙周参数恶化;但是,关于这一结果的证据仍然不确定。此外,由于观察到的效应大小较小,因此应考虑探测深度的临床意义。
    UNASSIGNED: This systematic review aimed to evaluate periodontal parameters in orthodontically tractioned teeth compared with the respective non-tractioned contralateral teeth.
    UNASSIGNED: Search strategies were developed for six electronic databases and gray literature. Random-effects meta-analyses were performed for the outcomes of interest. Furthermore, the certainty of the evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) tool.
    UNASSIGNED: Overall, 2,082 articles were identified, of which 24 were selected for the qualitative synthesis. A significant difference was observed between the impacted and contralateral teeth (mean difference [MD] = 0.25; 95% confidence interval [CI] = 0.10-0.40; I2 = 0%) when the gingival index was evaluated. Additionally, impacted teeth showed a greater probing depth, with a significant mean difference between the groups (MD = 0.14; 95% CI = 0.07-0.20; I2 = 6%). Most studies had a low risk of bias; however, the certainty of the evidence was very low owing to the design of existing studies.
    UNASSIGNED: The evidence in the literature indicated that tractioned teeth might show worsening of periodontal parameters related to the gingival index and probing depth; however, the evidence remains uncertain about this outcome. Furthermore, probing depth should be considered regarding its clinical significance because of the small effect size observed.
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  • 文章类型: Journal Article
    The first publication on the use of magnets in dentistry for stabilizing prosthetics on implants dates back to 1953. Clinical development in orthodontics, without having experienced a real boom, has increased over the past ten years, in parallel with the improvement of the device. The objective of this review of the literature is to synthesize clinical applications and reported iatrogenic effects. A systematic review of the international literature from the Pubmed and Cochrane databases from 1999 to July 2018 was conducted which resulted in 36 articles. The factors studied are the indications and contraindications, the means or procedure, as well as the iatrogenic effects. Original cases are presented. The correction of infraclusions is the main indication, followed by the correction of anteroposterior malocclusions and then the correction of over-erupted teeth. Traction of an impacted teeth and diastema closure have not been found in recent publications probably because of the low benefit-risk ratio. The future no longer seems to be buried magnets or left in the long term in the mouth considering there seems to be concerns in terms of toxicity (or even the risk in terms of vital prognosis). The magnets could offer interesting perspectives to manage the current limits of the aligners, the movements of anterior egression, rotation and previous torque being still problematic...
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  • 文章类型: Case Reports
    Dentigerous cysts are one of the common cysts of the jaws. Bilateral dentigerous cysts generally occur in association with a developmental syndrome or systemic diseases. Bilateral dentigerous cyst in absence of a syndrome is rare and to date only 18 cases have been reported. After reviewing the literature, no case reports of dentigerous cysts involving all the quadrants of the jaws were reported. As far as our knowledge, this is the first case to be reported.
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