odontodysplasia

牙发育不良
  • 文章类型: Journal Article
    PHACES综合征是后窝畸形综合征表现的首字母缩写,血管瘤,动脉异常,主动脉缩窄/心脏缺损,眼睛异常和胸骨畸形。婴儿血管瘤是婴儿期最常见的肿瘤。区域性牙齿发育不良,通常被称为“鬼牙”,是牙釉质和牙本质的罕见局部发育畸形,严重程度不同,导致受影响牙齿的异常临床和影像学表现。本报告描述了一例罕见的2岁白种人男性,被诊断患有PHACES综合征,并伴有多区域牙齿发育不良。二十颗牙齿中有十颗发育不良。患者在医院环境下进行全身麻醉治疗。由于敏感,所有受影响的乳牙都被拔除,脓肿和极差的长期预后。往前走,一个长期的跨学科的方法将是必要的,以解决这个孩子的牙列,因为它的发展。
    PHACES syndrome is an acronym for the syndromic presentation of Posterior fossa malformation, Hemangioma, Arterial anomalies, Coarctation of aorta/cardiac defects, Eye abnormalities and Sternal malformations. Infantile hemangiomas are the most common tumors of infancy. Regional odontodysplasia, commonly referred to as \"ghost teeth\", is a rare localized developmental malformation of enamel and dentin with varying levels of severity that results in unusual clinical and radiographic appearances of affected teeth. This report describes a rare case of a two-year-old Caucasian male diagnosed with PHACES syndrome also presenting with multi-regional odontodysplasia. Ten of twenty teeth were dysplastic. The patient was treated under general anesthesia in a hospital setting. All affected primary teeth were extracted due to sensitivity, abscess and extremely poor long-term prognosis. Moving forward, a long-term interdisciplinary approach will be necessary to address this child\'s dentition as it develops.
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  • 文章类型: Journal Article
    节段性牙颌异常增生(SOD)是一种罕见且不寻常的非遗传性发育障碍,影响上颌骨的一侧,影响硬组织,软组织,和受影响区域的牙列。最常见的表现是患侧的牙龈和骨组织增大以及受累象限的牙体减少。受影响区域的皮肤不规则性也很常见。我们报告了一例3岁女性右上颌骨中出现的SOD。我们的报告和文献综述强调了临床,射线照相,SOD的组织病理学特征,以及患者的管理和其发病机理的拟议病因。
    Segmental odontomaxillary dysplasia (SOD) is a rare and unusual nonhereditary developmental disorder that affects one side of the maxilla, impacting the hard tissue, soft tissue, and dentition in the affected area. It most frequently presents with enlargement of the gingival and osseous tissue of the affected side and hypodontia of the involved quadrant. Cutaneous irregularities of the impacted area are also common. We report a case of SOD arising in the right maxilla of a three-year-old female. Our report and review of the literature highlight the clinical, radiographic, and histopathologic characteristics of SOD, as well as the management of patients and the proposed etiologies of its pathogenesis.
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  • 文章类型: Review
    Regional odontodysplasia (ROD) is a localized developmental anomaly involving deciduous and permanent dentition, with a significant impact on patients. The affected teeth display unique ghost-like radiological characteristics, clinically manifesting as delayed tooth eruption, abnormal tooth morphology, and recurrent swelling of gingiva. In this paper, we report a case of a 2-year-old patient with ROD whose chief complaint was facial cellulitis. We analyze the medical history, clinical examination, radiographic findings, and histologic findings, and review the pathological features, pathogenesis, multidisciplinary diagnosis, and treatment of ROD. This rare case, which offers clinical samples for its further study, can provide a deeper study of ROD.
    区域性牙发育不良(ROD)是一种局部乳恒牙发育异常,具有独特的鬼影样影像学表现,临床表现为牙齿萌出延迟、形态异常,牙周软组织反复肿胀等,对患者影响深远。本文报告1例因面部肿胀就诊的2岁患儿,通过病史、口腔检查、影像学及组织学检查,结合文献回顾,分析其病理特征、可能发病机制、多学科诊治特点,帮助临床医师深入了解这类罕见病,为进一步研究提供临床样本。.
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    文章类型: Case Reports
    节段性牙颌异常增生(SOD)是一种罕见且可能未被认识到的发育状况。在极少数情况下,SOD还可导致同侧下颌牙槽突和牙齿的异常。本报告介绍了2例下颌受累的SOD病例,以强调SOD表现的这种潜在变化。这些病例有助于我们对疾病机制和病因学的理解,同时还告知临床医生要勤奋地对同侧下颌骨进行成像,以发现SOD患者的牙齿异常。基于双颌的参与,将名称更改为“节段性同侧牙颌发育不良”是合理的,以更好地反映其病理生理学。
    Segmental odontomaxillary dysplasia (SOD) is an uncommon and likely underrecognized developmental condition. In rare cases, SOD can also result in anomalies of the ipsilateral mandibular alveolar process and teeth. This report presents two cases of SOD with mandibular involvement to highlight this potential variation in SOD presentation. These cases help shed new light on our understanding of the disease mechanism and pathoetiology, while also informing clinicians to be diligent in imaging the ipsilateral mandible for dental anomalies in their patients with SOD. Based on the involvement of both jaws, the name change to \'segmental ipsilateral odontognathic dysplasia\' is justified to better reflect its pathophysiology.
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  • 文章类型: Case Reports
    区域牙齿发育不良(RO)是与发育不良相关的罕见非遗传性牙齿异常。其病因尚不清楚,但已知会影响中胚层和外胚层牙齿成分,以及乳牙和恒牙。其发病年龄低且复杂,对受影响患者的生理和心理影响很大。然而,在没有标准化治疗指南的情况下,RO的临床管理仍然是统一的.因此,这项研究旨在报告一个RO病例,第一个来自江西省,中国,并对其临床诊断和治疗进行探讨,为今后更有效地治疗类似病例提供参考。
    Regional odontodysplasia (RO) is a rare non-hereditary dental anomaly associated with dysplasia. Its etiology remains unclear but is known to affect both the mesodermal and ectodermal dental components, as well as deciduous and permanent dentitions. Its young age of onset and complexity has great physical and psychological impact on the affected patients. However, the clinical management of RO remains unified without standardized treatment guidelines. Thus, this study aimed to report an RO case, the first from Jiangxi Province, China, and discuss its clinical diagnosis and treatment to provide a reference to treat similar cases more effectively in the future.
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  • 文章类型: Case Reports
    区域牙发育不良(RO)是一种罕见的上皮和间叶性牙组织发育异常。由于对其病因了解甚少,评估和讨论这种牙齿异常的相关临床病例对于指导专业人员改善其治疗和结果至关重要。本文旨在报告一名9岁的男性患者的病例,该患者到我们部门就诊,主要主诉为永久性左下颌象限牙齿缺失。这是中国报道的首例面部和颈部多发性皮肤痣患者的病例,根据检索到的临床和影像学特征,我们描述和讨论了RO的治疗和病因。
    Regional odontodysplasia (RO) is a rare developmental abnormality of epithelial and mesenchymal dental tissues. Due to its poorly understood etiology, assessing and discussing related clinical cases of this dental anomaly is crucial to guide professionals in improving its treatment and outcomes. This article aimed to report the case of a 9-year-old male patient who presented to our department with the main complaint of absent eruption of permanent left mandibular quadrant teeth. This is the first case reported in China from a patient with multiple cutaneous nevi on the face and neck, and based on the retrieved clinical and radiographic features, we described and discussed the treatment and etiology of RO.
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  • 文章类型: Case Reports
    背景:单例-默顿综合征1(SGMRT1)是一种由IFIH1基因杂合突变引起的罕见I型干扰素病。IFIH1编码模式识别受体MDA5,其感知病毒dsRNA并激活抗病毒I型干扰素(IFN)信号传导。在SGMRT1中,IFIH1突变赋予功能获得,导致I型干扰素(IFN)信号过度激活,导致自身炎症。
    方法:我们报告了一个9岁儿童的案例,该儿童最初表现为粗大运动技能发育和肌肉无力的缓慢进行性下降。五岁时,他患上了骨质疏松症,肢端骨溶解,牙槽骨丢失和严重的牛皮癣。全外显子组测序显示致病性从头IFIH1突变,确认SGMRT1的诊断。与组成型I型干扰素激活一致,患者血细胞表现出强烈的IFN特征,如IFN刺激基因的显著上调所示。患者开始服用Janus激酶(JAK)抑制剂,鲁索替尼,抑制IFN-α/β受体的信号传导。在治疗后的几天内,银屑病皮肤损伤完全解决和IFN签名正常化。治疗效果持续,在整个过程中肌肉无力,骨量减少和生长也有所改善。
    结论:JAK抑制是SGMRT1患者有价值的治疗选择。我们的发现还强调了基于致病洞察力的患者定制治疗方法的潜力。
    BACKGROUND: Singleton-Merten syndrome 1 (SGMRT1) is a rare type I interferonopathy caused by heterozygous mutations in the IFIH1 gene. IFIH1 encodes the pattern recognition receptor MDA5 which senses viral dsRNA and activates antiviral type I interferon (IFN) signaling. In SGMRT1, IFIH1 mutations confer a gain-of-function which causes overactivation of type I interferon (IFN) signaling leading to autoinflammation.
    METHODS: We report the case of a nine year old child who initially presented with a slowly progressive decline of gross motor skill development and muscular weakness. At the age of five years, he developed osteoporosis, acro-osteolysis, alveolar bone loss and severe psoriasis. Whole exome sequencing revealed a pathogenic de novo IFIH1 mutation, confirming the diagnosis of SGMRT1. Consistent with constitutive type I interferon activation, patient blood cells exhibited a strong IFN signature as shown by marked up-regulation of IFN-stimulated genes. The patient was started on the Janus kinase (JAK) inhibitor, ruxolitinib, which inhibits signaling at the IFN-α/β receptor. Within days of treatment, psoriatic skin lesions resolved completely and the IFN signature normalized. Therapeutic efficacy was sustained and over the course muscular weakness, osteopenia and growth also improved.
    CONCLUSIONS: JAK inhibition represents a valuable therapeutic option for patients with SGMRT1. Our findings also highlight the potential of a patient-tailored therapeutic approach based on pathogenetic insight.
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  • 文章类型: Journal Article
    区域性牙齿发育不良是一种罕见的发育障碍,其特征是牙釉质和牙本质的发育不全和矿化不足。我们的系统综述旨在组织本地化知识,根据PubMed数据库中发布的病例报告,对区域性牙齿发育不良患者的症状学和治疗方法,Scopus和WebofScience病例报告在28个不同的国家进行了描述,考虑180名患者(包括91名女性)。区域性牙列发育不良主要发生在乳牙和恒牙中(66.1%)。受影响的牙齿在上颌骨中观察到更频繁(70.0%),尤其是左侧(45.6%)。最常见的症状是鬼牙,发育不良的芽,牙冠的黄棕色和受影响象限的恒牙的延迟萌出。最流行的治疗方法是手术治疗(78.6%)和随后的假体治疗(34.6%)。根据对案件的审查,可以发现病理临床和放射学体征,然而,治疗方法的选择很难达成共识。
    Regional odontodysplasia is a rare developmental disorder characterised by hypoplasia and hypomineralisation of enamel and dentin. Our systematic review aimed to organise the knowledge on localisation, symptomatology and treatment methods in patients with regional odontodysplasia based on case reports published in the databases PubMed, Scopus and Web of Science. Case reports were described in 28 different countries, considering 180 patients (including 91 females). Regional odontodysplasia occurs mainly in both deciduous and permanent dentition (66.1%). The affected teeth were observed more frequently in the maxilla (70.0%), especially on the left side (45.6%). The most common reported symptoms were ghost teeth, poorly developed buds, yellowish-brown colour of crowns and delayed eruption of permanent teeth in affected quadrants. The most popular treatment method was surgical treatment (78.6%) with subsequent prosthetic therapy (34.6%). Based on the review of cases, pathognomonic clinical and radiological signs can be found, however, it is difficult to reach a consensus on the choice of treatment method.
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  • 文章类型: Case Reports
    BACKGROUND: Segmental odontomaxillary dysplasia is an uncommon nonhereditary growth disorder that affects the maxilla, gums and ipsilateral dentition. The disorder is diagnosed mainly based on dental (over-retention of primary teeth, dental agenesis and diastemas) and bone findings (bone sclerosis, irregular trabeculation of immature bone and reduced maxillary sinus). This paper provides a case report.
    METHODS: A 5-year-old child with skin manifestations including hypertrichosis, facial erythema and pigmented nevus was diagnosed with type II segmental odontomaxillary dysplasia based on clinical, radiographic and histopathological analysis.
    CONCLUSIONS: The skin findings can help with the suspicion of segmental odontomaxillary dysplasia, although the definitive diagnosis is typically established by a paediatric dentist based on clinical and radiological findings.
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  • 文章类型: Letter
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