dental anomaly

牙齿异常
  • 文章类型: Journal Article
    牙齿异常通常在儿童时期检测到,据报道在接受癌症治疗或化疗的患者中患病率很高。从2004年到2024年,我们使用术语“牙齿异常”和“全景检查”对PubMed进行了文献检索,发现298篇潜在相关文章。关于牙齿异常的31篇文章符合资格标准,并被提取用于本综述。尽管据报道,一般人群中牙齿发育不全和微小牙体的患病率约为10%和3%,分别,在所有调查中,接受过癌症治疗或化疗的患者的患病率更高,提示治疗与牙齿异常的发生有关。重要的是不仅在治疗期间而且在治疗完成后继续对患者进行长期随访。牙科专业人员应向患者提供有关牙齿异常的信息,他们的监护人,和医疗专业人士,这可能会改善患者的生活质量。
    Dental abnormalities are often detected in childhood and are reported to occur with high prevalence in patients who have undergone cancer treatment or chemotherapy. We performed a literature search of PubMed from 2004 to 2024 using the terms \"dental anomaly\" and \"panoramic examination\", and 298 potentially relevant articles were found. Thirty-one articles about dental abnormalities matched the eligibility criteria and were extracted for this review. Although the prevalence of tooth agenesis and microdontia in the general population was reported to be approximately 10% and 3%, respectively, the prevalence in patients who had undergone cancer treatment or chemotherapy was higher in all surveys, suggesting that the treatment is related to the occurrence of dental abnormalities. It is important to continue long-term follow-up with patients not only during treatment but also after the completion of treatment. Dental professionals should provide information about dental abnormalities to patients, their guardians, and medical professionals, which may lead to improvement in the quality of life of patients.
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  • 文章类型: Journal Article
    背景:化疗是儿科癌症的常用治疗方法。尽管由于医学科学的进步,生活预后正在改善,处理牙齿异常等晚期影响很重要。我们根据年龄和牙齿类型调查了牙齿异常与化疗之间的关系。方法:在我院儿童口腔科转诊的568例患者中,我们选择了32例患者(男21例,女11例),这些患者在0~6岁之间接受化疗,7岁之后接受全景检查.我们记录了化疗开始的年龄,全身性疾病诊断,和牙齿异常,如先天性缺失,microdonts,和短根牙齿。结果:几乎一半的患者有牙齿异常,如先天性缺失,microdonts,和短根牙齿,但是这些异常的发生率按年龄没有显着差异。当我们按牙齿类型分析异常牙齿的发生率时,先天性缺失的发生率在前磨牙(5.5%)和第二磨牙(3.9%)明显高于切牙,犬齿或第一磨牙(0.4%)(p<0.01)。前磨牙(3.9%)的微牙发生率明显高于门牙或犬牙或第一磨牙(0.2%)和第二磨牙(0.0%)(p<0.05)。结论:接受化疗的患者牙齿异常的患病率很高,异常的发生率因牙齿类型而异。即使在治疗完成后,对接受化疗的患者保持长期口腔护理也很重要。
    Background: Chemotherapy is a common treatment for pediatric cancer. Although life prognosis is improving because of advances in medical science, it is important to deal with late effects such as dental abnormalities. We investigated the association between dental abnormalities and chemotherapy by age and tooth type. Methods: Among the 568 patients referred to the pediatric dentistry department of our hospital, we selected 32 patients (21 male and 11 female) who received chemotherapy between the ages of 0 and 6 and underwent panoramic examination after the age of 7. We recorded the age of chemotherapy commencement, diagnosis of systemic disease, and dental abnormalities such as congenital absence, microdonts, and short-rooted teeth. Results: Almost half of the patients had dental abnormalities such as congenital absence, microdonts, and short-rooted teeth, but there were no significant differences in the incidence of these abnormalities by age. When we analyzed the incidence of abnormal teeth by tooth type, the incidence of congenital absence was significantly higher in premolars (5.5%) and second molars (3.9%) than in incisor or canine or 1st molar (0.4%) (p < 0.01). The incidence of microdonts was significantly higher in premolars (3.9%) than in incisor or canine or 1st molar (0.2%) and second molars (0.0%) (p < 0.05). Conclusions: Patients who received chemotherapy had a high prevalence of dental abnormalities, and the incidence of abnormalities varied by tooth type. It is important to maintain long-term oral care for patients who have undergone chemotherapy even after the treatment is completed.
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  • 文章类型: Case Reports
    孤立性上颌正中切牙(SMMCI)综合征是复杂的,通常在宫内期间在受孕后35-38天发展。一个值得注意的发现是上颌牙槽中只有一个中切牙,正好在中心线上找到,存在于乳牙和恒牙中,并伴有其他先天性异常。大约每50,000个活生生的婴儿中就有一个表现出这种异常。本报告描述了一名13岁的SMMCI综合征女性患者的案例,该患者因单个大的上前牙而出现难看的外观。我们强调提高临床医生对SMMCI综合征的认识的重要性,以及对其护理的多学科方法的必要性。
    Solitary median maxillary central incisor (SMMCI) syndrome is complex and usually develops 35-38 days postconception during the intrauterine period. A noteworthy discovery is that just one central incisor in the maxillary alveolus, found exactly on the centerline, is present in both deciduous and permanent dentitions with other congenital anomalies. Around one in every 50,000 live babies exhibits this abnormality. This report describes the case of a 13-year-old female patient with SMMCI syndrome with a complaint about an unsightly appearance due to a single large upper front tooth. We underline the importance of increasing clinician awareness of SMMCI syndrome and the need for a multidisciplinary approach to its care.
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  • 文章类型: Journal Article
    在沙特阿拉伯的一家教学医院进行了一项观察性研究,以确定阿拉伯儿童中牙齿异常的发生。该研究包括沙特国籍的有乳牙的儿童。该研究评估了其原发性牙列中牙齿异常的患病率。评估和数据收集由一名审查员进行,利用临床检查和口腔内X光片。进行了比较分析,以检查与性别(男孩和女孩)和牙弓类型(上颌和下颌)有关的牙齿异常。此外,该研究探讨了取决于牙弓类型的性别特异性牙齿异常的发生。使用IBMStatistics(21.0版)进行数据分析,显著性水平为p<0.05。总的来说,最终分析包括245名儿童。研究人群由男孩(66%)和女孩(34%)组成,平均年龄4.87±0.9岁。Taurodontism是最常见的牙齿异常,发生在研究样本中2.8%的个体中。研究样本表现出2%的低体血症,多余的牙齿占2.4%,2%的双齿,和microdontia在1.2%。塔龙尖牙和巨大牙体的发病率相对较低,为0.4%。男孩表现出多余的牙齿,microdontia,macrodontia,塔伦尖点,和牛磺酸症,而在女孩中,缺牙症和双牙更常见。
    An observational study was carried out in a teaching hospital in Saudi Arabia to determine the occurrence of dental anomalies among Arabian children. The study included children of Saudi nationality with primary teeth. The study assessed the prevalence of dental anomalies in their primary dentition. The assessment and data collection were conducted by a single examiner, utilizing clinical examination and intra-oral radiographs. A comparative analysis was conducted to examine dental anomalies in relation to gender (boys and girls) and arch type (maxillary and mandibular). In addition, the study explored the occurrence of gender-specific dental anomalies depending on arch type. The data analysis was conducted using IBM Statistics (version 21.0) with a significance level of p < 0.05. In total, there were 245 children included in the final analysis. The study population consisted of boys (66%) and girls (34%), with an average age of 4.87 ± 0.9 years. Taurodontism was the most prevalent dental abnormality, occurring in 2.8% of the individuals in the study sample. The study sample exhibited hypodontia in 2%, supernumerary teeth in 2.4%, double teeth in 2%, and microdontia in 1.2%. Talon cusp and macrodontia have a relatively low incidence of 0.4%. Boys exhibit supernumerary teeth, microdontia, macrodontia, talon cusp, and taurodontism, whereas hypodontia and double teeth were more frequent in girls.
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  • 文章类型: Journal Article
    目的:牙齿异常(DA)会影响儿科患者的美学,函数,和心理健康。科威特缺乏关于儿童DA患病率的数据。本研究旨在调查8至12岁学童中DA的患病率和分布。
    方法:对参加单一牙科中心的儿童进行了一项回顾性研究。所有射线照片均由2名校准和训练的检查者评估。
    结果:在检查的546张全景X射线照片中,有110张(20.1%)出现DA:女性为53.6%,男性为46.4%。DA患儿的平均年龄(9.83±1.29)与无异常患儿的平均年龄(9.96±1.46)相似。最普遍的异常是牙齿发育不全(9.3%),其次是牛磺酸症(6.6%)和异位喷发(EE,2%)。DA在上颌骨(58.2%)比下颌骨(41.8%,P=.042)。下颌骨(56.9%)比上颌骨(43.1%,P=.003)。EE在上颌骨(90.9%)明显高于下颌骨(9.1%,P=.024)。微体和根撕裂仅存在于雄性中,而多余的牙齿,换位,并且仅在女性中注意到受影响的牙齿。
    结论:科威特学童中DA的患病率被认为相对较高。某些DA与性别有关。DA的显着流行凸显了使用全景X光片进行早期诊断的必要性,特别是在9岁和10岁之间,以确保有效的患者管理。
    OBJECTIVE: Dental anomalies (DA) can affect paediatric patients\' aesthetics, function, and psychological well-being. There is a lack of data about the prevalence of DA in children in Kuwait. This study aimed to investigate the prevalence and distribution of DA amongst schoolchildren aged 8 to 12 years.
    METHODS: A retrospective study was conducted using panoramic digital radiographs of children who attended a single dental center. All radiographs were evaluated by 2 calibrated and trained examiners.
    RESULTS: DA were present in 110 (20.1%) out of the 546 panoramic radiographs examined: 53.6% in females and 46.4% in males. The mean age of children with DA (9.83 ± 1.29) was similar to that of children with no anomalies (9.96 ± 1.46). The most prevalent anomaly was dental agenesis (9.3%), followed by taurodontism (6.6%) and ectopic eruption (EE, 2%). DA were more common in the maxilla (58.2%) compared to the mandible (41.8%, P = .042). Congenitally missing teeth were significantly more frequent in the mandible (56.9%) than in the maxilla (43.1%, P = .003). EE was significantly more common in the maxilla (90.9%) than in the mandible (9.1%, P = .024). Microdontia and root dilacerations were only present in males, whilst supernumerary teeth, transposition, and impacted teeth were noted in females only.
    CONCLUSIONS: The prevalence of DA amongst schoolchildren in Kuwait was considered to be relatively high. Certain DA were associated with gender. The significant prevalence of DA highlights the need for early diagnosis using panoramic radiographs, particularly during the ages of 9 and 10, in order to ensure effective patient management.
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  • 文章类型: Case Reports
    本文的目的是报告一个6岁女孩的罕见病例,其中两个牙齿异常,融合和融合,在原牙列中共存。这突出了准确早期诊断这些牙齿异常的重要性。
    牙源性异常在牙科实践中经常遇到。这些异常可能是由于分化阶段的异常而发生的,并且可能导致硬组织形成的像差。一些罕见和不寻常的数量和形式的牙齿异常包括融合,双生,和和解。
    这种难以捉摸的情况代表了左中央和多余牙齿之间的融合和凹陷。左主中切牙呈大齿,切缘有凹槽。使用临床观察以及使用RVGX光片和正像图(OPG)的影像学评估来进行诊断。
    早期诊断将降低与以后任何需要提取相关的可能并发症的风险。需要对患者进行监测和长期随访,以处理真实融合和获得性融合并存异常的病例。
    在早期阶段对融合和愈合进行全面的病史记录以及临床和影像学评估可导致准确的诊断。仔细的监测计划是降低以后可能出现并发症风险的关键。
    AhujaV,PathakA.上颌乳牙的融合和愈合吸虫:一例病例报告。IntJClinPediatrDent2023;16(S-3):S327-S330。
    UNASSIGNED: The aim of this paper is to report a rare case in a 6-year-old girl where two dental anomalies, fusion and concrescence, coexisted in primary dentition. This highlights the significance of the accurate early diagnosis of these dental anomalies.
    UNASSIGNED: Odontogenic anomalies are frequently encountered in dental practice. These anomalies can occur due to abnormalities during the differentiation stage and may lead to aberrations in hard tissue formation. Some of the uncommon and unusual dental anomalies of number and form include fusion, gemination, and concrescence.
    UNASSIGNED: This elusive case represents the fusion and concrescence together between the left central and a supernumerary tooth. The left primary central incisor presens as a large tooth with a groove through the incisal edge. Clinical observation along with radiographic evaluation using RVG radiographs and orthopantomogram (OPG) were used to arrive at a diagnosis.
    UNASSIGNED: Early diagnosis of concrescence will reduce the risk of possible complications associated with any need for extraction later on. Monitoring the patient and long-term follow-up are required to manage the case with coexisting anomalies of true fusion and acquired concrescence.
    UNASSIGNED: A thorough history-taking and clinical and radiographic evaluation of fusion and concrescence at an early stage results in an accurate diagnosis. A careful monitoring plan is a key to reduce the risk of possible complications later on.
    UNASSIGNED: Ahuja V, Pathak A. Fluke of Fusion and Concrescence in Maxillary Deciduous Incisors: A Case Report. Int J Clin Pediatr Dent 2023;16(S-3):S327-S330.
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  • 文章类型: Case Reports
    外胚层发育不良(ED)是一种罕见的疾病,在临床病例中表现不同,并且可以表现为多种组合和严重的异常,可能涉及多种组织。这种疾病在临床上可能表现为毛发减少症,多汗症,或低度,在其他临床表现中。病人,一个五岁的男孩,在Taibah大学牙科诊所就诊,并根据临床影像学和遗传学发现被诊断为X连锁多汗性外胚层发育不良1型。尽管没有报告此案的基础数据,本病例报告可以提醒牙科医生,并扩大有关这种异常的牙齿和/或口腔特征的科学数据库知识。
    Ectodermal dysplasia (ED) is a rare disorder that appears differently in clinical cases and can present with a variety of combinations and severities of abnormalities that can involve a variety of tissues. The disease might appear clinically as hypotrichosis, hypohidrosis, or hypodontia, among other clinical manifestations. The patient, a five-year-old boy, was seen at the Taibah University Dental Clinic and was diagnosed with X-linked hypohidrotic ectodermal dysplasia type 1 based on clinical radiographic and genetic findings. Although there is no base data for reporting this case, the present case presentation could alert dental practitioners and expand scientific database knowledge on the dental and/or oral characteristics of this abnormality.
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  • 文章类型: Journal Article
    这项研究旨在评估蝶鞍(ST)的形态和大小与牙齿异常和骨骼咬合的关系。这项横断面研究是对2013年至2022年间治疗的固定正畸患者的记录进行的。进行头影分析以确定前后和垂直骨骼模式。术前全景X线片和侧位头颅造影,口内照片,和患者的主要牙模用于检测牙齿异常。性别,矢状和垂直骨骼模式,牙齿异常,和尺寸(长度,深度,和直径),根据患者的侧位脑电图记录ST和形态。数据分析采用独立t检验,单向和双向方差分析,卡方检验,和对数秩检验(α=0.05)。ST段的深度和直径与性别无显著相关性(p>0.05);男性的ST长度明显长于女性(p<0.05)。ST的形态与性别有显著相关性(p<0.05)。ST形态与前后骨骼形态有显著相关性,microdontia,和牙齿嵌塞(p<0.05)。本结果揭示了ST形态与前后骨骼模式的显着相关性,microdontia,和牙齿撞击。
    This study aimed to assess the relationship of the morphology and size of the sella turcica (ST) with dental anomalies and skeletal malocclusions. This cross-sectional study was conducted on records of fixed orthodontic patients treated between 2013 and 2022. Cephalometric analysis was performed to determine the anteroposterior and vertical skeletal patterns. Preoperative panoramic radiographs and lateral cephalograms, intraoral photographs, and primary dental casts of patients were used to detect dental anomalies. Gender, sagittal and vertical skeletal patterns, dental anomalies, and dimensions (length, depth, and diameter), and morphology of the ST were all recorded according to the lateral cephalograms of patients. Data were analyzed using independent t-test, one-way and two-way ANOVA, Chi-square test, and log rank test (alpha = 0.05). The depth and diameter of the ST had no significant correlation with gender (p > 0.05); however, the length of the ST was significantly longer in males than females (p < 0.05). The morphology of the ST had a significant correlation with gender (p < 0.05). The ST morphology had a significant correlation with the anteroposterior skeletal pattern, microdontia, and tooth impaction as well (p < 0.05). The present results revealed a significant correlation of the ST morphology with the anteroposterior skeletal pattern, microdontia, and tooth impaction.
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  • 文章类型: Journal Article
    为了评估正畸患者中牙齿异常的类型与上颌和下颌犬牙嵌塞之间的存在和可能的关联,对接受犬嵌塞治疗的正畸患者的全景X光片进行评估,以确定是否存在相关的牙齿异常。年龄和性别相匹配的无犬嵌塞的正畸患者的随机样本作为对照。实施了描述性和精确的推断性统计数据,以评估犬嵌塞与牙齿异常之间的潜在关联。总共评估了102例正畸患者的70例上颌(MaxCI)和32例下颌(ManCI)犬嵌塞。对照组包括117例正畸患者。超过50%的患犬患者和20%的对照组患者存在牙齿异常。与ManCI组相比,MaxCI组的牙齿发育不全明显更常见,而在ManCI组中,多余的牙齿和犬齿移位的记录更频繁。与对照组相比,钉形上颌侧切牙和牙齿发育不全在MaxCI组中明显更普遍,而犬类的迁徙,多余的牙齿,在ManCI组中,下颌切牙发育不全和牙齿移位明显更为普遍.与对照组相比,两个犬类嵌塞组中其他牙齿的嵌塞明显更常见。患犬正畸患者的牙齿异常患病率高于无犬正畸患者。在MaxCI和ManCI组中发现了不同类型的牙齿异常。
    To assess the presence and possible associations between the type of dental anomalies and maxillary and mandibular canine impactions in orthodontic patients treated for canine impaction, panoramic radiographs of orthodontic patients treated for canine impaction were assessed for the presence of associated dental anomalies. A random sample of orthodontic patients without canine impaction matched for age and gender served as controls. Descriptive and exact inferential statistics were implemented in order to assess potential associations between canine impaction and dental anomalies. A total of 102 orthodontic patients with 70 maxillary (MaxCI) and 32 mandibular (ManCI) canine impactions were assessed. The control group included 117 orthodontic patients. Dental anomalies were present in more than 50% of patients with impacted canines and in 20% of the controls. Tooth agenesis was significantly more common in the MaxCI group when compared to the ManCI group, while supernumerary teeth and canine transmigration were registered more often in the ManCI group. When compared to the control group, peg-shaped maxillary lateral incisors and tooth agenesis were significantly more prevalent in the MaxCI group, while canine transmigration, supernumerary teeth, the agenesis of mandibular incisors and tooth transpositions were significantly more prevalent in the ManCI group. The impaction of other teeth was significantly more common in both canine impaction groups when compared to the controls. The prevalence of dental anomalies in orthodontic patients with impacted canines was higher than in orthodontic patients without canine impaction. Different types of tooth anomalies were found in the MaxCI and ManCI groups.
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  • 文章类型: Systematic Review
    目的:磨牙切牙畸形(MRIM)是一种很少报道的疾病,其特征是第一恒磨牙的根部发育受到干扰。本系统综述旨在整理诊断为MRIM的个体的临床特征。
    方法:使用PubMed的系统搜索策略,Embase,WebofScience,和SCOPUS数据库一直进行到2023年3月。纳入标准是病例报告或病例系列,包括与MRIM一致的诊断。使用JoannaBriggsInstitute(JBI)病例报告和病例系列关键评估清单对所有纳入研究进行关键评估,并在JBI统一管理系统中对临床特征进行整理。评估和审查信息计划。
    结果:搜索确定了157项研究,其中35项符合纳入标准。经过全文审查,共有23篇论文描述了MRIM牙齿异常,并被纳入本文.共检索到130例报告病例,年龄在3-32岁之间,男性影响1.16:1女性。神经疾病的存在,早产史,药物,合成并描述了生命最初几年内的手术。
    结论:MRIM的病因尚未确定,但生命最初几年的重要病史的表观遗传变化可能会影响该根畸形的发展。第一恒磨牙最常见,但是临床医生应该意识到永久性中央切牙,乳牙和其他恒牙也可能受到影响。
    Molar-root incisor malformation (MRIM) is a seldom reported condition characterised by disturbances in root development of first permanent molars. This systematic review aimed to collate the clinical characteristics of individuals diagnosed with MRIM.
    A systematic search strategy using PubMed, Embase, Web of Science, and SCOPUS databases was performed through to March 2023. Inclusion criteria were case reports or case series including a diagnosis consistent with MRIM. Critical appraisal for all included studies utilised the Joanna Briggs Institute (JBI) critical appraisal checklist for case reports and case series and collation of clinical characteristics was performed in JBI System for the Unified Management, Assessment and Review of Information program.
    The search identified 157 studies from which 35 satisfied the inclusion criteria. After full-text review, a total of 23 papers described the MRIM dental anomaly and were included in this paper. A total of 130 reported cases were retrieved, with age ranging 3-32 years, and males affected 1.16:1 females. Presence of neurological conditions, premature birth history, medication, and surgery within first years of life were synthesised and described.
    The aetiology of MRIM is yet to be determined but epigenetic changes from significant medical history in the first years of life are likely to influence the development of this root malformation. First permanent molars were most commonly affected, but clinicians should be aware that permanent central incisors, primary teeth and other permanent teeth may also be affected.
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