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
    Singleton-Merten综合征(SMS)是一种罕见的免疫遗传障碍,影响多个系统,以牙齿发育不良为特征,主动脉钙化,青光眼,骨骼异常,牛皮癣。青光眼,古典和非典型短信的一个关键特征,在其由DDX58突变引起的分子机制方面仍然知之甚少。这项研究提出了一种新的DDX58变体(c.1649A>C[p。Asp550Ala])在一个患有儿童青光眼的家庭中。功能分析显示DDX58变体引起IFN刺激的基因表达和高IFN-β-I型IFN的增加。由于小梁网(TM)负责控制眼内压(IOP),我们检测IFN-β对TM细胞的影响。我们的研究首次证明IFN-β通过激活自噬显着降低TM细胞的活力和功能。此外,前房注射IFN-β显著增加小鼠眼压水平,可以通过自噬抑制剂氯喹治疗来减毒。揭示IFN-β诱导TM细胞自噬的具体机制,我们在IFN-β处理和DDX58p.Asp550AlaTM细胞中进行了微阵列分析。表明RSAD2是IFN-β诱导的自噬所必需的。通过siRNA敲除RSAD2显著降低IFN-β诱导的自噬通量。我们的研究结果表明,DDX58突变导致IFN-β的过度产生,通过调节TM细胞中的RSAD2自噬来提高IOP。
    Singleton-Merten syndrome (SMS) is a rare immunogenetic disorder affecting multiple systems, characterized by dental dysplasia, aortic calcification, glaucoma, skeletal abnormalities, and psoriasis. Glaucoma, a key feature of both classical and atypical SMS, remains poorly understood in terms of its molecular mechanism caused by DDX58 mutation. This study presented a novel DDX58 variant (c.1649A>C [p.Asp550Ala]) in a family with childhood glaucoma. Functional analysis showed that DDX58 variant caused an increase in IFN-stimulated gene expression and high IFN-β-based type-I IFN. As the trabecular meshwork (TM) is responsible for controlling intraocular pressure (IOP), we examine the effect of IFN-β on TM cells. Our study is the first to demonstrate that IFN-β significantly reduced TM cell viability and function by activating autophagy. In addition, anterior chamber injection of IFN-β remarkably increased IOP level in mice, which can be attenuated by treatments with autophagy inhibitor chloroquine. To uncover the specific mechanism underlying IFN-β-induced autophagy in TM cells, we performed microarray analysis in IFN-β-treated and DDX58 p.Asp550Ala TM cells. It showed that RSAD2 is necessary for IFN-β-induced autophagy. Knockdown of RSAD2 by siRNA significantly decreased autophagy flux induced by IFN-β. Our findings suggest that DDX58 mutation leads to the overproduction of IFN-β, which elevates IOP by modulating autophagy through RSAD2 in TM cells.
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  • 文章类型: Journal Article
    Regional odontodysplasia (ROD) is a rare localized dental developmental anomaly. The typical clinical manifestations of ROD are abnormal tooth eruption, abnormal development of enamel and dentin. The radiographic characteristic is \"ghost teeth\". Its etiology still remains unknown. The care and treatment of a patient with ROD needs a multidisciplinary approach. And the treatment should be taken after the assessment of each individual case of ROD. This paper reviews the definition, etiology, epidemiological features, clinical manifestations, imaging features, dental microstructure and treatment strategies of ROD to provide reference for clinical diagnosis and treatment.
    区域性牙发育不良(ROD)是一种罕见的局部牙齿发育异常,临床典型症状为牙齿萌出异常,牙釉质和牙本质发育障碍,影像学表现为“鬼影牙”。ROD病因尚未明确,临床上应根据病例情况制订个性化诊疗方案,进行口腔多学科综合协作的序列治疗。本文详述了ROD的定义、病因、流行病学特点、临床表现、影像学表现、牙齿微观结构和治疗等,以期为临床诊疗提供参考。.
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  • 文章类型: Case Reports
    背景:区域性牙齿发育不良(ROD)是一种罕见的发育障碍,其特征是牙釉质和牙本质的矿化不足和发育不全。症状包括牙芽发育不良,受影响象限的恒牙延迟萌出,鬼牙受影响的牙齿经常坏死,由于牙釉质和牙本质发育异常,使他们容易患龋齿和感染。本病例报告的目的是描述通过牙髓血运重建治疗ROD。
    方法:一名13岁女孩接受牙髓治疗。下颌左切牙和第一前磨牙,受到区域性牙齿发育不良的影响,由于牙釉质的结构受损而失去了活力。由于牙齿的早期发育阶段,我们尝试了再生牙髓治疗.所有三颗牙齿都使用相同的方案按照AAE指南进行治疗。4周后完成前磨牙治疗,而门牙仍然有症状,因此,重复使用氢氧化钙的肛门内敷料,并放置五个月。最后,再生程序完成了,王冠恢复了。患者计划在6个月后进行随访检查,然后在接下来的3年内每年。一年后,中心切牙和前磨牙周围的根尖病变已经解决,侧切牙顶点周围的病变正在愈合,根继续发展。三年后,在中切牙和前磨牙中观察到完全愈合和牙髓管闭塞。然而,侧门牙的牙根裂开了,建议拔掉这颗牙齿。
    结论:再生牙髓在中切牙和前磨牙中的积极结果表明,牙髓的血运重建可能是治疗受发育障碍影响的未成熟坏死牙齿的可选方法,比如ROD,牙釉质发育不全或牙本质发育不全。
    BACKGROUND: Regional odontodysplasia (ROD) is a rare developmental disorder characterized by hypo-mineralization and hypoplasia of enamel and dentin. Symptoms include poorly developed tooth buds, delayed eruption of permanent teeth in affected quadrants, and ghost teeth. The affected teeth often become necrotic due to abnormal enamel and dentin development, making them susceptible to caries and infection. The aim of this case report is to describe the treatment of ROD through pulp revascularization.
    METHODS: A 13-year-old girl was referred for endodontic treatment. The mandibular left incisors and first premolar, which were affected by regional odontodysplasia, lost their vitality because of the impaired structure of the enamel. Due to the teeth\'s early developmental stage, a regenerative endodontic treatment was attempted. All 3 teeth were treated using the same protocol following the AAE guidelines. After 4 weeks, treatment of the premolar was completed, whereas the incisor teeth remained symptomatic and were and therefore, intracanal dressing with calcium hydroxide was repeated and left in place for 5 months. Finally, the regenerative procedure was completed, and the crowns were restored. The patient was scheduled for follow-up examinations after 6 months, and then yearly for the next 3 years. After 1 year, the periapical lesion around the central incisor and premolar had resolved, the lesion around the apex of the lateral incisor was healing, and the roots had continued to develop. After 3 years, complete healing and pulp canal obliteration were observed in the central incisor and in the premolar. However, the root of the lateral incisor tooth was split, and it was recommended to extract this tooth.
    CONCLUSIONS: The positive outcomes of regenerative endodontics in the central incisor and premolar suggest that revascularization of the pulp may be optional for the treatment of immature necrotic teeth affected by developmental disorders, such as ROD, amelogenesis imperfecta, or dentinogenesis imperfecta.
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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: Journal Article
    头颈部骨病理学评价,特别是下颌骨分化是复杂的,表现出独特的病理过程。在某种程度上,这种变异是由于牙本质形成和可能涉及的胚胎细胞,这可能导致疾病的发展和组织学变异。和任何骨病一样,关键是要有临床相关性,特别是在确定诊断之前进行射线照相成像。这篇综述将涵盖那些对儿科人群有偏好的实体,虽然它并不包罗万象,它应该作为病理学家评估涉及颅面骨骼的骨病变的基础。
    Evaluation of bone pathology within the head and neck region, particularly the gnathic bonesis is complex, demonstrating unique pathologic processes. In part, this variation is due to odontogenesis and the embryological cells that may be involved, which can contribute to disease development and histologic variability. As with any boney pathosis, the key is to have clinical correlation, particularly with radiographic imaging prior to establishing a definitive diagnosis. This review will cover those entities that have a predilection for the pediatric population, and while it is not all inclusive, it should serve as a foundation for the pathologist who is evaluating bony lesions involving the craniofacial skeleton.
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