Unerupted tooth

未萌出的牙齿
  • 文章类型: Case Reports
    牙齿嵌塞是一种常见的现象,并且该实体在颌骨不同区域的患病率和分布可能差异很大。第三磨牙,上颌犬,上颌和下颌前磨牙,上颌中切牙是最常见的牙齿。儿童和青少年患牙很少与病理变化相关,但是发现问题的普遍性在随后的几十年中有所增加。受累牙齿通常无症状,多年来与任何病理病变无关。使用Ki-67标记指数计算计算各种牙源性病变的增殖潜力,单囊性成釉细胞瘤指数最高,其次是腺瘤样牙源性肿瘤,单囊性成釉细胞瘤,其次是牙囊。Ki-67是细胞增殖的标志物,用作各种病变病理分化的重要诊断标记物。总是更好地进行正畸治疗或提取无症状的患牙,以避免或限制牙囊的增殖能力。关于第三磨牙的治疗决定具有重要的临床和成本影响。
    Tooth impaction is a frequent phenomenon, and the prevalence and distribution of this entity in different regions of the jaws may vary considerably. The third molars, maxillary canines, maxillary and mandibular premolars, and maxillary central incisors are the most commonly affected teeth. Impacted teeth in children and adolescents are rarely associated with pathological changes, but the prevalence of problems has been found to increase in later decades. Impacted teeth are commonly asymptomatic and not associated with any pathologic lesions for years. Proliferative potential of various odontogenic lesions were calculated using Ki-67 labeling index calculation, with the highest index of Unicystic Ameloblastoma followed by Adenomatoid odontogenic tumor, Unicystic Ameloblastoma, followed by the dental follicle. Ki-67 is a marker of cell proliferation, used as an important diagnostic marker in the pathologic differentiation of various lesions. It is always better to orthodontically treat or extract asymptomatic impacted teeth to avoid or to restrict the proliferative capacity of the dental follicle. Treatment decisions about the third molar have important clinical and cost implications.
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  • 文章类型: Journal Article
    目的:爆发前的壁内吸收(PEIR)被定义为异常,在牙齿的冠状牙本质内具有良好的射线可透性,这在普通射线照片中经常被忽视。本研究旨在使用锥形束计算机断层扫描(CBCT)调查PEIR的患病率及其相关因素。
    方法:评估590颗未萌出牙齿的CBCT图像是否存在PEIR,PEIR的位置,受影响牙齿的病变数量,PEIR评分,牙齿成角,齿位置,和外围空间。采用二元Logistic检验分析PEIR的特征与患者的人口统计学资料及相关因素之间的关系。
    结果:在未萌出的牙齿中,PEIR的牙齿患病率为13.6%。然而,值得注意的是,计划保留19.2%的PEIR未萌出的牙齿。PEIR与横向显著相关(p=0.020),倒角(p=0.035),和位于中心的牙齿(p=0.043)。PEIR的严重程度在远端牙齿中更为明显(p=0.019),舌(p=0.023),或倒置角度(p=0.040)位置,并且在没有外周空间的情况下(p=0.036)。
    结论:PEIR应被怀疑为横向,倒置角度,位于中央的未萌出的牙齿,特别是在磨牙中,没有环绕空间。在这种情况下,建议通过CBCT进行进一步监测。
    结论:未萌出牙齿的治疗并不总是涉及手术切除。相反,它们可以用于人工萌出或牙齿移植。本研究强调了早期检测PEIR的重要性。还提出了在未萌出的牙齿中筛查PEIR的临床建议,可以应用于常规的普通射线照片。
    OBJECTIVE: Pre-eruptive intramural resorption (PEIR) is defined as an abnormal, well-circumscribed radiolucency within the coronal dentin of the tooth, which is often overlooked in plain radiographs. This study aimed to investigate the prevalence of PEIR and its related factors using cone-beam computed tomography (CBCT).
    METHODS: CBCT images of 590 unerupted teeth were evaluated for the presence of PEIR, location of PEIR, number of lesions in the affected tooth, PEIR score, tooth angulation, tooth position, and pericoronal space. Binary logistic tests were used to analyze the association between the characteristics of PEIR and the patient\'s demographic data and related factors.
    RESULTS: The tooth prevalence of PEIR was 13.6% among unerupted teeth. However, it was noteworthy that 19.2% of the unerupted teeth with PEIR were planned to be kept. PEIR was significantly associated with transverse (p = 0.020), inverted-angulated (p = 0.035), and centrally-positioned teeth (p = 0.043). The severity of PEIR was more pronounced in teeth with distal (p = 0.019), lingual (p = 0.023), or inverted-angulated (p = 0.040) positions, and in the absence of pericoronal space (p = 0.036).
    CONCLUSIONS: PEIR should be suspected in transverse, inverted-angulated, centrally positioned unerupted teeth, particularly in molars, with no pericoronal space. Further monitoring through CBCT is recommended in such cases.
    CONCLUSIONS: The management of unerupted teeth does not always involve surgical removal. Instead, they could be utilized for artificial eruption or tooth transplantation. The present study emphasizes the significance of early detection of PEIR. Clinical recommendations for screening PEIR in unerupted teeth are also proposed, which can be applied to routine plain radiographs.
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  • 文章类型: Case Reports
    牙源性囊肿是最常见的牙源性囊肿类型,起因于未萌出的牙齿。这些囊肿具有刻板的影像学和临床表现。它们可能极具侵入性,但很少作为危及生命的紧急情况出现。此病例报告描述了一只6岁的混合品种犬的稳定和治疗方法,该犬患有牙科囊肿并伴有危及生命的出血。该狗从下颌动脉出现严重的口腔出血,需要多次输血。它最终被诊断出患有牙质囊肿。牙科并发症和潜在的危及生命的并发症,比如这个案子,如果怀疑有未萌出的牙齿,可以通过例行的年度口腔检查和全口牙科X光片进行预防。
    Dentigerous cysts are the most common type of odontogenic cysts and arise from an unerupted tooth. These cysts have stereotypical radiographic and clinical findings. They can be extremely invasive but rarely present as a life-threatening emergency. This case report describes the stabilization and treatment of a 6-year-old mixed breed dog with a dentigerous cyst with concurrent life-threatening hemorrhage. The dog presented with severe oral hemorrhage from the mandibular artery and required multiple blood transfusions. It was ultimately diagnosed with a dentigerous cyst. Complications from dental issues and potential life-threatening complications, such as this case, can be prevented by routine annual oral examination and full mouth dental radiographs if an unerupted tooth is suspected.
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  • 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: Case Reports
    牙源性囊肿是在未萌出或部分萌出的牙齿的牙冠上形成的牙源性囊肿。它们专门固定在牙釉质交界处。已知牙囊囊肿很少涉及阻生乳牙。因为这种稀有,本文报道了一个5岁女性患者的独特病例,该患者与发育中的永久性左下颌第一磨牙有关,并具有手术治疗和组织病理学特征。
    Dentigerous cysts are odontogenic cysts that form on the crown of an unerupted or partially erupted tooth. They are specifically anchored to the cementoenamel junction. Dentigerous cysts are known to rarely involve impacted deciduous teeth. Because of this rarity, this article reports a unique case of a five-year-old female patient who developed a dentigerous cyst in relation to a developing permanent left mandibular first molar tooth with its surgical treatment and histopathological features.
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  • 文章类型: Journal Article
    UNASSIGNED:这项研究的目的是调查发生在乳牙和后生恒牙之间的牙源性和根性囊肿的特征,并提出在门诊治疗计划阶段对囊肿进行鉴别诊断的注意事项。
    UNASSIGNED:共有87例囊性病变位于乳牙和后续恒牙之间的患者参与了这项研究。分析了十二个变量来诊断这种囊肿。对于数据分析,Fisher精确检验用于确定变量的统计显著性。
    未经授权:在参与本研究的87名患者中,69例诊断为牙源性囊肿,18例诊断为根性囊肿。在这项研究中分析的12个差异因素中有7个具有统计学意义:年龄,location,症状,龋齿,牙髓治疗,延迟喷发,和大小。
    UASSIGNED:可以考虑一些标准来诊断牙源性囊肿或根性囊肿。年龄,location,存在症状和龋齿,以前的牙髓治疗,囊性大小,和阻生恒牙的延迟萌出是诊断牙囊和根性囊肿时应考虑的可靠因素。
    UNASSIGNED: The purpose of this study is to investigate the characteristics of dentigerous and radicular cysts that occur between deciduous and succeeding permanent teeth and to propose considerations for differential diagnosis of cysts at the treatment planning stage in the outpatient clinic.
    UNASSIGNED: A total of 87 patients with a cystic lesion located between a deciduous tooth and the succeeding permanent tooth participated in the study. Twelve variables were analyzed to diagnose such a cyst. For data analysis, Fisher\'s exact test was used to determine the statistical significance of the variables.
    UNASSIGNED: Of the total 87 patients who participated in this study, 69 were diagnosed with dentigerous cysts and 18 were diagnosed with radicular cysts. Seven of the 12 differential factors analyzed in this study were statistically significant: age, location, symptoms, dental caries, endodontic treatment, delayed eruption, and size.
    UNASSIGNED: Several criteria can be considered for diagnosis of dentigerous cysts or radicular cysts. Age, location, presence of symptoms and dental caries, previous endodontic treatment, cystic size, and delayed eruption of impacted permanent teeth are reliable factors that should be considered when diagnosing dentigerous and radicular cysts.
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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
    未萌出的牙齿和牙囊肿之间的联系是众所周知的,1-4然而,在没有放射学证据表明囊肿形成的情况下,对未萌出的牙齿中疾病的存在和组织病理学变化知之甚少。代表25个品种的42只狗,年龄从5个月到12岁不等的选择是基于一个或多个未萌出的牙齿的影像学证据,作为主要投诉或偶然发现。符合研究标准的狗在2016年12月至2018年5月的18个月内被提交给私人牙科转诊诊所。对患者进行保守的整块切除未萌出的牙齿和上覆骨,以及清创任何囊性结构和对收集的样品进行活检。使用先前为评估囊肿证据而建立的标准对放射照片进行了评估。1、5-7总共确定了68颗未萌出的牙齿;下颌第一前磨牙63颗(92.7%)。在63颗未萌出的下颌第一前磨牙中,28(44.4%)具有囊性结构的影像学证据。组织病理学显示,28人中有21人(75.0%)有证据表明非角化分层鳞状上皮与囊肿衬里一致。在63颗下颌第一前磨牙中的其余35颗(55.6%),没有放射学证据表明囊肿,27(77.1%)没有组织学证据表明与受累牙齿相关的上皮。然而,值得注意的是,无囊肿影像学证据的35颗未萌出牙齿中的其余8颗(22.9%)确实有组织学证据表明与阻生牙相关的非角化复层鳞状上皮.
    An association between unerupted teeth and dentigerous cysts is well known,1- 4 however little is known about the presence of disease and histopathologic changes in unerupted teeth without radiographic evidence of cyst formation. Forty-two dogs representing 25 breeds, ranging in age from 5 months to 12 years were selected based on radiographic evidence of an unerupted tooth or teeth, either as a primary complaint or incidental finding. Dogs meeting the study criteria were presented to a private dental referral practice within a period of eighteen months from December 2016 through May 2018. Patients were treated with conservative en bloc resection of the unerupted tooth and overlying bone as well as debridement of any cystic structure and biopsy of the samples collected. Radiographs were evaluated using criteria previously established to assess for evidence of a cyst.1, 5- 7 A total of 68 unerupted teeth were identified; 63 (92.7%) were mandibular first premolar teeth. Of the 63 unerupted mandibular first premolar teeth, 28 (44.4%) had radiographic evidence of a cystic structure. Histopathology revealed that 21 of 28 (75.0%) had evidence of non-keratinizing stratified squamous epithelium consistent with a cyst lining. Of the remaining 35 of 63 (55.6%) mandibular first premolar teeth with no radiographic evidence of a cyst, 27 (77.1%) had no histologic evidence of epithelium associated with the impacted tooth. Notably however, the remaining 8 of 35 (22.9%) unerupted teeth without radiographic evidence of a cyst did have histologic evidence of non-keratinizing stratified squamous epithelium associated with the impacted tooth.
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  • 文章类型: Case Reports
    我们提出了两个AOT案例,第一个病例涉及一名23岁的AOT位于上颌骨的患者,第二个病例涉及一名37岁的AOT下颌骨定位的患者.
    We present two cases of AOT, the first case concerns a 23-year-old patient with an AOT located in the maxilla and the second case involves a 37-year-old patient presenting an AOT with mandibular localization.
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  • 文章类型: Journal Article
    A 2.5-year-old intact male Irish setter was presented for a draining tract associated with the right mandibular first molar tooth (409). Conscious oral examination yielded two draining tracts associated with the right mandibular first molar tooth. No obvious missing teeth or other gross abnormalities associated with the oral cavity were observed. Upon anesthetized radiographic evaluation, the presence of an unerupted, abnormally positioned, supernumerary premolar tooth was observed. The following article describes the extraction of the right mandibular first molar tooth (409) as well as the unerupted supernumerary premolar tooth with associated supernumerary root and the diagnostic approach taken for this uncommon abnormality.
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