embedded teeth

嵌入齿
  • 文章类型: Journal Article
    背景:由于骨水泥发育不良(COD)有许多鉴别诊断,牙医很难避免误诊。特别是,如果COD与嵌入的牙齿有关,鉴别诊断是困难的。然而,没有关于与嵌入牙齿相关的COD的影像学发现特征的报道。本研究的目的是探讨与嵌入牙齿相关的骨水泥发育不良(COD)的发生和影像学特征。以便正确诊断具有嵌入牙齿的COD。
    方法:对225例COD患者有无组织学表现的X线照片进行回顾性分析。通过九州牙科大学医院口腔颌面放射科的图片存档和通信系统(PACS)进行了回顾性搜索,以识别2011年至2022年之间的COD患者。
    结果:在13例患者中发现了15个与COD相关的下颌第三磨牙。13例患者均无症状。在成像方面,与嵌入式下颌第三磨牙相关的COD出现为肿块,其中包括牙齿顶端周围的钙化。在全景层析成像上,COD显示不明显的内部钙化,与牙源性囊肿或单纯性骨囊肿相似,尤其是COD患者仅在下颌第三磨牙区周围。那些有明显钙化的类似于骨质骨化性纤维瘤,钙化上皮牙源性肿瘤,牙源性钙化囊肿,腺瘤样牙源性肿瘤,等等,作为肿块的类别,包括全景断层扫描和计算机断层扫描的钙化。
    结论:当前的调查是首次报告和分析与嵌入牙齿相关的COD的影像学特征。重要的是要考虑在全景断层扫描中COD和其他囊性病变之间的差异,以及CT上COD和包括钙化的肿块之间的差异。
    BACKGROUND: Since there are many differential diagnoses for cemento-osseous dysplasia (COD), it is very difficult for dentists to avoid misdiagnosis. In particular, if COD is related to an embedded tooth, differential diagnosis is difficult. However, there have been no reports on the characteristics of the imaging findings of COD associated with embedded teeth. The aim of the present study was to investigate the occurrence and imaging characteristics of cemento-osseous dysplasia (COD) associated with embedded teeth, in order to appropriately diagnose COD with embedded teeth.
    METHODS: The radiographs with or without histological findings of 225 patients with COD were retrospectively analyzed. A retrospective search through the picture archiving and communication system (PACS) of the Division of Oral and Maxillofacial Radiology of Kyushu Dental University Hospital was performed to identify patients with COD between 2011 and 2022.
    RESULTS: Fifteen COD-associated embedded mandibular third molars were identified in 13 patients. All 13 patients were asymptomatic. On imaging, COD associated with embedded mandibular third molars appeared as masses that included calcifications around the apex of the tooth. On panoramic tomography, COD showed inconspicuous internal calcification similar to that of odontogenic cysts or simple bone cysts, especially in patients with COD only around the mandibular third molar region. Those with prominent calcification resembled cemento-ossifying fibroma, calcifying epithelial odontogenic tumor, calcifying odontogenic cyst, adenomatoid odontogenic tumor, and so on, as categories of masses that include calcifications on panoramic tomography and computed tomography.
    CONCLUSIONS: The current investigation is the first to report and analyze the imaging characteristics of COD associated with embedded teeth. It is important to consider the differences between COD and other cystic lesions on panoramic tomography, and the differences between COD and masses that include calcifications on CT.
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  • 文章类型: Case Reports
    表皮样囊肿通常是良性肿瘤性病变,其病因尚不清楚,主要与胚胎期组织中残留的上皮细胞和组织中的创伤植入有关。最常见的骨内部位是指骨和头骨。颌骨表皮样囊肿在临床上很少见。在本文中,我们报告一例表皮样囊肿发生在下颌骨内,并讨论其病因,临床表现,诊断,在相关文献的背景下,颌骨表皮样囊肿的治疗。
    Epidermoid cysts are generally benign neoplastic lesions, the etiology of which is unclear and is mainly related to epithelial cells left in the tissues during the embryonic period and traumatically implanted in the tissues. The most common intraosseous sites are the phalanges and the skull. Epidermoid cysts occurring in the jaws are clinically rare. In this paper, we report a case of epidermoid cyst occurring in the mandible with embedded teeth and discuss the etiology, clinical manifestations, diagnosis, and treatment of epidermoid cysts in the jaws in the context of the relevant literature.
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  • 文章类型: Journal Article
    异位萌出是由于牙齿发育和萌出受到干扰,导致长出或未长出的牙齿处于意外的解剖位置。这个回顾性病例系列描述了地点,position,形式,以及与狗异位爆发相关的临床症状。在2017-2020年的三个临床实践中,有35只狗(46颗牙齿)被诊断为异位萌出。这些病例是根据地点描述的,发展和喷发状况,临床症状,后果,和进行的治疗。对收集的数据进行统计分析,以确定可能的后果。结果表明,在评估病例中,异位萌出涉及恒牙,主要位于上颌骨,而且大部分没有爆发。位于下颌骨的受影响明显大于位于上颌骨的受影响。这项研究得出结论,牙齿拥挤和错牙合(39.1%),面部肿胀(8.6%),和牙周病(8.6%)与异位喷发的存在有关,因此,大多数(65.2%)病例需要治疗.
    Ectopic eruption results from a disturbance in tooth development and eruption, leading to an erupted or non-erupted tooth being in an unexpected anatomical location. This retrospective case series describes the location, position, form, and clinical signs associated with ectopic eruption in dogs. Thirty-five dogs (46 teeth) were diagnosed with ectopic eruption at three clinical practices during 2017-2020. The cases were described in terms of the location, the development and eruption status, the clinical signs, the consequences, and the treatment performed. The collected data were statistically analyzed to establish possible ramifications. The results showed that the ectopic eruption in the evaluated cases involved permanent teeth, mainly located in the maxilla, and mostly unerupted. Those located in the mandible were significantly more impacted than those located in the maxilla. This study concluded that tooth crowding and malocclusion (39.1%), facial swelling (8.6%), and periodontal disease (8.6%) were associated with the presence of ectopic eruption, and consequently, treatment was required in the majority (65.2%) of cases.
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