558例多生牙临床特点的回顾性分析

doi:10.6040/j.issn.1671-7554.0.2015.1253

山东大学学报（医学版） ›› 2017, Vol. 55 ›› Issue (3): 121-124.doi: 10.6040/j.issn.1671-7554.0.2015.1253

558例多生牙临床特点的回顾性分析

刘宪光¹,张君^2,3,李成龙¹,高萍¹,刘端芹¹,王旭霞^1,3

1. 山东大学口腔医学院口腔颌面外科;2. 山东大学口腔医学院口腔正畸科;3. 山东省口腔生物医学重点实验室, 山东济南 250012

收稿日期:2015-12-09 出版日期:2017-03-10 发布日期:2017-03-10
通讯作者: 王旭霞. E-mail:wxx@sdu.edu.cn E-mail:wxx@sdu.edu.cn
基金资助:
国家自然科学基金(81371180);山东省科学技术发展计划(2014GGH218024)

Supernumerary teeth of the jaw:a retrospective review of 558 cases

LIU Xianguang¹, ZHANG Jun^2,3, LI Chenglong¹, GAO Ping¹, LIU Duanqin¹, WANG Xuxia^1,3

1. Department of Oral and Maxillofacial Surgery, School of Stomatology, Shandong University;
2. Department of Orthodontics, School of Stomatology, Shandong University;
3. Shandong Provincial Key Laboratory of Oral Biomedicine, Jinan 250012, Shandong, China

Received:2015-12-09 Online:2017-03-10 Published:2017-03-10

摘要/Abstract

摘要： 目的分析多生牙发生的构成现状及临床特点,为临床诊疗提供指导。方法回顾性分析558例通过临床及影像学资料检查确诊的多生牙病例的构成现状及临床特点,并对年龄、性别、部位、数目、形态、阻生情况、伴发症状及对邻牙影响进行分析。结果 558例患者多生牙共804颗,患者的平均年龄11.92岁,男女比例2.99∶1;上颌多生牙743颗(92.14%),下颌多生牙61颗(7.58%);多生牙多偏向于牙弓的腭侧;患者中1颗多生牙最常见,其次是2颗多生牙;多生牙形态以畸形牙为主;埋伏阻生多生牙627颗;97颗多生牙伴发含牙囊肿,9例患者伴存牙瘤。结论多生牙多见于儿童替牙列,以上颌前牙区最多见,主要位于牙弓的腭侧,男性发病率明显高于女性,患者中以1颗和2颗多见。

关键词: 多生牙, 含牙囊肿, 回顾性分析, 颌骨, 牙瘤

Abstract: Objective To provide reference for clinical diagnosis by analyzing the occurrence and clinical characteristics of supernumerary teeth. Methods Clinical and imaging data of 558 cases of supernumerary teeth were retrospectively analyzed, including patients age and gender, the location, number, morphology, impaction of the teeth, and the concomitant symptoms and effects on adjacent teeth. Results There were a total of 804 supernumerary teeth in the 588 patients, whose average age was 11.92 years. The ratio between male and female patients was 2.99∶1. There were 743 supernumerary teeth in the maxilla(92.14%), and 61 in the mandible(7.58%). Most supernumerary teeth(75.37%)grew in the lingual or palatal side of jaws. Most patients had one supernumerary tooth, and some had two. Altogether 627 supernumerary teeth(77.98%)were impaction, and 97(12.06%)were complicated with dentigerous cyst. Odontoma was observed in 9 patients(1.61%). Conclusion Supernumerary tooth mainly occurs in children in mixed dentition and anterior maxilla. Men are more vulnerable to this lesion than women. Most patients have one or two supernumerary teeth.

Key words: Dentigerous cyst, Odontoma, Supernumerary tooth, Retrospective analysis, Jaw

中图分类号:

R782

刘宪光,张君,李成龙,高萍,刘端芹,王旭霞. 558例多生牙临床特点的回顾性分析[J]. 山东大学学报（医学版）, 2017, 55(3): 121-124.

LIU Xianguang, ZHANG Jun, LI Chenglong, GAO Ping, LIU Duanqin, WANG Xuxia. Supernumerary teeth of the jaw:a retrospective review of 558 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(3): 121-124.

参考文献

[1] Wang XP, Fan J. Molecular genetics of supernumerary tooth formation[J]. Genesis, 2011, 49(4):261-277.
[2] Bayrak S, Dalci K, Sari S. Case report: evaluation of supernumerary teeth with computerized tomography[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2005, 100(4):e65-69.
[3] De Oliveira Comes C, Drummond SN, Jham BC, et al. A survey of 460 supernumerary teeth in Brazilian children and adolescents[J]. Int JPaediatr Dent, 2008, 18(2):98-106.
[4] Fernández Montenegro P, Valmaseda Castellón E, Berini Aytés L, et al. Retrospective study of 145 supernumerary teeth [J]. Med Oral Patol Oral Cir Bucal, 2006, 11(4):E339-344.
[5] Liu JF. Characteristics of premaxillary supernumerary teeth:a survey of 112 cases [J]. ASDC J Dent Child, 1995, 62(4):262-265.
[6] Ather A, Ather H, Sheth SM, et al. Unique case of ageminated supernumerary tooth with trifid crown[J]. Imaging Sci Dent, 2012, 42(3):197-200.
[7] Diaz A, Orozco J, Fonseca M. Multiple hyperodontia:report of a case with 17 supernumerary teeth with non syndromic association[J]. Med Oral Patol Oral Cir Bucal, 2009, 14(5):E22931.
[8] Yan L, Yu LW, Bhandari K, et al. Report of a case with 19 supernumerary teeth in a non-syndromic patient[J]. Indian J Dent, 2014, 5(2):92-95.
[9] Liu DG, Zhang WL, Zhang ZY, et al. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(3):403-411.
[10] Vahid-Dastjerdi E, Borzabadi-Farahani A, Mahdian M, et al. Supernumerary teeth amongst Iranian orthodontic patients. A retro-spective radiographic and clinical survey[J]. Acta Odontol Scand, 2011, 69(2):125-128.
[11] Kuchler EC, Costa AG, Costa Mde C, et al. Supernumerary teeth vary depending on gender[J]. Braz Oral Res, 2011, 25(1):76-79.
[12] Esenlik E, Sayin MO, Atilla AO, et al. Supernumerary teeth in a Turkish population[J]. Am J Orthod Dentofacial Orthop, 2009, 136(6):848-852.
[13] Daley TD, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population[J]. Oral Surg Med Oral Pathol, 1994, 77(3):276-280.
[14] Lustig JP, Schwartz-Aead D, Shapira. Odontogenic cysts related to pulpotomized deciduous molars:Clinical features and treatment outcome[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1999, 87(4):499-503.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

558例多生牙临床特点的回顾性分析

Supernumerary teeth of the jaw:a retrospective review of 558 cases

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

多维度评价

本文评价

推荐阅读 0

[1]	黄乃邦, 达鹏, 卢军, 吴昊. 不同下颌骨截骨方式在咽相关区域肿瘤手术中的应用[J]. 山东大学学报（医学版）, 2015, 53(8): 79-82.
[2]	杜腾飞, 刘国明, 郭小美, Ching-Chang Ko, 商红国. 甲状旁腺激素对大鼠牵张成骨过程中ONC、OPN、C-FOS、COL1、VEGF、RUNX2、ALP基因表达的影响[J]. 山东大学学报（医学版）, 2015, 53(3): 32-35.
[3]	李银柱1，徐文君2，崔景英2，任翠爱2 . 53例二磷酸盐相关颌骨坏死诊治的回顾性分析[J]. 山东大学学报(医学版), 2013, 51(1): 109-112.