首页|上颌乳切牙融合牙临床特点的回顾性分析

上颌乳切牙融合牙临床特点的回顾性分析

扫码查看
目的:应用曲面断层片研究上颌乳切牙融合牙的发生率和临床特点.方法:收集2018年1月~2023年12月在我院影像数据库中的3~8岁患者的曲面断层片,共纳入76 288张,观察记录上颌乳切牙融合牙的发生情况,同时记录其继承恒牙的异常.应用SPSS 24.0统计软件分析所得的数据.结果:上颌乳切牙融合牙的发生率为0.21%(153/76288),男孩多于女孩(P<0.05),单侧发生多于双侧(P<0.01),但左右侧之间差异无统计学意义(P>0.05).153例融合牙中有138例上颌乳切牙数目正常,另外15例存在乳牙额外牙.138例患者中有74.15%并发上颌恒侧切牙胚先天缺失,不缺失的上颌恒侧切牙中有42.11%存在过小牙,36.84%存在牙齿发育迟缓;15例上颌乳牙额外牙者中有20.00%存在恒牙列额外牙;本组病例中有2例3颗上颌乳切牙融合牙.结论:上颌乳切牙融合牙常见为2颗牙齿的融合,3颗牙齿融合罕见,上颌乳切牙融合牙男孩多于女孩,单侧多于双侧,融合牙会影响牙弓长度、牙齿排列,甚至美观,还常并发继承恒牙和恒牙列的异常,临床医师应注意检查和追踪,以便采取合理的治疗方案.
Retrospective Analysis of Clinical Features of Maxillary Deciduous Fused Incisors
Objective:To investigate the incidence and clinical characteristics of maxillary deciduous fused incisors by panoramic radiographs.Methods:A total of 76288 panoramic radiographs of subjects aged 3 to 8 years old in the image database of our hospital were collected from January 2018 to December 2023,and the incidence of maxillary deciduous fused incisor was observed,as well as the abnormalities in inherited permanent teeth of fused teeth were also recorded.Results:The incidence of maxillary deciduous fused incisors was 0.21%(153/76288).There were more fused teeth in boys than girls(P<0.05),and more fused teeth in unilateral than bilateral(P<0.01),but the difference between left and right sides of fused teeth was not statistically significant(P>0.05).Of the 153 fused teeth,138 subjects had normal number of maxillary deciduous incisors and 15 subjects had supernumerary deciduous teeth.In 138 subjects,74.15%of them had congenital inherited permanent teeth absence.In the maxillary perma-nent incisors without missing,42.11%had microdontia and 36.84%had delayed tooth development.In 15 subjects of maxillary supernumerary deciduous teeth,20.00%had supernumerary teeth in permanent dentition.There were 2 subjects with triple teeth of maxillary deciduous incisors.Conclusion:Maxillary deciduous fused incisors are usual-ly fused with 2 teeth,and triple teeth are rare.The fused teeth of maxillary deciduous incisor are more male than fe-male,and unilateral than bilateral.Fused teeth affect the length of dental arch,teeth arrangement,and even ap-pearance,and often are associated with abnormalities of permanent teeth and permanent dentition.

fused teethsupernumerary deciduous toothcongenital permanent teeth absencedelayed tooth development

邱芬芳、孟姗、吴泽启、朱冰蕊

展开 >

苏州口腔医院儿童口腔科 江苏苏州 215000

融合牙 乳牙额外牙 恒牙先天缺失 牙齿发育迟缓

2024

口腔医学研究
武汉大学口腔医学院

口腔医学研究

CSTPCD北大核心
影响因子:0.48
ISSN:1671-7651
年,卷(期):2024.40(12)