国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (4): 439-443.doi: 10.7518/gjkq.2021078

• 综述 • 上一篇    下一篇

先天性梅毒牙的研究现状

孟抒怀(),罗锋,裴锡波,万乾炳()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院修复Ⅰ科 成都 610041
  • 收稿日期:2021-01-05 修回日期:2021-04-02 出版日期:2021-07-01 发布日期:2021-06-30
  • 通讯作者: 万乾炳
  • 作者简介:孟抒怀,住院医师,硕士,Email: 2323864889@qq.com
  • 基金资助:
    国家自然科学基金(81970984)

Research status on congenital syphilitic teeth

Meng Shuhuai(),Luo Feng,Pei Xibo,Wan Qianbing()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of ProsthodonticsⅠ, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-01-05 Revised:2021-04-02 Online:2021-07-01 Published:2021-06-30
  • Contact: Qianbing Wan
  • Supported by:
    National Natural Science Foundation of China(81970984)

摘要:

先天性梅毒牙是指由于梅毒螺旋体在胎儿出生前1个月至出生后1年感染牙胚,侵犯成釉器使牙齿的釉质发育障碍,导致釉质形成特征性发育不全的牙齿疾病的总称。先天性梅毒牙主要表现为恒切牙、第一恒磨牙出现釉质结构异常,因其特征性的临床表现,临床诊疗时易与某些釉质发育不全疾病相混淆,以致贻误患者的口腔及全身治疗。本文系统介绍了先天性梅毒牙的临床表现、病理改变与鉴别诊断,以期为先天性梅毒及先天性梅毒牙的早期诊治提供指导。

关键词: 先天性梅毒牙, 釉质结构异常, 鉴别诊断, 治疗

Abstract:

Congenital syphilitic teeth (CST) refers to the invasion of tooth germs by Treponema pallidum from 1 month before birth to 1 year after birth. CST invades the enamel organ and causes enamel development disorder, resulting in the formation of enamel hypoplasia, mainly in permanent incisors, and abnormal enamel structure of the first permanent molar. Given its characteristic clinical manifestations, enamel hypoplasia can easily be confused with other diseases in clinical practice, delaying the oral and systemic treatment of patients. This article systematically introduces the clinical manifestations, pathological changes, and differential diagnosis of CST to guide the early diagnosis and treatment of congenital syphilis and CST.

Key words: congenital syphilitic teeth, enamel structural abnormality, differential diagnosis, treatment

中图分类号: 

  • R780.2

图1

先天性梅毒牙中切牙(左)和尖牙(右)"

图2

蕾状磨牙(左)和桑葚状磨牙(右)"

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