国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (1): 96-101.doi: 10.7518/gjkq.2021026

• 综述 • 上一篇    下一篇

对吻磨牙的研究进展

赵文俊,郝晓琪,王凯利,刘媛媛,唐蓓,任家银,郑广宁()   

  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影像科 成都 610041
  • 出版日期:2021-01-01 发布日期:2021-01-20
  • 通讯作者: 郑广宁
  • 作者简介:赵文俊,主治医师,硕士,Email： 361321480@qq.com
  • 基金资助:
    四川大学华西口腔医院口腔颌面影像区域联盟实践规范基金项目(LCYJ2019-17)

Research progress on kissing molars: a review

Zhao Wenjun,Hao Xiaoqi,Wang Kaili,Liu Yuanyuan,Tang Bei,Ren Jiayin,Zheng Guangning()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Disea-ses & Dept. of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Online:2021-01-01 Published:2021-01-20
  • Contact: Guangning Zheng
  • Supported by:
    This study was supported by Practical Standard of Regional Alliance of Oral and Maxillofacial Radiology in West China Hospital of Stomatology, Sichuan University(LCYJ2019-17)

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摘要：

对吻磨牙（KMs）非常罕见,是指单一牙囊中包含方向相反、咬合面靠近的磨牙。KMs仅发生于完全阻生的下颌磨牙,常累及第三磨牙。这是一类有趣且罕见的牙阻生现象,目前发现其中少部分病例与代谢性疾病——黏多糖贮积症相关,具体机制尚不明确。学者们对KMs的发病机制给予了极大的关注,提出数种病因假说,然而并不能得到完整的解释。KMs的牙阻生形式较为独特,治疗选择面临诸多困惑。由于报道的病例较少,对其认识欠深入,其诊断和治疗亦常存在不同意见。本文对KMs的定义、分类、病因病理机制及与临床之间的关系等方面进行综述,以期提高口腔临床医生对KMs的认识,为其临床诊治提供参考。

关键词: 对吻磨牙, 分类, 病因病理机制, 临床意义

Abstract:

Kissing molars (KMs) represent a rare clinical event and used in describing impacted teeth contacting occlusal surfaces in a single follicular space and their roots pointing in opposite directions. KMs often refer to completely impacted mandibular molars and usually occur at the third molar. Reports on KMs are few. The etiopathogenesis of this unique event is unknown, but a relation between KMs and mucopolysaccharidoses has been proposed. Several hypotheses that explain this phenomenon have been proposed, but detailed descriptions of related mechanisms are lacking. Moreover, treatment options for KMs, which manifest a unique form of dental impaction, are limited. In this paper, we review the definition, classification, etiology, and pathological mechanism of KMs and its treatment strategy described in the literature to provide a reference for the diagnosis and treatment of this peculiar malocclusion.

Key words: kissing molars, classification, aetiopathogenetic, clinical significance

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