国际口腔医学杂志

国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (4): 449-454.doi: 10.7518/gjkq.2018.04.014

• 综述 • 上一篇    下一篇

非综合征性多生牙的临床特点和诊疗原则

方慧1, 杨杰2   

  1. 1.内蒙古第一机械集团有限公司医院儿童口腔科 包头 014030;
    2.北京大学口腔医院儿童口腔科 北京 100081
  • 收稿日期:2017-09-02 修回日期:2018-02-25 出版日期:2018-07-02 发布日期:2018-07-02
  • 通讯作者: 杨杰,主治医师,博士,Email：denyj78@163.com
  • 作者简介:方慧,主治医师,硕士,Email：18234119510@163.com

Clinical characteristics and the diagnosis and treatment of non-syndromic supernumerary teeth

Fang Hui1, Yang Jie2   

  1. 1. Dept. of Pediatric Dentistry, Hospital of Inner Mongolia First Machinery Group Corporation Limited Company, Baotou 014030, China;
    2. Dept. of Pediatric Dentistry, Hospital of Stomatology, Peking University, Beijing 100081, China
  • Received:2017-09-02 Revised:2018-02-25 Online:2018-07-02 Published:2018-07-02

RichHTML

8

PDF (PC)

331

摘要： 多生牙又称额外牙,临床表现为牙齿数目超出正常牙数,属于牙齿发育异常的一种。在某些系统性疾病及综合征中常合并有多生牙的存在,本文主要针对非综合征性多生牙的一般特征、病因、影响、诊断及治疗时机进行综述,以期为临床工作提供参考和依据。

关键词: 非综合征, 多生牙, 特点, 治疗

Abstract: Supernumerary teeth, also known as extra teeth, clinically manifest as in excess of the usual configuration of the normal number of teeth. These are associated with certain systemic diseases and syndromes. The general characteristics, etiology, influence, diagnosis, and treatment timing of non-syndromic supernumerary teeth were reviewed in this article with the aim of providing certain instructions and pieces of evidence for clinical work.

Key words: non-syndrome, supernumerary teeth, characteristics, treatment

中图分类号: 

  • R782
[1] 葛立宏, 王旭. 多生牙发生的分子生物学研究进展[J]. 北京大学学报(医学版), 2013, 45(4): 661-665.Ge LH, Wang X.Recent advances in molecular mechanisms of supernumerary tooth formation[J]. J Peking Univ (Health Sci), 2013, 45(4): 661-665.
[2] Rajab LD, Hamdan MA.Supernumerary teeth: review of the literature and a survey of 152 cases[J]. Int J Paediatr Dent, 2002, 12(4): 244-254.
[3] Sedano HO, Gorlin RJ.Familial occurrence of mesio-dens[J]. Oral Surg Oral Med Oral Pathol, 1969, 27(3): 360-361.
[4] Sykaras SN.Mesiodens in primary and permanent dentitions. Report of a case[J]. Oral Surg Oral Med Oral Pathol, 1975, 39(6): 870-874.
[5] Açikgöz A, Açikgöz G, Tunga U, et al.Characteris-tics and prevalence of non-syndrome multiple su-pernumerary teeth: a retrospective study[J]. Dento-maxillofac Radiol, 2006, 35(3): 185-190.
[6] Arathi R, Ashwini R.Supernumerary teeth: a case report[J]. J Indian Soc Pedod Prev Dent, 2005, 23(2): 103-105.
[7] Davis PJ.Hypodontia and hyperdontia of permanent teeth in Hong Kong schoolchildren[J]. Community Dent Oral Epidemiol, 1987, 15(4): 218-220.
[8] Bäckman B, Wahlin YB.Variations in number and morphology of permanent teeth in 7-year-old Swe-dish children[J]. Int J Paediatr Dent, 2001, 11(1): 11-17.
[9] Niswander JD, Sujaku C.Congenital anomalies of teeth in Japanese children[J]. Am J Phys Anthropol, 1963, 21(4): 569-574.
[10] Brook AH.Dental anomalies of number, form and size: their prevalence in British schoolchildren[J]. J Int Assoc Dent Child, 1974, 5(2): 37-53.
[11] Mitchell L.Supernumerary teeth[J]. Dent Update, 1989, 16(2): 65-66.
[12] 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-E344.
[13] Giancotti A, Grazzini F, De Dominicis F, et al.Mul-tidisciplinary evaluation and clinical management of mesiodens[J]. J Clin Pediatr Dent, 2002, 26(3): 233-237.
[14] Kim SG, Lee SH.Mesiodens: a clinical and radio-graphic study[J]. J Dent Child (Chic), 2003, 70(1): 58-60.
[15] von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study[J]. Aust Dent J, 1992, 37(3): 189-195.
[16] De Oliveira Gomes C, Drummond SN, Jham BC, et al. A survey of 460 supernumerary teeth in Brazilian children and adolescents[J]. Int J Paediatr Dent, 2008, 18(2): 98-106.
[17] Sharma A, Singh VP.Supernumerary teeth in Indian children: a survey of 300 cases[J]. Int J Dent, 2012, 2012: 745265.
[18] Ferrés-Padró E, Prats-Armengol J, Ferrés-Amat E.A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona[J]. Med Oral Patol Oral Cir Bucal, 2009, 14(3): E146-E152.
[19] Anthonappa RP, Omer RS, King NM.Characteristics of 283 supernumerary teeth in southern Chinese children[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 105(6): e48-e54.
[20] Hall A, Onn A.The development of supernumerary teeth in the mandible in cases with a history of super-numeraries in the pre-maxillary region[J]. J Orthod, 2006, 33(4): 250-255.
[21] Menardía-Pejuan V, Berini-Aytés L, Gay-Escoda C.Supernumerary molars. A review of 53 cases[J]. Bull Group Int Rech Sci Stomatol Odontol, 2000, 42(2/3): 101-105.
[22] Nazif MM, Ruffalo RC, Zullo T.Impacted supernu-merary teeth: a survey of 50 cases[J]. J Am Dent Assoc, 1983, 106(2): 201-204.
[23] Primosc RE.Anterior supernumerary teeth—assess-ment and surgical intervention in children[J]. Pediatr Dent, 1981, 3(2): 204-215.
[24] Wang XP, Fan J.Molecular genetics of supernu-merary tooth formation[J]. Genesis, 2011, 49(4): 261-277.
[25] 费瑛, 乐群, 曹兵, 等. 134名儿童多生牙的临床分析[J]. 临床儿科杂志, 1998, 16(2): 124-125.Fei Y, Le Q, Cao B, et al.The clinical analysis of 134 children with supernumerary teeth[J]. J Clin Pediatr, 1998, 16(2): 124-125.
[26] Leyland L, Batra P, Wong F, et al.A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth[J]. J Clin Pediatr Dent, 2006, 30(3): 225-231.
[27] Bartolo A, Camilleri A, Camilleri S.Unerupted in-cisors—characteristic features and associated ano-malies[J]. Eur J Orthod, 2010, 32(3): 297-301.
[28] Shah A, Gill DS, Tredwin C, et al.Diagnosis and management of supernumerary teeth[J]. Dent Update, 2008, 35(8): 510-512.
[29] Zmener O.Root resorption associated with an im-pacted mesiodens: a surgical and endodontic ap-proach to treatment[J]. Dent Traumatol, 2006, 22(5): 279-282.
[30] Zilberman Y, Malron M, Shteyer A.Assessment of 100 children in Jerusalem with supernumerary teeth in the premaxillary region[J]. ASDC J Dent Child, 1992, 59(1): 44-47.
[31] Asaumi JI, Shibata Y, Yanagi Y, et al.Radiographic examination of mesiodens and their associated com-plications[J]. Dentomaxillofac Radiol, 2004, 33(2): 125-127.
[32] Garvey MT, Barry HJ, Blake M.Supernumerary teeth—an overview of classification, diagnosis and management[J]. J Can Dent Assoc, 1999, 65(11): 612-616.
[33] 王丽君. 多生牙的曲面体层X线诊断[J]. 天津医科大学学报, 2001, 7(2): 251-252.Wang LJ.The X-ray diagnosis of additional teeth with panoramic[J]. J Tianjin Med Univ, 2001, 7(2): 251-252.
[34] 赵吉宏, 黄从发. 现代牙槽外科新技术[J]. 华西口腔医学杂志, 2014, 32(3): 213-216.Zhao JH, Huang CF.The advanced techniques of dentoalveolar surgery[J]. West Chin J Stomatol, 2014, 32(3): 213-216.
[35] Ziegler CM, Klimowicz TR.A comparison between various radiological techniques in the localization and analysis of impacted and supernumerary teeth[J]. Indian J Dent Res, 2013, 24(3): 336-341.
[36] 张智勇, 张晓, 孟甜, 等. 锥形束CT联合微动力系统拔除儿童Ⅲ型多生牙[J]. 口腔医学研究, 2015, 31(12): 1244-1246.Zhang ZY, Zhang X, Meng T, et al.Combination of cone-beam CT and micro power system to extract type Ⅲ impacted supernumerary teeth for children[J]. J Oral Sci Res, 2015, 31(12): 1244-1246.
[37] Liu DG, Zhang WL, Zhang ZY, et al.Three-dimen-sional 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.
[38] Demirtas O, Dane A, Yildirim E.A comparison of the use of cone-beam computed tomography and panoramic radiography in the assessment of pre-eru-ptive intracoronal resorption[J]. Acta Odontol Scand, 2016, 74(8): 636-641.
[39] Tatel FS.Reshaping a mesiodens[J]. Pediatr Dent, 2003, 25(6): 585-586.
[40] Högström A, Andersson L.Complications related to surgical removal of anterior supernumerary teeth in children[J]. ASDC J Dent Child, 1987, 54(5): 341-343.
[41] Munns D.A case of partial anodontia and supernu-merary tooth present in the same jaw[J]. Dent Pract Dent Rec, 1967, 18(1): 34-37.
[42] Shanmugha Devi G, Arangannal P, Muthu MS, et al.Supernumerary teeth associated with primary and permanent teeth: a case report[J]. J Indian Soc Pedod Prev Dent, 2002, 20(3): 104-106.
[43] Koch H, Schwartz O, Klausen B.Indications for surgical removal of supernumerary teeth in the pre-maxilla[J]. Int J Oral Maxillofac Surg, 1986, 15(3): 273-281.
[44] Omer RS, Anthonappa RP, King NM.Determination of the optimum time for surgical removal of uneru-pted anterior supernumerary teeth[J]. Pediatr Dent, 2010, 32(1): 14-20.
[45] Thimmegowda U, Kajapuram P, Prasanna M, et al.1Interdisciplinary management of impacted supernu-merary tooth between roots of permanent teeth—a management dilemma[J]. J Clin Diagn Res, 2016, 0 (8): ZJ05-ZJ06.
[1] 刘世一, 陈中, 张素欣. 程序性死亡受体/配体免疫治疗策略在人乳头瘤病毒阳性头颈部鳞状细胞癌中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 21-27.
[2] 和子慕, 李风兰. 数字化口腔定位支架在头颈部肿瘤放射治疗中的应用现状[J]. 国际口腔医学杂志, 2024, 51(1): 28-35.
[3] 傅豫, 何薇, 黄兰. 铁死亡在口腔疾病中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 36-44.
[4] 韩冲,何东宁,余飞燕,吴东潮. 口腔种植术后疼痛机制及治疗的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 99-106.
[5] 胡佳,王秀清,卢国英,黄晓晶. 再生性牙髓治疗在成人根尖发育不全恒牙应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 686-695.
[6] 陆磊,王鑫,康泽标,谢富强. 计算机辅助导航手术在复杂颌面部骨折中的应用新进展[J]. 国际口腔医学杂志, 2023, 50(6): 696-703.
[7] 杨冬叶,朱萍,吴淑仪. 舌位的影响因素及临床意义[J]. 国际口腔医学杂志, 2023, 50(6): 723-728.
[8] 戢晓,张岚,黄定明. 牙源性与非牙源性上颌窦炎鉴别诊断及其治疗方案的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 566-572.
[9] 赵苑汐,苏勤. 根管再治疗中根管充填物去除辅助技术的应用与发展[J]. 国际口腔医学杂志, 2023, 50(5): 581-586.
[10] 宋文鹏,龚蓓文,李聃,曾剑玉,仇玲玲. 机械疗法在正畸治疗中应用的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 603-612.
[11] 刘婷,武秀萍. 唐氏综合征的口腔-颅颌面表征及治疗进展[J]. 国际口腔医学杂志, 2023, 50(5): 618-622.
[12] 吴思佳,舒畅,王洋,王媛,邓淑丽,王慧明. 根管内感染控制对年轻恒牙牙髓再生治疗的影响及研究进展[J]. 国际口腔医学杂志, 2023, 50(4): 388-394.
[13] 高宇天,苏勤. 酸性氧化电位水在根管治疗中的研究与应用[J]. 国际口腔医学杂志, 2023, 50(4): 401-406.
[14] 范琳,孙江. 微针在口腔医学中的应用[J]. 国际口腔医学杂志, 2023, 50(4): 472-478.
[15] 陈卓,石冰,李精韬. 唇腭裂患者外鼻生长特征的研究进展[J]. 国际口腔医学杂志, 2023, 50(3): 279-286.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .