国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (3): 362-366.doi: 10.7518/gjkq.2021047

• 综述 • 上一篇    下一篇

多发性特发性根颈部吸收的研究进展

王宁祥1,2(),刘帅1,3,林良缘4,吴娟1()   

  1. 1.南京大学医学院附属口腔医院·南京市口腔医院牙周病科 南京 210008
    2.南京市中医院·南京中医药大学附属南京中医院口腔科 南京 210001
    3.南京市溧水区中医院口腔科 南京 211200
    4.南京医科大学附属儿童医院口腔科 南京 210029
  • 收稿日期:2020-09-11 修回日期:2021-01-15 出版日期:2021-05-01 发布日期:2021-05-14
  • 通讯作者: 吴娟
  • 作者简介:王宁祥,硕士,Email： 1594757825@qq.com
  • 基金资助:
    南京市卫生科技发展项目(YKK18121);江苏省自然科学基金(BK20200149)

Research progress on multiple idiopathic cervical root resorption

Wang Ningxiang1,2(),Liu Shuai1,3,Lin Liangyuan4,Wu Juan1()   

  1. 1. Dept. of Periodontology, Nanjing Stomatological Hospital, Affiliated Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China
    2. Dept. of Stomatology, Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210001, China
    3. Dept. of Stomatology, Nanjing Lishui District Hospital of Traditional Chinese Medicine, Nanjing 211200, China
    4. Dept. of Stomatology, Children,s Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2020-09-11 Revised:2021-01-15 Online:2021-05-01 Published:2021-05-14
  • Contact: Juan Wu
  • Supported by:
    Medical Science and Technology Development Foundation, Nanjing Department of Health(YKK18121);Natural Science Foundation of Jiangsu Province(BK20200149)

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摘要：

多发性特发性根颈部吸收（MICRR）是一种罕见的牙根外吸收类型,病因和发病机制尚不明确,发生于牙齿颈部近釉牙骨质界部位的进行性外吸收,全口至少3颗牙累及。本病早期可无明显临床表现,短时间内吸收范围迅速扩大,患者可有疼痛不敢咬合,牙齿松动,牙冠自行脱落或冠折,最终导致所累及的患牙拔除。近年来,国内外对该病的关注越来越多。本文将从MICRR的病因、发病机制、临床表现、诊断、治疗以及预后进行系统性综述,以期为临床医生提供参考。

关键词: 牙根吸收, 多发性, 特发性, 根颈部吸收

Abstract:

Multiple idiopathic cervical root resorption (MICRR) is an aggressive and rare form of external root resorption that occurs at the cervical region of teeth that close to the cementoenamel junction and can affect multiple teeth (a minimum of 3) throughout the entire dentition. However, the etiology of this resorption remains elusive. No obvious clinical manifestation can be observed in the early stage of the disease, but the absorption may progress rapidly in a short time. Patients with this condition avoids biting because of pain and loosening of teeth. The affected crown separates from the root and leads to extraction. Recently, considerable attention has been paid to MICRR. This paper systematically reviews the pathogeny, pathogenesis, clinical manifestations, diagnosis, treatment, and prognosis of MICRR and provides a reference for clinicians.

Key words: root resorption, multiple, idiopathic, cervical root resorption

中图分类号: 

  • R781.32

图1

MICRR患牙的临床表现 A：患牙颈部可呈淡粉色（箭头示）;B：患者牙冠内表面呈“空壳样虫蚀状”;C：凸出的粉红色海绵样质地的肉芽组织（箭头示）。"

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