国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (1): 61-65.doi: 10.7518/gjkq.2023014

• 论著 • 上一篇    下一篇

458例上切牙区多生牙的临床资料分析

刘晓琳(),任群,高晓哲,白九平,王宇,李向军()   

  1. 河北医科大学口腔医学院·口腔医院口腔颌面外科 河北省口腔医学重点实验室河北省口腔疾病临床医学研究中心 石家庄 050017
  • 收稿日期:2022-04-05 修回日期:2022-09-09 出版日期:2023-01-01 发布日期:2023-01-09
  • 通讯作者: 李向军
  • 作者简介:刘晓琳，主治医师，博士，Email：1048507074@qq.com
  • 基金资助:
    河北省医学科学研究课题(20191067);河北省高等学校科学技术研究项目(QN2021105)

Clinical data analysis of 458 cases of supernumerary teeth in the upper incisor area

Liu Xiaolin(),Ren Qun,Gao Xiaozhe,Bai Jiuping,Wang Yu,Li Xiangjun.()   

  1. Dept. of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Hebei Medical University, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, Shijiazhuang 050017, China
  • Received:2022-04-05 Revised:2022-09-09 Online:2023-01-01 Published:2023-01-09
  • Contact: Xiangjun. Li
  • Supported by:
    Medical Science Research Project in Hebei Province(20191067);Science and Technology Research Project of Colleges and Universities in Hebei Province(QN2021105)

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摘要：

目的 分析及总结上切牙区多生牙的临床特点，为其诊治提供参考。 方法 收集于河北医科大学口腔医院口腔颌面外科就诊的患者458例，对其就诊年龄、性别、多生牙数目和方向、就诊原因、麻醉方式、手术时间等进行统计，并采用SPSS 21.0软件包对数据进行统计学分析。 结果 458例患者，共有710颗多生牙。患者平均年龄（8.64±4.31）岁，男女比例为3.63∶1；儿童组人数最多，为387例（84.50%）。患者中，2颗多生牙者231例（50.44%），1颗多生牙者218例（47.60%）。多生牙呈倒置位最多，为362颗（50.99%）；临床表现中，以无意中行影像学检查发现者最多，为153例（33.41%）。患者中，390例（85.15%）选择了全麻手术；平均手术时间（23.42±13.95）min。不同性别间的多生牙数目、方向、萌出状态，无明显差异（P>0.05）；不同年龄组患者的多生牙数目无明显差异（P>0.05），不同年龄组患者的多生牙方向、萌出状态的差异均有统计学意义（P<0.05）。 结论 上切牙区多生牙多见于儿童期，男性发病率明显高于女性；患者常无意中发现，以1颗和2颗者多见，主要为倒置位。

关键词: 多生牙, 上切牙, 临床分析, 数目, 方向

Abstract:

Objective This study aims to analyze and summarize the clinical characteristics of supernumerary teeth in the upper incisor area, and provide a reference for its diagnosis and treatment. Methods A total of 458 patients were collected from the Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Hebei Medical University. Herein, their age, sex, number of supernumerary teeth, direction, reasons, anesthesia methods, and operation time were statistically analyzed using the SPSS21.0 software package. Results There were 710 supernumerary teeth in 458 patients with an average age of (8.64±4.31) years, and the male-to-female ratio was 3.63:1. The number of children is the largest with 387 cases (84.50%). A total of 231 cases (50.44%) had two supernumerary teeth and 218 cases (47.60%) had one supernumerary tooth. A total of 362 (50.99%) were in an inverted position. Among the clinical manifestations, 153 cases (33.41%) were found by unintentional imaging examination. Meanwhile, 390 cases (85.15%) chose general an-esthesia. The mean operation time was (23.42±13.95) min. There was no statistical difference observed in the number, direction, and eruption state of the supernumerary teeth between different sexes (P>0.05). There was no significant difference in the number of supernumerary teeth among different age groups (P>0.05). However, there were significant differences observed in the direction and eruption status of supernumerary teeth among different age groups (P<0.05). Conclusion The supernumerary teeth in the upper incisor area are more common in childhood, and the incidence of male teeth is higher than that of female teeth, which are often found accidentally by patients, particularly one or two teeth, mainly in an inverted position.

Key words: supernumerary teeth, upper incisor, clinical analysis, number, direction

中图分类号: 

  • R 781

表 1

多生牙患者的基本情况"

项目例数占比/%
年龄/岁
＜100
1~420.44
5~1138784.50
12~186013.10
19~3571.52
36~6020.44
＞6000
性别
男35978.38
女9921.62
数目/颗
121847.60
223150.44
361.31
430.65

表 2

不同性别与多生牙方向和萌出状态的分析"

多生牙情况性别/颗
男性女性
方向
正常10919
水平11222
倒置28280
倾斜6323
萌出状态
已萌9120
未萌475124

表 3

不同年龄组与多生牙数目、方向、萌出状态的分析"

年龄/岁多生牙数目/例多生牙方向/颗萌出状态/颗
1颗2颗3颗4颗正常水平倒置倾斜已萌未萌
1~42000001102
5~111732065312311930268106506
12~183822004145014478
19~3542101163110
36~601100003003
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