国际口腔医学杂志

国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (2): 144-150.doi: 10.7518/gjkq.2024025

• 牙萌出专栏 • 上一篇    下一篇

乳磨牙萌出障碍的研究进展

王曼婷(),沈敏建,李晓霞,蒋文翔,吴志芳()   

  1. 浙江大学医学院附属口腔医院儿童口腔科 浙江大学口腔医学院 浙江省口腔疾病临床医学研究中心浙江省口腔生物医学研究重点实验室 浙江大学癌症研究院口腔生物材料与器械浙江省工程研究中心 杭州 310000
  • 收稿日期:2023-05-19 修回日期:2023-09-18 出版日期:2024-03-01 发布日期:2024-03-11
  • 通讯作者: 吴志芳
  • 作者简介:王曼婷，硕士，Email：wangmanting98@163.com
  • 基金资助:
    中央高校基本科研业务费专项资金(2021FZZX005-38)

Research progress on the failure of tooth eruption in deciduous molars

Manting Wang(),Minjian Shen,Xiaoxia Li,Wenxiang Jiang,Zhifang Wu()   

  1. Dept. of Pediatric Dentistry, Stomatological Hospital, Zhejiang University School of Medicine, School of Stomatology, Zhejiang University, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Zhejiang Provincial Engineering Research Center for Oral Biomaterials and Devices, Hangzhou 310000, China
  • Received:2023-05-19 Revised:2023-09-18 Online:2024-03-01 Published:2024-03-11
  • Contact: Zhifang Wu
  • Supported by:
    Fundamental Research Funds for the Central Universities(2021FZZX005-38)

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摘要：

牙齿萌出障碍多见于恒牙，在乳牙中比较少见。乳牙中主要累及乳磨牙，以下颌第二乳磨牙最为常见。乳磨牙萌出障碍病因诊断困难，发生机制尚不明确。临床上对乳磨牙萌出障碍的治疗方法尚未达成共识，观察、修复、拔除受累牙、外科松解或正畸牵引等方法是目前可参考的治疗手段，治疗方法的选择与乳磨牙萌出障碍的类型、严重程度、伴随症状以及继承恒牙情况等有关。本文围绕乳磨牙萌出障碍的病因、临床表现、分类以及治疗方法等展开综述，以期为乳磨牙萌出障碍的临床诊治提供一定的参考依据。

关键词: 乳磨牙, 牙齿萌出, 原发性萌出障碍, 机械性萌出障碍, 牵引

Abstract:

Failure of tooth eruption is more common in permanent teeth than in deciduous teeth. The most commonly affected teeth are deciduous mandibular second molars in deciduous dentition. In addition, accurate diagnosis of tooth eruption failure is challenging for clinicians, and its exact etiology remains unknown. The consensus on the management of tooth eruption failure in deciduous molars has not been reached. At present, observation, restoration, extraction, surgical luxation, or orthodontic traction are the available treatment methods. Appropriate treatment options primarily rely on the type and severity of tooth eruption failure, the succeeding permanent teeth, and the accompanied complications. Thus, this article reviews the etiology, clinical manifestations, classification, and treatments of tooth eruption failure in deci-duous molars to provide some reference for related clinical diagnosis and treatments.

Key words: deciduous molar, tooth eruption, primary failure of eruption, mechanical failure of eruption, traction

中图分类号: 

  • R788

图 1

Brearley法乳磨牙萌出障碍分度（以下颌第一乳磨牙为例）A：轻度；B：中度；C：重度。"

图 2

Kjaer法乳磨牙萌出障碍分度（以下颌第一乳磨牙为例）虚线：咬合平面；实线箭头：受累乳磨牙咬合面距离健康邻牙咬合面距离，为a；虚线箭头：受累乳磨牙冠长，为b。Ⅰ类：a≤1/2b；Ⅱ类：1/2b< a<b；Ⅲ类： b≤a<1.5b；Ⅳ类：a≥1.5b。"

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