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A Dental School Survey Assessing Dental Student Knowledge, Attitudes and Prescribing Behavior Regarding Opioid Use and Abuse 一项评估牙科学生对阿片类药物使用和滥用的知识、态度和处方行为的牙科学校调查
Pub Date : 2021-06-30 DOI: 10.47363/jdsr/2021(3)111
P. C. Tompach, Sheba Vincent, A. Peterson
Purpose/Objectives: While improvements have been made in the amount of opioid prescriptions written by dentists, studies continue to show wide variability in opioid prescribing practices among dentists, suggesting additional education in this area is needed. The purpose of this study was to evaluate opioid knowledge, attitudes and prescribing behaviors among dental school students. Methods: The authors conducted a web-based survey of dental students at the University of Minnesota School of Dentistry from 2016 through 2018. The survey was comprised of demographic information, student knowledge of clinical and regulatory interventions to reduce prescription opioid abuse, student attitudes and knowledge regarding the magnitude and causes of opioid misuse and abuse, and student opioid prescribing patterns. Statistical analysis was conducted to determine whether calendar time or progression in the dental program were associated with differences in survey responses. Results: The response rate was 43.67% for a total of 586 dental student participants over the course of this study. The knowledge, attitudes, and behaviors regarding opioid use and abuse among dental students was influenced by both the dental school program curriculum as well as the passage of time during which the evolution of students views and awareness about opioids impacted their responses. Conclusions: Misperceptions and a lack of knowledge influence dental student attitudes and behaviors related to prescription opioids. Understanding the influence of the dental school curriculum and the passage of time on dental students’ knowledge, attitudes, and prescribing behavior may assist in guiding the development of dental curriculum to improve best practices in pain management and prevent the misuse, abuse, and diversion of prescription opioids. Academic dentistry plays a significant role in targeting gaps in student knowledge and understanding that will lead to the development and consistent implementation of best practices for pain management and safe opioid prescribing in dentistry
目的/目标:虽然牙医开具阿片类药物处方的数量有所改善,但研究继续表明牙医开具阿片类药物处方的做法存在很大差异,这表明需要在这方面进行额外的教育。本研究的目的是评估牙科学校学生对阿片类药物的知识、态度和处方行为。方法:作者对2016年至2018年明尼苏达大学牙科学院的牙科学生进行了一项基于网络的调查。该调查包括人口统计信息、学生对减少处方阿片类药物滥用的临床和监管干预的知识、学生对阿片类药物滥用和滥用的程度和原因的态度和知识,以及学生阿片类药物处方模式。进行统计分析以确定日历时间或牙科计划的进展是否与调查反应的差异有关。结果:586名牙科学生参与本研究,有效率为43.67%。牙科学生关于阿片类药物使用和滥用的知识、态度和行为受到牙科学校课程和时间的影响,在此期间,学生对阿片类药物的看法和意识的演变影响了他们的反应。结论:误解和知识缺乏影响牙科学生对处方阿片类药物的态度和行为。了解牙科学校课程和时间对牙科学生的知识、态度和处方行为的影响,可能有助于指导牙科课程的发展,以改善疼痛管理的最佳实践,防止处方阿片类药物的误用、滥用和转移。学术牙科在弥补学生知识和理解方面的差距方面发挥着重要作用,这将导致牙科疼痛管理和安全阿片类药物处方的最佳实践的发展和一致实施
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引用次数: 1
Central Giant Cell Granuloma of The Maxilla: Case Report and Literature Review 上颌骨中央巨细胞肉芽肿1例并文献复习
Pub Date : 2021-06-30 DOI: 10.47363/jdsr/2021(3)114
A. Ibourk
Introduction: Central giant cell granuloma (CGCG) is a rare bony lesion in the Head and Neck region. It is a non-odontogenic tumor never seen in any other bone of the skeleton. It is an intraosseous lesion consisting of cellular fibrous tissue that contains multiple foci of hemorrhage, aggregations of multinucleated giant cells and occasionally trabeculae of woven bone. Case Report: We report a case of a 50-year-old female patient with swelling on the right side of face for 4 months. Intraoral examination shows a mass in right lower jaw in the region of 45 and 46 edentulous areas. The swelling had smooth surface, firm and tender on palpation. There was no expansion of lingual region. The radiological examination revealed a well-defined multiloculated expansile and lytic lesion in the right mandible, extending from the 44 to 47 with a resorption of teeth 44. The patient underwent incisional biopsy and the diagnosis of CGCG and brown tumor of hyperparathyroidism was proposed. According to the clinical radiological and biological findings, the diagnosis of CGCG was confirmed. The enucleation of the lesion with the extraction of 44 was done. Discussion: Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the head and neck with potential for aggressive and locally destructive behaviour. Lesions of the maxilla tend to expand more than those of the mandible due to the thinner cortices and spongy tissue of this location. Surgical removal is the most common treatment; however, it may be disfiguring in aggressive cases, especially for lesions located in the maxilla. Alternative treatments, such as intralesional corticosteroid injections, have been performed with satisfactory results.
中央巨细胞肉芽肿(CGCG)是一种罕见的头颈部骨病变。它是一种非牙源性肿瘤,从未在其他骨骼中见过。它是一种骨内病变,由细胞纤维组织组成,包含多个出血灶,多核巨细胞聚集,偶尔出现编织骨小梁。病例报告:我们报告一例50岁女性患者,右侧面部肿胀4个月。口腔内检查显示右下颌骨45和46无牙区有肿块。肿物表面光滑,触诊结实,触痛。舌区没有扩张。影像学检查显示右下颌骨有明确的多室扩张和溶解性病变,从44延伸到47,并有牙齿吸收。患者行切口活检,诊断为CGCG和甲状旁腺功能亢进棕色肿瘤。根据临床放射学和生物学检查结果,确诊为CGCG。切除病变,取出44颗。讨论:中央巨细胞肉芽肿(CGCG)是一种良性头颈部骨内病变,具有潜在的侵袭性和局部破坏性行为。由于上颌骨的皮层和海绵状组织较薄,因此上颌骨的病变比下颌骨的病变更容易扩大。手术切除是最常见的治疗方法;然而,在侵袭性病例中,它可能会毁容,特别是对于位于上颌骨的病变。替代治疗,如病灶内皮质类固醇注射,已取得令人满意的结果。
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引用次数: 0
Impacted Permanent Incisor Associated With Compound Odontoma: Case Report and Literature Review 阻生恒切牙合并复合牙瘤:1例报告及文献复习
Pub Date : 2021-06-30 DOI: 10.47363/jdsr/2021(3)117
A. Ibourk, I. Yahya
Odontoma is defined as calcifying benign odontogenic tumor composed of various tooth tissues such as enamel, dentin, pulp, and cementum and representing the second most common odontogenic tumor of the jaw bones. These lesions are often associated with impacted permanent teeth. They are usually small, asymptomatic and diagnosed after routine radiographic examination. The aim of this work was to report a case of a compound odontoma in the anterior maxilla of a 35-year-old woman, which was causing the impaction of the maxillary left central incisor. A removal of the tumor was planned. An orthodontic approach was proposed as a surgical procedure for orthodontic traction of the impacted tooth. After 12 months, the clinical and radiographic examination revealed the eruption of the impacted incisor. The recommended treatment of compound odontoma is the complete removal of the tumour. An orthodontic approach may be indicated to correct any malocclusion or to perform the traction of the tooth, due to a possible impaction.
牙瘤是由牙釉质、牙本质、牙髓、牙骨质等多种牙齿组织组成的钙化良性牙源性肿瘤,是颌骨第二大常见的牙源性肿瘤。这些病变通常与阻生恒牙有关。它们通常很小,无症状,在常规放射检查后诊断出来。本研究报告一35岁女性上颌前牙复合牙瘤,导致上颌左中切牙嵌塞。计划切除肿瘤。提出了一种正畸入路作为一种外科手术的正畸牵引阻生牙。12个月后,临床和x线检查显示阻生切牙爆发。复合型牙瘤的推荐治疗方法是完全切除肿瘤。由于可能的嵌塞,正畸入路可能被指示纠正任何错牙合或执行牙齿牵引。
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引用次数: 0
Application of Low-Level Laser Therapy for Analgesia of Odinophagy Caused by Head and Neck Radiotherapy: Anatomic Study and Clinical Protocol Proposal 低水平激光治疗头颈部放疗所致嗜蛇症的临床应用:解剖研究及临床方案建议
Pub Date : 2021-06-30 DOI: 10.47363/jdsr/2021(3)112
L. Janete Grando
Introduction: Oral and hypopharyngeal mucositis are considered acute effects of great importance of radiotherapy. Patients present painful ulcers, dysphagia, odynophagia and difficulties in speaking, which can lead to malnutrition and treatment discontinuation. Currently, photobiomodulation therapy, using low-level laser therapy is the treatment of choice for oral mucositis. Objective: To propose the use of extraoral laser therapy to treat odynophagia associated with radioinduced hypopharyngeal mucositis. Methods: Pilot study divided into two stages: (1) Anatomical study in cadavers, to select the best area of application of the extraoral laser in the cervical region to reach the hypopharynx. In this stage, we opted for the use of low-level light therapy (XXXXX®), continuous mode, λ660nm, 100mW power, 0.028cm2 spot. (2) Application of extraoral photobiomodulation for patients with odynophagia associated with oral and hypopharyngeal mucositis. The same low-level laser therapy (XXXXX®,) was used, but with λ808nm, 100mW power and 4J energy, 40 pulses per point. Reports of three patients who underwent treatment were collected, transcribed and reviewed qualitatively. Results: (1) The anatomical region that allowed better access of extraoral laser therapy to the hypopharynx was the carotid triangle. (2) Patients reported reduced odynophagia and greater comfort with the use of this treatment. Conclusion: The carotid trigone was the best extraoral region for laser application to reach the hypopharyngeal region. The laser therapy protocol applied in this region brought comfort to the patients assessed. Further studies are needed to assess the analgesic capacity of this treatment.
口腔和下咽粘膜炎被认为是急性放疗的重要影响。患者会出现疼痛的溃疡、吞咽困难、吞咽困难和说话困难,这可能导致营养不良和治疗中断。目前,光生物调节疗法,使用低水平激光治疗是治疗口腔黏膜炎的首选。目的:探讨应用口外激光治疗放射性下咽黏膜炎伴咽痛的方法。方法:初步研究分为两个阶段:(1)尸体解剖研究,选择口腔外激光在颈部到达下咽的最佳应用区域。在这一阶段,我们选择使用低电平光疗(XXXXX®),连续模式,λ660nm, 100mW功率,0.028cm2光斑。(2)口腔外光生物调节在口腔及下咽粘膜炎伴咽痛患者中的应用。使用相同的低水平激光治疗(XXXXX®),但波长为λ808nm,功率为100mW,能量为4J,每点40脉冲。对3例接受治疗的患者的报告进行收集、转录和定性回顾。结果:(1)口腔外激光治疗下咽的解剖区域是颈动脉三角。(2)患者报告使用这种治疗方法减少了痛感和更大的舒适度。结论:颈动脉三角区是激光到达下咽区的最佳口外区域。激光治疗方案应用于这一地区带来了舒适的病人评估。需要进一步的研究来评估这种治疗的镇痛能力。
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引用次数: 0
Craniofacial Fasciitis Secondary to Odontogenic Infection 牙源性感染继发的颅面筋膜炎
Pub Date : 2020-12-31 DOI: 10.47363/jdsr/2020(2)107
Juárez-Rebollar Alejandra Giselle, Juárez-Paredes Celso Marcelo, J. Daniel
Craniofacial Necrotizing Fasciitis is an extremely rare entity, whose most frequent location is the pelvis and thoracic limbs, and some cases have been reported in the abdomen. On the other hand, a very low incidence has been reported in the head and neck region, 5% of cases with Necrotizing Fasciitis are mentioned in the literature. The name of this disease is related to the area in which it occurs, when it is located in the face and cervical region it is called Cervicofacial. In the same way when it affects beyond the middle facial third and the scalp it is called Craniofacial. Due to the different anatomical locations, it is essential to perform computed tomography, to provide early diagnosis, management, and a better prognosis to the patient. Craniofacial Necrotizing Fasciitis etiology is diverse, two of the main associated factors are the immunosuppression and comorbidities, which make the patient more susceptible to a possible complication. Some of the Craniofacial Necrotizing Fasciitis complications are sepsis, hemodynamic disorders and death. The most frequent antimicrobial biota found in Craniofacial Necrotizing Fasciitis is anaerobic and includes Gram (+) and Gram (-) bacteria, consequently, it is necessary to provide prompt antimicrobial treatment and aggressive surgical resection. This article present a clinical case of a patient with Craniofacial Necrotizing Fasciitis, who received a multidisciplinary treatment at the Specialty Hospital, National Medical Center, IMSS, located in Mexico City. The object of this article is to demonstrated the rapid spread and complications of Craniofacial Necrotizing Fasciitis.
颅面坏死性筋膜炎是一种极为罕见的疾病,其最常见的部位是骨盆和胸椎肢体,也有一些病例报道发生在腹部。另一方面,在头颈部的发病率非常低,文献中提到的坏死性筋膜炎病例仅占5%。这种疾病的名称与它发生的区域有关,当它位于面部和颈部区域时,称为颈面。同样的,当它影响到中间的面部三分之一和头皮时它被称为颅面。由于不同的解剖位置,必须进行计算机断层扫描,为患者提供早期诊断,管理和更好的预后。颅面坏死性筋膜炎病因多样,其主要相关因素是免疫抑制和合并症,这使得患者更容易发生并发症。颅面坏死性筋膜炎的并发症包括败血症、血流动力学紊乱和死亡。颅面坏死性筋膜炎中最常见的抗菌菌群是厌氧菌,包括革兰氏(+)和革兰氏(-)菌,因此,有必要及时提供抗菌治疗和积极的手术切除。本文报告一例颅面坏死性筋膜炎患者,在墨西哥市IMSS国家医学中心专科医院接受多学科治疗。本文的目的是证明颅面坏死性筋膜炎的快速扩散和并发症。
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引用次数: 0
A Rare Case Report Along With Surgical Management of Bilateral Maxillary Buccal Exostosis in a Patient of Polydactyly and Distomolars 一例罕见的多指畸形双侧上颌颊外生症的手术治疗
Pub Date : 2020-12-31 DOI: 10.47363/jdsr/2020(2)105
S. Alanazi
Buccal exostosis is bony prominence located on buccal side of alveolar ridge of maxilla or mandible. It is commonly seen in maxilla than mandible, whereas the etiology remains unclear. This article presents a rare case of bilateral maxillary buccal exostosis, distomolars and polydactyly along with surgical management of exostosis. A 39-year-old male patient came to the dental OPD with a chief complain of swelling in the right and left back region of upper jaw from 12 years, which was a cosmetic concern to the patient. Patient was medically healthy with no familial history of gingival overgrowth. On examination, patient had polydactyly and bilateral mandibular distomolars. These isolated findings couldn’t be related to any syndrome after thorough examination and medical consultation. Finally, the treatment plan consisted of, oral hygiene instructions, mechanical debridement and periodontal resective osseous surgery, so as to reduce gingival inflammation and improve esthetic by removing the exostosis. Nonsurgical periodontal therapy alone did not reduce the gingival enlargement because of the bony nature of enlargement, thus necessitating surgical intervention. Post-operative evaluation at 1, 3 and 12 months reveled an uneventful healing and no sign of recurrence at surgical sites.
颊外生症是位于上颌骨牙槽嵴颊侧的骨隆起。它常见于上颌而不是下颌骨,但病因尚不清楚。本文报告一例罕见的双侧上颌颊外生,双口畸形和多指畸形,以及外生的手术治疗。一名39岁男性患者来到牙科门诊,主诉12年来上颌左右后区肿胀,这是患者的美容问题。患者身体健康,无牙龈增生家族史。经检查,患者有多指畸形和双侧下颌骨畸形。经过彻底的检查和医学咨询,这些孤立的发现不能与任何综合征有关。最后,治疗方案包括口腔卫生指导、机械清创和牙周切除骨手术,通过去除外植体减少牙龈炎症,改善美观。由于牙龈肿大的骨性,单纯的非手术牙周治疗不能减少牙龈肿大,因此需要手术干预。术后1、3和12个月的评估显示手术部位愈合良好,无复发迹象。
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引用次数: 0
Release of Organic Compounds by Composites Depending on the Source of Curing Light, Immersion Solution and PH 复合材料中有机化合物的释放取决于固化光源、浸泡溶液和PH值
Pub Date : 2020-12-31 DOI: 10.47363/jdsr/2020(2)110
Karina Alessandra Michelão Grecca Pieroni, Alexandra Mussolino Queiroz, Marília Pacífico Lucisano
Objectives: This in vitro study evaluated the release of organic compounds by composite KaloreTM (GC FUJI) and FiltekTM Silorane (3M ESPE) by means of fluorescence spectrometry, varying the source of curing light, the immersion solution and the pH of these immersions. Methods: 56 specimens were made for each composite, 28 polymerized with halogen light and 28 with LED light. Samples of each composite were stored in water with neutral or acidic pH and in saliva with acidic or neutral pH (n=7 specimens for each condition examined). The reading was performed between 1 and 672 hours (28 days).The results were statistically analyzed using the Tukey and ANOVA tests, adopting the significance level of 5%. Results: The KaloreTM resin released more organic compounds than FiltekTMSilorane in the aqueous environment, either in the polymerization by the halogen light as by the LED light in both pHs (p<0.05). There was no significant difference in aqueous environment, only when polymerized by halogen light and acid pH (p>0.05). When immersed in artificial saliva, the KaloreTM resin also released more organic compounds than FiltekTMSilorane, but there was only statistically significant difference when polymerized by LED light, both in neutral pH and at acid pH. Both resins released greater amount of organic compounds in aqueous solution, compared to saliva, regardless of the light source and pH (p<0.05). Conclusion: Even the most modern resins such as KaloreTM and FiltekTM Silorane release organic compounds and the polymerization by LED light decreases the liberation of organic compounds by FiltekTM Silorane resin.
目的:采用荧光光谱法,通过不同的固化光源、不同的浸泡溶液和不同的pH值,研究了复合KaloreTM (GC FUJI)和FiltekTM Silorane (3M ESPE)对有机化合物的体外释放。方法:每种复合材料制备56个标本,卤素光聚合28个,LED光聚合28个。每种复合材料的样品分别保存在pH值为中性或酸性的水中和pH值为酸性或中性的唾液中(每种检查条件n=7个样品)。读数在1 - 672小时(28天)之间进行。统计分析采用Tukey检验和ANOVA检验,显著性水平为5%。结果:在卤素光聚合和LED光聚合两种ph值下,KaloreTM树脂在水环境下比FiltekTMSilorane树脂释放出更多的有机化合物(p0.05)。在人工唾液中,KaloreTM树脂也比FiltekTMSilorane树脂释放出更多的有机化合物,但在中性pH和酸性pH下,在LED光下聚合时,两者之间的差异只有统计学意义。无论光源和pH如何,两种树脂在水溶液中释放的有机化合物量都高于唾液(p<0.05)。结论:即使是最现代的树脂如KaloreTM和FiltekTM硅烷也会释放有机化合物,LED光聚合降低了FiltekTM硅烷树脂对有机化合物的释放。
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引用次数: 0
Prevention of Musculoskeletal Disorders by Principles of Ergonomics in Dentistry: Short Communication 用牙科人体工程学原理预防肌肉骨骼疾病:简短交流
Pub Date : 2020-12-31 DOI: 10.47363/jdsr/2020(2)109
Radhika Thakkar, N. Verma, Riya T Patel
Volume 2(2): 1-3 Prior to 1985, low back pain was the most commonly reported musculoskeletal disorder or repetitive injury for dentists and dental hygienists. Since then, there has been a rise in MusculoSkeletal Disorders from extended work days, awkward postures, prolonged standing/unsupported sitting, and a host of other problems caused by poorly designed workstations, improper work habits, and instruments that are difficult to manipulate. Dentists and hygienists are required to perform physically challenging work with the muscles of their arms and hands almost constantly moving during the day, while trying to provide the highest quality of care for each member. The current workstation in most dental offices requires that the practitioner lean forward, flex his neck forward and laterally, hold his shoulders abducted and his arms flexed, with this position being held statically for most of the workday. Dentists need to tightly grip thin, sharp instruments and make a high volume of short, forceful movements with the muscles of their wrists and hands to treat heavy calculus and other conditions. The human body is not built to handle these kinds of stresses, and the positions in which dentists repeatedly put themselves through their work place them at great risk for developing MSDs [1].
卷2(2):1-3在1985年之前,腰痛是最常见的报告肌肉骨骼疾病或牙医和牙科保健员的重复性损伤。从那时起,由于长时间的工作、笨拙的姿势、长时间的站立/无支撑的坐着,以及由设计不良的工作站、不正确的工作习惯和难以操作的仪器引起的一系列其他问题,肌肉骨骼疾病的发病率有所上升。牙医和卫生员被要求从事具有体力挑战的工作,他们的手臂和手的肌肉在白天几乎不停地活动,同时试图为每个成员提供最高质量的护理。目前大多数牙科诊所的工作站要求从业者身体前倾,颈部向前和横向弯曲,肩膀外展,手臂弯曲,在工作日的大部分时间里保持这个姿势。牙医需要紧紧握住薄而锋利的器械,用手腕和手的肌肉做大量的短而有力的运动,以治疗严重的结石和其他疾病。人体本来就无法承受这些压力,而牙医在工作中反复处于的位置,使他们面临着患MSDs的巨大风险。
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引用次数: 0
Prosthetic Rehabilitation of Partially Resected Edentulous Mandible Using Twin-Occlusion- A Case Report 双咬合修复部分切除无牙下颌骨1例
Pub Date : 2020-12-31 DOI: 10.47363/jdsr/2020(2)106
G. Rani, A. Gambhir
Mandibular defects arising as a result of trauma, infections or ablative tumor surgery usually cause significant facial deformity, functional disabilities, and psychological problems. Successful prosthetic rehabilitation of a patient with partially resected edentulous mandible can be an especially challenging task for a prosthodontist. Apart from the deviation of the remaining mandibular segment, other dysfunctions are observed in mastication, speech, swallowing, respiration, salivary control and mandibular movements which can severely compromise the prosthetic prognosis. Hence, it becomes imperative to judiciously apply the basic principles of denture construction in such cases to obtain optimum retention, stability, support, esthetics & function. The present case report describes the successful prosthetic rehabilitation of an edentulous mandibulectomy patient using two rows of non-anatomic teeth on the unresected side of the maxillary prosthesis. The inner (palatal) row helped in restoring the function while the outer (buccal) row improved the cheek support and esthetics. Non-anatomic teeth were used to minimize the lateral displacing forces and enhance the stability of the dentures. The incorporation of twin-occlusion in this case helped in achieving a satisfactory aesthetic and functional outcome of treatment.
由于创伤、感染或消融性肿瘤手术而引起的下颌缺损通常会导致严重的面部畸形、功能残疾和心理问题。成功修复部分切除无牙下颌骨的患者是一项特别具有挑战性的任务。除了剩余的下颌节段偏离外,还观察到咀嚼、言语、吞咽、呼吸、唾液控制和下颌运动等功能障碍,这些功能障碍会严重影响假肢的预后。因此,在这种情况下,明智地应用义齿构建的基本原则,以获得最佳的固位,稳定性,支持,美观和功能变得至关重要。本病例报告描述了成功的假体康复无牙下颌骨切除术患者使用两排非解剖的牙齿在上颌假体未切除的一面。内排(腭)有助于恢复功能,而外排(颊)改善了脸颊的支撑和美观。采用非解剖型牙,最大限度地减少侧移力,提高义齿的稳定性。在本病例中,合并双闭塞有助于获得令人满意的美学和功能治疗结果。
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引用次数: 0
Management of Delayed eruption of Permanent Maxillary Central 上颌永久性中牙延迟出牙的治疗
Pub Date : 2020-10-10 DOI: 10.47310/IARJMS.2020.V01I05.001
Y. Elelmi, F. Masmoudi, A. Baaziz, F. Maatouk, H. Ghedira
Supernumerary teeth are those which are additional or in excess of the normal number. They can be present anywhere in the dental arch with predilection for the premaxilla. They can cause many complications, the most common being the delayed eruption of permanent teeth. Early diagnosis and management can minimize the potential complications caused by supernumerary teeth and the extent of surgery and orthodontic treatment. Aim: This case report highlights the problem of delayed eruption of permanent maxillary left central incisor in a 9-year-old boy due to a supernumerary tooth. After surgical removal and 18 months of follow up, the left permanent central incisor erupted.
多余的牙齿是指那些额外的或超过正常数量的牙齿。它们可以出现在牙弓的任何地方,尤其是前上颌骨。它们会引起许多并发症,最常见的是恒牙的延迟长牙。早期诊断和处理可以最大限度地减少由多牙引起的潜在并发症,减少手术和正畸治疗的范围。目的:本病例报告强调了一个9岁男孩的问题,永久上颌左中切牙延迟爆发由于多牙。手术切除后随访18个月,左侧恒中切牙出牙。
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引用次数: 0
期刊
Journal of Dental Science Research Reviews & Reports
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