大疱性结缔组织表皮松解所致无淀粉性不全患者冠吸收的发生率。

IF 2.9 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Oral diseases Pub Date : 2025-01-08 DOI:10.1111/odi.15250
Colomba Besa-Witto, Ana Ortega-Pinto, Sebastián Véliz, Marco Cornejo, Ignacia Fuentes, Francis Palisson, Susanne Krämer
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引用次数: 0

摘要

大疱性结缔组织表皮松解症(JEB)是一种罕见的遗传性疾病,表现为皮肤和粘膜起泡。作为JEB的一部分,患者表现为综合征性变性不完全性(AI)。报道描述了JEB患者牙齿的外冠吸收(ECR),但其患病率尚不清楚。目的:了解JEB患者ECR的发生率。方法:在智利大学特殊护理牙科诊所进行纵向回顾性队列研究。分析了2005 ~ 2024年JEB患者的临床记录。计算每位患者、每种牙齿类型和每颗牙齿的ECR患病率。结果:在20例患者中,90%的患者至少有一颗牙齿出现ECR,平均4.8颗乳牙和6.8颗恒牙受到影响。受影响最大的牙齿类型是门牙。57.5%的上切牙和68%的恒切牙发生牙吸收。患牙最多的是初级牙列第82位(75%)和恒牙列第32位(88.9%)。结论:由LAMB3变异引起的JEB型AI患者发生ECR的比例为90%。建立早期发现ECR的临床和放射学牙科方案对于防止广泛的牙齿破坏至关重要。
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Prevalence of Crown Resorption in Amelogenesis Imperfecta due to Junctional Epidermolysis Bullosa.

Introduction: Junctional epidermolysis bullosa (JEB) is a rare genetic disease manifesting with skin and mucosal blistering. As part of the JEB, patients present with syndromic amelogenesis imperfecta (AI). Reports have described external crown resorption (ECR) in the teeth of patients with JEB, but its prevalence is unknown.

Objective: To determine the prevalence of ECR in patients with JEB.

Methods: A longitudinal retrospective cohort study was performed at the Special Care Dentistry Clinic, University of Chile. Clinical records of patients with JEB between 2005 and 2024 were analysed. Prevalence of ECR per patient, per type of tooth and per tooth was calculated.

Results: Of the 20 patients examined, 90% presented ECR in at least one tooth, with an average of 4.8 primary and 6.8 permanent teeth affected. The most affected type of teeth were the incisors. 57.5% of primary incisors and 68% of permanent incisors had resorption. The most affected tooth was #82 in primary dentition (75%) and #32 in the permanent dentition (88.9%).

Conclusions: The prevalence of ECR in patients with AI due to JEB caused by variants in LAMB3 was 90%. Establishing clinical and radiographic dental protocols for the early detection of ECR is essential to prevent extensive tooth destruction.

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来源期刊
Oral diseases
Oral diseases 医学-牙科与口腔外科
CiteScore
7.60
自引率
5.30%
发文量
325
审稿时长
4-8 weeks
期刊介绍: Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
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