基于影像学分析的儿童上颌前牙区多生牙对恒牙萌出影响的临床研究OA
A clinical study on the impact of supernumerary teeth in the anterior maxillary region on permanent tooth eruption in children
目的:探讨儿童多生牙的临床特征及其对恒牙萌出的影响.方法:回顾性分析多生牙儿童132例(184颗多生牙)的临床资料,并分析其对恒牙萌出的影响.结果:患儿主要集中在7~9岁(53.03%),男性多于女性(约4∶1).多数病例仅有1颗多生牙(61.36%),以腭侧(80.43%)、倒置(47.28%)、圆锥形(62.50%)为主,多未萌出(76.63%).32颗(17.39%)导致迟萌/阻生,43颗(23.37%)导致移位,18颗(9.78%)发生扭转,31颗(16.85%)造成中切牙间隙.位于牙弓内的多生牙更易导致恒牙扭转(25.00%)(P<0.05);结节型更易导致恒牙移位(44.23%)和扭转(21.15%)(P<0.05);方向、萌出情况及与恒牙胚的距离对恒牙萌出的影响无统计学差异(P>0.05).结论:多生牙可致恒牙萌出异常,早期影像学筛查及干预对预防错(牙合)畸形具有重要意义.
Objective:To investigate the clinical characteristics of supernumerary teeth in children and their impact on the eruption of permanent teeth.Methods:A retrospective analysis was conducted on the clinical features of 132 pediatric patients(184 supernumerary teeth)and their effect on the eruption of permanent teeth.Results:The majority of patients were aged 7~9 years(53.03%),with a higher prevalence in males(approximately 4∶1).Most cases had a single supernumerary tooth(61.36%),with the teeth predominantly located on the palatal side(80.43%),inverted(47.28%),and conical in shape(62.50%).Most supernumerary teeth were unerupted(76.63%).32 teeth(17.39%)caused delayed eruption/impaction,43 teeth(23.37%)led to displacement,18 teeth(9.78%)caused rotation,and 31 teeth(16.85%)resulted in midline diastema.Supernumerary teeth located within the dental arch were more likely to cause rotation of permanent teeth(25.00%)(P<0.05).The tuberculate type was more frequently associated with displacement(44.23%)and rotation(21.15%)of permanent teeth(P<0.05).In contrast,orientation,eruption status,and distance from the permanent tooth germ showed no statistically significant association with eruption abnormalities(P>0.05).Conclusion:Supernumerary teeth can lead to eruption abnormali-ties of permanent teeth.Early imaging screening and intervention are crucial for preventing malocclusion.
张舒琪;谈皓;李梦琦;杨细虎
江苏大学附属医院口腔科镇江市口腔医院,江苏 镇江 212000江苏大学附属医院口腔科江苏大学附属医院口腔科
医药卫生
多生牙上颌前牙区恒牙萌出锥形束CT
Supernumerary teethAnterior maxillary regionPermanent tooth eruptionCone-beam computed tomography
《川北医学院学报》 2026 (6)
665-668,682,5
国家自然科学基金资助项目(82173380)
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