乳牙根尖周炎对继承恒牙发育影响的影像学研究

doi:10.13701/j.cnki.kqyxyj.2021.11.008

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (11): 994-998.DOI: 10.13701/j.cnki.kqyxyj.2021.11.008

乳牙根尖周炎对继承恒牙发育影响的影像学研究

李玲, 杨细虎^*, 李俊江

江苏大学附属医院口腔科江苏镇江 212000

收稿日期:2021-05-17 出版日期:2021-11-28 发布日期:2021-11-22
通讯作者: *杨细虎,E-mail:yangxihu1981@126.com
作者简介:李玲(1988~ ),女,江苏镇江人,硕士,主治医师,研究方向:儿童口腔医学。
基金资助:
江苏省青年医学人才(编号:QNRC2016841)镇江市社会发展项目(编号:SH2020052)

Effects of Primary Tooth with Periapical Periodontitis on Permanent Successor by Imaging Studies

LI Ling, YANG Xihu^*, LI Jun

Department of Stomatology, The Affiliated Hospital of Jiangsu University, Zhenjiang 212000, China

Received:2021-05-17 Online:2021-11-28 Published:2021-11-22

摘要/Abstract

摘要： 目的: 研究乳牙根尖周炎对继承恒牙生长发育的影响。方法: 研究对象为患有慢性根尖周炎的下颌第一乳磨牙,筛选出符合要求的全口牙位曲面体层X线片148例共计纳入175颗患牙(男性95颗,女性80颗)。对继承恒牙发育值进行判读计分并与正常恒牙发育值比较;统计继承恒牙形态及方向异常所占比例,分析男、女间的差异;分析乳牙及牙囊破坏的程度,探索二者的关联性。结果: 各年龄组继承恒牙发育值与正常恒牙相比均有差异,其中男性的4、7、8岁组及女性的6、7、9岁组差异有统计学意义(P<0.05)。继承恒牙出现了牙囊破坏、方向改变及形态异常的比例分别为男性78.94%、42.1%、8.42%,及女性82.50%、38.75%、15.00%,男、女间差异不具统计学意义。乳牙破坏和牙囊破坏不存在程度上的对应关系,二者并无明显相关性。结论: 乳牙根尖周炎可导致继承恒牙发育加快或迟缓,可能导致其形态及方向发生改变,并且这种负面影响的大小和乳牙破坏程度没有明显关联。

关键词: 乳牙根尖周炎, 继承恒牙, 牙齿发育

Abstract: Objective: To evaluate dental anomalies in permanent teeth as a result of periapical periodontitis concerning the predecessor primary teeth. Methods: A total of 148 panoramic radiographs of children within the age range of 3 to 10 years were collected and 175 mandibular first primary molar with chronic periapical periodontitis (95 males and 80 females) were analyzed. All permanent successor were scored according to Nolla's method and compared with normal ones' of each age. The percentage of dental malposition and malformation were analyzed. The primary molar and dental follicle were scored and analyzed. Results: The dental scores of permanent successor were different from normal teeth. The differences were significant in many groups (aged in 4, 7, and 8 groups for males and 6, 7, and 9 for females, P<0.05). The percentage of permanent successor involved with dental follicle broken, malposition, and malformation were 78.94%, 42.1%, and 8.42% for male, and 82.50%, 38.75%, and 15.00% for female, respectively (P>0.05). No correlation was found between the damage level of deciduous teeth and dental follicle. Conclusion: Primary tooth with periapical periodontitis can lead to development anomaly, either acceleration or deceleration. It can also lead to malposition and malformation, which is not depended on the damage level of deciduous teeth.

Key words: primary tooth with periapical periodontitis, permanent successor, dental development

李玲, 杨细虎, 李俊江. 乳牙根尖周炎对继承恒牙发育影响的影像学研究[J]. 口腔医学研究, 2021, 37(11): 994-998.

LI Ling, YANG Xihu, LI Jun. Effects of Primary Tooth with Periapical Periodontitis on Permanent Successor by Imaging Studies[J]. Journal of Oral Science Research, 2021, 37(11): 994-998.

参考文献

[1] 卢洁,王迎菊,张利娟,等.乳牙根尖周炎致恒牙胚坏死病例报告及文献复习[J].口腔疾病防治,2020,9(28): 590-593.
[2] 周焱,王颖慧,赵焕英,等.IL-17在乳牙根尖周病损组织中的表达[J].口腔医学研究,2020,36(4): 365-368.
[3] Jiao J, Jing W, Si Y, et al. The prevalence and severity of periodontal disease in Mainland China: Data from the Fourth National Oral Health Survey (2015-2016) [J]. J Clin Periodontol, 2021, 48(2): 168-179.
[4] 李莉.儿童口腔科门诊治疗需求特征分析及对策[J].中外医疗,2014,(10): 82-83.
[5] Nolla CM. The development of permanent teeth [D]. University of Michigan, 1952.
[6] 李玲,李虎,孙超,等.南京地区3~16岁儿童恒牙发育趋势初探[J].实用口腔医学杂志,2015,31(4): 542-546.
[7] ALHumaid J, Buholayka M, Thapasum A, et al. Investigating prevalence of dental anomalies in Eastern Province of Saudi Arabia through digital orthopantomogram [J]. Saudi J Biol Sci, 2021, 28(5): 2900-2906.
[8] 高黎,吴妍慧,杨敬一,等.犬乳牙根尖周炎对继承恒牙发育影响的实验研究[J].实用口腔医学杂志,2019,35(2): 233-238.
[9] 田芝娟,黄蕊,何翔,等.乳磨牙龋坏对前磨牙萌出的影响[J].口腔医学研究,2018,34(4): 367-370.
[10] Pallikaraki G, Sifakakis I, Gizani S, et al. Developmental dental anomalies assessed by panoramic radiographs in a Greek orthodontic population sample [J]. Eur Arch Paediatr Dent, 2020, 21(2): 223-228.
[11] Zou J, Meng M, Law CS, et al. Common dental diseases in children and malocclusion [J]. Int J Oral Sci, 2018, 10(1): 7.
[12] 陈育纯,姚志荣,熊桂娟.乳磨牙根尖周病变对其继承恒牙萌出高度及方向的影响[J].中国当代医药,2012,22(19): 32-33.
[13] Arid J, Xavier TA, da Silva RAB, et al. RANKL is associated with persistent primary teeth and delayed permanent tooth emergence [J]. Int J Paediatr Dent, 2019, 29(3): 294-300.
[14] 王丹凤,庄少敏.乳磨牙根尖周炎对继承恒牙颌骨内萌出速度的影响[J].佛山科学技术学院学报(自然科学版),2013,31(2): 72-75.
[15] Oka S, Kawanabe H, Yamanobe S, et al. Relationship between olfaction and maxillofacial morphology in children with malocclusion [J]. Clin Exp Dent Res, 2021, 7(1): 33-39.
[16] Bilge NH, Yeşiltepe S, Törenek Ağrman K, et al. Investigation of prevalence of dental anomalies by using digital panoramic radiographs [J]. Folia Morphol (Warsz), 2018, 77(2): 323-328.
[17] Bardellini E, Amadori F, Pasini S, et al. Dental anomalies in permanent teeth after trauma in primary dentition [J]. J Clin Pediatr Dent, 2017, 41(1): 5-9.
[18] Santana Neto MC, Lopes Bandeira AV, Santos Sousa HC, et al. Enamel of premolars whose predecessors presented rupture of the follicle bone crypt from periapical infections [J]. J Clin Pediatr Dent, 2020, 44(4): 256-261.
[19] Flores MT, Onetto JE. How does orofacial trauma in children affect the developing dentition? Long-term treatment and associated complications [J]. Dent Traumatol, 2019, 35(6): 312-323.

乳牙根尖周炎对继承恒牙发育影响的影像学研究

Effects of Primary Tooth with Periapical Periodontitis on Permanent Successor by Imaging Studies

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

[1]	史璐, 田菲菲, 白书锋, 冯海玲. Caveolin-1基因敲除小鼠下颌第一磨牙的表型观察[J]. 口腔医学研究, 2018, 34(5): 480-484.
[2]	徐高祥,张琦,张鲁鲁,于士洋,姜秋,盖立婷. 成牙本质细胞表达相关蛋白作用的研究进展[J]. 口腔医学研究, 2016, 32(8): 886-889.
[3]	梁鑫综述,王萍审校. 成纤维细胞生长因子及其受体在牙齿生长发育中的作用[J]. 口腔医学研究, 2016, 32(4): 421-423.
[4]	杨国峰,莫申正,蒋备战. 透明质酸在小鼠下颌第一磨牙牙胚不同发育时期的表达[J]. 口腔医学研究, 2015, 31(7): 658-661.