中国实用口腔科杂志

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年轻恒牙外伤性牙齿固连研究进展

吕丽华苏吉梅   

  1. 浙江大学医学院附属儿童医院口腔科,国家儿童健康与疾病临床医学研究中心,浙江  杭州  310052
  • 出版日期:2020-09-15 发布日期:2020-11-26

  • Online:2020-09-15 Published:2020-11-26

摘要: 牙齿固连(tooth ankylosis)或替代性吸收(replacement resorption)是继发于严重牙外伤的一种常见并发症。对于年轻恒牙,外伤性牙齿固连使患牙低于邻牙正常牙合平面、局部牙槽骨发育停止、邻牙倾斜、牙弓不规则、牙弓长度丧失等,这些严重影响了患儿的美观,不利于后期永久修复的实施。目前尚无理想的办法阻止其发生及进展,截冠术被认为是治疗年轻恒牙外伤性牙齿固连的最佳方法。文章就年轻恒牙外伤性牙齿固连的临床表现、发生机制、进展的相关因素、治疗方法几个方面做一综述,以期为临床研究提供参考。

关键词: 年轻恒牙, 牙齿固连, 替代性吸收, 截冠术

Abstract: Tooth ankylosis or replacement resorption is a common complication secondary to severe tooth trauma. For immature permanent teeth,traumatic tooth ankylosis may result in infraposition of ankylosed tooth,arrestment of local alveolar bone development,tipping of adjacent teeth,irregular dental arch and loss of arch length,which may influence the patient aesthetically as well as the permanent restoration in the future. At present,there is still no ideal way to prevent or control this process,and decoronation is considered as the best method to treat traumatic tooth ankylosis of immature permanent teeth. This paper reviewed studies concerning the clinical manifestations,mechanisms,factors related to progression,and therapies of traumatic ankylosis of immature permanent teeth in recent years,so as to provide reference for relevant clinical researches.

Key words: immature permanent teeth, tooth ankylosis, replacement resorption, decoronation