迁徙还是漂移：5例下颌尖牙病案分析

›› 2019, Vol. 39 ›› Issue (3): 250-253.

迁徙还是漂移：5例下颌尖牙病案分析

于鸿滨¹,黄月苏²,杜志琴¹,周静¹,张凌鹏¹

1. 昆明市延安医院
2. 昆明医科大学附属口腔医院

收稿日期:2018-01-15 修回日期:2018-05-06 出版日期:2019-03-28 发布日期:2019-03-22
通讯作者: 于鸿滨 E-mail:yuhongbin6310@yeah.net
基金资助:
昆明市卫生科技人才培养项目暨“十百千”工程培养计划;昆明市延安医院院内自选课题

Transmigration or driftodontics: Analysis of 5 cases of mandibular canines

Received:2018-01-15 Revised:2018-05-06 Online:2019-03-28 Published:2019-03-22

摘要/Abstract

摘要： 　为提高对下颌尖牙迁徙性阻生的临床认识，本文报告5例患者6颗下颌尖牙迁徙性阻生的CBCT影像学资料，对其影像学表现进行分析讨论。5例患者中男1例，女4例，年龄13～24岁。 CBCT影像学资料显示多数尖牙呈水平状横卧于下颌骨体内，其中1例患者双侧下颌尖牙迁徙性阻生，其余4例患者单侧下颌尖牙迁徙性阻生。CBCT的应用对于全面了解下颌尖牙迁徙性阻生的发病情况、临床表现和鉴别诊断具有重要的临床价值。

关键词: 尖牙, 迁徙, 异位, 漂移

Abstract: To improve the clinical understanding of transmigration and impaction of mandibularm canine，CBCT imaging materials of transmigration and impaction of 6 mandibular canines within 5 patients were reported, and the imaging manifestations were analyzed and discussed. Among five patients, 1 male and 4 females were included, aged from 13 to 24. The CBCT imaging materials showed that most of canines lied in the mandibular body in a horizontal direction, among which one patient had transmigration and impaction of bilateral mandibular canines, the other four had transmigration and impaction of unilateral mandibular canine. The application of CBCT has important clinical value for comprehensive understanding of the incidence, clinical manifestation and antidiastole of transmigration and impaction of mandibular canine.

Key words: canines, Transmigration, ectopic, Driftodontics

中图分类号:

R782.11
R445

于鸿滨黄月苏杜志琴周静张凌鹏. 迁徙还是漂移：5例下颌尖牙病案分析[J]. , 2019, 39(3): 250-253.

参考文献

[1]Tarsitano JJ, Wooten JW, Burditt JT.Transmigration of nonerupted mandibular canines: report of cases[J].J Am Dent Assoc, 1971, 82(6):1395-1397
[2]张静, 何星, 王虎.尖牙的迁徙[J].国外医学.口腔医学分册, 2005, 32(4):264-265
[3]王虎, 张静, 凡明, 等.颗阻生尖牙线片分析[J].华西口腔医学杂志, 2005, 23(5):456-
[4]何星, 张静, 王虎, 等.尖牙的生理性与病理性迁徙的临床分析[J].临床口腔医学杂志, 2006, 22(4):217-220
[5] Camilleri S, Scerri E.Transmission of mandibular canines- A review of the literature and a report of five cases[J]. Angle Orthod, 2003, 73:753 762.
[6] Dalessandri D, Parrini S, Rubiano R, et al.Impacted and transmigrant mandibular canines incidence, aetiology, and treatment: a systematic review[J]. Eur J Orthod. 2017, 39(2):161-169.
[7]Bhullar MK, Aggarwal I, Verma R, et al.Mandibular Canine Transmigration: Report of Three Cases and Literature Review[J].J Int Soc Prev Community Dent, 2017, 7(1):8-14
[8]王艳民, 周力, 陈扬熙.下颌尖牙跨区漂移例[J].华西口腔医学杂志, 2005, 23(4):358-359
[9]王帅, 汪赢.下颌尖牙跨区漂移例[J].实用口腔医学杂志, 2012, 28(4):530-531
[10]陈绍娟, 王慧, 唐俊明, 等.下颌尖牙跨区漂移例[J].临床口腔医学杂志, 2016, 32(8):450-
[11]Sinko K, Nemec S, Seemann R, et al.Clinical Management of Impacted and Transmigrated Lower Canines[J].J Oral MaxillofacSurg, 2016, 74(11):2142-2141
[12] 马绪臣.口腔颌面医学影像诊断学[M]. 北京:人民卫生出版社, 2012:1-239.
[13]何杰儒.右下颌尖牙对侧异位阻生例报道[J].口腔医学, 2010, 30(1):18-
[14]梅李, 郭骏.陈扬熙.下颌尖牙异位例[J].华西口腔医学杂志, 2008, 26(4):457-458
[15] 蒋亚华, 徐晓梅, 夏悦, 等.下颌尖牙颏部异位阻生1例泸州医学院学报, 2012, 35(1):100.
[16]Maeda S, Maeda Y, Ono Y, et al.Interdisciplinary treatment of a patient with severe pathologic tooth migration caused by localized aggressive periodontitis[J].Am J OrthodDentofacialOrthop, 2005, 127(3):374-384
[17]任姝丽, 许跃.牙周病前牙漂移正畸治疗的保持与复发[J].中华口腔医学研究杂志:电子版, 2009, 3(3):312-316
[18]Creekmore TD.Physiologic drift[J].J ClinOrthod, 1975, 9(12):749-773
[19]魏松, 李晶, 周彦恒.安氏Ⅱ类病例下颌第二前磨牙拔除后下牙列生理性漂移的三维模型分析[J].北京大学学报医学版, 2013, 45(1):81-86
[20] R.G. " Wick" Alexander. 亚历山大矫治技术的20项基本原则[M]. 冯雪译. 北京:人民军医出版社, 2011.
[21]Joshi MR.Transmigrant mandibular canines: a record of 28 cases and a retrospective review of the literature[J].Angle Orthod, 2001, 71(1):12-22
[22] Sharma G, Nagpal A.A Study of Transmigrated Canine in an Indian Population[J]. Int Sch Res Notices, 2014, 2014:756516.
[23]Javid B.Transmigration of impacted mandibular cuspids[J].Int J Oral Surg, 1985, 14(6):547-549
[24]Joshi MR, DaruwalaNR, AhujaHC.Canine transmigration comprehensive literature review and report[J].Br J Orthod, 1982, 9(1):57-58
[25]Díaz-Sánchez RM, Castillo-de-Oyagüe R, Serrera-Figallo M, et al.Transmigration of mandibular cuspids: review of published reports and description of nine new cases[J].Br J Oral Maxillofac Surg, 2016, 54(3):241-247
[26]Mupparapu M.Patterns of intra-osseous transmigration and ectopic eruption of mandibular canines: review of literature and report of nine additional cases[J].DentomaxillofacRadiol, 2002, 31(6):355-360
[27] Bertl MH, Frey C, Bertl K, et al.Impacted and transmigrated mandibular canines: an analysis of 3D radiographic imaging data[J]. Clin Oral Investig, 2018 .
[28]Sinko K, Nemec S, Seemann R, et al.Clinical Management of Impacted and Transmigrated Lower Canines[J].J Oral Maxillofac Surg, 2016, 74(11):2142-
[29]Koszowski R, Pisulska-Otremba A, Wójcik S, et al.Canine transmigration accompanying mandibular retrognathism secondary to osteitis[J].Open Med (Wars), 2015, 10(1):566-571
[30] Umashree N, Kumar A, Nagaraj T.Transmigration of mandibular canines[J]. Case Rep Dent, 2013, 2013:697671.
[31]Cavuoti S, Matarese G, Isola G, et al.Combined orthodontic-surgical management of a transmigrated mandibular canine[J].Angle Orthod, 2016, 86(4):681-691