›› 2019, Vol. 39 ›› Issue (5): 464-467.

• 综述 • 上一篇    下一篇

牛牙样牙文献回顾

叶强,高雪彬,王晓,王小萌,李静雅,黄洋   

  1. 吉林大学口腔医院
  • 收稿日期:2018-01-19 修回日期:2018-03-18 出版日期:2019-05-28 发布日期:2019-05-21
  • 通讯作者: 黄洋 E-mail:huangyang1960@163.com

Taurodontism Literature Review

  • Received:2018-01-19 Revised:2018-03-18 Online:2019-05-28 Published:2019-05-21

摘要: 牛牙样牙(Taurodontism)为一种少见的牙体畸形,Hertwig上皮根鞘未能在适当的水平内折或者断裂延迟足牛牙症发生的重要原因,但其发病机制尚不完全清楚。以牙髓腔冠根向膨大、髓室底及根分叉向根方移位、而釉牙骨质界没有明显收缩为特征。牛牙样牙最常见于恒磨牙中,但这种改变也可以在乳牙牙列,单侧或双侧以及任何牙齿或象限中看到,可单独发生,亦可伴有其他综合征同时存在。通常无明显临床症状,大多数通过拍摄 X 线片得以发现。该文对牛牙症的病因、临床表现和放射学特征,各种综合征的关系以及这种牙齿的牙科治疗进行综述,以满足对其诊断和治疗的迫切需求。

关键词: 牛牙样牙, 牙体畸形, 髓腔增大, 牛牙症指数, 根管治疗

Abstract: Taurodontism is a rare tooth deformity,a change in tooth shape caused by the failure of Hertwig’s epithelial sheath diaphragm to invaginate at the proper horizontal level,However, its pathogenesis is not fully understood.An enlarged pulp chamber,apical displacement of the pulpal floor and bifurcation or trifurcation of the root, and no constriction at the level of the cemento-enamel junction are the characteristic features.Although permanent molar teeth are most commonly affected, this change can also be seen in both the permanent and deciduous dentition,unilaterally or bilaterally,and in any combination of teeth or quadrants. Whilst it appears most frequently as an isolatedanomaly, its association with several syndromes has also been reported. Usually no obvious clinical symptoms, most of the X-ray film to be found.This article summarizes the etiology, clinical and radiological features of the taurodontism, the relationship between the various syndromes, and the dental treatment of such teeth to meet the urgent need for diagnosis and treatment.

Key words: taurodontism, tooth deformity, enlarge pulp chamber, Tanurodontic Index, root canal therapy