口腔医学 ›› 2025, Vol. 45 ›› Issue (4): 264-267.doi: 10.13591/j.cnki.kqyx.2025.04.005

• 基础与临床研究 • 上一篇    下一篇

51例儿童多生𬌗并含牙囊肿的临床分析

王涛1, 傅瑜2()   

  1. 1.南京大学医学院附属口腔医院儿童口腔科,江苏南京(210009)
    2.口腔疾病研究与防治国家级重点实验室培育建设点,江苏省口腔转化医学工程研究中心,南京医科大学附属口腔医院口腔颌面外科,江苏南京(210028)
  • 收稿日期:2024-11-05 出版日期:2025-04-28 发布日期:2025-04-25
  • 通讯作者: 傅 瑜, E-mail:yufu@njmu.edu.cn
  • 基金资助:
    2023年度省卫健委课题面上项目(苏卫科教2023-011号);江苏省自然科学基金及重点研发计划(BK20221300)

Clinical analysis of 51 children with supernumerary tooth complicated with dentigerous cyst

WANG Tao1, FU Yu2()   

  1. Department of Pediatric Dentistry, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210009, China
  • Received:2024-11-05 Online:2025-04-28 Published:2025-04-25

摘要:

目的 探讨儿童多生𬌗并含牙囊肿的临床特点,为临床诊疗提供参考。方法 回顾性分析51例多生𬌗并含牙囊肿的患儿,对性别、年龄、多生牙数目、发病部位、是否存在阻生牙及含牙囊肿等因素进行相关性分析。采用SPSS 26.0软件对数据进行统计学分析。结果 51例患儿中,男43例,女8例,男女比例5.38∶1;年龄6~16岁,平均(11.51±2.93)岁。其中1颗多生牙最多,为29例(56.86%),2颗多生牙17例(33.33%),3颗及以上多生牙分别为4例(7.84%)和1例(1.96%)。81颗多生牙中, 82.72%位于上颌, 88.89%位于前牙区, 41.96%位于左侧, 45.68%位于右侧。76颗(93.83%)多生牙未萌出,其中垂直阻生的有33颗(40.74%)。51例患儿中,共有57个囊肿,其中80.70%位于上颌, 91.23%位于前牙区;多生牙是否在囊肿内与是否伴有恒牙阻生、囊肿膨隆方向无明显统计学差异(P>0.05)。结论 伴发含牙囊肿的多生牙好发于男性患儿,多为埋伏牙,多生牙及含牙囊肿均常见于上颌前牙区,多生牙是否在囊肿内与是否伴有恒牙阻生、囊肿膨隆方向无明显相关性。

关键词: 多生牙, 含牙囊肿, 儿童, 临床分析

Abstract:

Objective To investigate the clinical characteristics of supernumerary tooth combined with dentigerous cyst, and to provide reference for clinical diagnosis and treatment. Methods A retrospective analysis was performed for 51 children with tooth combined with dentigerous cyst and the correlation analysis was conducted for gender, age, number of supernumerary teeth, site of disease, presence of impacted teeth and dentigerous cyst. SPSS 26.0 software was used for statistical analysis. Results Among the 51 children, 43 were males and 8 were females, with a male-to-female ratio of 5.38∶1; aged 6-16 years, with an average age of (11.51±2.93) years. 29 cases (56.86%) had one supernumerary tooth; 17 cases (33.33%) had two supernumerary teeth, and 4 cases (7.84%) and 1 case (1.96%) had three or more supernumerary teeth, respectively. Among the 81 supernumerary teeth, 82.72% were located in maxillary, 88.89% in the anterior region, 41.96% in the left side and 45.68% in the right side. Seventy-six (93.83%) supernumerary teeth did not erupt, of which 33 (40.74%) were vertically impacted. Among the 51 children, there were 57 cysts, of which 80.70% were located in the maxillary and 91.23% were located in the anterior region. There was no significant difference between whether the supernumerary tooth was in the cyst and whether it was accompanied by the impacted permanent tooth and the direction of cyst expansion (P>0.05). Conclusion Supernumerary tooth with dentigerous cyst are more common in males, and most of them are impacted teeth. Both supernumerary tooth and dentigerous cyst are common in the maxillary anterior teeth, and there is no obvious correlation between whether the supernumerary teeth are in the cyst and whether they are accompanied by impacted permanent teeth and cyst bulging direction.

Key words: supernumerary tooth, dentigerouscyst, children, clinical analysis

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