川崎症合併多處先天性缺牙、多生牙－病例報告

Kawasaki Disease Combined with Hypodontia and Supernumerary Teeth - A Case Report

侯政廷(Cheng-Ting Hou) ； 莊才逸(Tsai-Yi Chuang)

《臺灣兒童牙醫學雜誌》 19卷2期 (2019/06) Pp. 55-60

https://doi.org/10.6319/TJPD.201906_19(2).0002

摘要

川崎氏症為一種全身性血管炎，尤其容易侵犯心臟冠狀動脈，引起血管瘤，導致生命危險。川崎氏症好發在五歲以下孩童，初期常有高燒不退之症狀。12歲女童於1歲時罹患川崎氏症，來本院牙科就診時發現有多處恆齒先天缺失（缺牙症），於是前來本兒童牙科門診評估。治療涵蓋溝隙封填、窩洞填補、拔髓治療、齦蓋切除術、拔除多生牙，患者經上述治療後，恢復正常咬合功能，建議定期回診檢查，並評估矯正及假牙補綴治療時機。本篇文章將會探討川崎氏症與多生牙、缺牙症之關聯性。

關鍵字

川崎氏症 ； 缺牙症 ； 多生牙

並列摘要

Kawasaki disease was defined as one of systemic vasculitis, especially easy to violate the coronary arteries, causing hemangiomas, which is life-threatening. Kawasaki disease is prevalence among the children under 5 years old, and also causes high fever which is hard to bring down. A 12-year-old girl, who was suffering Kawasaki disease at the age of 1, came to our dental clinic, and was found to have missing permanent teeth (hypodontia). So she came to our pediatric clinic for further evaluation. The treatment involved fissure sealant, operative dentistry, pulpectomy, operculectomy, extraction of supernumerary tooth. After the treatment above, the patient regained the normal occlusal function. We suggested her to come to check periodically. We also assess the timing of orthodontic and prosthodontic treatment. This article will discuss the association of Kawasaki disease, supernumerary tooth ,and hypodontia.

並列關鍵字

Kawasaki Disease ； Hypodontia ； Supernumerary Teeth