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Diagnosis and Management for a Supplemental Mandibular Incisor - A Case Report

下顎前牙區之副型多生牙的診斷及處置-病例報告

摘要


Occurrence of supernumerary teeth in the mandibular anterior region is very rare, accounting for only 2% of supernumerary cases. They are commonly classified as supplemental or rudimentary according to the morphology. Supplemental type refers to supernumerary teeth of normal shape and size, also termed incisor-like, which makes a diagnosis quite challenging. It is necessary to assess the proper sequence and symmetric pattern of permanent tooth eruption patterns at the time of the clinical examination. Asymmetric eruption pattern and over-retention of primary teeth at a specific region can be a sign of supernumerary teeth. Early diagnosis and management of supernumerary teeth is imperative to prevent unfavorable consequences, such as delayed eruption of permanent teeth, dilacerations or delayed root development, displacement of tooth germs, root resorption of adjacent teeth, dental crowding, and formation of odontogenic cysts or tumors. In this report, we presented a rare case of five mandibular incisors and discussed its diagnosis and management.

並列摘要


多生牙發生於下顎前牙區的情況相當罕見,只佔多生牙案例之中百分之二。多生牙以型態分為副型或遺留型。遺留型多生牙為型態不正常、大小較小的牙齒;而副型多生牙具有與正常牙齒相同的型態及大小,因此分辨上較為困難。混合齒列的孩童之臨床檢查必須仔細評估換牙的對稱性,不對稱的換牙順序、保留過久的乳牙可能是多生牙存在的徵兆。早期診斷並介入可以促進受影響的恆牙自然萌發,避免中線偏移、鄰近牙齒牙根吸收、齒列擁擠及齒源性囊腫之形成等併發症。本案例為下顎前牙區域之副型多生牙的罕見病例,主要討論其診斷及處置。

並列關鍵字

副型下顎門牙 多生牙

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