在不寻常的位置上产生部冲击的 mesiodentes:两个病例报告
Pascal Grün1, Flora Turhani1, Ann-Sophie Grün2
1Center for Oral and Maxillofacial Surgery, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University, Steiner Landstrasse 124, 3500 Krems, Austria; Clinical Application of Artificial Intelligence in Dentistry (CAAID) Group, Department of Dentistry, Faculty of Medicine and Dentistry, Danube Private University, Steiner Landstraße 124, 3500 Krems an der Donau, Austria.
International journal of surgery case reports
|August 14, 2025
概括
罕见的 mesiodens,或超数的牙,可以呈现独特的. 在无症状病例中,通过警等待和CBCT监测进行保守的管理是有效的,避免不必要的手术.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
背景情况:
- Mesiodens是最常见的超数牙,但不寻常的呈现,如多个形成或鼻腔喷发是罕见的.
- 对于 mesiodens 的管理策略,特别是对无症状个体的管理策略,尚未确定.
研究的目的:
- 提出两个异常案例的 mesiodens 与罕见的解剖学变异.
- 评估保守管理和形束计算断层扫描 (CBCT) 在诊断和监测 mesiodens. 的有效性.
主要方法:
- 详细的病例报告两名无症状 mesiodens 的患者:一个多口腔形成,另一个鼻腔喷发.
- 利用圆束计算断层扫描 (CBCT) 进行精确的诊断,解剖评估和治疗规划.
- 采用保守的"警等待"方法,对这两种病例进行定期的临床和放射性随访.
主要成果:
- CBCT使根部发育和解剖关系的详细评估成为可能,有助于排除并发症.
- 在这两位无症状患者中,保守的治疗成功实施.
- 在随访期间没有观察到任何不良结果或并发症.
结论:
- 保守的管理,包括基于CBCT的监测,是选择性无症状 mesiodens手术的安全和可行的替代方案.
- 个性化,以患者为中心的决策对于管理罕见的 mesiodens 呈现至关重要.
- CBCT是复杂的 mesiodens 病例的诊断和管理规划的一个不可或缺的工具.
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