在初级牙中的微观发现与维生素D缺乏有关
A Allam1, A C Ionescu2, P Savadori3
1Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy. ORCID: 0009-0009-1988-1809.
European journal of paediatric dentistry
|March 4, 2026
概括
维生素D缺乏会导致牙问题,如,即使没有骨问题. 早期发现口腔症状是诊断和治疗这种缺陷的关键.
科学领域:
- 儿科牙科 儿科牙科
- 生物矿物化 生物矿物化
- 营养缺乏症 营养缺乏症
背景情况:
- 风病是一种维生素D缺乏症的疾病,通常表现为骨问题,但可以通过口腔表现为反复复发的牙.
- 口腔症状可能表明遗传性,即使没有骨异常或确定的遗传原因.
- 牙组织分析对于诊断诸如维生素D缺乏症等疾病至关重要.
研究的目的:
- 报告一个儿童的病例,其口腔表现表明遗传性氏病.
- 突出牙组织分析在诊断维生素D缺乏症中的作用.
- 强调识别口腔标志对于早期病诊断的重要性.
主要方法:
- 一名患有自发牙的4岁男孩接受了三颗母牙的分析.
- 技术包括微计算机断层扫描,扫描电子显微镜和能量分散式X射线光谱学.
- 生物化学测试证实了维生素D缺乏.
主要成果:
- 牙科分析显示了扩大的脉腔,脉结,球间牙和低矿物质质的牙质.
- 观察到一个不规则的牙接口和可变的矿物成分,表明有缺陷的生物矿物化.
- 生物化学证实维生素D缺乏,补充后临床改善.
结论:
- 维生素D缺乏会严重扰乱牙和牙的发育和矿化.
- 损坏的牙硬组织增加了自发牙的风险.
- 在识别维生素D缺乏的口腔表现时,及时诊断和管理至关重要.
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