中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (4): 260-264.DOI: 10.12337/zgkqzzxzz.2023.08.009

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一例牙本质发育不良I型患者的临床特点及其种植治疗

杜新雅1, 赖玉蓝1, 闫征斌1, 陈云亮1, 杨晓喻2   

  1. 1深圳市龙华区人民医院口腔科 518109;
    2南方医科大学口腔医院种植中心,广州510280
  • 收稿日期:2023-03-17 出版日期:2023-08-30 发布日期:2023-09-05
  • 通讯作者: 杨晓喻,Email:twindoctor@sina.com,电话:020-84408890
  • 作者简介:杜新雅,博士、主任医师、硕士研究生导师,研究方向:口腔种植及口腔遗传病相关研究;杨晓喻,博士、主任医师、教授、硕士研究生导师,研究方向:口腔种植相关研究
  • 基金资助:
    深圳市科技计划项目(JCYJ20180228164057158)

Clinical features and implant treatment in a patient with dentin dysplasia type I

Du Xinya1, Lai Yulan1, Yan Zhengbin1, Chen Yunliang1, Yang Xiaoyu2   

  1. 1Department of Stomatology, the People′s Hospital of Longhua Shenzhen, Shenzhen 518109, China;
    2 Department of Implantology, The Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2023-03-17 Online:2023-08-30 Published:2023-09-05
  • Contact: Yang Xiaoyu, Email: twindoctor@sina.com, Tel: 0086-20-84408890
  • Supported by:
    Shenzhen Fundamental Research Program (JCYJ20180228164057158)

摘要: 牙本质发育不良I型(dentin dysplasia type I,DD-I)是一种伴有牙本质形成障碍、可遗传的罕见病。其特征是牙冠正常,但牙根发育异常,出现短、钝化和畸形的牙根;在患者年轻时即出现牙松动,可伴牙槽脓肿;影像学上表现为闭塞的牙髓腔。典型的DD-I是常染色体显性遗传,家系中患者常很早即出现多颗牙丧失,有的30多岁即可表现为无牙颌。本文报告了一例DD-I病例,通过总结其临床表现、影像学及组织学特点以及相关治疗,以期为DD-I临床诊治提供指导。

关键词: 牙本质发育不良I型, 常染色体显性遗传, 临床特点, 种植治疗

Abstract: Dentin dysplasia type I (DD-I) is a rare hereditary disturbance in dentin formation. It is characterized by the normal tooth crown but abnormal root development, which is manifested by the presence of short, blunted, and malformed roots; tooth loosening with alveolar abscess occurs at a young age in patients; imaging examination shows occluded pulp cavities. Typical dentin dysplasia type I is autosomal dominant. Patients often loss multiple teeth, and may become edentulous by their 30s. Clinical treatment is challenging. In this paper, a DD-I case is reported, summarizing its clinical manifestations, imaging and histological features, and related treatments in order to provide guidance for the clinical diagnosis and treatment of DD-I.

Key words: Dentin dysplasia type I, Autosomal dominant inheritance, Clinical features, Implant treatment