[上颌犬齿颈外吸收]。

Q3 Medicine
Kevin Hofpeter, Monika Marending
{"title":"[上颌犬齿颈外吸收]。","authors":"Kevin Hofpeter, Monika Marending","doi":"10.61872/sdj-2025-01-06","DOIUrl":null,"url":null,"abstract":"<p><p>External cervical resorptions (ECRs) are challenging dental hard tissue lesions. They are frequently missed due to their asymptomatic progression. Three-dimensional imaging and increased awareness within the dental community have likely contributed to the observed rise in ECR prevalence over the recent years. While the exact etiology of ECR remains unclear, numerous risk factors have been identified, encompassing both physical and chemical factors. However, idiopathic cases have also been documented. Literature highlights the propensity of ECRs to occur in anterior teeth and molars, often linked to prior orthodontic treatments and picked up by bitewing or periapical radiographs. However, in cases involving canines, early diagnosis is frequently missed, and lesions are typically discovered at a later stage only, when clinical signs and symptoms manifest. We present several cases in this narrative review, including a case report on a 59-year-old patient presenting with an ECR in the maxillary left canine (tooth 23), decades after orthodontic treatment. The lesion was successfully managed using a combination of endodontic and surgical treatment. Despite the advanced stage of resorption, the tooth was preserved. Given ECR's slow progression and frequent late clinical detection, additional radiographic monitoring of front and canine teeth can be recommended for patients with predisposing factors, such as a history of orthodontic treatment or trauma. This proactive approach can facilitate earlier diagnosis and timely intervention, improving outcomes for affected teeth.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 1","pages":"175-187"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Die externe zervikale Resorption bei Oberkiefer-Eckzähnen].\",\"authors\":\"Kevin Hofpeter, Monika Marending\",\"doi\":\"10.61872/sdj-2025-01-06\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>External cervical resorptions (ECRs) are challenging dental hard tissue lesions. They are frequently missed due to their asymptomatic progression. Three-dimensional imaging and increased awareness within the dental community have likely contributed to the observed rise in ECR prevalence over the recent years. While the exact etiology of ECR remains unclear, numerous risk factors have been identified, encompassing both physical and chemical factors. However, idiopathic cases have also been documented. Literature highlights the propensity of ECRs to occur in anterior teeth and molars, often linked to prior orthodontic treatments and picked up by bitewing or periapical radiographs. However, in cases involving canines, early diagnosis is frequently missed, and lesions are typically discovered at a later stage only, when clinical signs and symptoms manifest. We present several cases in this narrative review, including a case report on a 59-year-old patient presenting with an ECR in the maxillary left canine (tooth 23), decades after orthodontic treatment. The lesion was successfully managed using a combination of endodontic and surgical treatment. Despite the advanced stage of resorption, the tooth was preserved. Given ECR's slow progression and frequent late clinical detection, additional radiographic monitoring of front and canine teeth can be recommended for patients with predisposing factors, such as a history of orthodontic treatment or trauma. This proactive approach can facilitate earlier diagnosis and timely intervention, improving outcomes for affected teeth.</p>\",\"PeriodicalId\":38153,\"journal\":{\"name\":\"Swiss dental journal\",\"volume\":\"135 1\",\"pages\":\"175-187\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Swiss dental journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.61872/sdj-2025-01-06\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Swiss dental journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.61872/sdj-2025-01-06","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

宫颈外吸收是一种具有挑战性的牙硬组织病变。由于他们的无症状进展,他们经常被遗漏。三维成像和牙科社区意识的提高可能是近年来观察到的ECR患病率上升的原因。虽然ECR的确切病因尚不清楚,但已经确定了许多危险因素,包括物理和化学因素。然而,特发性病例也有记录。文献强调ecr倾向于发生在前牙和磨牙,通常与先前的正畸治疗有关,并通过咬牙或根尖周x线片发现。然而,在涉及犬类的病例中,经常错过早期诊断,并且通常只有在临床体征和症状出现时才发现病变。我们在这篇叙述性综述中提出了几个病例,其中包括一个59岁的患者,在正畸治疗几十年后,在上颌左犬齿(23牙)出现ECR。病变成功地管理使用牙髓和手术治疗的组合。尽管吸收已进入晚期,但牙齿仍被保存了下来。考虑到ECR的缓慢进展和频繁的晚期临床发现,对于有正畸治疗史或创伤史等易感因素的患者,建议对前牙和犬牙进行额外的放射学监测。这种积极主动的方法可以促进早期诊断和及时干预,改善受影响牙齿的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Die externe zervikale Resorption bei Oberkiefer-Eckzähnen].

External cervical resorptions (ECRs) are challenging dental hard tissue lesions. They are frequently missed due to their asymptomatic progression. Three-dimensional imaging and increased awareness within the dental community have likely contributed to the observed rise in ECR prevalence over the recent years. While the exact etiology of ECR remains unclear, numerous risk factors have been identified, encompassing both physical and chemical factors. However, idiopathic cases have also been documented. Literature highlights the propensity of ECRs to occur in anterior teeth and molars, often linked to prior orthodontic treatments and picked up by bitewing or periapical radiographs. However, in cases involving canines, early diagnosis is frequently missed, and lesions are typically discovered at a later stage only, when clinical signs and symptoms manifest. We present several cases in this narrative review, including a case report on a 59-year-old patient presenting with an ECR in the maxillary left canine (tooth 23), decades after orthodontic treatment. The lesion was successfully managed using a combination of endodontic and surgical treatment. Despite the advanced stage of resorption, the tooth was preserved. Given ECR's slow progression and frequent late clinical detection, additional radiographic monitoring of front and canine teeth can be recommended for patients with predisposing factors, such as a history of orthodontic treatment or trauma. This proactive approach can facilitate earlier diagnosis and timely intervention, improving outcomes for affected teeth.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Swiss dental journal
Swiss dental journal Dentistry-Dentistry (miscellaneous)
CiteScore
1.00
自引率
0.00%
发文量
0
期刊介绍: Fondé en 1891 et lu par tous les médecins-dentistes ou presque qui exercent en Suisse, le SWISS DENTAL JOURNAL SSO est l’organe de publication scientifique de la Société suisse des médecins-dentistes SSO. Il publie des articles qui sont reconnus pour la formation continue et informe sur l’actualité en médecine dentaire et dans le domaine de la politique professionnelle de la SSO.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信