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论文摘要

磨牙-切牙釉质矿化不全的研究进展

Research progress on molar-incisor hypomineralization

作者:周凤,赵玉鸣

Author:Zhou Feng, Zhao Yuming

收稿日期:          年卷(期)页码:2016,43(4):456-461

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:釉质发育不全,磨牙-切牙釉质矿化不全,第一恒磨牙,

Key words:enamel hypoplasia,molar-incisor hypomineralisation,permanent first molar,

基金项目:

中文摘要

磨牙-切牙釉质矿化不全(MIH)是釉质矿化不全的一种,系指全身因素引起一个或一个以上的第一恒磨牙釉质矿化不全,常伴切牙受累。MIH病因不明,一般认为与患儿3岁以前的全身情况或环境相关,也有人认为与遗传相关。其患病率因诊断标准、人群数量和年龄范围以及不同国家和地区而变化较大。临床表现主要为磨牙和切牙釉质颜色变化,釉质崩解,易患龋,高敏感性等,有些第一恒磨牙甚至因龋坏严重而早期拔除。治疗上,根据患牙的不同发育阶段、病变的严重程度,所偏重的方法不同,需要综合考虑,选择最适合的方法,但需注意患儿的敏感性问题和行为管理问题。本文就磨牙-切牙釉质矿化不全的患病率、病因、理化特点、临床表现、诊断和治疗作一综述。

英文摘要

Molar-incisor hypomineralization(MIH) is a type of enamel hypomineralization that is defined as hypomineralization of the systemic origin of one or more permanent first molars, which are frequently associated with affected incisors. The prevalence varies largely because of diagnostic criteria, number of people, age, and different countries and regions. To date, the etiology is unknown, but MIH is generally related to systemic conditions or environment during the child’s first three years and now also considered related to genetics. The main clinical manifestations are color change, enamel breakdown, caries susceptibility, hypersensitivity, and early loss. The most appropriate treatment method should be selected based on the developmental stages of affected teeth and severity. Additional attention should also be given to hypersensitivity and behavior management problem. This article aims to review the prevalence, etiology, characteristic features, clinical presentation, diagnosis, and treatment of MIH.

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