永久歯の歯胚回転を行い萌出方向の改善を行った3例

  • 小山 貴寛
    新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野
  • 芳澤 享子
    新潟大学大学院医歯学総合研究科組織再建口腔外科学分野
  • 小野 和宏
    新潟大学大学院医歯学総合研究科口腔保健学分野
  • 阿部 裕子
    阿部矯正歯科医院
  • 森田 修一
    新潟大学大学院医歯学総合研究科歯科矯正学分野
  • 高木 律男
    新潟大学大学院医歯学総合研究科顎顔面口腔外科学分野

書誌事項

タイトル別名
  • Three cases of improved eruption direction by surgical rotation of permanent tooth germs
  • エイキュウシ ノ シハイカイテン オ オコナイボウデカタコウ ノ カイゼン オ オコナッタ 3レイ

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抄録

An abnormally oriented tooth germ causes root resorption of adjacent teeth, and root curvature and abnormal direction of eruption have also been reported. The present report describes three patients with four abnormally oriented tooth germs treated by surgical rotation. All of the patients were girls, with an average age of 11.3 years at treatment. One upper second premolar and three lower second premolars were treated, and the degrees of tooth development were Ri-R 1/4 according to Moorrees. Axial inclinations of the crowns of the impacted teeth were -92° for the upper premolar and 56° to 78° for the lower premolars. Axial inclination after the operations ranged from 12°to 48°. Natural eruption occurred in three teeth, and one tooth is erupting. However, a constricted pulp cavity was seen in two teeth, and root curvature was seen in one tooth. Our results suggested that surgical rotation of abnormally oriented tooth germs at the initial stage can lead to natural eruption with natural root formation, although abnormalities of pulp cavities and root shape were seen in some of our patients.

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