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題名 | Incontinentia Pigmenti: A Case Report with Dental Manifestations and Orthodontic Treatment=色素失調症:一病例報告之牙科特徵及矯正治療 |
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作 者 | 李明儒; 黃舜德; 林婉瑛; 洪明倫; 李廣華; 羅信義; | 書刊名 | 中華民國齒顎矯正學雜誌 |
卷期 | 18:1 民95.03 |
頁次 | 頁20-26 |
分類號 | 416.97 |
關鍵詞 | 色素失調症; 功能性錯咬; 上顎牙弓狹窄; 骨性第三級咬合趨勢; Hyrax裝置; 面罩; Incontinentia pigmenti; Functional shift; Upper arch constriction; Skeletal classⅢtendency; Hyrax appliance; Face-mask; |
語文 | 英文(English) |
中文摘要 | 色素失調症是X染色體異常之顯性遺傳疾病;其特徵主要表現於外胚層組織的異常,包含有皮膚、眼睛、牙齒、毛髮及神經組織缺陷。色素失調症發生率為女性四萬分之一,男性多為流產或早夭,大部分發生於高加索人種。本篇報告介紹一經證實為色素失調症之女性病例。患者具有的牙科特徵包含部分缺牙、乳牙牙根延後吸收、恆牙延後萌發及門牙切端凹陷;此外本病例尚有前牙功能性錯咬、上顎牙弓狹窄、骨性第三級咬合趨勢及深咬。第一階段治療使用Hyrax和面罩,治療結果顯示前牙錯咬更正、下顎平面角角度增加及上顎牙弓擴張。等換完牙及生長結束後,再進行第二階段的矯正治療。 |
英文摘要 | Incontinentia pigmenti (IP) is an X-linked dominant disorder characterized by abnormalities of ectodermal tissues including skin, eye, tooth and hair as well as neurological deficiencies. The occurence of IP is approximately 1:40,000 in girls and is more prevelant in Caucasians. This article would present a case with proved Incontinentia pigmenti, whose dental manifestations included hypodontia, delayed resorption of primary teeth, delayed eruption of permanent teeth, and notch-shaped incisors. The dental conditions included anterior crossbite with functional shift, upper arch constriction, skeletal class Ⅲ tendency and deep bite. The Hyrax and face-mask were applied in the phase Ⅰ treatment. The treatment results showed correction of anterior crossbite, increasing of mandibular plane angle and expansion of upper arch width. The further orthodontic treatment will be given after all the permanent teeth eruption and growth complete. |
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