离体牙上釉珠的观测与临床意义

Observation on Enamel Pearls in Extracted Teeth and their Clinical Significance

本文从12379枚离体牙上观测了釉珠的发生率、发生部位、形态、直径大小。结果釉珠的发生率为2.49％,以上颌第三磨牙发生率最高,下颌第一磨牙次之。最常发生的部位是在冠颈部的根分叉处,上颌磨牙的釉珠多呈园形,下颌磨牙釉珠多呈梭形。釉珠最大直径为3.2mm,最小为0.5mm,平均为1.56mm。结合文献认为釉珠是一种牙齿形态发育异常,它对牙周病的发生、发展、治疗与预后有重要影响,口腔科医师对这种牙齿形态变异应予以重视。

The incidence,location,shape and size of enmel pearls on l2379 extracted teeth were ob- served in this article. The results are as follow:The morbidlty of the enamel pearls is 2.49%.The most freguent morbidity is on the maxillary third molar,the second is on the mandible first molar.The freguent location is on the bifurcation of crown-cervical. The enamel pearls on maxillary molar often round and on the mandible molar are fusiform.The maximun diameter of enamel is 3.2mm,the minnimum is 0.5mm.,and its average diameter is 1.56mm. The author suggested that enmel pearls is one teind of developmental variations of tooth morphology,and it may be important influence on the pathogenesis,development,treatment and prognosis of the periodental diseases.