牙发育异常-上海交通大学医学院精品课程资料.ppt

非龋性疾病;牙外伤 (injury of teeth);牙发育异常;主要内容 Summary;dental papilla;牙结构异常 Abnormalities of histodifferentiation;釉质发育不全  enamel hypoplasia;定义 definition;病因 Aetiology;;婴儿、母体疾病 infant maternal disease;出生前 Prenatal;新生儿 Neonatal;婴儿 Postnatal;局部因素 localized causes;临床表现 clinical features;轻症 mild type;重症 severe type;对称发生 (symmetrical);提示 Note;特纳牙 Turner teeth;治疗 Therapy;氟牙症;定义definition;病因Aetiology;机理 Mechanism;机理 Mechanism;机理 Mechanism;临床表现 clinical features;临床表现 clinical features;临床表现 clinical features;分类 Classification;治疗Therapy;脱色（bleaching);四环素牙 ;定义definition;病因 Aetiology;病因 Aetiology;临床表现 clinical features;临床表现 clinical features;治疗Therapy;复合树脂修复法 (composite resin);外脱色法 (bleaching);外脱色法 (bleaching);比较 comparison;遗传性牙本质发育不全 ;病因 Aetiology;病理（Pathology);临床表现 clinical features;临床表现 clinical features;治疗Therapy;先天性梅毒牙 ;病因 Aetiology;临床表现 clinical features;牙形态异常 ;几个疾病;过小牙（ microdontia);;融合牙(fused teeth);双生牙(geminated teeth) ;结合牙(concrescence teeth) ;畸形中央尖;病因 Aetiology;临床表现 clinical features;临床表现 clinical features;治疗Therapy;牙内陷;牙发育时期，成釉器过度卷叠或局部过度增殖，深人到牙乳头中所致，牙萌出后，在牙面可出现一囊状深陷的窝洞（deep surface invagination of the crown of tooth lined by enamel and dentine) ;临床表现clinical feature;畸形舌侧窝(lingual pit deformity) ——易滞留菌斑、食物，造成牙髓病变(the defect cannot be kept free of plaque and bacteria, the tooth is prone to decay and subsequent pulpitis.) ;畸形舌侧尖(accessory palatal cusp) ——舌隆突呈圆锥形突起，成一牙尖，有牙髓组织进入，磨损后造成牙髓病变(cingulum forms a cusp consists of pulp, easily wear and result to pulpitis) ;畸形根面沟(root groove deformity) ——牙龈沟封闭不良，骨下袋形成，造成牙周组织破坏。严重时，形成额外根(destroy gingival sulcus sealing with infrabony pocket ,periodontitis, and accessory root in severe case);牙中牙(dens in dente) —???牙内陷中最严重，表现在X线片上，为包含残余成釉器的空腔(the most severe form of this disorder, in which the disturbance extends apically into the root);治疗Therapy;釉珠(enamel pearl) ;牙数目异常 ;牙数目异常;额外牙(supernumerary tooth) ;先天性缺额牙(congenital anodontia) ;牙萌出异常 ;牙萌出异常;谢 谢