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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 蔡宜玲(Yi-Ling Tsai) | |
| dc.contributor.author | Po-Yuan Jeng | en |
| dc.contributor.author | 鄭博元 | zh_TW |
| dc.date.accessioned | 2021-06-07T17:28:28Z | - |
| dc.date.copyright | 2020-08-26 | |
| dc.date.issued | 2020 | |
| dc.date.submitted | 2020-05-26 | |
| dc.identifier.citation | 1. Heithersay GS. Invasive cervical resorption: An analysis of potential predisposing factors. Quintessence Int 1999;30:83-95.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15199 | - |
| dc.description.abstract | Introduction: Invasive cervical resorption (ICR) is a relatively rare dental disease. It may cause irreversible destruction to the cervical area of the tooth. If left untreated, the tooth has to be extracted eventually. The demographic and tooth distribution of ICR had not been investigated in any Asian populations. Its etiopathology and predisposing factors are also unclear. Furthermore, the clinical and radiographic features of ICR have not been investigated in a systematic way.
Objective: To investigate the distribution, predisposing factors, and clinical characteristics of invasive cervical resorption (ICR). Materials and methods: Cases with ICR from 2009 to 2019 were collected in National Taiwan University Hospital. Clinical records and radiographs were reviewed. Descriptive analysis was performed in combination with univariate analysis and Fisher’s exact test. Results: A total of 63 ICR teeth from 31 patients (14 males and 17 females) were found. The patients’ ages ranged from 18 to 81 years, with a mean age of 45.77. Most patients had a single ICR lesion. Among the 63 ICR teeth, maxillary anterior teeth (47.62%) were the most commonly affected, followed by maxillary premolars (20.63%). Maxillary teeth (76.19%) were more prone to ICR than mandibular teeth (23.81%). Most patients denied all major systemic diseases. The most common dental-related factors were dental/orofacial trauma (33.33%), periodontal treatment (26.98%), restoration/crown (17.46%), and orthodontic treatment (15.87%). Most teeth showed no percussion/palpation pain, probing depth > 3 mm, abscess formation, sinus tracts, or periapical lesions. The pulp status was mainly vital (73.02%). The presence of percussion pain and probing depth differed significantly among Heithersay ICR classification groups. Conclusion: ICR showed no difference in sex or age group. Maxillary anterior teeth were the most affected in a Taiwanese population. Traumatic injury, periodontal treatment, and orthodontic treatment were the significant predisposing factors. The influence of endocrine imbalance may be related to ICR. Furthermore, affected teeth typically lacked clinical signs and symptoms. Radiographic examination is critical for early diagnosis. In advanced cases, deep pockets and abscess formation were seen. Clinical significance: Up to our knowledge, this study is the first epidemiological study of ICR among Asian populations. In different countries and races, the distribution of affected teeth may vary according to the type of predisposing factors. In agreement with previous studies, we support the hypothesis that traumatic injury and other dental treatments may be related to the development of ICR. We have also highlighted the potential role of thyroid or parathyroid disorders in the etiopathogenesis of ICR. In addition, given that ICR-affected teeth are mainly asymptomatic and vital, clinicians should stay alerted to any possible anomalies in routine dental practice. Although most of our patients only presented one tooth affected by ICR during their observation period in National Taiwan University Hospital, few patients presented multiple teeth affected by ICR. Whether these single-ICR cases would suffer from ICR in other teeth in the future is still unknown. Literatures have shown that ICR can appear successively in different teeth of the same patients. We recommend that clinicians should take routine radiographic check-ups for these patients, to diagnosis the problem earlier, to treat earlier and to increase the success rate. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-07T17:28:28Z (GMT). No. of bitstreams: 1 ntu-109-R07422003-1.pdf: 4121837 bytes, checksum: b96d751d164aa06f9fab0d0a142af6cc (MD5) Previous issue date: 2020 | en |
| dc.description.tableofcontents | 口試委員會審定書 ……………………………………………………………………… I
致謝詞 ………………………………………………………………………………… II 中文摘要 ………………………………………………………………………………… III Abstract ………………………………………………………………………………… V Table of Content …………………………………………………………………………… VII List of Figures …………………………………………………………………………… IX List of Tables ………………………………………………………………………………… X Abbreviations List …………………………………………………………………………… XI Chapter I Background ……………………………………………………………………… 1 Chapter II Literature Review …………………………………………………………… 2 2.1 Definition …………………………………………………………………………… 2 2.2 Epidemiology ……………………………………………………………………… 2 2.3 Etiology and potential predisposing factors …………………………………………… 3 2.4 Clinical and radiographic features ………………………………………………… 4 2.5 Diagnosis and differential diagnosis ………………………………………………… 6 2.6 Treatment methods …………………………………………………………...…… 7 2.7 Prognosis …………………………………………………………...……………… 8 2.8 Histology …………………………………………………………...……………… 8 Chapter III Objectives ……………………………………………………………………… 10 Chapter IV Materials and Methods ……………………………………………………… 12 4.1 Case collection and screening …………………………………………...………… 12 4.2 Data collection …………………………………………………………...………… 12 4.2.1 Demographic data …………………………………………………………...…… 12 4.2.2 Position of affected teeth ……………………………………………………… 13 4.2.3 Potential predisposing factors – Systemic condition …………………………… 14 4.2.4 Potential predisposing factors – Dental-related factors ……………………… 15 4.2.5 Clinical and radiographic examination of ICR-affected teeth ………………… 16 4.3 Statistical analysis ………………………………………………………………… 18 Chapter V Results …………………………………………………………………………… 19 5.1 Demographic distribution …………………………………………………………… 19 5.2 Tooth distribution ……………………………………………………………………… 19 5.3 Potential predisposing factors – Systemic condition …………………………… 20 5.4 Potential predisposing factors – Dental-related factors …………………………… 21 5.5 Clinical and radiographic features ………………………………………………… 21 Chapter VI Discussion ……………………………………………………………………… 23 Chapter VII Conclusions ………………………………………………………………… 32 Chapter VIII Future Work ………………………………………………………………… 33 References ………………………………………………………………………...……… 35 Figures and Figure Legends ………………………………………………………………… 48 Tables ……………………………………………………………………………………… 49 Accept letter from Journal of Endodontics …………………………………………… 62 | |
| dc.language.iso | en | |
| dc.subject | 牙根吸收 | zh_TW |
| dc.subject | 牙齒外傷 | zh_TW |
| dc.subject | 副甲狀腺機能亢進 | zh_TW |
| dc.subject | 侵襲性齒頸部吸收 | zh_TW |
| dc.subject | 矯正治療 | zh_TW |
| dc.subject | 牙周治療 | zh_TW |
| dc.subject | Dental traumatic injury | en |
| dc.subject | root resorption | en |
| dc.subject | periodontal treatment | en |
| dc.subject | orthodontic treatment | en |
| dc.subject | invasive cervical resorption | en |
| dc.subject | hyperparathyroidism | en |
| dc.title | 侵襲性齒頸部吸收 - 分布狀況、可能致病因子與臨床特徵 | zh_TW |
| dc.title | Invasive Cervical Resorption – Distribution, Potential Predisposing Factors, and Clinical Characteristics | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 108-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 林俊彬(Chun-Pin Lin),張淑惠(Shu-Hui Chang) | |
| dc.subject.keyword | 牙齒外傷,副甲狀腺機能亢進,侵襲性齒頸部吸收,矯正治療,牙周治療,牙根吸收, | zh_TW |
| dc.subject.keyword | Dental traumatic injury,hyperparathyroidism,invasive cervical resorption,orthodontic treatment,periodontal treatment,root resorption, | en |
| dc.relation.page | 70 | |
| dc.identifier.doi | 10.6342/NTU202000881 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2020-05-28 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 臨床牙醫學研究所 | zh_TW |
| 顯示於系所單位： | 臨床牙醫學研究所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-109-1.pdf 未授權公開取用 | 4.03 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。