双侧腮腺内多发性淋巴结结核1例

双侧腮腺内多发性淋巴结结核１例中山医科大学附属第三临床学院口腔科（５１０６３０）唐倩口腔颌面部结核病变最常见的为颈淋巴结结核，其次为颌骨结核和口腔粘膜结核，腮腺内淋巴结结核临床上较少见。而双侧腮腺内多发性淋巴结结核，则更为少见，现将我科遇到的１例报道...     

腮腺结核(附10例报告)

<正> 结核可以发生于人类机体各组织,各器官。在口腔颌面部的结核中,颈淋巴结核为常见,其次为颌骨结核及口腔粘膜结核,而发生在腮腺很少见。我科自1975年至1988年10月收治腮腺结核10例。现将其临床资料进行分析和讨论。临床资料一、性别与年龄:本组10例,男性3例,女性7例,男女之比为1∶2.3;年龄28～76岁,平均年龄48岁,以40岁以上者为多,计8例。二:病程:1月以内者1例,2月至1年     

正颌正畸联合治疗下颌前突伴偏颌畸形患者的临床应用

目的:探讨正颌正畸联合治疗下颌前突伴偏颌畸形的临床疗效.方法:回顾性分析采用正颌正畸联合治疗的15例下颌前突伴偏颌畸形的临床资料,分析治疗方案、疗效,总结临床经验.结果:15例中有1例术后出现下唇麻木感,1年后症状消失.全部患者术后均无复发,并获得良好的咬合关系及满意的面形.结论:正颌正畸联合治疗下颌前突伴偏颌畸形术后临床效果好、并发症少,可最大程度恢复患者正常的口腔生理功能及面部外形.     

全口义齿修复中三种确定水平颌位关系的方法比较

全口义齿修复中,良好的颌位关系是决定全口义齿稳定性和固位性的关键因素。确定水平颌位关系是义齿修复最终能否成功的关键。目前临床医师多凭借临床经验,采用教科书上提出的确定水平颌位关系的某种方法来确定全口义齿的颌位关系。本文分别对确定水平颌位关系的三种方法进行比较研究,旨在对这三种方法进行临床验证。     

无牙颌颌位记录的临床方法

无牙颌颌位关系记录的目的是正确确定患者的正中关系位,以期在此位置上通过全口义齿重新建立良好的咬合关系。颌位关系记录内容包括垂直关系与水平关系2部分。对于垂直关系,临床上一般通过记录患者面下1/3垂直距离来确定。当患者下颌位于息止颌位时,髁突位于关节窝中央略向前下,咀嚼肌处于均衡放松状态,临床上一般通过测量息止颌位垂直距离来确定正中关系位垂直距离。在临床上医师通常在记录垂直关系的同时进行水平颌位关系的记录。本文通过图文并茂方式详细描述了颌位关系记录的几种临床常用方法。     

正颌联合正畸治疗骨性双颌前突畸形的临床疗效观察

目的：观察正颌联合正畸治疗骨性双颌前突畸形的临床疗效。方法：22例骨性双颌前突患者,采用正颌联合正畸的治疗方法进行矫形治疗。结果：22例患者术后均无牙齿变色坏死等并发症发生,且根据X线测量分析及临床所见,牙、颌、面关系协调取得较好的效果,咬合关系良好,经过临床观察和随访,效果稳定。结论：正颌联合正畸治疗可以有效地保证骨性双颌前突患者肌肉等软组织对新的颌骨位置的适应和改变,并且有利于咬合关系的稳定。     

各种咬合导板在正畸正颌中的应用

在正畸正颌临床上 ,经常要使用各种咬合导板 ,有的在术前正畸治疗中使用 ,有的在正颌手术中使用 ,还有的在术后继续正畸治疗甚至在全部完成之后使用。由此可见 ,咬合导板在正畸正颌工作中的重要作用。本文总结了近几年来 ,在正畸正颌临床上常用的咬合导板 ,并探讨不同咬合导板使用的适应证和临床作用。常用的咬合导板有下列九种即术前咬合隔离板 ,术前咬合维持板 ,术前治疗板、术中定位板、手术中间板、术后固定板、术后牵引板、术后咬合调整板和术后保持板。1　正颌手术前使用的板正颌手术之前的常规正畸治疗一般来说…     

偏颌与颜面不对称畸形的诊断、分类及临床意义

依据临床特征、病理机制及颌骨结构,偏颌与颜面不对称畸形可分为单纯颌位性、关节源性与颌骨发育性3大类.单纯颌位性偏颌包括咬合阻碍、咬合代偿及咬合习惯亚型,关节源性偏颌包括髁突不对称吸收与不对称增生亚型,颌骨发育性偏颌包括上颌源与下颌源亚型.正畸治疗偏颌与颜面不对称畸形的重要原则是最大限度地纠正形成下颌偏斜的功能性颌位因素...     

颌面骨骨折内、外固定术的临床效果分析

目的:比较颌面骨骨折内固定术和外固定术治疗的临床效果，评价两者特点。方法：回顾105例112处各种类型颌面骨骨折病例的治疗过程和情况，对比分析内固定术和外固定术在复位准确性、固定稳定性、对颞颌关节的影响、手术操作简易、总疗效、和对一些特殊类型的颌面骨骨折治疗上各自应用效果。结果：105例患者在临床上都取得满意疗效，但在上述各方面的表现有差异。结论：内固定术和外固定术治疗颌面骨骨折在临床上均可取得满意疗效，但由于上述各方面表现的差异，在临床治疗上应优先考虑应用内固定术。外固定术也是不可或缺少，它在临床治疗上有其优特点，必要时需联合运用。     

经颞颌关节镜滑膜下注射硬化剂治疗习惯性颞颌关节脱位

颞颌关节镜用于诊断和治疗颞颌关节疾病是近年来发展较快的一项新技术,新方法。Ohnishi(1982年)报道应用颞颌关节镜治疗习惯性颞颌关节脱位,为治疗性关节镜外科作出了开拓性的工作,也为临床治疗习惯性颞颌关节脱位提供了一种新方法。本文旨在探讨     

Restricted mandibular movement. Report of 2 unusual causes.

Hypomobility of the temporomandibular joint has a variety of causes. Two patients are presented in whom restricted jaw movement was the only clinical manifestation of serious underlying disease. The importance of submitting all tissues removed from patients for histopathological diagnosis is stressed.     

Brown tumor of the jaws as a manifestation of tertiary hyperparathyroidism: A literature review and case report

Brown tumor of the jaws is a manifestation of hyperparathyroidism consisting of osteolytic lesions that show proliferation of multinucleated giant cells in the maxilla and/or mandible. Differential diagnosis of these lesions from local central giant‐cell granuloma is mandatory for the correct treatment of the patient. Radiographic and histopathological exams of the jaw lesion are not sufficient to determine the diagnosis, which requires laboratory tests including serum levels of calcium, alkaline phosphatase, parathyroid hormone (PTH) and phosphate, and radiographic examination of other bones as well, such as hand‐wrist, pelvis, and femur. We present here a brief literature review focusing on the clinical and radiographic features, diagnostic criteria and treatment of brown tumor and also report a case of the disease affecting the jaw.     

下颌骨角化囊肿诱发三叉神经痛1例报告

三叉神经痛在临床上非常常见,病因比较复杂,本文报道1例由下颌骨角化囊肿诱发的三叉神经痛病例,并结合相关文献对其病因进行了讨论。     

Tuberculous osteomyelitis of the mandible: a case report in a 4-year-old child

The incidence of tuberculosis is increasing worldwide. The disease has a variable mode of presentation and therefore diagnosis is not easy. Although a rare occurrence, the differential diagnosis of tuberculous osteomyelitis must always lurk in the deepest recesses of the dental clinician's mind when routine therapy fails to bring about an improvement in lesions of the jaw. We present an unusual case of tuberculous osteomyelitis in a 4-year-old boy in whom pulmonary tuberculosis was detected only subsequently and emphasize the role of history taking, diagnostic techniques, and management.     

Primary lingual tuberculosis: a case report with review of literature

A case of primary tuberculosis of the tongue, an extremely rare entity is presented. The clinical manifestation, diagnosis and the response to antituberculous treatment are considered. The literature is also reviewed.     

Tuberculous osteomyelitis of the mandible: a case report

Osteomyelitis of jaws caused by infection with Mycobacterium tuberculosis is uncommon, especially in children. We present a case of tuberculous osteomyelitis in a young child. Its clinical presentation, with features similar to a dento-alveolar abscess, underline the importance of considering it in the differential diagnosis of jaw lesions.
We discuss of the diagnostic techniques, management and preventive measures, and stress the importance of history taking during clinical examination.     

二膦酸盐与颌骨骨坏死

自从Marx等2003年首次报道二膦酸盐类药物可导致颌骨骨坏死以来,与二膦酸盐相关的颌骨骨坏死逐渐引起了临床医师的关注。本文就二膦酸盐相关性颌骨骨坏死的诊断标准及流行病学、病因学、临床表现、预防和治疗现状作一综述。     

The clinical observation of 247 tuberculosis cases in Oral Maxillofacial region]

This paper presents a report of clinical observation on tuberculosis of oral and maxillofacial region in 247 patients.Of these which diagnosed by histopathology.94 cases are from mucous membrane of oral cavity,108 subjects from lymph nodes,27 ones from parotid gland,15 persons from facial dermis and 3 from jaw.Among 247 patients.154 cases were male and 93 female.The youngest was 2 years old and the eldest one was 71 of age and the mean age was 32 years old.The shortest course of disease was 15 days and the longest was 30 years,the mean course of time was two and half years.The rate of clinical diagnosis accord with pathology was 41.3%,most error diagnosis were to suspect inflammation,tumors and ulcer.In addition,the etiology,the clinical manifestion,diagnosis and therapies of oral and maxillofacial tuberculosis were analyzed.     

颌骨多发性嗜酸性肉芽肿长期追踪1例

嗜酸性肉芽肿是一种较罕见的疾病,其临床表现多样,影像学无特异性,临床中易误诊.现对1例起初以牙周组织破坏为表现的颌骨多发性嗜酸性肉芽肿的长期追踪情况进行报道,并结合文献对其临床表现、诊断、治疗及预后等进行讨论,以提高对该疾病的认识与诊治水平.     

Multiple idiopathic mandibular bone cysts in a patient with osteogenesis imperfecta

Although the most common oral manifestation of osteogenesis imperfecta is dentinogenesis imperfecta, several authors have described jaw fractures and radiolucent bone lesions associated with this disease. We report a case of a 23-year-old white woman with osteogenesis imperfecta and dentinogenesis imperfecta who developed multiple unilocular, bilateral, radiolucent lesions of the mandible 5 years after presenting with a condylar fracture. This is the first documentation by surgical and histopathologic examination that the radiolucent lesions in this particular case represent multiple idiopathic bone cysts.