Motooka Naomi, Ohba Seigo, Uehara Masataka, Fujita Syuichi, Asahina Izumi
Department of Regenerative Oral Surgery, Unit of Translational Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Odontology. 2015 Jan;103(1):112-5. doi: 10.1007/s10266-013-0143-0. Epub 2013 Dec 28.
Glandular odontogenic cyst (GOC) is a rare odontogenic cyst derived from the odontogenic epithelium. GOC shows unpredictable and potentially aggressive behavior. Although enucleation and curettage are applied in most cases, the recurrence rate remains relatively high. Because a standard care procedure for GOC has not been established, we propose a new treatment procedure for GOC. In this case report, we describe a 62-year-old Japanese woman who suffered from GOC arising at the anterior region of her mandible and who was treated using the dredging method. She underwent enucleation and curettage twice using the dredging method with preservation of the teeth, which were involved with the lesion, but the lesion recurred 2 years later. In addition to enucleation and curettage, apicoectomy of the teeth was performed with a third dredging method procedure, and prognosis has been good with no recurrence for 18 months since the last treatment.
腺牙源性囊肿(GOC)是一种罕见的源自牙源性上皮的牙源性囊肿。GOC表现出不可预测且具有潜在侵袭性的行为。尽管大多数病例采用摘除术和刮除术,但复发率仍然相对较高。由于尚未建立GOC的标准治疗程序,我们提出了一种新的GOC治疗程序。在本病例报告中,我们描述了一名62岁的日本女性,她患有在下颌前部出现的GOC,并采用疏通法进行治疗。她使用保留与病变相关牙齿的疏通法进行了两次摘除术和刮除术,但病变在2年后复发。除了摘除术和刮除术外,还采用第三次疏通法对牙齿进行了根尖切除术,自上次治疗以来18个月预后良好,无复发。