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含牙囊肿伴埋伏倒置正中多生牙:1例罕见病例报告并文献综述

Dentigerous cyst in association with impacted inverted mesiodens: Report of a rare case with a brief review of literature.

作者信息

Hasan Shamimul, Ahmed Syed Ansar, Reddy L Bhaskar

机构信息

Department of Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

出版信息

Int J Appl Basic Med Res. 2014 Sep;4(Suppl 1):S61-4. doi: 10.4103/2229-516X.140748.

Abstract

Dentigerous cyst is a developmental odontogenic cyst, which develops due to fluid accumulation between the reduced enamel epithelium and unerupted tooth crown. The condition is frequently seen with the permanent dentition, usually associated with impacted mandibular third molars and maxillary canines. Rarely, dentigerous cyst occurs in association with a supernumerary tooth. Pain, swelling, and facial asymmetry are occasionally seen; however, they are usually asymptomatic and observed during radiographic examination. Early diagnosis and treatment planning entails thorough history taking, clinical and radiographic examination coupled with histopathology. This article reports an unusual occurrence of dentigerous cyst of anterior maxillary region seen with an inverted impacted mesiodens cyst enucleation along with extraction of the mesiodens was carried out and no complications were observed during the follow-up.

摘要

含牙囊肿是一种发育性牙源性囊肿,由于釉质发育不全上皮与未萌出牙冠之间积液而形成。这种情况在恒牙列中较为常见,通常与下颌阻生第三磨牙和上颌尖牙有关。含牙囊肿很少与多生牙同时出现。偶尔会出现疼痛、肿胀和面部不对称;然而,它们通常无症状,在影像学检查时被发现。早期诊断和治疗计划需要全面的病史采集、临床和影像学检查以及组织病理学检查。本文报告了一例上颌前部区域罕见的含牙囊肿病例,该囊肿与倒置阻生正中多生牙囊肿同时存在,对正中多生牙进行了囊肿摘除及拔除,随访期间未观察到并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6996/4181138/4965a37898e4/IJABMR-4-61-g001.jpg

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