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传统型成釉细胞瘤整块切除术后未成熟第三磨牙的自体移植及正畸治疗

Autotransplantation of Immature Third Molars and Orthodontic Treatment After En Bloc Resection of Conventional Ameloblastoma.

作者信息

Osterne Rafael Lima Verde, Moreira Neto José Jeová Siebra, de Araújo Lima Augusto Darwin Moreira, Nogueira Renato Luiz Maia

机构信息

Assistant Professor, Department of Pathology, Fortaleza University School of Medicine, Fortaleza, Brazil; PhD Student, Federal University of Ceara School of Dentistry, Fortaleza, Brazil.

Associated Professor, Department of Dental Clinic, Discipline of Pediatric Dentistry, Federal University of Ceara School of Dentistry, Fortaleza, Brazil.

出版信息

J Oral Maxillofac Surg. 2015 Sep;73(9):1686-94. doi: 10.1016/j.joms.2015.05.014. Epub 2015 Jun 1.

Abstract

Ameloblastoma treatment can lead to significant bone defects; consequently, oral rehabilitation can be challenging. We present the case of a 14-year-old girl diagnosed with a conventional ameloblastoma in the mandible who was treated using en bloc resection and rehabilitated with autotransplantation of the immature third molars and orthodontic treatment. The lesion was in the region of the lower left canine and premolars, and en bloc resection resulted in a significant alveolar bone defect. Autotransplantation of the lower third molars to the site of the lower left premolars was performed. After 2 years, the upper left third molar was transplanted to the site of the lower left canine. During the orthodontic treatment period, considerable alveolar bone formation was observed in the region of the transplanted teeth, and roots developed. To the best of our knowledge, this is the first reported case of alveolar bone formation induction caused by tooth transplantation after ameloblastoma treatment.

摘要

成釉细胞瘤的治疗可能导致严重的骨缺损;因此,口腔修复可能具有挑战性。我们报告了一例14岁女孩的病例,该女孩被诊断为下颌骨常规成釉细胞瘤,接受了整块切除治疗,并通过未成熟第三磨牙的自体移植和正畸治疗进行了修复。病变位于左下尖牙和前磨牙区域,整块切除导致了严重的牙槽骨缺损。将下第三磨牙自体移植到左下前磨牙部位。2年后,将左上第三磨牙移植到左下尖牙部位。在正畸治疗期间,观察到移植牙区域有大量牙槽骨形成,且牙根发育。据我们所知,这是第一例报道的成釉细胞瘤治疗后牙齿移植诱导牙槽骨形成的病例。

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