Gordeeff M, Clergeau-Guerithault S, Gordeeff A
Faculté de Chirurgie Dentaire, Nantes.
J Biol Buccale. 1989 Sep;17(3):131-46.
Odontogenic cysts present problems of diagnosis, radiology and histopathology. This review of the literature considers the current system of classification and reveals a level of agreement with regard to the major categories of cysts. The term "developmental odontogenic cyst" embraces primordial cysts (or odontogenic keratocysts), gingival cysts (newborn and adult), lateral periodontal cysts, eruption and dentigerous cysts and odontogenic calcified cysts (Gorlin cysts). "Inflammatory odontogenic cyst" includes: the radicular cysts and its etiological variance, residual cysts, inflammatory collateral cysts, periodontal cysts and inflammatory follicular cysts. Clinical symptoms are not in themselves sufficient to differentiate between several of the different categories. A combination of clinical and histopathological evidence is essential if a definitive diagnosis is to be achieved and the risk of carcinoma eliminated. Developmental or inflammatory cysts arise from cells involved in the development of the dental organ.
牙源性囊肿存在诊断、放射学及组织病理学方面的问题。本文献综述探讨了当前的分类系统,并揭示了在囊肿主要类别方面的一定程度的共识。“发育性牙源性囊肿”包括原始囊肿(或牙源性角化囊肿)、牙龈囊肿(新生儿及成人型)、侧向牙周囊肿、萌出囊肿及含牙囊肿以及牙源性钙化囊肿(戈林囊肿)。“炎症性牙源性囊肿”包括:根囊肿及其病因变异型、残余囊肿、炎症旁囊肿、牙周囊肿及炎症性滤泡囊肿。临床症状本身不足以区分几种不同的类别。若要做出明确诊断并消除癌变风险,临床证据与组织病理学证据相结合至关重要。发育性或炎症性囊肿起源于参与牙器官发育的细胞。