采用正畸与外科联合治疗的腺性牙源性肿瘤中阻生尖牙的萌出

Eruption of an impacted canine in an adenomatid odontogenic tumor treated with combined orthodontic and surgical therapy.

作者信息

Erdur Emire Aybuke, Ileri Zehra, Ugurluoglu Ceyhan, Cakir Mustafa, Dolanmaz Dogan

机构信息

Specialist dentist (orthodontist), Department of Orthodontics, Faculty of Dentistry, Selcuk University, Konya, Turkey.

Assistant professor, Department of Orthodontics, Faculty of Dentistry, Selcuk University, Konya, Turkey.

出版信息

Am J Orthod Dentofacial Orthop. 2016 Jun;149(6):923-7. doi: 10.1016/j.ajodo.2016.02.011.

DOI:10.1016/j.ajodo.2016.02.011

PMID:27242003

Abstract

An adenomatoid odontogenic tumor is an uncommon asymptomatic lesion that is often misdiagnosed as a dentigerous cyst. It originates from the odontogenic epithelium. Enucleation and curettage is the usual treatment of choice. Marsupialization may be attempted instead of extraction of the impacted tooth, since it provides an opportunity for tooth eruption. This case report is the first to report on the eruption of an impacted canine in an adenomatoid odontogenic tumor treated with combined orthodontics and marsupialization. The impacted canine erupted uneventfully, with no evidence of recurrence 3 years after the treatment.

摘要

腺样牙源性肿瘤是一种罕见的无症状病变，常被误诊为含牙囊肿。它起源于牙源性上皮。剜除术和刮治术是常用的治疗选择。由于袋形术为阻生牙萌出提供了机会，因此可尝试采用袋形术而非拔除阻生牙。本病例报告首次报道了采用正畸与袋形术联合治疗的腺样牙源性肿瘤中阻生尖牙的萌出情况。该阻生尖牙顺利萌出，治疗3年后无复发迹象。