Bonardi João Paulo, Gomes-Ferreira Pedro Henrique Silva, de Freitas Silva Leonardo, Momesso Gustavo Antonio Correa, de Oliveira Danila, Ferreira Sabrina, Pereira Rodrigo Dos Santos, Souza Francisley Ávila
Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, São Paulo, Brazil.
J Craniofac Surg. 2017 Jan;28(1):e96-e97. doi: 10.1097/SCS.0000000000003281.
Dentigerous cysts are defined as a cyst originated by separation of the follicle of dental crown of a tooth unerupted. Although most dentigerous cysts are considered developmental cysts, some cases seem to have an inflammatory origin. The aim of this study was to show a case of an 8-year-old patient, male, presenting a lesion in maxilla with large proportions. Computed tomography scans showed a hypodense image, well-defined, associated to unerupted teeth. The case was treated by enucleation of the lesion under local anesthesia. Histopathological examination confirmed the diagnostic suspicious of dentigerous cyst. Currently, 3-year follow-up period showed no signs of recurrence, and it was observed eruption of the teeth associated to the lesion. This case highlights the importance of the association between clinical and radiographic analysis together to the surgical findings, aiming the best treatment for the patient.
含牙囊肿被定义为由未萌出牙的牙冠滤泡分离产生的囊肿。尽管大多数含牙囊肿被认为是发育性囊肿,但有些病例似乎有炎症起源。本研究的目的是展示一例8岁男性患者,上颌骨出现比例较大的病变。计算机断层扫描显示低密度影像,边界清晰,与未萌出牙有关。该病例在局部麻醉下通过病变摘除术进行治疗。组织病理学检查证实了含牙囊肿的可疑诊断。目前,3年的随访期未显示复发迹象,且观察到与病变相关的牙齿萌出。该病例强调了临床和影像学分析与手术结果相结合对于为患者提供最佳治疗的重要性。