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上颌前部外侧牙周囊肿摘除术后残留隧道状骨缺损的牙周再生治疗：1例罕见病例报告

Periodontal regenerative management of residual tunnel osseous defect results from the enucleation of lateral periodontal cyst in anterior maxilla: A rare case report.

作者信息

Salaria Sanjeev Kumar, Gulati Minkle, Ahuja Samir, Goyal Sandeep

机构信息

Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India.

Department of Oral and Maxillofacial Pathology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India.

出版信息

J Indian Soc Periodontol. 2016 Nov-Dec;20(6):638-642. doi: 10.4103/jisp.jisp_296_16.

DOI:10.4103/jisp.jisp_296_16
PMID:29238147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5713090/
Abstract

The lateral periodontal cyst (LPC) is a nonkeratinized, noninflammatory developmental cyst occurring adjacent or lateral to tooth root. It is a relatively uncommon lesion found in the maxillary incisors and found mostly in adults during 5 to 7 decades. In this case, 45-year-old male patient reported with occasional mild discomfort between left maxillary central and lateral incisor region since 1 year. Interproximally, a well-defined round radiolucent area with corticated borders was determined radiographically between vital tooth #21 and #22. Preliminary diagnosis of LPC was established based on clinical and radiographical findings. Following enucleation of the lesion, an anticipated residual tunnel osseous defect was observed, which was managed successfully utilizing bone graft and guided tissue regeneration-assisted technique. Cystic tissue removed was examined histologically; hematoxylin- and eosin-stained sections showed features suggestive of LPC. Complete healing of tunnel defect was achieved at 1 year follow-up.

摘要

侧方牙周囊肿（LPC）是一种发生于牙根相邻或侧面的非角化、非炎症性发育性囊肿。它是一种相对少见的病变，多见于上颌切牙，且大多发生于5至70岁的成年人。在本病例中，一名45岁男性患者自述自1年前起左上颌中切牙和侧切牙区域偶尔出现轻度不适。影像学检查显示，在活髓牙21号和22号牙之间的邻面有一个边界清晰、圆形的透射区，边缘有骨皮质。根据临床和影像学表现初步诊断为LPC。病变摘除后，观察到预期的残留隧道状骨缺损，采用骨移植和引导组织再生辅助技术成功处理。对切除的囊性组织进行组织学检查；苏木精-伊红染色切片显示出符合LPC的特征。1年随访时隧道状缺损完全愈合。

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