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小儿下颌骨累及多颗牙齿的巨大根端囊肿——病例报告

Massive radicular cyst involving multiple teeth in pediatric mandible- A case report.

作者信息

Kesharwani Priyesh, Hussain Shaikh A, Sharma Nitesh, Karpathak Shilpi, Bhanot Rishabh, Kothari Sonal, Tiwari Rahul V C

机构信息

Department of Oral and Maxillofacial Surgery, Consultant and Private Practitioner DENT-O-FACIAL Multispeciality Clinic, Mira Road, Thane-Mumbai, Maharashtra, India.

Department of Anatomy, SSR Medical College, Belle Rive, Mauritius.

出版信息

J Family Med Prim Care. 2020 Feb 28;9(2):1253-1256. doi: 10.4103/jfmpc.jfmpc_1059_19. eCollection 2020 Feb.

DOI:10.4103/jfmpc.jfmpc_1059_19
PMID:32318508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7113959/
Abstract

Radicular or periapical cysts are one of the most commonly occurring odontogenic cysts of the jaws. The present article reported a case of a 12-year-old female with the chief complaint of swelling and pain on the right lower back tooth region. The radiographic examination revealed the presence of a well-defined radiolucency surrounded by a corticated border with respect to the right mandibular 1, 2 and 3 molar. The case was managed by complete enucleation under general extraction with the extraction of right mandibular 1, 2 and 3 molar. The success of the surgery was apparent by the uneventful healing during the follow-up period and evidence of complete healing after 1-month follow-up. Early diagnosis of the lesion would have lead to a less aggressive treatment plan.

摘要

根端囊肿或根尖周囊肿是颌骨最常见的牙源性囊肿之一。本文报道了一例12岁女性患者,主诉右下后牙区肿胀疼痛。影像学检查显示,右下颌第一、二、三磨牙处有一个边界清晰的透射区,周围有骨皮质边界。该病例通过在全身麻醉下完整摘除囊肿并拔除右下颌第一、二、三磨牙进行治疗。手术的成功在随访期间愈合顺利以及1个月随访后完全愈合的证据中显而易见。对该病变的早期诊断本可导致采用侵入性较小的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/d2757e73c020/JFMPC-9-1253-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/769a8019c3eb/JFMPC-9-1253-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/e201e866d1b0/JFMPC-9-1253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/26491a58dc8e/JFMPC-9-1253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/a43d680130ce/JFMPC-9-1253-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/8716efaee267/JFMPC-9-1253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/fcc1954268e6/JFMPC-9-1253-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/e323dc9951e0/JFMPC-9-1253-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/d2757e73c020/JFMPC-9-1253-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/769a8019c3eb/JFMPC-9-1253-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/e201e866d1b0/JFMPC-9-1253-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/26491a58dc8e/JFMPC-9-1253-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/a43d680130ce/JFMPC-9-1253-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/8716efaee267/JFMPC-9-1253-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/fcc1954268e6/JFMPC-9-1253-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/e323dc9951e0/JFMPC-9-1253-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8330/7113959/d2757e73c020/JFMPC-9-1253-g008.jpg

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本文引用的文献

1
Decompression and Enucleation of a Mandibular Radicular Cyst, Followed by Bone Regeneration and Implant-Supported Dental Restoration.下颌牙根囊肿减压与摘除术,随后进行骨再生及种植体支持的牙修复
Case Rep Dent. 2019 Jan 9;2019:9584235. doi: 10.1155/2019/9584235. eCollection 2019.
2
Autogenous Partial Bone Chip Grafting on the Exposed Inferior Alveolar Nerve After Cystic Enucleation.囊性摘除术后对暴露的下牙槽神经进行自体部分骨屑移植
J Craniofac Surg. 2018 Mar;29(2):486-490. doi: 10.1097/SCS.0000000000004077.
3
Reduction rate by decompression as a treatment of odontogenic cysts.减压治疗牙源性囊肿的缩小率
Med Oral Patol Oral Cir Bucal. 2017 Sep 1;22(5):e643-e650. doi: 10.4317/medoral.21916.
4
The effect of decompression as treatment of the cysts in the jaws: retrospective analysis.减压治疗颌骨囊肿的效果:回顾性分析
J Korean Assoc Oral Maxillofac Surg. 2017 Apr;43(2):83-87. doi: 10.5125/jkaoms.2017.43.2.83. Epub 2017 Apr 25.
5
Nonsurgical endodontic therapy along with minimal invasive treatment utilizing Bhasker's hypothesis for the management of infected radicular cystic lesion: A rare case report.运用巴斯克假说进行微创治疗的非手术性牙髓治疗管理感染性根端囊肿性病变:1例罕见病例报告
Contemp Clin Dent. 2016 Oct-Dec;7(4):562-565. doi: 10.4103/0976-237X.194098.
6
Clinical, imagistic and histopathological study of chronic apical periodontitis.慢性根尖周炎的临床、影像学及组织病理学研究
Rom J Morphol Embryol. 2016;57(2 Suppl):719-728.
7
Management of Cyst-like Periapical Lesions by Orthograde Decompression and Long-term Calcium Hydroxide/Chlorhexidine Intracanal Dressing: A Case Series.经根管减压及长期氢氧化钙/氯己定根管封药治疗根尖囊肿样病变:病例系列
J Endod. 2016 Jul;42(7):1135-41. doi: 10.1016/j.joen.2016.04.021.