Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic.
Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic.
J Craniomaxillofac Surg. 2020 Aug;48(8):808-814. doi: 10.1016/j.jcms.2020.05.014. Epub 2020 Jun 8.
The aim of this study is to evaluate the results of dentigerous cysts enucleation with preservation of cyst-associated teeth as a single procedure in a group of children and preadolescents. A retrospective case series of seven patients with 15 unerupted developing teeth associated with or adjacent to dentigerous cysts was conducted. Patients were treated using the uniform surgical protocol (cystectomy, preservation of cyst-associated teeth, without use of orthodontic traction, primary wound closure). The metric analysis of the cysts and unerupted teeth on CBCT and an evaluation of the state of involved teeth after the treatment was performed. The mean age of patients was 9.0 ± 2.1 years (range 5-12 years, median = 9 years). All teeth erupted spontaneously. No serious postoperative complications or recurrences of lesions were detected. The mean follow-up was 53.1 ± 15.7 months (range 25-71 months, median = 52 months). The cystectomy of dentigerous cysts with preservation of associated teeth may be considered an alternative to marsupialization in children and preadolescents.
本研究旨在评估在一组儿童和青少年中，作为单一手术程序进行含牙囊肿摘除术并保留囊肿相关牙齿的效果。对 7 例伴有或紧邻含牙囊肿的 15 颗未萌出发育牙的患者进行回顾性病例系列研究。采用统一的手术方案（囊肿切除术，保留囊肿相关牙齿，不使用正畸牵引，一期闭合伤口）进行治疗。在 CBCT 上对囊肿和未萌出牙进行计量分析，并在治疗后评估受累牙齿的状态。患者的平均年龄为 9.0±2.1 岁（5-12 岁，中位数=9 岁）。所有牙齿均自发性萌出。未发现严重的术后并发症或病变复发。平均随访时间为 53.1±15.7 个月（25-71 个月，中位数=52 个月）。含牙囊肿的囊肿切除术并保留相关牙齿可以被认为是儿童和青少年患者中相对于袋形手术的一种替代方法。
