Associate Professor, Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Istanbul, Turkey.
J Oral Maxillofac Surg. 2021 Jan;79(1):152-163. doi: 10.1016/j.joms.2020.06.036. Epub 2020 Jul 3.
The aim of this study was to examine the long-term results of mandibular dentigerous cysts treated with decompression using a custom-made appliance.
This retrospective study included 34 patients with dentigerous cysts who were treated as outpatients at the Faculty of Dentistry, Marmara University. Medical history, complaints, intraoral and extraoral clinical findings, treatment time, and complications of these patients were collected.
The average age of the patients was 7.94 years. Three tooth buds (canine, first permanent premolar [P1], and second permanent premolar) in 2 cases, two tooth buds in 7 cases (P1 and second permanent premolar in 6 cases and P1 and canine in 1 case), and one tooth bud in 25 cases were related to the cyst. The mean decompression time was 5.97 months (range, 3 to 9 months). No major complications occurred during or after decompression. No evidence of infection, breakdown and/or dehiscence of the soft tissue, or inferior alveolar nerve paresthesia was observed. The complications and complaints were minor and straightforward to resolve.
Decompression is a very effective and successful method for the treatment of mandibular dentigerous cysts.
本研究旨在探讨使用定制器具进行减压治疗下颌牙源性囊肿的长期效果。
本回顾性研究纳入了在马尔马拉大学牙科学院接受门诊治疗的 34 名牙源性囊肿患者。收集了这些患者的病史、症状、口腔内外临床发现、治疗时间和并发症。
患者的平均年龄为 7.94 岁。2 例有 3 个牙胚（尖牙、第一恒前磨牙和第二恒前磨牙），7 例有 2 个牙胚（6 例为第一恒前磨牙和第二恒前磨牙，1 例为第一恒前磨牙和尖牙），25 例有 1 个牙胚与囊肿有关。平均减压时间为 5.97 个月（范围为 3 至 9 个月）。减压过程中和减压后均未发生重大并发症。未观察到感染、软组织破裂和/或裂开或下牙槽神经感觉异常。并发症和投诉较小，易于解决。
减压是治疗下颌牙源性囊肿的一种非常有效和成功的方法。
