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右上颌复杂型牙瘤:手术处理及组织形态学特征。

Complex odontoma at the upper right maxilla: Surgical management and histomorphological profile.

机构信息

Department of Surgical and Diagnostic Sciences, University of Genova, Genoa, Italy.

Department of Surgical and Diagnostic Sciences, University of Genova, Genoa, Italy - Istituto Stomatologico Italiano, Milan, Italy.

出版信息

Eur J Paediatr Dent. 2020 Sep;21(3):199-202. doi: 10.23804/ejpd.2020.21.03.08.

Abstract

BACKGROUND

Odontomas are hamartomatous developmental malformations of the dental tissues. Usually asymptomatic, their presence is often revealed on routine radiographs. The study aimed to establish the efficacy of this conventional approach in treating odontomas, analysing clinical outcome, follow-up, and histomorphological profile.

CASE REPORT

A case is presented with a review of the international literature. The patient, aged 8 years, had a complex odontoma localised on the front upper jaw. She was treated following the conventional surgical procedure. Post-operative course and healing were uneventful. Orthodontic treatment was necessary to realign the teeth. At the 12-month follow-up there was no recurrence or failure. Healing was excellent.

CONCLUSION

Variations in normal tooth eruption are a common finding, but significant deviations from established norms should alert the clinician to further investigate the patient's health and development.

摘要

背景

牙瘤是牙源性组织的一种先天性发育畸形。通常无明显症状,常在常规 X 光片检查时发现。本研究旨在通过分析临床结果、随访和组织形态学特征,评估常规方法治疗牙瘤的疗效。

病例报告

本文报告了 1 例病例,并对国际文献进行了回顾。患者为 8 岁女童,上前颌有一复杂牙瘤。该患者采用常规手术方法进行治疗。术后过程和愈合均顺利。需要进行正畸治疗以排齐牙齿。12 个月随访时无复发或失败,愈合情况良好。

结论

正常牙齿萌出的变化较为常见,但明显偏离既定标准时,应提醒临床医生进一步调查患者的健康和发育情况。

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