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复合性和复杂性牙瘤：手术治疗的病例系列及文献简要综述

Compound and Complex Odontomes: Case Series with Surgical Management and Brief Review of Literature.

作者信息

Sajesh S, Edsor Effie, Nandagopan S, Devi S Sindhuja, Praveen Venkatesh, Chidambareswaran Swaminathan

机构信息

Department of Oral and Maxillofacial Surgery, Sree Mookambika Institute of Dental Sciences, Kulasekharam, Kanyakumari, Tamil Nadu, India.

Department of Oral and Maxillofacial Surgery, Command Military Dental Centre (NC), Army Dental Corps, India.

出版信息

J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1772-S1777. doi: 10.4103/jpbs.jpbs_270_21. Epub 2021 Nov 10.

DOI:10.4103/jpbs.jpbs_270_21
PMID:35018076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686875/
Abstract

Odontomas are the most commonly occurring odontogenic tumor, and earlier they were considered developmental anomaly as the morphodifferentiation of ameloblast does not occur in odontomas. Odontomas are considered hamartoma rather than true neoplasms as histologically they contain odontogenic tissues which are native to the oral cavity. These odontomas are usually asymptomatic and are revealed in radiographic examination but can also present with over-retained deciduous teeth and malocclusion and with other local complications such as infection. Etiology of odontomas is considered to be from genetic, local environmental, and systemic factors. Broadly based on their radiologic and clinical features, they are classified into two types: compound composite odontomas and complex composite odontomas. The odontomas which resemble teeth are called compound composite odontomas and which do not resemble teeth are called complex composite odontomas. Odontomas are called composite odontomas as they contain both epithelial and mesenchymal derivatives. Here, we report two cases of compound composite odontoma, and a case of complex composite odontoma with relevant review of literature.

摘要

牙瘤是最常见的牙源性肿瘤，早期它们被认为是发育异常，因为成釉细胞在牙瘤中不会发生形态分化。牙瘤被认为是错构瘤而非真正的肿瘤，因为从组织学上看，它们包含口腔固有的牙源性组织。这些牙瘤通常无症状，在影像学检查中被发现，但也可能伴有乳牙滞留、错颌畸形以及其他局部并发症，如感染。牙瘤的病因被认为源于遗传、局部环境和全身因素。根据其放射学和临床特征大致可分为两类：混合性复合牙瘤和复杂性复合牙瘤。类似牙齿的牙瘤被称为混合性复合牙瘤，而不类似牙齿的牙瘤被称为复杂性复合牙瘤。牙瘤被称为复合牙瘤是因为它们同时包含上皮和间充质衍生物。在此，我们报告两例混合性复合牙瘤病例以及一例复杂性复合牙瘤病例，并对相关文献进行综述。

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本文引用的文献

1
Erupted compound odontome.萌出性复合牙瘤。
J Oral Maxillofac Pathol. 2009 Jan;13(1):47-50. doi: 10.4103/0973-029X.48758.
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Multiple compound odontomas in the jaw: case report and analysis of the literature.颌骨多发性复合性牙瘤：病例报告及文献分析
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