Starz Felicitas, Valdec Silvio, Lotz Martin
Klinik für Mund-, Kiefer- und Gesichtschirurgie - Poliklinik für Oralchirurgie, Zentrum für Zahnmedizin der Universität Zürich.
Swiss Dent J. 2022 Feb 7;132(2):113-116. doi: 10.61872/sdj-2022-02-02.
This case report illustrates a new application of autologous dentin for defect augmentation. After cystectomy of a follicular cyst in the maxilla, autologous particulated dentin from the wisdom tooth is used for augmentation due to periodontal compromise of neighbouring teeth. The combination of simultaneous wisdom tooth removal and augmentation is a convenient option in this case. Dentin augmentation is a cost-effective and minimally invasive autologous graft technique. The decision which treatment method for a jaw cyst is the most effective for the patient is a well discussed topic. Factors as expansion, type of cyst, localisation, duration of treatment, and predictability have to be calculated when choosing the treatment strategy. Most cysts heal without grafting, however, periodontal situation, sinus association and predictability in aesthetics led to the decision of grafting necessity in this presented case.
本病例报告展示了自体牙本质在缺损增大修复中的新应用。上颌滤泡囊肿切除术后,由于邻牙牙周情况不佳,使用来自智齿的自体颗粒牙本质进行修复。在这种情况下,同时拔除智齿并进行修复是一种便捷的选择。牙本质修复是一种经济高效且微创的自体移植技术。对于颌骨囊肿,哪种治疗方法对患者最有效是一个备受讨论的话题。选择治疗策略时,必须考虑囊肿扩大、囊肿类型、位置、治疗时长和可预测性等因素。大多数囊肿无需移植即可愈合,然而,牙周状况、与鼻窦的关联以及美学上的可预测性导致了本病例中决定有必要进行移植。