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乳牙与后继恒牙之间的囊性病变:87例回顾性分析

Cystic lesion between a deciduous tooth and the succeeding permanent tooth: a retrospective analysis of 87 cases.

作者信息

Sohn Changmo, Ryu Jihye, Nam Inhye, Shin Sang-Hun, Lee Jae-Yeol

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2022 Dec 31;48(6):342-347. doi: 10.5125/jkaoms.2022.48.6.342.

Abstract

OBJECTIVES

The purpose of this study is to investigate the characteristics of dentigerous and radicular cysts that occur between deciduous and succeeding permanent teeth and to propose considerations for differential diagnosis of cysts at the treatment planning stage in the outpatient clinic.

MATERIALS AND METHODS

A total of 87 patients with a cystic lesion located between a deciduous tooth and the succeeding permanent tooth participated in the study. Twelve variables were analyzed to diagnose such a cyst. For data analysis, Fisher's exact test was used to determine the statistical significance of the variables.

RESULTS

Of the total 87 patients who participated in this study, 69 were diagnosed with dentigerous cysts and 18 were diagnosed with radicular cysts. Seven of the 12 differential factors analyzed in this study were statistically significant: age, location, symptoms, dental caries, endodontic treatment, delayed eruption, and size.

CONCLUSION

Several criteria can be considered for diagnosis of dentigerous cysts or radicular cysts. Age, location, presence of symptoms and dental caries, previous endodontic treatment, cystic size, and delayed eruption of impacted permanent teeth are reliable factors that should be considered when diagnosing dentigerous and radicular cysts.

摘要

目的

本研究旨在调查乳牙与后继恒牙之间发生的含牙囊肿和根囊肿的特征,并提出在门诊治疗计划阶段对囊肿进行鉴别诊断的注意事项。

材料与方法

共有87例乳牙与后继恒牙之间存在囊性病变的患者参与了本研究。分析了12个变量以诊断此类囊肿。数据分析采用Fisher精确检验来确定变量的统计学意义。

结果

在参与本研究的87例患者中,69例被诊断为含牙囊肿,18例被诊断为根囊肿。本研究分析的12个鉴别因素中有7个具有统计学意义:年龄、位置、症状、龋齿、牙髓治疗、萌出延迟和大小。

结论

诊断含牙囊肿或根囊肿时可考虑几个标准。年龄、位置、症状和龋齿的存在、先前的牙髓治疗、囊肿大小以及阻生恒牙的萌出延迟是诊断含牙囊肿和根囊肿时应考虑的可靠因素。

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