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与上颌埋伏多生牙相关的大型含牙囊肿：一种罕见病例及文献综述

Large dentigerous cyst associated with the maxillary impacted supernumerary teeth: A rare occurrence and literature review.

作者信息

Aoki Noriaki, Matumoto Megumi, Ishii Soichiro, Okuma Yasuaki, Umezawa Himiko, Baba Junichi, Ito Takaaki

机构信息

Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Nanbu Hospital, Japan.

Department of Oral and Maxillofacial Surgery, Shirayuri Beauty Clinic, Japan.

出版信息

J Dent Res Dent Clin Dent Prospects. 2022 Fall;16(4):270-273. doi: 10.34172/joddd.2022.043. Epub 2022 Dec 30.

DOI:10.34172/joddd.2022.043
PMID:37560494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407865/
Abstract

Dentigerous cysts are common odontogenic cysts of the jaw but are rarely associated with supernumerary teeth. Few cases of large dentigerous cysts associated with anterior maxillary supernumerary teeth have been reported. The English literature has documented only four cases of dentigerous cysts>40 mm in diameter associated with supernumerary teeth. A 47-year-old man was referred to our hospital, complaining of minor pain in the maxillary gingiva. Computed tomography revealed a well-defined oval unilocular radiolucent lesion (50×45×35 mm) in the right maxilla, including two impacted supernumerary teeth. A dentigerous cyst associated with impacted anterior maxillary supernumerary teeth was diagnosed. The two impacted teeth were surgically removed, and the cyst was enucleated using the Caldwell-Luc approach. Histopathology confirmed the diagnosis of a large dentigerous cyst associated with impacted anterior maxillary supernumerary teeth. The postoperative course has been uneventful for two years. We also reviewed the relevant English literature.

摘要

含牙囊肿是颌骨常见的牙源性囊肿，但很少与多生牙相关。仅有少数关于上颌前部多生牙伴大型含牙囊肿的病例报道。英文文献仅记载了4例直径大于40 mm的含牙囊肿与多生牙相关的病例。一名47岁男性因上颌牙龈轻微疼痛转诊至我院。计算机断层扫描显示右上颌有一个边界清晰的椭圆形单房性透射性病变（50×45×35 mm），其中包括两颗埋伏多生牙。诊断为上颌前部埋伏多生牙伴含牙囊肿。两颗埋伏牙通过手术拔除，囊肿采用Caldwell-Luc入路摘除。组织病理学证实为上颌前部埋伏多生牙伴大型含牙囊肿。术后两年病情平稳。我们还查阅了相关英文文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/70d32ef566c9/joddd-16-270-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/958e68f59257/joddd-16-270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/fce0b05c6af8/joddd-16-270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/6de0d785b63d/joddd-16-270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/fe9f6f873145/joddd-16-270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/88c60ce4f277/joddd-16-270-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/70d32ef566c9/joddd-16-270-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/958e68f59257/joddd-16-270-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/fce0b05c6af8/joddd-16-270-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/6de0d785b63d/joddd-16-270-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/fe9f6f873145/joddd-16-270-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/88c60ce4f277/joddd-16-270-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1648/10407865/70d32ef566c9/joddd-16-270-g006.jpg

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本文引用的文献

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Natl J Maxillofac Surg. 2019 Jan-Jun;10(1):114-117. doi: 10.4103/njms.NJMS_25_18.
2
Large dentigerous cyst in the maxillary sinus leading to diplopia and nasal obstruction: case report.上颌窦巨大含牙囊肿导致复视和鼻塞：病例报告
J Istanb Univ Fac Dent. 2015 Apr 29;49(2):46-50. doi: 10.17096/jiufd.10506. eCollection 2015.
3
Evaluation of Spontaneous Bone Regeneration after Enucleation of Large Cysts of the Jaws using Radiographic Computed Software.
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J Contemp Dent Pract. 2016 Jun 1;17(6):489-95. doi: 10.5005/jp-journals-10024-1878.
4
Dentigerous cyst in association with impacted inverted mesiodens: Report of a rare case with a brief review of literature.含牙囊肿伴埋伏倒置正中多生牙：1例罕见病例报告并文献综述
Int J Appl Basic Med Res. 2014 Sep;4(Suppl 1):S61-4. doi: 10.4103/2229-516X.140748.
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Maxillary dentigerous cyst and supernumerary tooth. Is it a frequent association?上颌含牙囊肿与多生牙。它们是常见的关联情况吗？
Oral Health Dent Manag. 2014 Mar;13(1):127-31.
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Extensive dentigerous cyst associated with a mesiodens: CT findings.与正中多生牙相关的巨大含牙囊肿：CT表现
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