Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy of Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania.
3OM Optomechatronics Group, Faculty of Engineering, "Aurel Vlaicu" University of Arad, 2 Elena Dragoi Str., 310130 Arad, Romania.
Medicina (Kaunas). 2024 Jul 14;60(7):1133. doi: 10.3390/medicina60071133.
: Dentigerous cysts are one of the most frequent pathologies associated with unerupted or impacted teeth. Such cysts show a male predilection and a preference for the mandibular region. Also, they commonly occur in the second and third decades of life, with only 9% occurring in the first decade. The aim of this work is to apply and study the therapeutic algorithms developed for dentigerous cysts and their outcomes, from the early diagnostic stage to the complete healing phase of pediatric patients diagnosed with this medical condition. : The study included 19 pediatric patients diagnosed with dentigerous cysts who underwent the enucleation and extraction or conservative attitude of the associated tooth. The bony healing was also followed-up 9 months after the surgery. : A higher incidence in the posterior area of the mandible and maxilla was observed, as well as a higher incidence in boys. The 9 months postoperative radiographic assessment showed that the bony defects were completely healed. : A thorough understanding of the nature of the lesion backed by a good clinical history and by state-of-the-art radiographic and radiologic examinations can go a long way in helping the surgeon to choose the correct therapeutic approach and to ameliorate the medical condition in the best long-term interest of the young patient. The considered dentigerous cyst cases demonstrated that an early diagnosis and treatment of this pathology is followed by a responsive treatment.
: 含牙囊肿是与未萌出或阻生牙相关的最常见的病理之一。此类囊肿表现出男性倾向和在下颌区域的偏好。此外，它们通常发生在生命的第二和第三个十年，只有 9%发生在第一个十年。本工作的目的是应用和研究针对含牙囊肿及其结果的治疗算法，从早期诊断阶段到儿科患者接受这种医疗状况完全愈合阶段。 : 研究包括 19 名被诊断为含牙囊肿的儿科患者，他们接受了含牙囊肿的切除和拔牙或保守治疗。术后 9 个月还对骨愈合情况进行了随访。 : 观察到下颌骨和上颌骨后区的发病率较高，男孩的发病率也较高。术后 9 个月的影像学评估显示，骨缺损已完全愈合。 : 对病变性质的透彻理解，辅以良好的临床病史以及最先进的影像学和放射学检查，可以帮助外科医生选择正确的治疗方法，并以年轻患者的最佳长期利益为目标来改善病情。所考虑的含牙囊肿病例表明，早期诊断和治疗这种病理会带来响应性治疗。
