Cobo-Vázquez Carlos, Fernández-Gutiérrez Laura, Pérez-Fernández Borja, Sánchez-Labrador Luis, Martínez-Rodríguez Natalia, Martínez-González José María, Meniz-García Cristina
Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain.
J Stomatol Oral Maxillofac Surg. 2025 Sep;126(4):102115. doi: 10.1016/j.jormas.2024.102115. Epub 2024 Oct 13.
The dentigerous cyst is defined as a pathological cavity whose origin is produced by developmental alterations. Most usual treatment is the enucleation of the cyst with the extraction of the tooth. The current approach tends to preserve the tooth. The aim of this study was to determine the total and partial success of the conservative treatment of the dentigerous cyst in terms of eruption of the associated permanent tooth. Pub-Med, Scopus and the Cochrane Central Register of Controlled Trials were searched from January 2012 to December 2023, including patients aged 18 years old or less with a dentigerous cyst associated with a repositionable permanent tooth in the arch. 118 articles were found and 24 were included in full text. 40 cases were reported in the mandible (83 %) and 8 in the maxilla (17 %). 29 cases of marsupialization were included (60 %), 17 of enucleation (36 %) and 2 of decompression (4 %). The percentage of teeth that erupted spontaneously, either completely or partially, after marsupialization, enucleation and decompression was 83 %, 59 % and 100 % respectively. No recurrences have been described in any case. This study highlights that the conservative treatment was a predictable procedure with a total success of 83 % by marsupialization and 100 % after decompression.
含牙囊肿被定义为一种病理性腔隙，其起源是由发育改变引起的。最常见的治疗方法是囊肿摘除术并拔除患牙。目前的方法倾向于保留牙齿。本研究的目的是根据相关恒牙的萌出来确定含牙囊肿保守治疗的完全成功和部分成功情况。检索了2012年1月至2023年12月期间的PubMed、Scopus和Cochrane对照试验中央注册库，纳入年龄在18岁及以下、牙弓中有可复位恒牙伴含牙囊肿的患者。共找到118篇文章，24篇全文纳入。下颌骨报告了40例（83%），上颌骨8例（17%）。纳入袋形术29例（60%）、摘除术17例（36%）和减压术2例（4%）。袋形术、摘除术和减压术后牙齿完全或部分自行萌出的百分比分别为83%、59%和100%。所有病例均未描述有复发情况。本研究强调，保守治疗是一种可预测的方法，袋形术的完全成功率为83%，减压术后为100%。
