Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, 510182 Guangzhou, Guangdong, China.
J Clin Pediatr Dent. 2024 Nov;48(6):213-220. doi: 10.22514/jocpd.2024.142. Epub 2024 Nov 3.
Odontogenic keratocyst (OKC) is a common developmental odontogenic cyst in clinic patients. Odontogenic cysts are often treated by enucleation, curettage, marsupialization and decompression. With apparent advantages, marsupialization and decompression are often the preferred option for adolescents with large jaw cysts. This article aimed to report a case of large OKC involving the left mandibular second molar and third molar in a 13-year-old adolescent. Decompression was performed to preserve the second molar and inferior alveolar nerve, and the third molar was extracted. After ten months of follow-up, cyst volume decreased significantly, and the impacted second molar erupted spontaneously through the bony window. Subsequently, the residual cyst was removed by enucleation. After 18 months, the second molar erupted to the occlusal plane and played a normal function. No evidence of recurrence was found during the entire follow-up period.
牙源性角化囊肿（OKC）是临床患者中常见的一种发育性牙源性囊肿。牙源性囊肿通常通过摘除、刮除、袋形术和减压来治疗。袋形术和减压具有明显的优势，因此对于颌骨大囊肿的青少年患者，常作为首选方案。本文旨在报告一例 13 岁青少年左侧下颌第二磨牙和第三磨牙区大型 OKC 的病例。减压手术保留了第二磨牙和下牙槽神经，并拔除了第三磨牙。随访 10 个月后，囊肿体积明显缩小，埋伏的第二磨牙通过骨性窗口自发萌出。随后通过摘除术去除残余囊肿。18 个月后，第二磨牙萌出至咬合平面并发挥正常功能。在整个随访期间均未发现复发迹象。
