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囊肿手术摘除后健康非病理性牙齿的牙髓反应性

Pulp Responsiveness of Healthy Non-Pathological Teeth Following Surgical Enucleation of Cysts.

作者信息

Nabil Syed, Rashdi Muhd Fazlynizam, Nazimi Abd Jabar

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.

Department of Oral and Maxillofacial Surgery, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.

出版信息

Dent J (Basel). 2025 Mar 5;13(3):116. doi: 10.3390/dj13030116.

DOI:10.3390/dj13030116
PMID:40136744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11941462/
Abstract

: Odontogenic cysts are pathological cavities lined by cells arising from odontogenic epithelial cells, occurring mostly on the tooth-bearing areas of the jaws. It is common to find that the apices of the teeth around the cyst are within the cyst's cavities due to its expansion. This study aims to assess the outcome of cyst enucleation on the associated teeth, specifically the latter's responsiveness after cyst enucleation. : This retrospective study examined a sample of patients who had been previously treated for odontogenic cysts from 1 January 2000 to 31 December 2021. A list of patients was obtained and included whether they met the imposed inclusion criteria. The data collected included the patients' preoperative and postoperative electric pulp testing readings and their timings. : In total, 77 individual teeth from 19 patients were included after meeting the inclusion/exclusion criteria. Overall, 57 out of the 77 (74%) teeth were responsive following long-term follow-up. Among the 57 teeth with a positive response, 8 teeth were initially non-responsive and regained their responsiveness after a period of time. Pulp responsiveness recovery was seen even 300 days after surgery. : It is not certain that a tooth with apices involved in a cyst cavity will be non-vital following enucleation. It is recommended that these teeth be reassessed for a minimum of 10 months postoperatively before proceeding with root canal treatment.

摘要

牙源性囊肿是由牙源性上皮细胞产生的细胞衬里的病理性腔隙,大多发生在颌骨的牙列区。由于囊肿的扩张,常常会发现囊肿周围牙齿的根尖位于囊肿腔内。本研究旨在评估囊肿摘除术对相关牙齿的影响,特别是囊肿摘除术后牙齿的反应性。:这项回顾性研究检查了2000年1月1日至2021年12月31日期间曾接受牙源性囊肿治疗的患者样本。获取了一份患者名单,并包括他们是否符合规定的纳入标准。收集的数据包括患者术前和术后的牙髓电测试读数及其时间。:在符合纳入/排除标准后,共纳入了19例患者的77颗牙齿。总体而言,在长期随访后,77颗牙齿中有57颗(74%)有反应。在57颗有阳性反应的牙齿中,有8颗最初无反应,经过一段时间后恢复了反应性。术后300天仍可见牙髓反应性恢复。:根尖位于囊肿腔内的牙齿在摘除术后不一定无活力。建议在进行根管治疗前,对这些牙齿进行至少10个月的术后重新评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f8a/11941462/471b64d6d200/dentistry-13-00116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f8a/11941462/471b64d6d200/dentistry-13-00116-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f8a/11941462/471b64d6d200/dentistry-13-00116-g001.jpg

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本文引用的文献

1
A 3-year follow-up clinical study on the preservation for vitality of involved tooth in jaw cysts through an innovative method.通过创新方法对颌骨囊肿中受累牙齿活力保存的 3 年临床随访研究。
Sci Rep. 2024 Jan 2;14(1):128. doi: 10.1038/s41598-023-50523-4.
2
Recovery of Pulp Sensibility After the Surgical Management of a Large Radicular Cyst: A Case Report with a 4.5-Year Follow-up.根管治疗后巨大根囊肿的牙髓活力恢复:一例 4.5 年随访的病例报告。
Eur Endod J. 2023 Jan;8(1):96-100. doi: 10.14744/eej.2022.30085.
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Diagnostic Accuracy of Pulp Vitality Tests and Pulp Sensibility Tests for Assessing Pulpal Health in Permanent Teeth: A Systematic Review and Meta-Analysis.
牙髓活力测试和牙髓感觉测试评估恒牙牙髓健康的诊断准确性:系统评价和荟萃分析。
Int J Environ Res Public Health. 2022 Aug 4;19(15):9599. doi: 10.3390/ijerph19159599.
4
Preserving the vitality of teeth adjacent to a large radicular cyst in periapical microsurgery: a case report with 4-year follow-up.根尖周显微手术中保留大根侧囊肿邻牙活力:附 4 年随访的 1 例报告。
BMC Oral Health. 2021 Aug 3;21(1):382. doi: 10.1186/s12903-021-01738-2.
5
Autotransplantation of a Premolar with Incipient Root Development, an 18-Year Follow-Up.一颗牙根开始发育的前磨牙的自体移植:18年随访
Eur Endod J. 2017 Nov 2;2(1):1-5. doi: 10.14744/eej.2017.170080. eCollection 2017.
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Atypically grown large periradicular cyst affecting adjacent teeth and leading to confounding diagnosis of non-endodontic pathology.非典型生长的大型根尖周囊肿累及相邻牙齿,导致非牙髓病病理的诊断混淆。
Aust Endod J. 2020 Aug;46(2):272-281. doi: 10.1111/aej.12381. Epub 2019 Oct 28.
7
Controversies Regarding the Management of Teeth Associated with Cystic Lesions of the Jaws.关于颌骨囊性病变相关牙齿处理的争议
Chin J Dent Res. 2019;22(2):81-92. doi: 10.3290/j.cjdr.a42512.
8
Conservative management of large mandibular dentigerous cysts with a novel approach for follow up: Two case reports.采用新型随访方法对大型下颌含牙囊肿进行保守治疗:两例病例报告
Stomatologija. 2017;19(1):24-32.
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Int J Surg Case Rep. 2017;34:119-122. doi: 10.1016/j.ijscr.2017.03.033. Epub 2017 Mar 23.
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Int Endod J. 2017 Feb;50(2):135-142. doi: 10.1111/iej.12611. Epub 2016 Feb 11.