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生长发育期年轻患者复杂牙瘤联合外科与正畸治疗的最新进展。

An update on the combined surgical and orthodontic treatment of complex odontoma among growing patients young patients.

作者信息

Garg Shruti, Arora Kanika, Tintodana Komil, Kujur John, Roy Ipsita, Agrawal Neha

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.

Department of Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Faridabad, Haryana, India.

出版信息

Bioinformation. 2025 May 31;21(5):1729-1733. doi: 10.6026/973206300211729. eCollection 2025.

Abstract

Complex odontomas are benign odontogenic hamartomas that frequently hinder the eruption of permanent teeth in growing individuals. Therefore, it is of interest to evaluate the clinical effectiveness of a coordinated surgical and orthodontic treatment protocol in 20 patients aged 8-16 years diagnosed with complex odontomas. Surgical excision was followed by orthodontic intervention to facilitate eruption and alignment of impacted teeth. Successful eruption was observed in 90% of cases within 6-12 months, with favourable alignment outcomes and no recurrence over the 12-month follow-up. These findings affirm the value of early diagnosis and interdisciplinary management in optimizing functional and esthetic outcomes in pediatric patients with complex odontomas.

摘要

复合性牙瘤是良性牙源性错构瘤,常阻碍生长发育期个体恒牙的萌出。因此,评估一种针对20例年龄在8至16岁、诊断为复合性牙瘤的患者的联合手术与正畸治疗方案的临床效果具有重要意义。手术切除后进行正畸干预,以促进阻生牙的萌出和排列。90%的病例在6至12个月内成功萌出,在12个月的随访中取得了良好的排列效果且无复发。这些发现证实了早期诊断和多学科管理对于优化患有复合性牙瘤的儿科患者的功能和美学效果的价值。

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