Odontogenic cysts related to pulpotomized deciduous molars - Clinical features and treatment outcome
Odontogenic cysts related to pulpotomized deciduous molars - Clinical features and treatment outcome
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DOI：
10.1016/s1079-2104(99)70251-9
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发表时间：
1999-04-01
影响因子：
--
通讯作者：
Shapira, A
中科院分区：
文献类型：
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作者：
Lustig, JP;Schwartz-Arad, D;Shapira, A
Objective.本研究的目的是评估与乳磨牙活髓切断术相关的大囊肿的发病率和预后。这项回顾性研究是基于18名患者的档案，他们在10年期间（1986-1996）被转介到2个口腔外科。纳入标准为大囊肿病变（直径>1 cm）和完整的记录。对有关临床症状、组织学和放射学特征、治疗方式、发病率和结局的数据进行分析。发现患者的性别分布均等，男性发育较晚（男孩12 +/- 2岁，女孩9 +/- 2岁），下颌骨比上颌骨的比例为5：1。治疗包括眼球摘除术（12例患者）和造袋术（6例患者）。其中恒牙缺失3例，牙槽骨广泛缺失3例，皮瓣修复2例，辅助正畸治疗9例。未能早期发现和治疗的囊肿发展与髓切断乳磨牙可导致相当大的发病率。因此，建议定期进行临床和放射学随访，直至继生牙萌出。
Objective. The purpose of this study was to assess the morbidity and outcomes associated with large cysts that developed in conjunction with pulpotomized deciduous molars.Study design. This retrospective study was based on the files of 18 patients who were referred to 2 oral surgery departments during a 10-year period (1986-1996). The inclusion criteria were large cyst lesions (>1 cm in diameter) and complete documentation. Data regarding symptoms at presentation, histologic and radiologic features, treatment modalities, morbidity, and outcomes were analyzed.Results. An equal gender distribution of patients was found, as were a later development in males (12 +/- 2 years in boys, 9 +/- 2 years in girls) and a 5:1 ratio favoring the mandible over the maxilla. Treatment included enucleation (12 patients) and marsupialization (6 patients). The morbidity was high and included loss of permanent teeth (3 patients), extensive loss of alveolar bone (3 patients), use of flaps (2 patients), and adjuvant orthodontic treatment (9 patients).Conclusion. Failure of early detection and treatment of cysts that develop in conjunction with pulpotomized deciduous molars can cause considerable morbidity. Therefore, periodic clinical and radiologic follow-up until the eruption of succedaneous teeth is recommended.