An aggressive dentigerous cyst in a seven-year-old child.
An aggressive dentigerous cyst in a seven-year-old child.
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一名七岁儿童的侵袭性含牙囊肿。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
Troy D. Savant
中科院分区：
文献类型：
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作者：
Amy L. Counts;Lisa A. Kochis;Jason Buschman;Troy D. Savant
文献回顾表明，这些囊肿很少发现在儿童小于10岁，尽管事实上，囊肿与萌出和/或形成的第二牙列。虽然含牙囊肿在出生后十年内是罕见的，但如本病例报告所示，对儿童的初次X线片进行全面检查是非常重要的。在这个问题上，最重要的是对儿童进行初次全景X射线检查的年龄。根据美国儿童牙科学会推荐的指南，第一次全景X线检查应在第一颗恒牙萌出后进行。在这种情况下，没有进行适当的射线照相检查。正确的检查应包括：胶片的正确曝光。电影的正确发展。对电影的正确诠释。这个孩子在发现病变前三个月进行了牙科象限检查。之前的牙科医生指出，全景X光片已经曝光。目前尚不清楚是否遵循或完成了上述所有步骤，以便提供者获得诊断所需的信息，并适当地将该患者转诊至对其下颌肿胀进行更深入的检查。这个孩子的右下颌第一磨牙完全萌出，而左下颌第一磨牙根本没有萌出，这一事实足以让我们拍摄全景X光片来调查对侧第一磨牙临床缺失的原因。本文介绍了一个病例，在第一颗恒牙萌出时进行适当的全景X线检查可能会导致囊肿的早期诊断，从而可能防止多颗恒牙的丢失。
A review of literature indicates that very few of these cysts are found in children less than ten years of age, in spite of the fact that the cysts are associated with the eruption and/or formation of the secondary dentition. Although dentigerous cysts are rare in the first decade of life, a thorough review of a child's initial radiographs is of obvious importance as indicated by this case report. Of prime importance in this matter is the age at which the initial panoramic radiographic examination is performed on a child. According to the guidelines recommended by the American Academy of Pediatric Dentistry, the first panoramic radiographic examination should be performed following the eruption of the first permanent tooth. In this case, the appropriate radiographic survey was not conducted. A proper survey should include: Proper exposure of the film. Proper development of the film. Proper interpretation of the film. This child had a quadrant of dentistry performed three months prior to the discovery of the lesion. The previous dental provider noted that a panoramic radiograph had been exposed. It is unclear whether all of the aforementioned steps were followed or completed in order for the provider to obtain the information needed to render a diagnosis, and to properly refer this patient for a more in-depth examination of her mandibular swelling. The mere fact that this child's right mandibular first molar was fully erupted and the left one had not erupted at all, would be reason enough to take a panoramic radiograph to investigate the cause of the clinical absence of the contralateral first molar. This article has presented a case in which a proper panoramic radiographic examination performed at the time of eruption of the first permanent tooth may have led to an earlier diagnosis of the cyst, and thus might have prevented the loss of multiple permanent teeth.