国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (3): 362-367.doi: 10.7518/gjkq.2018.03.022

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含牙囊肿埋伏牙行开窗减压术后的萌出预测

袁韵仪, 段余峰, 雷勇华   

  1. 中南大学湘雅医院口腔医学中心正畸科 长沙 410008
  • 收稿日期:2017-08-24 修回日期:2018-01-10 发布日期:2018-05-08
  • 通讯作者: 雷勇华,教授,博士,Email:lyh8484123@163.com
  • 作者简介:袁韵仪,硕士,Email:yuanyunyi19940401@163.com

Eruption prediction of dentigerous cyst-associated impacted teeth after marsupialization

Yuan Yunyi, Duan Yufeng, Lei Yonghua   

  1. Dept. of Orthodontics, Center of Stomatology, Xiangya Hospital, Central South University, Changsha 410008, China
  • Received:2017-08-24 Revised:2018-01-10 Published:2018-05-08

摘要: 含牙囊肿是一种较为常见的牙源性囊肿,常致恒牙阻生,影响青少年患者正常的牙颌面发育。开窗减压术是临床上常用于治疗含牙囊肿的方法,并且可以促进受累埋伏牙的自发性萌出。本文总结分析相关文献,以期为临床预测含牙囊肿埋伏牙的萌出提供指导。

关键词: 含牙囊肿, 埋伏牙, 开窗减压术, 萌出

Abstract: Adentigerous cyst is a common developmental odontogenic cyst, which affects dentomaxillofacial development of adolescents and interferes with tooth eruption. Marsupialization is widely used by orthodontists to treat dentigerous cysts, and it can benefit the natural eruption of a cyst-associated tooth. This article reviews relevant studies to provide the relative factors for predicting the eruption of cyst-associated teeth after marsupialization.

Key words: dentigerous cyst, impacted tooth, marsupialization, eruption

中图分类号: 

  • R782.13
[1] Kouhsoltani M, Mesgarzadeh AH, Moradzadeh Khiavi M.Mandibular fracture associated with a dentigerous cyst: report of a case and literature re-view[J]. J Dent Res Dent Clin Dent Prospects, 2015, 9(3):193-198.
[2] 张志愿. 口腔颌面外科学[M]. 7版. 北京: 人民卫生出版社, 2012:306.
Zhang ZYOral and maxillofacial surgery[M]. 7th ed. Beijing: People’s Medical Publishing House, 2012:306.
[3] Marwah N, Bishen KA, Prabha V, et al.A conserva-tive approach in the management of inflammatory dentigerous cyst in transitional dentition: a case re-port[J]. J Mass Dent Soc, 2012, 61(1):18-21.
[4] 陈颖, 钱文涛, 罗怡, 等. 替牙期儿童下颌含牙囊肿开窗减压术的临床观察[J]. 口腔颌面外科杂志, 2015, 25(4):284-287.
Chen Y, Qian WT, Luo Y, et al.Therapeutic effects of marsupialization of dental cysts in mixed dentition[J]. J Oral Maxillofac Surg, 2015, 25(4):284-287.
[5] 汪隼, 曹慧珍, 冯希平. 儿童替牙期含牙囊肿开窗减压保守治疗及疗效观察[J]. 上海交通大学学报(医学版), 2009, 29(6):716-718.
Wang S, Cao HZ, Feng XP.Therapeutic effects of fenestration in treatment of dentigerous cyst in mixed dentition stage[J]. J Shanghai Jiaotong Univ (Med Sci), 2009, 29(6):716-718.
[6] Pogrel MA, Jordan RC.Marsupialization as a de-finitive treatment for the odontogenic keratocyst[J]. J Oral Maxillofac Surg, 2004, 62(6):651-656.
[7] Marker P, Brøndum N, Clausen PP, et al.Treatment of large odontogenic keratocysts by decompression and later cystectomy: a long-term follow-up and a histologic study of 23 cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1996, 82(2):122-131.
[8] Lizio G, Sterrantino AF, Ragazzini S, et al.Volume reduction of cystic lesions after surgical decompres-sion: a computerised three-dimensional computed tomographic evaluation[J]. Clin Oral Investig, 2013, 17(7):1701-1708.
[9] Fujii R, Kawakami M, Hyomoto M, et al.Panoramic findings for predicting eruption of mandibular pre-molars associated with dentigerous cyst after marsu-pialization[J]. J Oral Maxillofac Surg, 2008, 66(2): 272-276.
[10] Hyomoto M, Kawakami M, Inoue M, et al.Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts[J]. Am J Orthod Dentofacial Orthop, 2003, 124(5):515-520.
[11] Yahara Y, Kubota Y, Yamashiro T, et al.Eruption prediction of mandibular premolars associated with dentigerous cysts[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 108(1):28-31.
[12] Wine WM, Welch JT, Graves RW.Marsupialization of a dentigerous cyst of the mandible: report of case[J]. J Oral Surg, 1971, 29(10):742-745.
[13] Castro-Núñez J. Decompression of odontogenic cystic lesions: past, present,future[J]. J Oral Maxillo-fac Surg, 2016, 74(1):104.e1-104.e9.
[14] Cakarer S, Selvi F, Isler SC, et al.Decompression, enucleation, and implant placement in the manage-ment of a large dentigerous cyst[J]. J Craniofac Surg, 2011, 22(3):922-924.
[15] 王恩博, 崔念晖, 柴原孝彦, 等. 牙源性角化囊性瘤骨吸收相关因子组织化学及免疫组织化学双重染色表达[J]. 北京大学学报(医学版), 2010, 42(1):85-89.
Wang EB, Cui NH, Chai YXY, et al.Histochemical and immunohistochemical double staining for osteo-lytic related factors in keratocystic odontogenic tumor[J]. J Peking Univ (Health Sci), 2010, 42(1):85-89.
[16] 葛巍立, 谢志坚. 破骨细胞分化因子在牙源性颌骨囊肿中的表达[J]. 口腔医学, 2005, 25(2):103-105.
Ge WL, Xie ZJ.Expression of ligand for osteoprote-gerin in odontogenic cyst of jaw[J]. Stomatology, 2005, 25(2):103-105.
[17] 毕国瑞. 开窗减压术与颌骨囊肿刮治术治疗颌骨囊肿临床对比研究[J]. 河南医学研究, 2017, 26(11):1987-1988.
Bi GR.Comparion of effect of marsupialization and enucleation for the odontogenic cystic lesions of the jaw bones[J]. Henan Med Res, 2017, 26(11):1987-1988.
[18] Sun KT, Chen MY, Chiang HH, et al.Treatment of large jaw bone cysts in children[J]. J Dent Child (Chic), 2009, 76(3):217-222.
[19] Motamedi MH, Talesh KT.Management of exten-sive dentigerous cysts[J]. Br Dent J, 2005, 198(4): 203-206.
[20] Nakamura N, Mitsuyasu T, Mitsuyasu Y, et al.Mar-supialization for odontogenic keratocysts: long-term follow-up analysis of the effects and changes in growth characteristics[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2002, 94(5):543-553.
[21] Shudou H, Sasaki M, Yamashiro T, et al.Marsupia-lisation for keratocystic odontogenic tumours in the mandible: longitudinal image analysis of tumour size using 3D visualised CT scans[J]. Int J Oral Maxillo-fac Surg, 2012, 41(3):290-296.
[22] Allon DM, Allon I, Anavi Y, et al.Decompression as a treatment of odontogenic cystic lesions in chil-dren[J]. J Oral Maxillofac Surg, 2015, 73(4):649-654.
[23] 胡勇. 儿童恒牙萌出性囊肿开窗引流术疗效观察[J]. 中国药物与临床, 2011, 11(4):471-472.
Hu Y.Therapeutic effects of marsupialization of eruption cysts in children[J]. Chin Remed Clin, 2011, 11(4):471-472.
[24] 孙方方, 卢晓林, 聂蓉蓉, 等. 开窗减压配合囊肿塞治疗青少年颌骨囊肿的疗效分析[J]. 口腔医学, 2014, 34(5):330-333.
Sun FF, Lu XL, Nie RR, et al.Evaluation of the ef-fectiveness of decompression as the initial treatment for odontogenic cysts in juvenile patients[J]. Stoma-tology, 2014, 34(5):330-333.
[25] McGrath CJ, Myall RW. Conservative management of recurrent keratocysts in Basal-cell naevus syn-drome[J]. Aust Dent J, 1997, 42(6):399-403.
[26] Pogrel MA.Decompression and marsupialization as a treatment for the odontogenic keratocyst[J]. Oral Maxillofac Surg Clin North Am, 2003, 15(3):415-427.
[27] Gao L, Wang XL, Li SM, et al.Decompression as a treatment for odontogenic cystic lesions of the jaw[J]. J Oral Maxillofac Surg, 2014, 72(2):327-333.
[28] 郑先雨, 程继光, 王元银. 颌骨大型囊性病变开窗减压术12例疗效[J]. 安徽医学, 2015, 36(10):1223-1226.
Zheng XY, Cheng JG, Wang YY.Large jaw cysts treated with marsupialization: a clinical observation of 12 cases[J]. Anhui Med J, 2015, 36(10):1223-1226.
[29] Serra e Silva FM, Sawazaki R, de Moraes M. Erup-tion of teeth associated with a dentigerous cyst by only marsupialization treatment: a case report[J]. J Dent Child (Chic), 2007, 74(3):228-230.
[30] Lima EDNDA, Gurgel AC, Oliveira PTD, et al.Conservative management of dentigerous cyst in a child[J]. Int J Pediatr Otorhinolaryngol Extra, 2013, 8(1):e1-e4.
[31] 高鹏飞, 徐万林, 徐镭, 等. 开窗减压术结合牵引矫治方法治疗替牙期含牙囊肿的疗效观察[J]. 口腔医学, 2015, 35(7):546-549.
Gao PF, Xu WL, Xu L, et al.Therapeutic effects of marsupialization and orthodontic traction on treat-ment of dentigerous cyst in mixed dentition stage[J]. Stomatology, 2015, 35(7):546-549.
[32] 孙强. 开窗减压术+Ⅱ期刮治术治疗大型颌骨囊肿的疗效观察[J]. 基层医学论坛, 2017, 21(20):2653-2654.
Sun Q.Therapeutic effects of marsupialization and combined secondary enucleation on large jaw bone cysts[J]. Med Forum, 2017, 21(20):2653-2654.
[33] Berti Sde A, Pompermayer AB, Couto Souza PH, et al.Spontaneous eruption of a canine after marsupia-lization of an infected dentigerous cyst[J]. Am J Orthod Dentofacial Orthop, 2010, 137(5):690-693.
[34] 于国霞, 杜辉, 王新刚, 等. 31例儿童及青少年期含牙囊肿保守治疗临床观察[J]. 北京口腔医学, 2014, 22(4):218-221.
Yu GX, Du H, Wang XG, et al.Conservative treat-ment of 31 cases of dentigerous cysts in children and adolescents[J]. Beijing J Stomatol, 2014, 22(4):218-221.
[35] Miyawaki S, Hyomoto M, Tsubouchi J, et al.Erup-tion speed and rate of angulation change of a cyst-associated mandibular second premolar after mar-supialization of a dentigerous cyst[J]. Am J Orthod Dentofacial Orthop, 1999, 116(5):578-584.
[36] Jena AK, Duggal R, Roychoudhury A, et al.Ortho-dontic assisted tooth eruption in a dentigerous cyst: a case report[J]. J Clin Pediatr Dent, 2004, 29(1):33-35.
[37] Ertas U, Yavuz MS.Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization[J]. J Oral Maxillofac Surg, 2003, 61(6):728-730.
[38] Hu YH, Chang YL, Tsai A.Conservative treatment of dentigerous cyst associated with primary teeth[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(6):e5-e7.
[39] Qian WT, Ma ZG, Xie QY, et al.Marsupialization facilitates eruption of dentigerous cyst-associated mandibular premolars in preadolescent patients[J]. J Oral Maxillofac Surg, 2013, 71(11):1825-1832.
[40] 何武成, 程磊, 顾郁嘉, 等. 伴囊肿的上颌埋伏阻生中切牙早期引流助萌治疗[J]. 口腔医学研究, 2017, 33(3):278-281.
He WC, Cheng L, Gu YJ, et al.Draining and guiding eruption management for maxillary osseous impacted incisors with dentigerous cysts[J]. J Oral Sci Res, 2017, 33(3):278-281.
[41] 申秀梅, 李玉刚. 发育期含牙囊肿开窗术后埋伏恒牙萌出动向的临床观察[J]. 现代口腔医学杂志, 2005, 19(3):331.
Shen XM, Li YG.Clinical observation of eruption of impacted teeth associated with dentigerous cysts after marsupialization in children[J]. J Modern Sto-matol, 2005, 19(3):331.
[42] Bryan RA, Cole BO, Welbury RR.Retrospective analysis of factors influencing the eruption of delayed permanent incisors after supernumerary tooth re-moval[J]. Eur J Paediatr Dent, 2005, 6(2):84-89.
[43] Koca H, Esin A, Aycan K.Outcome of dentigerous cysts treated with marsupialization[J]. J Clin Pediatr Dent, 2009, 34(2):165-168.
[44] 姜新娣, 陈林林. 青少年颌骨囊性病变开窗减压术后阻生恒牙萌出的临床观察[J]. 实用口腔医学杂志, 2015, 31(1):48-52.
Jiang XD, Chen LL.Eruption of impacted permanent teeth associated with cystic lesions of the jaws after fenestrating decom-pression in adolescents[J]. J Pract Stomatol, 2015, 31(1):48-52.
[45] Kokich VG, Mathews DP.Surgical and orthodontic management of impacted teeth[J]. Dent Clin North Am, 1993, 37(2):181-204.
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[2] 刘玲. 镍铬合金中铍对可铸造性和陶瓷金属结合力的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 在种植体上制作固定义齿以后下颌骨密度的动态变化[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 王昆润. 重型颌面部炎症死亡和康复病例的实验室检查指标比较[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 逄键梁. 两例外胚层发育不良儿童骨内植入种植体后牙槽骨生长情况[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 温秀杰. 氟化物对牙本质脱矿抑制作用的体外实验研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 杨春惠. 耳颞神经在颞颌关节周围的分布[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 王昆润. 牙周炎加重期应选用何种抗生素[J]. 国际口腔医学杂志, 1999, 26(04): .
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