| 儿童替牙期含牙囊肿开窗减压保守治疗及疗效观察 |
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| 引用本文： | 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) |
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| 作者姓名： | 汪隼 曹慧珍 冯希平 |
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| 作者单位： | 上海交通大学,医学院第九人民医院口腔医学院口腔预防儿童科,上海市口腔医学研究所,上海市口腔医学重点实验室,上海,200011 |
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| 摘 要： | 目的 观察口内开窗减压术治疗儿童替牙期含牙囊肿的效果.方法 2004～2007年收治替牙期含牙囊肿患者8例,年龄7～12岁;男3例,女5例.其中2例为上颌骨含牙囊肿,6例为下颌骨含牙囊肿;5例囊腔内含牙1枚,3例囊腔含牙3枚.所有患者均于局麻下行口内开窗减压治疗术.术后随访18个月,观察软组织愈合、面部畸形发生、恒牙萌出及骨组织愈合情况.结果 术后随访发现,所有患者囊肿囊腔消失;患者面部形态正常,未见颌骨畸形发生.其中5例恒牙完全萌出,<牙合>关系正常;1例恒牙萌出2/3,骀关系接近正常;2例恒牙即将萌出.X线检查显示,原颌骨密度减低阴影均消失.结论 对儿童替牙期含牙囊肿施行口内开窗减压保守治疗,能达到保牙和保骨的效果.
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| 关 键 词： | 含牙囊肿 开窗术 减压术 |
Therapeutic effects of fenestration in treatment of dentigerous cyst in mixed dentition stage |
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| WANG Sun,CAO Hui-zhen,FENG Xi-ping. Therapeutic effects of fenestration in treatment of dentigerous cyst in mixed dentition stage[J]. Journal of Shanghai Jiaotong University:Medical Science, 2009, 29(6) |
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| Authors: | WANG Sun CAO Hui-zhen FENG Xi-ping |
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| Abstract: | Objective To observe the therapeutic effects of fenestration in the treatment of dentigerous cyst in mixed dentition stage. Methods From 2004 to 2007, 8 cases of dentigerous cyst in mixed dentition stage were treated, among whom 3 were boys and 5 were girls with ages between 7 and 12 years old. The dentigerous cysts of 2 cases were in superior maxillary bone and the other 6 cases were in inferior maxillary bone. Each of 5 cases had one tooth in dentigerous cyst cavity, and each of the other 3 had 3 teeth in dentigerous cyst cavity. All patients received fenestration under local anesthesia. The patients were followed up for 18 months after fenestration, and the soft tissue healing, facial malformation, permanent teeth eruption and bone tissue healing were observed. Results It was found during follow up that cyst cavity disappeared in all the patients and all had normal facial morphology with no maxillary bone malformation. In five cases, permanent teeth erupted totally and dental occlusion kept normal. In one case, 2/3 of permanent teeth erupted and dental occlusion kept almost normal. While in the other two cases, permanent teeth were to erupt. It was revealed by X ray examinations that the shadow of maxillary bone density decrease disappeared in all the patients. Conclusion Fenestration can keep the teeth and bone in the treatment of dentigerous cyst in the mixed dentition stage. |
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| Keywords: | dentigerous cyst fenestration decompression |
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