上海口腔医学

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (6): 657-660.doi: 10.19439/j.sjos.2018.06.020

• 论著 • 上一篇    下一篇

19例儿童及青少年期含牙囊肿的外科-正畸联合导萌治疗分析

应凯1, 任镟伊1, 王亮1, 毛斌1, 陈康颖1, 杨庆福1, 李想2   

  1. 1.永康市第一人民医院 口腔科,浙江 永康 321300;
    2.南京鼓楼医院集团宿迁市人民医院·徐州医科大学附属宿迁医院 口腔科,江苏 宿迁 223800;
  • 收稿日期:2017-10-30 出版日期:2018-12-25 发布日期:2019-01-11
  • 通讯作者: 李想,E-mail：18012185468@163.com
  • 作者简介:应凯（1976-）,男,学士,副主任医师

Investigation of surgical - orthodontic treatment of dentigerous cysts in 19 children and adolescents

YING Kai1, REN Xuan-yi1, WANG Liang1, MAO Bin1, CHEN Kang-ying1, YANG Qing-fu1, LI Xiang2   

  1. 1.Department of Stomatology, the First People's Hospital of Yongkang City. Yongkang 321300, Zhejiang Province;
    2. Department of Stomatology, Suqian People's Hospital of Nanjing Drum Tower Hospital Group, Suqian Hospital Affiliated to Xuzhou Medical University. Suqian 223800, Jiangsu Province, China
  • Received:2017-10-30 Online:2018-12-25 Published:2019-01-11

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摘要： 目的: 观察闭合式开窗导萌术联合正畸牵引治疗儿童及青少年含牙囊肿的效果。方法: 收集永康市第一人民医院2014—2016年收治的19例儿童及青少年期含牙囊肿,采取闭合式开窗导萌术治疗。术中开窗并去除部分囊壁,充分暴露粘接牙面,粘接正畸牵引附件,将黏膜瓣复位缝合,待1~2个月后开始正畸牵引助萌。结果: 19例患者经治疗后囊腔均逐渐减小直至消失,愈合良好。牙成功达到正常咬合位置;所有萌出牙均牙周健康,牙髓活力正常,牙根形态满意。结论: 使用闭合式开窗导萌术联合正畸牵引治疗儿童及青少年含牙囊肿,可取得良好的临床疗效,为其治疗提供了新的方法。

关键词: 含牙囊肿, 闭合式开窗术, 导萌

Abstract: PURPOSE: To evaluate the therapeutic effect of dentigerous cysts in children and adolescents with surgical windowing and orthodontic traction. METHODS: A total of 19 cases were collected from the First People 's Hospital of Yongkang between 2014 to 2016. All cases were treated with surgical windowing and orthodontic traction. During the operation, fenestration was made to remove part of the cyst wall; full expose the tooth surface for adhesion, attach orthodontic traction attachments, reposition the mucosal flap and suture, and then start orthodontic treatment to guide teeth eruption for 1-2 months. RESULTS: After treatment, the cysts were gradually decreased until disappeared. The teeth successfully reached the normal occlusal position; all erupted teeth have health periodontal tissues, normal pulp vitality, and good root morphology. CONCLUSIONS: Use of surgical windowing and orthodontic traction to treat dentigerous cysts in children and adolescents can achieve good clinical effect, which provides a new treatment method.

Key words: Dentigerous cysts, Surgical windowing, Guided eruption

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