Acta Metallurgica Sinica

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  • Online:2020-10-15 Published:2020-11-23

袋形术与正畸治疗促进含牙囊肿内阻生牙萌出

郭珍珍1a王智军1b杨学文2   

  1. 1. 厦门医学院附属口腔医院a口腔颌面外科,b口腔正畸科,福建  厦门  361006;2. 武汉大学口腔医学院·口腔医院口腔颌面外科,湖北  武汉  430079
  • 作者简介:杨学文,医学博士,教授、主任医师、硕士研究生导师。现任武汉大学口腔医学院·口腔医院口腔颌面外科教研室主任、正颌与唇腭裂整形外科主任。兼任中华口腔医学会口腔颌面创伤与正颌专业委员会副主任委员、湖北省口腔医学会常务理事、《中国口腔颌面外科杂志》《口腔医学研究》杂志编委。发表学术论文60余篇。参编研究生规划教材《正颌外科学》等专著10余部。获省部级科研、教学成果奖4项(其中主持1项)。

Abstract: Dentigerous cyst is one of the common cystic lesions of the jaw bone,which is usually accompanied by impacted teeth. Although the traditional surgical removal method(enucleation)can eradicate the lesion,it is very likely to cause dentition defect,nerve injury,adjacent tooth injury or loss of dental pulp vitality. At present,more and more scholars advocate the use of marsupialization to reduce the injury of adjacent structures and preserve the intracyctic embedded teeth,and satisfactory results have been achieved by marsupialization combined with orthodontic traction to promote the eruption of cyst-associated teeth if they are deeply impacted. The article briefly introduces the formation of dentigerous cysts,indications for marsupialization and orthodontic traction for impacted teeth within cyst.

Key words: dentigerous cyst, marsupialization, orthodontic treatment

摘要: 含牙囊肿是口腔内常见的颌骨囊性病变之一,通常伴有阻生牙。刮除术虽能根除病变,但易造成牙列缺损、神经损伤、邻牙损伤或牙髓活力丧失等。近年来临床上常用的袋形术,可减少邻近结构的创伤及提高囊内阻生牙的存留率,对于位置深或无法自行萌出的阻生牙配合正畸牵引可取得满意的效果。文章简要介绍含牙囊肿的形成、袋形术的适应证以及囊肿内阻生牙的正畸牵引等临床问题。

关键词: 含牙囊肿, 袋形术, 正畸治疗