Abstract:
The objective of this case report and review of the literature is to address spontaneously regressing radiolucent lesions affecting the mandible. In 2010, a 16-year-old girl presented with an impacted mandibular third molar associated with a radiolucent lesion. At that time, the treating clinician considered the lesion to be at high risk of causing life-threatening bleeding. Therefore, it was suggested that she not have her tooth extracted. The patient was lost to follow-up for 8 years. Recent radiographs obtained by an oral and maxillofacial surgeon revealed that the lesion had resolved spontaneously. This article also reviews and summarizes cases in the literature in which radiolucent mandibular lesions regressed without treatment or with minimal intervention such as aspiration or incisional biopsy. The current case report and previously reported findings of spontaneous regression underscore the importance of establishing an accurate differential diagnosis and highlight the benefits of a multidisciplinary approach involving general dentists, oral and maxillofacial radiologists, pathologists, and surgical colleagues for management of mandibular radiolucencies.
摘要:
此病例报告和文献综述的目的是解决影响下颌骨的放射性可透性病变的自发消退。2010年,一名16岁女孩出现下颌第三磨牙受累,并伴有射线可透性病变。当时,治疗临床医生认为该病变有很高的致命性出血风险.因此,有人建议她不要拔牙。患者失访8年。口腔颌面外科医生最近获得的X射线照片显示,病变已自发解决。本文还回顾并总结了文献中放射性下颌骨病变在未经治疗或进行最小干预(例如抽吸或切开活检)的情况下消退的病例。当前的病例报告和先前报道的自发消退的发现强调了建立准确鉴别诊断的重要性,并强调了涉及普通牙医的多学科方法的益处。口腔和颌面放射科医师,病理学家,和外科同事处理下颌骨放射性。