关键词: Jaw Marsupialization Teeth involved cystic lesions

Mesh : Male Humans Female Child Dental Pulp Retrospective Studies Clinical Relevance Jaw / pathology Oral Surgical Procedures

来  源:   DOI:10.1016/j.jormas.2022.10.004

Abstract:
Jaw cyst is the most common pathology in the oral and maxillofacial region. The management of the teeth involved in cystic lesions is highly controversial. However, if the teeth involved in the cystic lesion could be preserved with their pulp vitality, the life span of these teeth will be considerably lengthened to improve the masticatory function of these patients after surgery. The present retrospective study over 10 years; with 92 patients that had cystic lesions of the jaws aimed to evaluate the effect of marsupialization on the preservation of the vitality teeth involved in the cystic lesion before and after treatment taking.
clinical retrospective study between January 2013 and January 2022, included 92 patients with a cystic lesion of jaw treated by marsupialization were carried out. The clinical data were collected; the number of teeth involved in the cystic lesion, the vitality of these teeth before and after marsupialization, the number of teeth that have undergone root canal treatment, the number of cases of failure (teeth that were extracted during surgery to open the cystic lesion and teeth that were extracted after surgery) as well as the duration of treatment for each patient were assessed.
Of 92 patients, 54 were men and 38 women with ages ranged from 7 years to 62 years were enrolled in this study.380 teeth were involved in the cystic lesion of that 352 teeth were positive and 28 teeth were negative before marsupialization. 28 teeth underwent root canal treatment before surgery. After surgery, 338 teeth were positive and 42 were negative. Among the 42 negative teeth, 31 teeth failed (extracted) and 11 teeth recovered their vitality before the end of the treatment.321 teeth were saved and preserved their pulp vitality.
The effect of marsupialization is good; it saves and preserves the vitality of the teeth involved in the cystic lesion and it reduces the cost of treatment for the patients.
摘要:
背景:颌骨囊肿是口腔颌面部最常见的病理。涉及囊性病变的牙齿的管理存在很大争议。然而,如果与囊性病变有关的牙齿可以保留其牙髓活力,这些牙齿的寿命将大大延长,以改善手术后这些患者的咀嚼功能。本回顾性研究超过10年;有92例颌骨囊性病变的患者,旨在评估袋状化对治疗前后囊性病变所涉及的活力牙齿保存的影响。
方法:对2013年1月至2022年1月的92例颌骨囊性病变患者进行回顾性研究。收集临床资料;囊性病变受累的牙齿数量,这些牙齿在有袋之前和之后的活力,经过根管治疗的牙齿数量,评估了每位患者的失败病例数(在手术中为了打开囊性病变而拔除的牙齿和在手术后拔除的牙齿)以及治疗持续时间.
结果:在92例患者中,这项研究招募了54名男性和38名女性,年龄从7岁到62岁不等。囊性病变涉及380颗牙齿,其中352颗牙齿为阳性,28颗牙齿为阴性。术前接受根管治疗28颗牙齿。手术后,338颗牙齿为阳性,42颗为阴性。在42颗负齿中,31颗牙齿失败(拔出),11颗牙齿在治疗结束前恢复了活力。321颗牙齿被保存并保留了它们的牙髓活力。
结论:有袋化治疗效果良好;它保存并保留了囊性病变中涉及的牙齿的活力,并降低了患者的治疗费用。
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