PDF(Pubmed)
Abstract：
Objectives The pediatric dentigerous cysts might vary by region and population group. Large cystic lesions are typically treated with marsupialization before enucleation in order to decompress the lesion and reduce its volume; however, in pediatric cystic lesions, conservative marsupialization and decompression can be used to manage the condition without additional enucleation. The current study\'s objectives were to present a case series of pediatric dentigerous cysts and discuss the conservative management of these cystic lesions associated with mixed dentition. Methods A retrospective cohort analysis of patients diagnosed with cystic lesions between 2016 and 2023 was identified. Data on clinical, radiological, pathological, and odontogenic causes were collected. The marsupialization approach was performed in all cases. Patient demographic information was also examined, and a literature review was carried out to identify comparable cases. Results Sixteen young patients were diagnosed with dentigerous cysts, and this was confirmed by clinical, radiological, and pathological examinations. Females comprised 56.2% of the cases, with the right side predominating (62.5%). Deciduous teeth related to the lesion could be extracted normally in all cases. All associated permanent teeth erupted rapidly after the intervention. Conclusion The marsupialization technique used in the current cases of dentigerous cysts associated with mixed dentition was highly successful, and all permanent impacted teeth erupted without any cystic recurrence.
摘要：
目的小儿牙囊肿可能因地区和人群而异。大的囊性病变通常在摘除前用袋袋化术治疗，以减压病变并减小其体积；然而，在小儿囊性病变中，保守的有袋化和减压可用于控制病情，而无需额外的摘除。本研究的目的是介绍一系列儿科牙轮囊肿，并讨论与混合牙列相关的囊性病变的保守治疗。方法对2016年至2023年确诊的囊性病变患者进行回顾性队列分析。临床数据，放射学,病态,收集牙源性原因。在所有情况下都进行了有袋化方法。还检查了患者的人口统计信息，并进行了文献综述以确定可比病例。结果16例青年患者诊断为牙轮囊肿,临床证实了这一点，放射学,和病理检查。女性占56.2%，右侧占主导地位（62.5%）。与病变相关的乳牙在所有情况下都可以正常拔除。所有相关的恒牙在干预后迅速萌出。结论袋状化技术应用于目前混合牙列相关的牙囊囊肿是非常成功的。所有恒牙阻生，没有任何囊性复发。
