PDF(Pubmed)
Abstract：
BACKGROUND: Dentigerous cysts, deemed of developmental origin, are benign odontogenic cysts characterized by a gradual growth rate. Their occurrence is twice as prevalent in men compared to women. These cysts are recognized as the most frequent developmental cysts affecting the jaws, with a typical manifestation in individuals aged 20 to 40, while infrequently identified in young children. Notably, dentigerous cysts have the potential to attain significant dimensions, resulting in painless enlargement of the jaw and subsequent deformation.
OBJECTIVE: To assess the clinicopathological features and management of ten years of experience with dentigerous cysts.
METHODS: A challenging cases were reported from reviewed records of the patients who were treated by the surgical intervention of various dentigerous cysts throughout the period of ten years, 2012-2022 and only histologically confirmed cases were selected, at Ramadi Teaching Hospital in addition to Rashid, Razi, Zuhur Private Hospitals and private clinics in Iraq.
RESULTS: 76 patients were included in this clinicopathological research. The highest age group affected was ≤ 18 years (68.4%), 54% were male, the mandible was more affected (63.1%) than the maxilla (36.9%). Marsupialization was applied to 30.3% of the cases, while enucleation was carried out in 69.7%.
CONCLUSIONS: The significance of meticulous examination of radiographs and the consequences associated with undetected and untreated ailments is affirmed by this case study. A comprehensive understanding of oral pathology serves as a valuable resource for dentists, facilitating accurate diagnosis, appropriate referrals, and the provision of anticipatory guidance to patients striving to achieve optimal oral health across various age groups.
OBJECTIVE: To assess the clinicopathological features and management of ten years of experience with dentigerous cysts.
METHODS: A challenging cases were reported from reviewed records of the patients who were treated by the surgical intervention of various dentigerous cysts throughout the period of ten years, 2012-2022 and only histologically confirmed cases were selected, at Ramadi Teaching Hospital in addition to Rashid, Razi, Zuhur Private Hospitals and private clinics in Iraq.
RESULTS: 76 patients were included in this clinicopathological research. The highest age group affected was ≤ 18 years (68.4%), 54% were male, the mandible was more affected (63.1%) than the maxilla (36.9%). Marsupialization was applied to 30.3% of the cases, while enucleation was carried out in 69.7%.
CONCLUSIONS: The significance of meticulous examination of radiographs and the consequences associated with undetected and untreated ailments is affirmed by this case study. A comprehensive understanding of oral pathology serves as a valuable resource for dentists, facilitating accurate diagnosis, appropriate referrals, and the provision of anticipatory guidance to patients striving to achieve optimal oral health across various age groups.
摘要：
背景：牙囊肿，被认为是发展起源，良性牙源性囊肿的特征是逐渐生长的速度。它们在男性中的发生率是女性的两倍。这些囊肿被认为是影响颌骨的最常见的发育性囊肿，在20至40岁的个体中具有典型表现，而在幼儿中很少发现。值得注意的是,牙质囊肿有可能达到显著的尺寸，导致下颌无痛扩大和随后的变形。
目的：评估10年经验的牙科囊肿的临床病理特征和治疗。
方法：从经过十年的各种牙病囊肿手术治疗的患者的回顾记录中报告了一些具有挑战性的病例，2012-2022年，仅选择经组织学证实的病例，除了拉希德，拉马迪教学医院，拉齐,伊拉克的Zuhur私人医院和私人诊所。
结果：76例患者被纳入本临床病理研究。受影响的最高年龄组为≤18岁(68.4%)，54%是男性，下颌骨受影响程度（63.1％）高于上颌骨（36.9％）。对30.3%的病例应用了袋化,而69.7%的患者进行了眼球摘除。
结论：本案例研究证实了对X光片进行细致检查的重要性以及与未发现和未治疗的疾病相关的后果。对口腔病理学的全面了解是牙医的宝贵资源，促进准确诊断，适当的推荐，以及为努力在不同年龄段实现最佳口腔健康的患者提供预期指导。
目的：评估10年经验的牙科囊肿的临床病理特征和治疗。
方法：从经过十年的各种牙病囊肿手术治疗的患者的回顾记录中报告了一些具有挑战性的病例，2012-2022年，仅选择经组织学证实的病例，除了拉希德，拉马迪教学医院，拉齐,伊拉克的Zuhur私人医院和私人诊所。
结果：76例患者被纳入本临床病理研究。受影响的最高年龄组为≤18岁(68.4%)，54%是男性，下颌骨受影响程度（63.1％）高于上颌骨（36.9％）。对30.3%的病例应用了袋化,而69.7%的患者进行了眼球摘除。
结论：本案例研究证实了对X光片进行细致检查的重要性以及与未发现和未治疗的疾病相关的后果。对口腔病理学的全面了解是牙医的宝贵资源，促进准确诊断，适当的推荐，以及为努力在不同年龄段实现最佳口腔健康的患者提供预期指导。
