Use of Patient-Specific Titanium Plates to Prevent Iatrogenic Mandibular Fracture During the Surgical Removal of Dentigerous Cysts: A Two-Case Series.

患者专用钛板在牙科囊肿手术切除期间预防医源性下颌骨骨折的使用 ： 两例系列。

• 发表时间: 2024 Jul
• 来源期刊: Cureus
• DOI: 10.7759/cureus.64520
• PMID: 39139352
• 文章类型: Case Reports
• 作者列表: Bazin H,Felizardo R,Lescaille G,Rochefort J,Boussouni S

关键词: dentigerous cyst; mandibular fracture; osteosynthesis; patient-specific implants; preventive treatment

Abstract

Dentigerous cysts, if left untreated, can grow significantly and weaken the mandible, posing risks of pathological or iatrogenic fracture. Treatment options may include decompression, marsupialization, and enucleation, which are available, with the choice being multifactorial and tailored to each case. This article describes the management of two complex dentigerous cysts at risk of fracture, one about an 84-year-old woman and the second about a 41-year-old man. The cysts and associated teeth were surgically removed, and simultaneously custom-made titanium osteosynthesis plates were placed to prevent per- and postoperative fracture risks. This approach appears to be indicated in cases where marsupialization or decompression is impossible and when there is a high risk of iatrogenic fracture.

摘要

牙囊囊肿,如果不及时治疗，可以显着生长并削弱下颌骨，造成病理性或医源性骨折的风险。治疗方案可能包括减压，有袋化,和摘除，可用的，选择是多因素的，适合每个案例。本文介绍了两个有骨折风险的复杂牙质囊肿的治疗方法，一个是84岁的女人，第二个是41岁的男人。囊肿和相关牙齿被手术切除，同时放置定制的钛接骨板以防止每次和术后的骨折风险。这种方法似乎适用于无法进行有袋化或减压以及医源性骨折风险较高的情况。