牙囊囊肿也称为滤泡囊肿。它是发育起源的牙源性囊肿。牙质囊肿受累,通过扩大其毛囊而嵌入或淹没的牙齿。正常的滤泡间隙通常为3-4毫米,但有牙囊,则可能为5毫米或更大。这些是第二常见的牙源性囊肿,文献显示,在真正的颌骨囊肿中,发生率为24%。最常见的是下颌第三磨牙,其次是上颌尖牙和第三磨牙。放射学表现为受影响牙齿周围的单眼射线可透性。在我们的病例中,囊肿是一个大的牙列囊肿,发生在9岁的儿童中。完成囊性病变的完全摘除并用铋碘仿石蜡糊(BIPP)填充。BIPP敷料以规则的间隔更换,并且在大约5个月内完成了超过60%的骨形成,这在X光片上很明显。结论:用于消除的方法包括摘除,减压袋化,但治疗方式也取决于年龄,现有牙列,病变的位置和大小。
■高尔G,AgarwalP,GoyalG,etal.在9岁儿童中,采用BIPP进行眼球摘除和开放包装的大型牙科囊肿的管理:一例报告。IntJClinPediatrDent2023;16(3):515-517。
Dentigerous cyst is also known as follicular cyst. It is an odontogenic cyst of developmental origin. The dentigerous cyst involves
impacted, embedded or submerged tooth by expansion of its follicle. The normal follicular space is mostly 3-4 mm but with dentigerous cyst it can be 5 mm or more. These are second most commonly occurring odontogenic cysts and literature shows occurrence of 24% among true cysts of jaw. It is most commonly associated with mandibular 3rd molar followed by maxillary canine and third molar. Radiographically occurring as unilocular radiolucency around an
impacted tooth. In our
case the cyst was a large dentigerous cyst occurring in 9-year-old child having mixed dentition. Complete enucleation of the cystic lesion and packing open with bismuth iodoform paraffin paste (BIPP) was done. BIPP dressing was changed at regular intervels and more than 60% of bone formation was complete in around 5 months which was evident on the radiograph. Conclusion: Methods employed for elimination include enucleation, decompression marsupialization but the treatment modality also depends upon age, existing dentition, location and size of the lesion.
UNASSIGNED: Gaur G, Agarwal P, Goyal G, et al. Management of a Large Dentigerous Cyst with Enucleation and Packing Open with BIPP in 9-year-old Child: A
Case Report. Int J Clin Pediatr Dent 2023;16(3):515-517.