本文回顾了儿科患者颌骨区域遇到的牙源性和发育性口腔病变。讨论了牙源性肿瘤的发生过程,因为它对于理解牙源性肿瘤的发病机理至关重要。临床表现,微观特征,并针对新生儿的牙源性病变(新生儿的牙层囊肿/牙龈囊肿,先天性(颗粒细胞)的新生儿,黑素性神经外胚层肿瘤,脉络膜瘤/异位症,前肠起源的囊肿),与未萌出/萌出牙齿相关的病变(增生性牙囊,喷发囊肿,牙质囊肿,牙源性角化囊肿/角化囊性牙源性肿瘤,颊分叉囊肿/炎性侧支囊肿)和儿童牙源性错构瘤和肿瘤(牙瘤,成釉细胞纤维瘤,成釉细胞瘤,腺瘤样牙源性肿瘤,原始牙源性肿瘤)。儿童牙源性和发育性口腔病变的范围从常见到罕见,但由于这些诊断的管理影响各不相同,因此熟悉这些实体至关重要.
This article reviews odontogenic and developmental oral lesions encountered in the
gnathic region of pediatric patients. The process of odontogenesis is discussed as it is essential to understanding the pathogenesis of odontogenic tumors. The clinical presentation, microscopic features, and prognosis are addressed for odontogenic lesions in the neonate (dental lamina cysts/gingival cysts of the newborn, congenital (granular cell) epulis of the newborn, melanotic neuroectodermal tumor, choristoma/heterotopia, cysts of foregut origin), lesions associated with unerupted/erupting teeth (hyperplastic dental follicle, eruption cyst, dentigerous cyst, odontogenic keratocyst/keratocystic odonogenic tumor, buccal bifurcation cyst/inflammatory collateral cyst) and pediatric odontogenic hamartomas and tumors (odontoma, ameloblastic fibroma, ameloblastoma, adenomatoid odontogenic tumor, primordial odontogenic tumor). Pediatric odontogenic and developmental oral lesions range from common to rare, but familiarity with these entities is essential due to the varying management implications of these diagnoses.