함치성 낭종은 일반적으로 미맹출 치아의 치관을 포함하고 있는 형태로, 치아 법랑질과 이장 상피 사이에 액체가 축적되어 생긴 잔존 법랑상피조직의 퇴행성 변화로 부터 생긴다. 치근단 낭 다음으로 가장 흔한 치성 낭종으로, 주로 단독으로 발생하고 하악 제 3대구치와 상악 소구치에 호발한다. 악골의 다발성 낭종은 주로 기저세포 모반 증후군과 관련된 치성 각화낭이 대부분이고, 점액다당류증 또는 쇄골두개 이형성증과도 관련이 있을 수 있다. 단발성의 함치성 낭종은 우리에게 친숙할 정도로 유병율에서 치료 및 예후까지 잘 알려져 있으나, 전신병력이 없는 다발성의 함치성 낭종은 드물며, 상악과 하악에 발생한 다발성 낭종은 특히 더 드물다. 본 증례는 편측성으로 양악에 함께 발생한 다발성의 함치성 낭종을 가진 11세 소년에 대한 치료 증례로 1년간의 관찰 후 양호할만한 결과를 얻었기에 보고하는 바이다. 1년이라는 관찰 기간이 짧기 때문에 향후 지속적인 임상적, 방사선적 관찰을 필요로 하리라 사료된다.
함치성 낭종은 일반적으로 미맹출 치아의 치관을 포함하고 있는 형태로, 치아 법랑질과 이장 상피 사이에 액체가 축적되어 생긴 잔존 법랑 상피조직의 퇴행성 변화로 부터 생긴다. 치근단 낭 다음으로 가장 흔한 치성 낭종으로, 주로 단독으로 발생하고 하악 제 3대구치와 상악 소구치에 호발한다. 악골의 다발성 낭종은 주로 기저세포 모반 증후군과 관련된 치성 각화낭이 대부분이고, 점액다당류증 또는 쇄골두개 이형성증과도 관련이 있을 수 있다. 단발성의 함치성 낭종은 우리에게 친숙할 정도로 유병율에서 치료 및 예후까지 잘 알려져 있으나, 전신병력이 없는 다발성의 함치성 낭종은 드물며, 상악과 하악에 발생한 다발성 낭종은 특히 더 드물다. 본 증례는 편측성으로 양악에 함께 발생한 다발성의 함치성 낭종을 가진 11세 소년에 대한 치료 증례로 1년간의 관찰 후 양호할만한 결과를 얻었기에 보고하는 바이다. 1년이라는 관찰 기간이 짧기 때문에 향후 지속적인 임상적, 방사선적 관찰을 필요로 하리라 사료된다.
Dentigerous cysts generally encompass the crown of an unerupted tooth. These cysts are usually solitary. They are the second most common odontogenic type of cysts following radicular cysts, and are frequently associated with impacted mandibular third molars or maxillary canines. Most multiple cysts ...
Dentigerous cysts generally encompass the crown of an unerupted tooth. These cysts are usually solitary. They are the second most common odontogenic type of cysts following radicular cysts, and are frequently associated with impacted mandibular third molars or maxillary canines. Most multiple cysts found in the jaw are odontogenic keratocysts associated with the nevoid basal cell carcinoma syndrome, mucopolysaccharidoses and cleidocranial dysplasia. Although a single dentigerous cyst is well documented in the medical literature, including the prevalence, treatment and prognosis, multiple dentigerous cysts without any systemic symptoms is unusual. Furthermore, cases involving both the maxilla and mandible are especially rare. We present the case of an 11-year-old boy with nonsyndromic multiple dentigerous cysts associated with a mandibular second premolar and a maxillary canine. The treatment was conservative and included marsupialization and eruption guidance. Further follow up is planned to rule out additional problems and the possible identification of a syndrome.
Dentigerous cysts generally encompass the crown of an unerupted tooth. These cysts are usually solitary. They are the second most common odontogenic type of cysts following radicular cysts, and are frequently associated with impacted mandibular third molars or maxillary canines. Most multiple cysts found in the jaw are odontogenic keratocysts associated with the nevoid basal cell carcinoma syndrome, mucopolysaccharidoses and cleidocranial dysplasia. Although a single dentigerous cyst is well documented in the medical literature, including the prevalence, treatment and prognosis, multiple dentigerous cysts without any systemic symptoms is unusual. Furthermore, cases involving both the maxilla and mandible are especially rare. We present the case of an 11-year-old boy with nonsyndromic multiple dentigerous cysts associated with a mandibular second premolar and a maxillary canine. The treatment was conservative and included marsupialization and eruption guidance. Further follow up is planned to rule out additional problems and the possible identification of a syndrome.
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제안 방법
One month after surgery, the patient was referred to the department of pediatric dentistry for oral care and eruption guidance using a space maintainer. Extraction of the primary maxillary right first and second molars and the mandibular second molar was performed, and the affected teeth were guided to erupt with a space maintainer. One year later, osseous tissue was found at the area where the cyst was marsupialized (Fig.
simultaneously. This patient was treated with a conservative procedure such as marsupialization and eruption guidance using a space maintainer. Monitoring for 1 year is not enough to follow up the patient, thus further clinical and radiographical examinations in a regular basis is needed to assess the prognosis such as the recurrence of the cyst and systemic diseases.
대상 데이터
A 11-year-old boy was referred to the Department of Oromandibulo- facial Surgery, Chonnam National University Hospital, in Gwangju, to evaluate the asymptomatic facial swelling. There were no specific findings on the family, medical and dental history.
Therefore, the final diagnosis was confirmed to be dentigerous cysts of the permanent maxillary right canine and mandibular right second premolar. One month after surgery, the patient was referred to the department of pediatric dentistry for oral care and eruption guidance using a space maintainer. Extraction of the primary maxillary right first and second molars and the mandibular second molar was performed, and the affected teeth were guided to erupt with a space maintainer.
Removal of the cyst was done in all cases except one that was not treated. They treated a 14-yearold male patient who had dentigerous cysts on permanent mandibular left second molar and maxillary right third molar by the same procedure.
This case report is about a 11-year-old boy who had unilateral multiple dentigerous cysts on the maxilla and man由ble simultaneously. This patient was treated with a conservative procedure such as marsupialization and eruption guidance using a space maintainer.
후속연구
5). Clinical and radiographic examination is planned for further monitoring.
참고문헌 (19)
Sapp JP, Eversole LR, Wysocki GP : Contemporary oral and maxillofacial pathology, 2nd ed. New York, Elsevier Inc, 45-56. 2005.
Kramer IRH, Pindborg JJ, Shear M : Histological typing of odontogenic tumors, 2nd ed. New York, Springer-Verlag, 34-42, 1992.
Neville BW, Damm DD, Allen CM, et al. : Oral & Maxillogacial pathology. 2nd ed. Philadelphia, W.B. Saunders co, 590-601, 2002.
Mosqueda-Taylor A, Irigoyen-Camacho ME, DiazFranco MA, et al. Odontogenic cyst; Analysis of 856 cases. Med Oral. 7:89-96. 2002.
Ochsenius G, Escobar E, Godoy L, et al. :
Meninggaud JP, Oprean N, Pitak-Arnnop P : Odontogenic cyst: a clinical study of 695 cases. J Oral Sci. 48: 59-62, 2006.
McDonald JS. : Tumors of the Oral Soft tissues and cysts and tumors of the bone. In: McDonald RE, Avery DR, eds. Dentistry for the Child and Adolescent. 8th ed. Philadelphia, CV Mosby Co, 148-173, 2004.
Cawson RA, Binnie WH, Eveson JW, et al. Color atlas of oral disease. 2nd ed. Hong Kong, Mosby year book europe Ltd, 5.1-5.16, 2002.
Shafer WG, Hine MK, Levy BM, et al. : A textbook of oral pathology. 2nd ed. Philadelphia. W.B Saunders Co, 258-317, 1983.
Ko KS, Dover DG, Jordan RC : Bilateral dentigerous cysts - report of an unusual case and review of the literature. J Can Dent Assoc, 65:49-51, 1999.
Freitas DQ, Tempest LM, Sicoli E, et al. : Bilateral dentigerous cysts: review of the literature and report of an unusual case. Dentomaxillofac radiol, 35:464-468, 2006.
Evren U, Suat F, Cetin A, et al. : Bilateral maxillary dentigerous cysts: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95:632-635, 2003.
Kang IS, Yang KH : Treatment of dentigerous cyst using marsupialization: a case report. J Kor Acad Pediatr Dent 25:613-618, 1998.
Park SJ, Lee KH, Kim DE : Case of dentigerous cysts treated by marsupialization. J Kor Acad Pediatr Dent, 30:459-464, 2003.
Eom CY, Choi YC, Lee KH : Two cases of dentigerous cysts treated by marsupialization. J Kor Acad Pediatr Dent, 25:268-276, 1998.
Kim JY, Kim HJ. Kim YJ, et al.: Eruption pattern of a cyst-associated mandibular premolar after marsupialization of a dentigerous cyst. J Kor Acad Pediatr, 30:373-384, 2003.
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