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초록

치아종은 유치나 영구치배의 지속적인 치배 형성이나 법랑기 세포들의 비정상적인 증식의 결과로 발생하는 방사선 불투과성 병소로, 비교적 흔한 치원성 종양이며 인접한 치아의 맹출을 방해 할 수 있다. 치아종은 영구치열기에서 주로 관찰되고, 유치열기에서는 매우 드문 것으로 보고되고 있다. 본 증례 보고에서는 치아종에 의해 매복된 유치가 치아종의 외과적 발거 후 자연 맹출된 증례들을 보고하고자 한다. 매복유치는 계승 영구치의 발육과 맹출 문제를 야기할 수 있기 때문에 치아종이 제거된 후에도 계승 영구치가 맹출할 때까지 장기적인 검사 및 관찰이 필요하다.

Abstract AI-Helper 아이콘AI-Helper

Odontomas generally appear as small, solitary, or multiple radio-opaque lesions found on routine radiographic examinations. It is a comparatively common odontogenic tumor, and may lead to interfere with the eruption of its associated tooth. In general, odontomas occur more often in permanent dentiti...

Keyword

AI 본문요약
AI-Helper 아이콘 AI-Helper

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제안 방법

  • 4). A provisional diagnosis of an odontoma was made, and the patient was scheduled for surgical removal of the lesion under general anesthesia. Signs of spontaneous eruption were seen in the radiograph, and the primary canine was positioned in the dental arch at a 6-months follow-up visit (Fig.
  • Root formation of the impacted teeth was complete in all five cases. It is difficult to propose a clear explanation with respect to how the five primary teeth reported in this study, with fullygrown roots, spontaneously erupted after removal of the odontomas. Indeed, very little literature regarding spontaneous eruption of impacted primary teeth associated with odontomas is available.
  • The succedaneous tooth, which is the second premolar, was congenitally missing. The patient was scheduled for surgical removal of the lesion and the operation was performed under local anesthesia. The chance of re-eruption of this impacted primary molar was anticipated as being very slim, and thus button bonding was carried out during the surgery in case orthodontic traction was later needed (Fig.
  • 11). Post-operative recovery was uneventful, and the patient was followed-up regularly to monitor the eruption of the impacted primary second molar. Although eruption occurred at a very slow rate, signs of spontaneous eruption were observed after 3 months by routine periapical radiograph (Fig.

대상 데이터

  • A girl aged 3 years and 2 months presented with an unerupted right maxillary primary canine. Periapical radiograph and CT of the upper canine region showed that multiple radio-opaque structures were present around the crown of the unerupted canine (Fig.
  • A boy aged 3 years and 6 months was referred for management of swelling in the left maxillary primary canine region. Periapical and panoramic radiographs were taken.
  • A five-year-old girl was referred from a local clinic due to eruption failure of the lower left primary canine. Periapical and panoramic radiographs revealed multiple radio-opaque structure just below the mesially tilted primary canine (Fig.
  • A boy aged 5 years and 2 months presented with an impacted lower right primary second molar. A tiny radioopaque mass, which caused the impaction, was observed right above the primary molar crown in periapical and panoramic radiographs (Fig.
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참고문헌 (24)

  1. Neville BW, Damm DD, Allen CM, et al. : Oral and Maxillofacial Pathology 2nd edn. Saunders, Missouri, USA, 631-632, 2002. 

  2. Sheehy EC, Odell EW, Al-Jaddir G : Odontomas in the primary dentition. J Dent Child, 71:73-76, 2004. 

  3. Hisatomi M, Asaumi J-I, Konouchi H, et al. : A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas. Oral Dis, 8:100-105, 2002. 

  4. Kramar IRH, Pindborg JJ, Shear M : World Health Organization International Histological Classification of Tumors - Histological Typing of Odontogenic Tumours, 2nd edn., Springer-Verlag, Berlin Heidelberg, Germany, 11-42, 1992. 

  5. Stajcic ZZ : Odontoma associated with a primary tooth. J Pedod, 12:415-420, 1988. 

  6. Owens BM, Schuman NJ, Mincer HH, et al. : Dental odontomas: a retrospective study of 104 cases. J Clin Pediatr Dent, 21:261-264, 1997. 

  7. Katz RW : An analysis of compound and complex odontomas. J Dent Child, 56:445-449, 1989. 

  8. Regezi JA, Kerr DA, Courtney R : Odontogenic tumors: analysis of 706 cases. J Oral Surg, 36:771- 778, 1978. 

  9. Sohma Y, Takagi R, Hoshina H, et al. : Clinicostatistical evaluation of odontogenic tumors; Report of 110 cases during the past 23 years. Japanese J Oral Maxillofac Surg, 47:109-112, 2001. 

  10. Kaugars GE, Miller ME, Abbey LM : Odontomas. Oral Surg Oral Med Oral Pathol, 67:172-176, 1989. 

  11. de Oliveira BH, Campos V, Marcal S : Compound odontoma-diagnosis and treatment: three case reports. Pediatr Dent, 23:151-157, 2001. 

  12. Noonan RG : A compound odontoma associated with a deciduous tooth. Oral Surg Oral Med Oral Pathol, 32:740-742, 1971. 

  13. Andreasen JO, Petersen JK, Laskin DM : Textbook and Color Atlas of Tooth Impactions. Mosby, Missouri, USA, 23-26, 1997. 

  14. Motokawa W, Braham RL, Morris ME, et al. : Surgical exposure and orthodontic alignment of an unerupted primary maxillary second molar impacted by an odontoma and a dentigerous cyst: a case report. Quintessence Int, 21:159-162, 1990. 

  15. Brunetto AR, Turley PK, Brunetto AP, et al. : Impaction of primary maxillary canine by an odontoma: surgical and orthodontic management. Pediatr Dent, 13:301-302, 1991. 

  16. Haishima K, Haishima H, Yamada Y, et al. : Compound odontomes associated with impacted maxillary primary central incisors: report of two cases. Int J Paediatr Dent, 4:251-256, 1994. 

  17. Kilpatrick NM, Hardman PJ, Welbury RR : Dilaceration of a primary tooth. Int J Paediatr Dent, 1:151-153, 1991. 

  18. Yassin OM : Delayed eruption of maxillary primary cuspid associated with compound odontoma. J Clin Pediatr Dent, 23:147-149, 1999. 

  19. Tandon S, Radhika M : Compound composite odontoma in primary dentition - a case report. J Indian Soc Pedod Prev Dent, 16:111-114, 1998. 

  20. Otsuka Y, Mitomi T, Tomizawa M, et al. : A review of clinical features in 13 cases in impacted primary teeth. Int J Paediatr Dent, 11:57-63, 2001. 

  21. Teruhisa U, Murakami J, Hisatomi M, et al. : A case of unerupted lower primary second molar associated with compound odontoma. Open Dent J, 3: 173-176, 2009. 

  22. Yeung KH, Cheung RC, Tsang MM: Compound odontoma associated with an unerupted and dilacerated maxillary primary central incisor in a young patient. Int J Paediatr Dent, 13:208-212, 2003. 

  23. Han YB, Kim SO, Lee JH, et al. : Orthodontic traction of the lower deciduous second molar impacted by an odontoma. J Korean Acad Pediatr Dent, 36: 84-88, 2009. 

  24. Ryu JR, Kim YJ, Kim HJ, et al. : Eruption disturbance associated with a developing odontoma. J Korean Acad Pediatr Dent, 37:505-511, 2010. 

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