Maxillofacial Plastic and Reconstructive Surgery

  • 제33권1호
  • /
  • Pages.83-88
  • /
  • 2011
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

함치성 낭종의 조대술 후 미맹출 변위 영구치의 교정적 정출: 증례보고

Forced Eruption of Severe Angulated and Impacted Permanent Teeth after Marsupialization of Dentigerous Cyst: Case Report

  • 남정훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 노경록 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 유우근 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 이병민 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 전지현 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 박수현 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 안장훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학교실) ;
  • 김정희 (한림대학교 임상치의학대학원 치과병원)
  • Nam, Jeong-Hun (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Noh, Kyung-Lok (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Yoo, Woo-Geun (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Byeong-Min (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Jeon, Ji-Hyeon (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Park, Su-Hyun (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Ahn, Jang-Hoon (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Jung-Hee (Dental Hospital, Graduate School of Clinical Dentistry, Hallym University)
  • 투고 : 2010.10.14
  • 심사 : 2011.01.02
  • 발행 : 2011.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The goal of this treatment is the surgical-orthodontic eruption of impacted permanent teeth associated with a large dentigerous cyst in a preadolescent patient. Although enucleation of the entire cyst and the extraction of impacted teeth are common treatments, missing permanent teeth cause several problems in young patients. In this report, an 11-year-old female visited with the chief complaint of a large radiolucent lesion from the mandibular anterior area to the left mandibular posterior area. The permanent left canine and premolars were displaced toward the mandibular inferior border area. The extraction of infected deciduous teeth and marsupialization were performed. After 4 months, orthodontic buttons for forced eruption were applied to the impacted permanent teeth. The teeth emerged into the oral cavity 3 months after the orthodontic treatment. Although the root form was abnormal, there were no other pathogenic signs. The alveolar bone had a normal trabecular pattern and the teeth appeared to be well maintained at postoperative 24 months.

키워드

참고문헌

  1. Takagi S, Koyama S. Guided eruption of an impacted premolar associated with a dentigerous cyst in the maxillary sinus of a 6-year-old child. J Oral Maxillofac Surg 1998;56: 237-9. https://doi.org/10.1016/S0278-2391(98)90876-X
  2. Neville BW, Damm DD, Allen CM, et al. Oral & maxillofacial pathology. 2nd ed. Philadelphia: WB Saundersl; 2002. p. 593.
  3. Clauser C, Zuccati G, Barone R, Villano A. Simplified surgical- orthodontic treatment of dentigerous cyst. J Clin Orthod 1994;28:103-6.
  4. Sain D, Hollis WA, Togrye AR. Correction of superiorly displaced impacted canine due to a large dentigerous cyst. Am J Orthod Dentofacial Orthop 1992;102:270-6. https://doi.org/10.1016/S0889-5406(05)81063-7
  5. Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cyst. Am J Orthod Dentofacial Orthop 2003;124:515-20. https://doi.org/10.1016/j.ajodo.2003.04.001
  6. Miyawaki S, Hyomoto M, Tsubouchi J, Kirita T, Sugimura M. Eruption speed and rate of angulation change of a cyst-associated mandibular second premolar after marsupialization of a dentigerous cyst. Am J Orthod Dentofacial Orthop 1999;116:578-84. https://doi.org/10.1016/S0889-5406(99)70192-7
  7. Maltoni I, Maltoni M, Siciliani G. Rescuing teeth from dentigerous cyst: a case report. Prog Orthod 2007;8:46-53.
  8. Marks SC Jr, Schroeder HE. Tooth eruption: theories and facts. Anat Rec 1996;245:374-93. https://doi.org/10.1002/(SICI)1097-0185(199606)245:2<374::AID-AR18>3.0.CO;2-M
  9. Jun CH, Jeong JC, Song MS, et al. Conservative treatment of dentigerous cyst; 5 cases. J Korean Oral Maxillofac Surg 2003;29:135-9.
  10. Kim HW, Yoon KH, Park KS, Jung JK, Ban JH, You MS. Marsupialization in resolving dentigerous cysts. J Korean Maxillofac Plast Reconstr Surg 2005;27:76-80.
  11. Kim SM, Chung SW, Cha IH, Chung SW. Normal eruption guidance of unerupted permanent teeth associated with dentigerous cyst by decompression: 5 cases report. J Korean Oral Maxillofac Surg 2009;35:271-5.
  12. Kim WS, An KM, Sohn DS. Surgical and orthodontic treatment of impacted teeth associated with dentigerous cysts: case report. J Korean Maxillofac Plast Reconstr Surg 2009; 31:173.
  13. Gang TI, Park YJ, Nam JH, et al. Case report of treatment of multiple odontogenic keratocysts with basal cell nevus syndrome using preoperative marsupialization and orthodontic extrusion. J Korean Maxillofac Plast Reconstr Surg 2009;31:429-34.
  14. Choi JW, Choi JM, Cha IH, et al. Eruption and autotransplantation of a permanent teeth related to dentigerous cyst in mixed dentition. J Korean Oral Maxillofac Surg 2009; 35:462.
  15. Kim YH, Lee EW. Comparison of clinico-histopathologic findings before and after decompression of odontogenic cyst in the jaw. J Korean Oral Maxillofac Surg 2005;31:150-60.