Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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SPONTANEOUS ERUPTION OF PERMANENT TEETH AFTER MARSUPIALIZATION ASSOCIATED WITH DENTIGEROUS CYSTS

함치성낭종의 조대술 후 변위된 영구치의 자가맹출

  • Song, Hee-Jeong (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jae-Gon (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Yang, Yeon-Mi (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Baik, Byeong-Ju (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Mi-Ah (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Jeong, Hae-Kyoung (Department of Pediatric dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 송희정 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 백병주 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김미아 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 정해경 (전북대학교치의학전문대학원 소아치과학교실 및 구강생체과학연구소)
  • Received : 2011.02.09
  • Accepted : 2011.04.04
  • Published : 2011.05.31
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Abstract

A dentigerous cyst is the most common developmental odontogenic cyst. Patients with dentigerous cyst usually feel no pain or discomfort. If it is not treated, tooth eruption might not only be impeded, but also let the tooth translocate to the unusual area. So, early detection and appropriate treatment are important. Enucleation & marsupialization are the best options to treat a dentigerous cyst. Treatment plan depends on patient's age, health, preserve & protect of important structures, and sort of cyst. In these dentigerous cysts cases, by marsupialization and using obturator, affected tooth could be achieved spontaneous eruption into the dental arch even though they were badly dislocated.

함치성낭종은 발육성 기원의 치성낭 중 가장 흔한 형태로서, 미맹출된 치아의 치경부에 부착되어 치관을 감싸고 있는 낭종으로 치관과 위축된 법랑상피 사이에 액체가 축적되어 발생한다. 환자는 보통 동통이나 불편함을 느끼지 않으나, 낭종이 이차적으로 감염될 경우에는 종창과 동통이 발생할 수 있다. 치료를 하지 않을 경우, 낭종은 매복된 치아의 맹출을 저해할 뿐만 아니라, 그 치아를 악골 내 비정상적인 위치로 이동시키므로 조기에 발견하여 적절한 치료를 시행해야 한다. 함치성낭종의 치료방법으로는 적출술이나 조대술, 또는 두 가지를 복합적으로 시행하는 방법이 있다. 치료 방법은 환자의 나이와 신체상태, 환부의 외과적 접근도, 주요 구조물의 보존 및 보호, 낭종의 종류에 따라 결정할 수 있다. 본 증례의 환아들은 각각 주소부위의 맹출 장애, 부종과 통증을 주소로 본과에 내원하여 감염원인 유치를 발거하고 함치성낭종의 조대술을 시행하였다. 이후 폐쇄장치로 공간을 유지하고 주기적으로 폐쇄장치를 삭제해주어 이환치의 자발적인 맹출을 유도하여 교합을 완성하였기에 이를 보고한다.

Keywords

References

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  1. Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds vol.41, pp.1, 2014, https://doi.org/10.5933/JKAPD.2014.41.1.85