Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Retrospective Study of Characteristics and Treatment of Dentigerous Cysts Involving the Maxillary Anterior Tooth

상악 전치부에 발생한 함치성 낭종의 임상적 특징과 치료에 대한 후향적 연구

  • Seo, YeJin (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Youngjin (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Kim, Hyunjung (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Nam, Soonhyeun (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University)
  • 서예진 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 김영진 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 김현정 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 남순현 (경북대학교 치의학전문대학원 소아치과학교실)
  • Received : 2016.09.22
  • Accepted : 2016.11.09
  • Published : 2017.08.31
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Abstract

The aim of the present study was to identify the clinical characteristics and treatment outcomes associated with maxillary anterior dentigerous cysts in children. Among 55 patients who had been diagnosed with maxillary anterior dentigerous cysts, 33 patients had cysts located in the incisor region and 22 had cysts located in the canine region. Cysts in the incisor region were 7.2-fold more prevalent in male patients, while cysts in the canine region were 1.75-fold more prevalent in female patients. For cysts in the incisor region, marsupialization was performed in 21 cases and enucleation in 12 cases. In the canine region, marsupialization was performed in 20 cases and enucleation in 2 cases. Spontaneous eruptions of the displaced teeth in the incisor and canine region were 90% and 54.5%, respectively. Among patients which spontaneous eruption occurred, patients with cysts in the incisor region underwent orthodontic treatment more often due to malocclusion. This study is expected to be used as fundamental data for establishing future treatment plans by providing the analyzed results of distribution and characteristics of dentigerous cysts involving the maxillary anterior tooth.

본 연구는 상악 전치부에 이환된 함치성 낭종의 다수의 증례 분석을 통해 임상적 특징 및 치료 결과에 대해 알아보고자 하였다. 상악 전치부에서 함치성 낭종으로 진단 받은 55명의 환아 중에서 절치부에서 33증례, 견치부에서 22증례를 분석하였다. 그 결과 절치부에서는 남자가 7.2배 더 높았고 종창을 주소로 내원한 경우가 많았으며, 견치부는 여자가 1.7배 더 높았고 정기검진에서 발견된 경우가 더 많았다. 이환된 낭의 영향으로 92.7%에서 치아 변위가 관찰되었고 치료는 41증례에서 조대술이, 14증례에서 적출술이 시행되었다. 낭종 처치 후 자발적 맹출은 견치부보다 절치부에서 더 높았다. 하지만 자발적 맹출 이후 절치부에서는 부정교합으로 인해 교정치료가 시행된 경우가 많았다. 본 연구를 통해서 상악 전치부에 발생한 함치성 낭종의 분포 및 특성을 알 수 있었고, 치료 결과를 제공함으로써 향후 치료계획을 세우는데 도움이 될 수 있으리라 생각된다.

Keywords

References

  1. Shear M : Cysts of the oral regions. 3rd ed., Oxford, Wright, 75-89, 1992.
  2. Benn A, Altini M : Dentigerous cysts of inflammatory origin : a clinicopathologic study. Oral Surg Oral Med Oral Pathol, 81:203-209, 1996. https://doi.org/10.1016/S1079-2104(96)80416-1
  3. Benrick S : Dentigerous cysts of the jaw. Oral Surg, 2:914-921, 1949. https://doi.org/10.1016/0030-4220(49)90234-0
  4. Lee KS, Choi KS : A clinical and radiographic study of dentigerous cysts. Korean J Oral Maxillofac Radiol, 25:399-408, 1995.
  5. Lin HP, Wang YP, Chiang CP, et al. : A clinicopathological study of 338 dentigerous cysts. J Oral Pathol Med, 42:462-467, 2013. https://doi.org/10.1111/jop.12042
  6. Park SY, Nam DW, Nam SH, et al. : Clinical and radiographic study of dentigerous cysts according to involved area. J Korean Acad Pediatr Dent, 31:169-179, 2004.
  7. Choi SN, Kim YJ, Kim HY, Nam SH : Eruption Pattern in Mandibular Premolars Associated with Dentigerous Cysts after Marsupialization. J Korean Acad Pediatr Dent, 42:22-29, 2014.
  8. Park CY, Park KT : Surgical management of dentigerous cyst for preserving permanent tooth buds. J Korean Acad Pediatr Dent, 41:85-92, 2014. https://doi.org/10.5933/JKAPD.2014.41.1.85
  9. Lee IY, Kim TW, Nam SH, et al. : Dentigerous cyst of a maxillary mesiodens : case reports. J Korean Acad Pediatr Dent, 35:548-555, 2008.
  10. Kramer IRH, Pindborg JJ, Shear M : Histological typing of odontogenic tumours, 2nd ed., Berlin, World Health Oraganization, 34-42, 1992.
  11. Dalcy TD, Wysocki GP : The small dentigerous cyst : A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 79:77-81, 1995. https://doi.org/10.1016/S1079-2104(05)80078-2
  12. Borun MK, Andreasen JO : Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Traumatol, 14:31-44, 1998. https://doi.org/10.1111/j.1600-9657.1998.tb00806.x
  13. Ericson S, Kurol J : Radiographic assessment of maxillary canine eruption in children with clinical signs of eruption disturbance. Eur J Orhod, 8:133-140, 1986.
  14. Lustmann J, Bodner L : Dentigerous cysts associated with supernumerary teeth. Int J Oral Maxillofac Surg, 17:100-102, 1988. https://doi.org/10.1016/S0901-5027(88)80159-0
  15. Mourshed F : A roentgenographic study of dentigerous cysts. III. Analysis of 180 cases. Oral Surg Oral Med Oral Pathol, 18:466-473, 1964. https://doi.org/10.1016/0030-4220(64)90392-5
  16. Choi JW, Choi JM, Cha IH, Kim HJ : Eruption and autotransplantation of a permanent tooth related to dentigerous cyst in mixed dentition. J Kor Oral Maxillofac Surg, 35:462-466, 2009.
  17. Sannomiya EK, Mogueira Mde Q, Dalben Gda S, et al. : Trauma - induced dentigerous cyst involving the anterior maxilla. J Dent Child, 74:161-164, 2007.
  18. Gondim JO, Neto JJ, Nogueira RL, Giro EM : Conservative management of a dentigerous cyst secondary to primary tooth trauma. Dent Traumatol, 24:676-679, 2008. https://doi.org/10.1111/j.1600-9657.2008.00616.x
  19. Ashkenazi M, Levin L : Successful conservative treatment of dentigerous cyst following intrusion of lower primary incisors. N Y State Dent J, 80:46-49, 2014.
  20. Hyomoto M, Kawakami M, Inoue M, Kirita T : Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofacial Orthop, 124:515-520. 2003. https://doi.org/10.1016/j.ajodo.2003.04.001
  21. Chiapasco M, Rossi A, Motta JJ, Crescentini M : Spontaneous bone regeneration after enucleation of large mandibular cysts : a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg, 58:942-948, 2000. https://doi.org/10.1053/joms.2000.8732
  22. Chacko R, Kumar S, Paul A, Arvind : Spontaneous bone regeneration after enuclation of large jaw cysts : a digital radiographic analysis of 44 consecutive cases. J Clin Diagn Res, 9:84-89, 2015.
  23. Fujii R, Kawakami M, Kirita T, et al. : Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg, 66:272-276, 2008. https://doi.org/10.1016/j.joms.2007.06.652