Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Eruption Guidance of Multiple Permanent Teeth Associated with Expansive Large Cyst in Maxillary Anterior Region: Two Case Reports

상악 전치부에서의 큰 팽창성 낭종과 연관된 다수 영구치의 맹출 유도: 증례 보고

  • Hyeji Son (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University) ;
  • Jaesik Lee (Department of Pediatric Dentistry, School of Dentistry, Kyungpook National University)
  • 손혜지 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 이제식 (경북대학교 치의학전문대학원 소아치과학교실)
  • Received : 2022.11.04
  • Accepted : 2022.11.22
  • Published : 2023.02.28
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Abstract

In children, large odontogenic cysts affect adjacent anatomical structures as well as displace developing permanent teeth. Odontogenic cysts are treated via enucleation or marsupialization. This case reports a 5-year-old boy and a 10-year-old boy who have not only displaced 3 or more permanent teeth but also elevated the maxillary sinus floor due to the large size of the cyst in the maxillary anterior region. In both cases, marsupialization was selected to minimize complications. After marsupialization, a customized acrylic obturator, window opening, and orthodontic traction for eruption guidance were gradually attempted, and it showed a good prognosis, so we report these cases.

소아들에게서 커다란 치성낭은 주위 해부학적 구조물뿐만 아니라 발육 중인 영구치의 변위를 일으키게 되는데 이러한 경우 적출술이나 조대술이 치료법으로 사용되어 진다. 이 증례는 상악에서 발생한 커다란 낭종으로 인해 3개 이상의 영구치와 더불어 상악동 기저부의 거상이 함께 발생한 5세 남자 환자, 10세 남자 환자 2가지 증례를 보고하고 있다. 두 증례 모두에서 합병증을 최소화하기 위해 조대술이 선택되었으며 조대술 후 맹출 유도를 위한 맞춤 제작 아크릴 폐쇄 장치(obturator), 개창술(window opening), 교정적 견인을 점진적으로 시행하여 양호한 예후를 보였기에 이를 보고하는 바이다.

Keywords

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