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A Case of Gigantiform Cementoma Associated With Multiple Unerupted Teeth

巨大畸型牙骨質瘤伴有多發性阻生牙-病例報告

摘要


不論巨大畸型牙骨質瘤或是多發性阻生牙在臨床上都是較為少見情形,本篇主要就是報告包含有此二種情況的病例。病人為一47歲男性侏儒,因為右側鼻翼附近腫大,及口內右側上顎小臼齒區經常有膿液流出,而來我們口腔外科門診求診。經口腔全景X 光攝影發現有17顆未萌發的牙齒存於其上下顎骨中,同時還現一些X光不透性的區域,病人在局部麻醉之下接受碟形手術以去除部份感染的腐骨及其鄰近的阻生牙,經手術及藥物治療後因感染而玫的流膿已經痊癒,手術取出的標本經病理科診斷為巨大畸型牙骨質瘤,因此種病例非常少見,故提出報。

關鍵字

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並列摘要


Both the occurrence of gigantiform cementoma in the jaws or multiple unerupted teeth are very rare conditions.The purpose of this paper is to report on a case of a combination of these two conditions and to review relavent literature. A 47-year-old dwarfish male was referred to our Oral and maxillofacial Surgical Department with the chief complaint of pain and swelling in the right lateral nasal region with the discharge of pus from the right upper premolar area. Clinical and roentgenographic examinations revealed that there were 17 unerupted teeth and some radiopaqure and radiolucent shadows on both jaws. This patient was treated with saucerization and extraction of unerupted teeth on the right upper and lower jaws for controlling infected lesions. Asurgical specimen was sent for histopathological examination and the report indicated gigantiform cementoma.

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