下顎小臼齒含牙囊腫阻生之治療—病例報告

Treatment of Impacted Premolar with Dentigerous Cyst-Case Reports

歐陽黎薇(Li-Wei Ouyang) ； 粱世達(Shih-Ta Liang) ； 何正廷(Cheng-Ting Ho)

《中華民國齒顎矯正學雜誌》 15卷3期 (2003/09) Pp. 49-55

摘要

兩位患有下顎小臼齒含牙囊腫阻生小孩，經x-ray診斷後依其位置深淺，範圍大小，牙根發育程度，阻生之傾斜角度，在拔除上方之乳牙後，採取造袋術，使阻生齒順利自然萌出。正確診斷，與治療有較好預後，特別是小孩有較佳骨組織痊癒能力，且牙根尖未關閉尚有萌出潛力，故造袋術是保留因含牙囊腫而阻生牙齒的好方法。

關鍵字

含牙囊腫 ； 造袋術 ； 摘除術

並列摘要

A dentigerous cyst of the impacted mandibular premolar in two children was radio graphically diagnosed. The treatment modality of marsupialization or enucleation combineb with orthodontic means was chosed according to the cyst position, cyst size, level of root formation, and the degree of tilted tooth axis. Following extraction of mandibular primary molars and surgerical management, the developing succedaneous premolar erupted naturally. Proper diagnosis and early surgical intervention to the teeth involved would have a better prognosis for children than adult. Children have a greater capacity to regenerate bony structure and the teeth with open apices have a great eruptive potential. Marsupialization is a good way to conserve a impacted tooth affected by a dentigerous cyst and to permit its eruption.

並列關鍵字

Marsupialization ； Enucleation ； Dentigerous cyst