口腔矫治器配合开窗引流术治疗儿童发育期含牙囊肿临床应用.doc

口腔矫治器配合开窗引流术治疗儿童发育期含牙囊肿临床应用[摘要]目的：研究口腔矫治器配合开窗引流术治疗儿童发育期含牙囊肿保留恒牙胚的临床疗效。方法：对30例替牙期儿童发育期含牙囊肿病例，采用口腔矫治器配合口腔颌面外科手术开窗引流保留恒牙胚的方法进行治疗。随访观察1～2年，根据X线片和临床症状评价疗效。结果：术后6～12个月囊腔阴影消失，牙齿萌至龈缘，牙根形成良好。13～18个月牙齿大多正常萌出，咬合关系良好。结论：口腔矫治器配合开窗引流手术治疗儿童发育期含牙囊肿效果良好，能够达到保牙和保骨的效果，值得临床推广应用。 [关键词]口腔矫治器；开窗引流手术；含牙囊肿 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2011）07-1154-02 Clinical application of oral appliance cooperating with fenestration and decompression technique in treatment of dentigerous cyst in children LI Mei-xia,SHEN Xiu-mei,LI Yu-gang (Department of Stomatology,The Third Hospital of Handan,Handan 056001,Hebei,China) Abstract:ObjectiveTo study the clinical effect of oral appliance cooperated with fenestration and decompression technique in treatment of dentigerous cyst in children.Methods Thirty cases were included in the study.The affected tooth germs were all reserved.The following up was from 1year to 2 year.The results were evaluated according to the X-ray film and clinical examination. ResultsCyst cavity disappeared in 6 to 12 months after treatment,and the teeth germ erupted to gingival margin,the theeth root took shape well.In 13 to 18 months after treatment,most tooth erupted normally,the occlusion was good. ConclusionThe clinical effects of oral appliance cooperated with fenestration in treatment of dentigerous cyst in children was satisfactory.All affected tooth were reserved and erupted normally. Key words:oral appliance;fenestration and decompression technique;dentigerous cyst 儿童发育期含牙囊肿临床手术治疗时，多将含牙与囊壁同时刮除，结果造成术后缺牙和错牙合畸形。笔者收集2008～2010年来我院就诊的30例替牙期儿童发育期含牙囊肿病例，采用口腔矫治器配合开窗引流手术治疗儿童发育期含牙囊肿保留恒牙胚，使患者保存了牙列的完整性，省去了将来修复之痛苦，疗效良好。 1资料和方法 1临床资料：本研究选择2008～2010年来我院就诊的30例替牙期儿童发育期含牙囊肿需手术治疗患者。其中男性19例，女性11例，患者年龄7～12岁，下颌双尖牙区23例，下颌第二磨牙区2例，上颌尖牙区3例，上颌双尖牙区2例。其中有1例患者术后随访丢失。适应证：儿童发育期含牙囊肿，冠周囊肿大于0.5cm×0.5cm者。 1.2方法 1.2.1诊断：发病缓慢，病程较长，颌骨有膨隆，囊肿相应部位可见龋坏严重的乳牙，有牙痛史和治牙史。拍曲面断层片X线特点：病区为透影区，周围为致密的白线环绕，边界清晰，囊内有正在发育的恒牙胚，位置可正常或不正常，囊肿大者可显示累及临近恒牙牙根。 1.2.2取全口模型制作口腔矫治器：术前取全口模型，在模型上去除囊肿上方