口腔矫治器配合开窗引流术治疗儿童发育期含牙囊肿的临床应用

Clinical application of oral appliance cooperating with fenestration and decompression technique in treatment of dentigerous cyst in children

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。

Objective To 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.Results Cyst 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.Conclusion The 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.