颌骨囊性病变受累牙临床策略的考量
Considerations for clinical management of teeth involved in jaw bone cystic lesions
刘小雨 1黄正蔚1
作者信息
- 1. 上海交通大学医学院附属第九人民医院牙体牙髓科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011
- 折叠
摘要
颌骨囊性病变是一种涉及到牙齿和颌骨的复杂疾病,包括颌骨囊肿及囊性肿瘤.颌骨囊性病变常累及牙列中的健康牙,而与颌骨囊性病变相关的牙齿处理一直备受争议,当受累牙突入颌骨囊性病变囊腔时,特别是有功能的活髓牙,是否保留牙齿或活髓尚无国内外公认的指南.文章综合论述了颌骨囊性病变的病因、诊断和治疗.对于囊肿累及的牙齿,提出了以"生命＞骨＞牙＞牙髓"为治疗理念,强调了保留有功能需求的牙齿以维护口腔整体健康.具体治疗方案应根据不同病理类型的颌骨囊性病变进行个体化制定.
Abstract
Jaw cystic lesions present complex challenges involving both teeth and the jawbone,predominantly encom-passing jaw cysts and cystic tumors.Jaw cystic lesions often involve healthy teeth in the dentition,and the management of teeth associated with these conditions remains a subject of de-bate.Particularly,when teeth protrude into the cystic cavity of such lesions,especially if they maintain functional pulp,there are no universally accepted guidelines on whether to preserve the tooth or pulp.This review provides a comprehensive dis-cussion on the etiology,diagnosis,and treatment of jaw cystic lesions.Regarding teeth involved in cysts,a treatment philoso-phy prioritizing"life＞bone＞tooth＞pulp"is suggested,em-phasizing the preservation of teeth with functional require-ments to uphold overall oral health.Specific clinical manage-ment should be individualized based on the different patholog-ical types of jaw cystic lesions.
关键词
颌骨囊性病变/根管治疗/受累牙Key words
jaw cystic lesions/root canal treatment/in-volved teeth引用本文复制引用
基金项目
上海申康医院发展中心新兴前沿技术联合攻关项目(SHDC12022120)
&&(22Y21901000)
上海市科委优秀技术带头人项目(23XD1434200)
出版年
2024
国家科技期刊平台
NSTL
万方数据