首页|颌骨囊性病变受累牙临床策略的考量

颌骨囊性病变受累牙临床策略的考量

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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。
Considerations for clinical management of teeth involved in jaw bone cystic lesions
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.

jaw cystic lesionsroot canal treatmentin-volved teeth

刘小雨、黄正蔚

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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

颌骨囊性病变 根管治疗 受累牙

上海申康医院发展中心新兴前沿技术联合攻关项目&&上海市科委优秀技术带头人项目

SHDC1202212022Y2190100023XD1434200

2024

中国实用口腔科杂志
中国医师协会 中国实用医学杂志社 中国医科大学附属口腔医院

中国实用口腔科杂志

CSTPCD
影响因子:1.024
ISSN:1674-1595
年,卷(期):2024.17(3)