摘要：

含牙囊肿是一种常见的颌骨牙源性囊肿，其发生的原因主要是牙冠与缩余釉上皮之间囊液的积聚。含牙囊肿多见于青少年时期，男性多于女性，尤其好发于混合牙列，最常累及下颌前磨牙、下颌第三磨牙及上颌尖牙。近年来，一些治疗儿童颌骨囊肿的传统方法如囊肿刮除术等已较少使用，取而代之的是一些相对保守的治疗方法，比如开放填塞术、负压吸引术、开窗减压术等，辅以塞治器、袋形术、术后正畸治疗等方法。但自然开窗的病例甚少报道。本文报告1例自然开窗的儿童替牙期含牙囊肿，为青少年颌骨囊肿的治疗方案提供思路。

关键词: 乳牙, 青少年, 含牙囊肿, 开窗减压

Abstract:

Dentigerous cyst is a common odontogenic cyst of the jaw, caused by the accumulation of cystic fluid between the tooth crown and the reduced enamel epithelium. Dentigerous cysts tend to occur in teenagers, more often in males than females, especially in mixed dentition, and most commonly involving mandibular premolars, mandibular third molars and maxillary canines. In recent years, some traditional treatments of children jaw cysts have been replaced by conservative treatments, such as open tamponade, vacuum sealing drainage, marsupialization, supplemented by obturator, pocket suture, orthodontic treatment, etc. However, few cases of natural fenestration have been reported. In this paper, we report a case of children dentigerous cyst with natural fenestration, which provides ideas for the treatment of dentigerous cysts in adolescents.

Key words: deciduous teeth, adolescent, dentigerous cyst, decompression

中图分类号: 

• R782