口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (1): 64-66.DOI: 10.13701/j.cnki.kqyxyj.2025.01.013

• 病例报告 • 上一篇    下一篇

双侧下颌畸形中央尖分别合并根尖周囊肿和发育性牙源性囊肿1例

张世龙1,2, 苏恒1,3#, 满其文1,3, 余自力1,3*   

  1. 1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医院 湖北 武汉 430079;
    2.湖北医药学院附属东风口腔医院口腔颌面外科 湖北 十堰 442000;
    3.武汉大学口腔医院口腔颌面-头颈肿瘤外科 湖北 武汉 430079
  • 收稿日期:2024-04-28 出版日期:2025-01-28 发布日期:2025-01-24
  • 通讯作者: * 余自力,E-mail: zili09@whu.edu.cn
  • 作者简介:张世龙(1992~ ),男,安徽阜阳人,主治医师,本科,研究方向:口腔颌面外科学。苏恒(1998~ ),男,陕西榆林人,住院医师,本科,研究方向:口腔颌面外科学。
    #为共同第一作者
  • 基金资助:
    北京市西斯科临床肿瘤学研究基金会(编号:Y-HR2022QN-0515)

Central Apex of Bilateral Mandibular Malformations was Accompanied by Periapical Cysts and Developmental Odontogenic Cysts: A Case Report

ZHANG Shilong1,2, SU Heng1,3#, MAN Qiwen1,3, YU Zili1,3*   

  1. 1. State Key Laboratory of Oral &Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. Dongfeng Stomatlogical Hospital, Hubei University of Medicine, Shiyan 442000, China;
    3. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2024-04-28 Online:2025-01-28 Published:2025-01-24

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摘要： 畸形中央尖(central cusp deformity)是一种牙齿形态发育异常,畸形中央尖折断所引起根尖周囊肿(炎症性牙源性囊肿)较为常见并可以预测其病变的发生与发展,但合并发育性牙源性囊肿鲜有报道。发育性牙源性囊肿(developmental odontogenic cyst)是由牙齿发育和/或萌出过程中的某些异常所导致的病理性上皮衬里空洞,目前对于发育性牙源性囊肿的组织来源和发病机制认识尚不深入,许多理论建立在推测的基础之上。本文报道1例双侧下颌第二前磨牙畸形中央尖,一侧伴发根尖周囊肿,另一侧伴发发育性牙源性囊肿。

关键词: 下颌骨, 畸形中央尖, 根尖周囊肿, 发育性牙源性囊肿

Abstract: Central cusp deformity is a type of non-carious dental hard tissue disease characterized by abnormal tooth morphology. Periapical cysts, resulting from central cusp deformity fractures, are commonly observed and can serve as indicators for the occurrence and progression of its lesions. Developmental odontogenic cysts are pathological cavities in the epithelial lining caused by abnormalities in tooth development and/or eruption. The tissue origin and pathogenesis of developmental odontogenic cysts remain poorly understood, with many theories still based on speculation. The present study presents a case of bilateral mandibular deformity with central apex, accompanied by radicular cysts on one side and developmental odontogenic cysts on the other side.

Key words: mandibular bone, central cusp deformity, radicular cysts, developmental odontogenic cyst