减压术在根尖囊肿治疗中的应用进展

doi:10.13701/j.cnki.kqyxyj.2019.09.005

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (9): 837-840.DOI: 10.13701/j.cnki.kqyxyj.2019.09.005

减压术在根尖囊肿治疗中的应用进展

黄紫荆, 胡晓莉^*

中山大学光华口腔医学院·附属口腔医院牙体牙髓病科·广东省口腔医学重点实验室广东广州 510055

收稿日期:2018-08-09 出版日期:2019-09-28 发布日期:2019-09-25
通讯作者: 胡晓莉,E-mail:huxiaol3@mail.sysu.edu.cn
作者简介:黄紫荆(1995~ ),女,广东人,硕士在读,主要从事骨再生修复研究。
基金资助:
国家自然科学基金(编号:11772361);广东省科技计划项目(编号:2013B021800132)

The State of Art of Decompression in Management of Radicular Cysts

HUANG Zijing, HU Xiaoli^*

Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China

Received:2018-08-09 Online:2019-09-28 Published:2019-09-25

摘要/Abstract

摘要： 根尖囊肿是常见的颌骨囊肿,目前常规的治疗方式首选根管治疗术。对于大型根尖囊肿,还需行囊肿刮除术。刮除术临床疗效好,但术中易损伤邻牙正常的牙髓活力及邻近重要的解剖结构。减压术/开窗术作为治疗大型颌骨囊肿的有效方法之一,具有微创并能减少并发症等优点。近年来减压术在根尖囊肿中的应用得到关注,并取得了较好的疗效。其具体机制可能包括降低囊腔压力,促进新骨形成;引流介导破骨反应的炎性因子白细胞介素-1(interleukin-1,IL-1)等,改变囊壁上皮细胞增殖生长的微环境;充分引流囊液以利根管干燥,提高根管充填的严密性。本文对减压术治疗根尖囊肿作一综述,为根尖囊肿综合治疗提供新的思路。

关键词: 根尖囊肿, 减压术, 根管治疗, 刮除术

Abstract: Radicular cysts are the common jaw cyst and are often treated by root canal treatment. For large radicular cysts, enucleation is necessary. Although enucleation can achieve satisfactory therapeutic effects, it increases the risks of damaging other vital structures and the roots of adjacent teeth. As an adjuvant treatment of large odontogenic cysts, marsupialization/decompression is less invasive and causes less complication, which has drawn attention from endodontists and had been successfully applied in recent years. Its mechanisms may include the release of intracysic pressure and enhancement of osteogenesis, drainage, and reduction of the IL-1 which mediates osteoclast formation, which therefore changes the microenvironment reducing division of epithelial cells. Decompression also facilitates drainage of the cystic exudate so that the root canal can be completely dried and sealed. The present paper aimed to review the developments of decompression as a supplementary procedure in the management of radicular cysts and conclude that decompression might be adopted as part of a comprehensive strategy for treatments of radicular cysts.

Key words: radicular cyst, decompression, root canal treatment, enucleation

黄紫荆, 胡晓莉. 减压术在根尖囊肿治疗中的应用进展[J]. 口腔医学研究, 2019, 35(9): 837-840.

HUANG Zijing, HU Xiaoli. The State of Art of Decompression in Management of Radicular Cysts[J]. Journal of Oral Science Research, 2019, 35(9): 837-840.

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减压术在根尖囊肿治疗中的应用进展

The State of Art of Decompression in Management of Radicular Cysts

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