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논문 기본 정보

자료유형
학술저널
저자정보
Won-Kyeong Baik (Yonsei University College of Dentistry) Hyoung-Seon Baik (Yonsei University College of Dentistry) Sung-Hwan Choi (Yonsei University College of Dentistry)
저널정보
대한치과교정학회 대한치과교정학회지 대한치과교정학회지 제50권 제1호
발행연도
2020.1
수록면
63 - 71 (9page)

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초록· 키워드

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Odontogenic keratocysts (OKCs) are one of the most aggressive cysts in the oral and maxillofacial area because of their high recurrence rate and infiltrative behavior. In growing patients with OKCs, a radical treatment approach might cause numerous complications, including the disturbance of jaw growth and loss of the involved tooth. This case report describes successful comprehensive orthodontic treatment combined with marsupialization of the cyst in a young girl who exhibited an OKC with impacted teeth. The 10-year-old girl presented with an OKC extending from the mandibular symphysis through the left mandibular body, with ectopic impaction of the mandibular left canine and first premolar, as well as congenitally missing bilateral mandibular second premolars. Interestingly, spontaneous improvement of the positions of the ectopic impacted teeth, along with a reduction in the size of the cyst, occurred during marsupialization. The sequential use of removable and fixed appliances enabled orthodontic traction of the impacted teeth. The treatment outcome was stable at 2.5 years after the end of the treatment. We speculate that comprehensive orthodontic treatment combined with marsupialization can be an effective treatment strategy for patients with OKCs, especially when they are encountered in young, growing patients with impacted teeth.

목차

INTRODUCTION
DIAGNOSIS AND ETIOLOGY
TREATMENT OBJECTIVES
TREATMENT ALTERNATIVES
TREATMENT PROGRESS
RESULTS
DISCUSSION
CONCLUSION
REFERENCES

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