Gambaran Kista Dentigerous Gigi Premolar Rahang Atas pada Radiograf CBCT : Laporan Kasus

Gunawan Gunawan, Ivony Fitria
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Abstract

Background: Dentigerous cyst is a cyst that forms around the crown of an unerupted tooth. It begins when fluid accumulates in the layers of reduced enamel epithelium or between the epithelium and the crown of the unerupted tooth. Dentigerous cysts attach to the cementoenamel junction. Some dentigerous cysts are eccentric, developing from the lateral aspect of the follicle so that they occupy an area beside the crown instead of above the crown. In the case of dentigerous cysts with supernumerary, lesions appear to develop in the lateral aspect, so proper imaging is needed to see the expansion of the lesion. A modality that can be used to see the location and expansion of dentigerous cysts is by using a CBCT radiograph. Objective: Identification and interpretation of dentigerous cysts with supernumerary using CBCT radiography. Case Report: 12-year-old male came to the RSGM FKG Unpad bring a referral letter for CBCT photos. From the history it is known that the patient has a complaint of teeth that have not grown with swelling in the right maxilla. Case Management: Using CBCT, there were supernumerary and dentigerous cysts at 14,13. Sagittal, coronal and axial CBCT features show the position and condition of supernumerary, and give information about the location and expansion of dentigerous cyst at 14,13. Conclusion: CBCT provides a description of dentigerous cysts about location, lesion expansion, and involvement with surrounding tissue. CBCT provides an overview of lesions in sagittal, coronal and axial
背景:牙源性囊肿是在未出牙的牙冠周围形成的囊肿。当液体积聚在减少的牙釉质上皮层或上皮与未出牙的牙冠之间时开始。牙髓-牙釉质连接处附着牙釉质囊肿。有些含牙囊肿是偏心的,从卵泡的侧面发育,所以它们占据了靠近卵泡的区域,而不是在卵泡的上方。在有赘肉的含牙囊肿的情况下,病变似乎在侧面发展,因此需要适当的成像来观察病变的扩张。一种可以用来观察含牙囊肿位置和扩张的方式是使用CBCT x线片。目的:利用CBCT对含牙囊肿的鉴别和解释。病例报告:12岁男性带着推荐信来到RSGM FKG Unpad进行CBCT拍照。从病史可以知道,病人有一个主诉的牙齿,没有生长与肿胀在右上颌骨。病例管理:使用CBCT,在14,13有多余和牙性囊肿。矢状面、冠状面和轴状面CBCT特征显示赘体的位置和状况,并提示含牙囊肿的位置和扩张情况。结论:CBCT提供了牙囊肿的位置、病变扩展和与周围组织的累及性描述。CBCT提供了矢状、冠状和轴状病变的概述
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