利用技术支持规划大型复杂牙瘤的口内手术治疗。

Stomatologija Pub Date : 2023-01-01
Renato Torres Augusto Neto, Júlio César Silva de Oliveira, Luiz Henrique Soares Torres, Deborah Laurindo Pereira Santos, Marisa Aparecida Cabrini Gabrielli, Valfrido Antônio Pereira Filho
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引用次数: 0

摘要

复杂性牙瘤或牙源性火腿肠瘤是最常见的牙源性肿瘤,主要在患者出生后的头二十年内确诊,很少超过 3 厘米。本文旨在报告一例后磨牙区复杂性牙瘤的临床病例,该病例可能诱发下颌骨骨折的紧迫风险。患者称局部疼痛、不适、区域水肿变硬,右下第二磨牙缺失。通过计算机断层扫描,打印了一个三维模型,并预弯了一块 2.4 毫米的下颌骨重建板。通过口腔内入路,进行了截骨手术,以切除肿瘤、牙齿和固定板。通过口内入路,进行外周截骨术,切除肿瘤和牙齿,然后固定预先折叠的钢板。牙源性火腿肠瘤是一种无症状的良性肿瘤,但在确诊之前可以达到很大的比例。下颌大型复杂性牙瘤的手术规划必须慎重,尽可能利用技术资源来帮助预测治疗方案,避免可能出现的并发症,获得更好的美学效果,减少手术创伤,改善术后恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoral surgical treatment of large complex odontoma with technology support in planning.

Complex odontoma or odontogenic hamartoma is the most common odontogenic tumor, diagnosed mainly in the first two decades of life, rarely exceeding 3 cm. This paper aim is report a clinical case of complex odontoma in the retromolar region that could induce an imminent risk of mandibular fracture. The patient reported local pain, discomfort, an area with hardened edema and absence of the lower right second molar. Using computed tomography, a three-dimensional model was printed and a mandibular reconstruction plate 2.4 mm pre-bent. Through intraoral access, osteotomy was performed to remove the tumor, the tooth and fixation of the plate. With intraoral access, peripheral osteotomy was performed to remove the tumor and the tooth, then fixed a pre-folded plate. The odontogenic hamartoma is a benign and asymptomatic tumor, but can reach large proportions until diagnosed. The surgical planning of large complex odontomas in the mandible must be done with carefull, using technological resources when is possible to help predict the treatment, avoid possible complications, better esthetic result, less invasive procedure and better recovery.

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