原发牙源性肿瘤伴阻生多生牙:第一例报告及最新文献回顾。

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Maxillofacial & Oral Surgery Pub Date : 2025-10-01 Epub Date: 2025-04-23 DOI:10.1007/s12663-025-02540-1
Sofia Sebastian, Suganya Panneer Selvam, Pratibha Ramani
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引用次数: 0

摘要

原始牙源性肿瘤(POT)是一种极为罕见的良性牙源性病变,起源于胚胎牙组织,其特征是原始牙源性上皮和纤维间质,类似于早期牙齿发育阶段。这个病例报告了一个17岁的男性下颌牙齿排列不整齐,x线检查显示一个界限不清的透光病变与一个埋伏的多生牙齿有关。临时诊断为含牙囊肿,随后进行手术摘除和拔除。组织病理学分析证实POT,这是第27例有记录的病例,也是第一例涉及多余牙齿的病例。病变表现出典型的组织病理学特征,包括牙源性上皮被纤维性黏液瘤间质包围,有类似牙乳头的丰满成纤维细胞。手术切除完全治愈,随访7个月无复发。本病例强调了认识POT独特的临床和组织学特征对于准确诊断和治疗的重要性,强调了对罕见牙源性病变进行综合评估的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primordial Odontogenic Tumor Associated with Impacted Supernumerary Tooth: First Case Report and an Updated Review of Literature.

Primordial Odontogenic Tumor (POT) is an exceptionally rare benign odontogenic lesion derived from embryonic dental tissues, characterized by primitive odontogenic epithelium and fibrous stroma resembling early tooth development stages. This case report presents a 17-year-old male with malaligned teeth in the lower jaw, where radiographic examination revealed an ill-defined radiolucent lesion associated with an impacted supernumerary tooth. A provisional diagnosis of a dentigerous cyst was made, followed by surgical enucleation and extraction. Histopathological analysis confirmed POT, marking the 27th documented case and the first involving a supernumerary tooth. The lesion exhibited typical histopathological features, including odontogenic epithelium surrounded by fibro myxomatous stroma with plump fibroblasts resembling dental papilla. Complete surgical excision was curative, with no recurrence observed after a 7-month follow-up. This case highlights the importance of recognizing the unique clinical and histological features of POT for accurate diagnosis and management, emphasizing the need for comprehensive evaluation of rare odontogenic lesions.

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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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