치아종의 임상적 특징과 치료에 대한 후향적 연구
Retrospective Study of the Characteristics and Treatment of Odontomas
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치아종은 상피성 치성 종양에 속하며 악골내 치성 종양 중에서 가장 흔한 질환으로 보통 유치의 만기 잔존이나 영구치의매복과 연관되어 나타난다. 본 연구는 2005년 1월부터 2014년 3월까지 전북대학교 치과병원에서 치아종으로 진단을 받은 74명의 환자에서 발견된치아종 75증례를 분석하였다. 그 결과 남자가 42명(56.8%), 여자 32명(43.2%)으로 남자에서 약 1.3배 정도 높은 발생률을 보였다. 치아종으로 진단받은 환자들의 평균 나이는 10.3세이며, 치아종의 위치는 상악 48%(36개), 하악 52%(39개)로균등하게 분포되어 있었다. 치아종과 관련된 임상 증상으로는 인접 치아의 매복 76%, 유치의 만기 잔존 52%, 인접 치아들의 전위 또는 회전이 32%로 나타났다. 치아종은 대부분 외과적으로 제거되었으며, 제거 후 자발적으로 맹출한 경우가 17증례, 영구치 맹출을 위해 추가적 치료가 필요했던 경우가 25증례, 매복된 치아의 예후가 불량할 것으로 판단되어 발치를 한경우가 9증례였다.
Abstract
This study was aimed to retrospectively evaluate the clinical findings and treatments of odontomas in the Korean demographic group. The subject of the present study included 75 odontomas in 74 patients who received treatment from Chonbuk National University Dental Hospital between April 2005 and March 2014. The average age of the subjects were 10.3 years old (range 3 - 23 years old). 42 (56.8%) males and 32 (43.2%) females were in the present study. It was found that compound odontomas were about 4 times more common than complex odontomas. Odontomas equally occurred in both maxillary and mandible. The impaction of permanent teeth (73.3%) was the most common complication of odontomas on adjacent teeth. Most odontomas (96.0%) were surgically removed either to induce spontaneous eruption or to guide orthodontically to occlusion. When the impacted tooth could not be naturally or forcefully erupted to occlusion, it was extracted. Early detection and treatment of odontomas would increase the possible preservation of the impacted tooth by eliminating the source of disturbance. Therefore, this study recommends that periodic radiographic examination from birth until the eruption of the permanent third molar to prevent possible hindrance to the teeth eruption.
참고문헌 (31)
- Shafer WG, "A Textbook of Oral Pathology", pp.308~311 (1983), Saunders
- Neville BW, "Oral and Maxillofacial Pathology", pp.631~632 (2002), Saunders
- Kramar IRH, "World Health Organization International Histological Classification of Tumors - Histological Typing of Odontogenic Tumours", pp.11~42 (1992), Springer-Verlag
- 류재량, "발육중인 치아종으로 인한 맹출 장애", 대한소아치과학회지, 37(4), pp.505~511 (2010), 대한소아치과학회
- 김수영, "복합 치아종의 보존적 외과적 적출: 증례보고", 대한소아치과학회지, 39(1), pp.97~102 (2012), 대한소아치과학회
- Katz RW, "An analysis of compound and complex odontomas", J Dent Child, 56, pp.445~449 (1989)
- Piattelli A, "Morphodifferentiation and histodifferentiation of the dental hard tissues in compound odontoma: a study of undemineralized material", J Oral Pathol Med, 21, pp.340~342 (1992)
- Park TW, "oral & maxillofacial radiology", pp.371~372 (2001), Narae Publishing, Inc
- Goaz PW, "Oral radiology", pp.442~445 (1994), Mosby Co
- Delbem ACB, "Odontomas in pediatric dentistry : report of two cases", J Clin Pediatr Dent, 30, pp.157~160 (2005)
- Tomizawa M, "Clinical observations of odontomas in japanese children: 39 cases including one recurrent case", Int J Pediatr Dent, 15, pp.37~43 (2005)
- Bullen C, "Conservative management of an impacted incisor", Oral Surg OraAcadl Med Oral Pathol, 61, pp.564~567 (1986)
- Thwaites MS, "Complex odontoma :report of case", ASDC J Dent Child, 54, pp.286~288 (1987)
- Hopper FE, "A pedunculated complex composite odomtoma", Br Dent J, 128, pp.181~184 (1970)
- Hitchin AD, "Four cases of compound composite odontomas", Br Dent J, 104, pp.269~274 (1958)
- Lopez AL, "Compound odontomas erupting in the mouth : 4-year follow-up of a clinical case", J Oral Pathol, 21, pp.285~288 (1992)
- Owens BM, "Dental odontomas: a retrospective study of 104 cases", J Clin Pediatr Dent, 21, pp.261~264 (1997)
- Kaugars GE, "Odontomas", Oral Surg Oral Med Oral Pathol, 67, pp.172~176 (1989)
- Miki Y, "Clinicopathological studies of odontoma in 47 patients", J Oral Sci, 41, pp.173~176 (1999)
- Iatrou I, "A retrospective analysis of the characteristics, treatment and follow-up of 26 odontomas in Greek children", J Oral Sci, 52, pp.439~447 (2010)
- Budnick SD, "Compound and complex odontomas", Oral Surg Oral Med Oral Pathol, 42, pp.501~506 (1976)
- Regezi JA, "Odontogenic tumors: analysis of 706 cases", J Oral Surgery, 36, pp.771~778 (1978)
- Bordini J Jr, "Multiple compound odontomas in the jaw: case report and analysis of the literature", J Oral Maxillofac Surg, 66, pp.2617~2620 (2008)
- Hisatomi M, "A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas", Oral Dis, 8, pp.100~105 (2002)
- Rotberg S, "Early versus late removal of supernumerary teeth in the premaxilla : a radiographic study", Compendium Continuing Educ, 5, pp.115~119 (1984)
- Stermer Beyer-Olsen EM, ":Changing positions of supernumerary teeth in the premaxilla : A radiographic study", J Dent Child, 52, pp.428~430 (1985)
- Oliveira BH, "Compound odontoma-diagnosis and treatment : three case reports", Pediat Dent, 23, pp.151~157 (2001)
- Vanarsdall RL, "Soft-tissue management of labially positioned unerupted teeth", Am J Orthod, 72, pp.53~64 (1997)
- Witsenburg B, "Eruption of impacted permanent upper incisors after removal of supernumerary teeth", Int J Oral Surg, 10, pp.423~431 (1981)
- Hitchin AD, "The radiology of the calcified composite odontomas", Dent Pract Dent Rec, 12, pp.223~230 (1962)
- Ashkenazi M, "Postoperative prognosis of unerupted teeth after removal of supernumerary teeth or odontomas", Am J Othod Dentofac Orthp, 131, pp.614~619 (2007)