복합 치아종의 보존적 외과적 적출: 증례보고
CONSERVATIVE SURGICAL REMOVAL OF COMPOUND ODONTOMA: CASE REPORTS
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초록
치아종은 외배엽성 상피세포와 중배엽성 세포의 과성장으로 형성되는 혼합종양이다. 대부분 정상 치아 발생 시기 동안 형성되며 어느 정도 크기까지만 자라므로 진성 종양이 아닌 과오종으로 여겨진다. 형태에 따라 복합 치아종과 복잡 치아종으로구별된다. 복합 치아종은 주로 구강 전방부에서 발견되며 작은 치아와 비슷한 방사선 불투과성 구조물을 함유하고 있는 병소이다. 치아종의 치료는 대부분 보존적인 외과적 적출술이 추천되며 재발은 거의 없다. 본 증례는 유치 및 영구치의 맹출 장애를 일으킨 복합 치아종으로 진단된 세 어린이에서 병소의 외과적 적출술을 시행하고약 1년간 관찰한 결과 자발적 맹출을 보여 이에 보고하는 바이다.
Abstract
Odontoma is a mixed tumor formed by the overgrowth of ectodermal epithelial cells and mesodermal cells. It arises during normal tooth development and only grows to a certain level. It is not a true neoplasm and therefore it is considered as hamartomas. Odontomas are classified into compound and complex types based on morphology. Compound odontoma is commonly found in the anterior region of the maxilla, and has a radiopaque lesion that resembles small teeth. Usually, odontoma is treated by conservative surgical removal and there is little probability of recurrence. This paper describes three cases of compound odontoma diagnosed in children with 1 year of follow-up. These case reports present patients having eruption disturbance of primary and permanent teeth due to the presence of compound odontoma. In order to induce spontaneous eruption, conservative surgical removal was performed showing favorable results.
참고문헌 (40)
- Kramar IRH, "World Health Organization International Histological Classification of Tumours - Histological Typing of Odontogenic Tumours, 2nd edn", pp.11~42 (1992), Springer-Verlag
- Cawson RA, "Color Atlas of Oral Disease. Clinical and Pathological Correlations", pp.6~19 (1993), Mosby-Wolfe
- Owens BM, "Dental odontomas: a retrospective study of 104 cases", J Clin Pediatr Dent, 21, pp.261~264 (1997)
- Katz RW, "An analysis of compound and complex odontomas", ASDC J Dent Child, 56, pp.445~449 (1989)
- Neville BW, "Oral and Maxillofacial Pathology", pp.531~533 (1995), Saunders
- Bengston AL, "Odontomas em pacientes pedia′.tricos", Revista de Odontopediatria, 2, pp.25~33 (1993)
- Budnick SD, "Compound and complex odontomas", Oral Surg Oral Med Oral Path, 42, pp.501~506 (1976)
- 박인호, "Erupted complex odontoma에 의한 하악 제 1대구치 맹출 지연", 대한소아치과학회지, 31(4), pp.564~568 (2004), 대한소아치과학회
- Shafer WG, "A Textbook of Oral Pathology, 4th Ed", pp.308~311 (1983), Saunders
- Areal-Lo′.pez L, "Compound odontoma erupting in the mouth: 4 year follow-up of a clinical case", J Oral Pathol, 21, pp.285~288 (1992)
- Shulman E, "Delayed eruption associated with an odontoma", ASDC J Dent Child, 54, pp.205~207 (1987)
- Brunetto AR, "Impaction of a primary maxillary canine by an odontoma: surgical and orthodontic management", Pediatr Dent, 13, pp.301~302 (1991)
- Gallien GS, "Odontoma of a maxillary central incisor in a 10-year-old black male", J Pedod, 10, pp.352~355 (1986)
- Owens BM, "Compound composite odontoma associated with an impacted cuspid", J Clin Pediatr Dent, 19(4), pp.293~295 (1995)
- 이수부, "구강병변진단아틀라스" (1989), 이화출판사
- 대한구강악안면방사선학회, "구강악안면방사선학" (1996), 이우문화사
- Thwaites MS, "Complex odontoma: report of case", ASDC J Dent Child, 54(4), pp.286~288 (1987)
- Or S, "Compound and complex odontomas", Int J Oral Maxillofac Surg, 16(5), pp.596~599 (1987)
- Kaugers GE, "Odontomas", Oral Surg, 67, pp.172~176 (1989)
- Tandon S, "Compound composite odontoma in primary dentition - A case report", J Indian Soc Pedod Prev Dent, 16(4), pp.111~114 (1998)
- Noonan RG, "A compound odontoma associated with a deciduous tooth", Oral Surg Oral Med Oral Pathol, 32(5), pp.740~742 (1971)
- Motokawa W, "Surgical exposure and orthodontic alignment of an unerupted primary maxillary second molar impacted by an odontoma and a dentigerous cyst: a case report", Quintessence Int, 21(2), pp.159~162 (1990)
- Brunetto AR, "Impaction of primary maxillary canine by an odontoma: surgical and orthodontic management", Pediatr Dent, 13, pp.301~302 (1991)
- Yassin OM, "Delayed eruption of maxillary primary cuspid associated with compound odontoma", J Clin Pediatr Dent, 23(2), pp.147~149 (1999)
- 박성연, "복잡 치아종의 외과적 적출후 미맹출치의 자발적 맹출 유도", 대한소아치과학회지, 30(3), pp.7~ (2003), 대한소아치과학회
- Kramer RM, "The incidence of impacted teeth", Oral Surg, 29, pp.237~241 (1970)
- Bimstein E, "Root dilaceration and stunting in two unerupted primary incisors", ASDC J Dent Child, 45(3), pp.223~225 (1978)
- Haishima K, "Compound odontomes associated with impacted maxillary primary central incisors: report of two cases", Int J Paediatr Dent, 4, pp.251~256 (1994)
- Lysell L, "Ameloblastic fibroma : report of two cases", Br J Oral Surg, 16, pp.78~85 (1978)
- Lukinmaa PL, "Mandibular Dentinoma", J Oral Maxillofac Surg, 45, pp.60~64 (1987)
- Jameson GD, "Inversion of second deciduous molar and second premolar", Br Dent J, 162, pp.265~266 (1997)
- Raghoebar GM, "An unerupted deciduous molar", Oral Surg Oral Med Oral Pathol, 71, pp.521~522 (1991)
- Rothberg MS, "Intranasal presentation of an intruded deciduous incisor", Oral Surg Oral Med Oral Pathol, 72, pp.263~ (1991)
- Boyczuk MP, "Identifying a deciduous dentigerous cyst", J Am Dent Assoc, 126, pp.643~644 (1995)
- Oliveira BH, "Compound odontoma - diagnosis and treatment: three case reports", Pediatr Dent, 23(2), pp.151~157 (2001)
- Kaban, LB, "Pediatric Oral and Maxillofacial Surgery", pp.111~112 (1990), Saunders
- Kokich VG, "Surgical and orthodontic management of impacted teeth", Dent Clin North Am, 37, pp.181~204 (1993)
- Oliver RG, "Delayed eruption of a maxillary central incisor associated with an odontome: report of case", ASDC J Dent Child, 55, pp.368~371 (1988)
- M Hisatomi, "A case of complex odontoma associated with an impacted lower deciduous second molar and analysis of the 107 odontomas", Oral Diseases, 8(2), pp.100~105 (2002)
- Unetsubo T, "A case of unerupted lower primary second molar associated with compound odontoma", Open Dent J, 13(3), pp.173~176 (2009)