首页|期刊导航|中国实用口腔科杂志|儿童颌骨囊肿对继承恒牙发育影响及其综合管理策略

儿童颌骨囊肿对继承恒牙发育影响及其综合管理策略OA

Influence of jaw cysts on the development of succedane-ous permanent teeth and its comprehensive management strategies in children

中文摘要英文摘要

儿童颌骨囊肿是发生于颌骨内的病理性囊性病变,常见于混合牙列期,可通过机械压迫、炎症微环境改变及分子调控异常等多种机制影响继承恒牙的正常发育与萌出,临床上主要表现为牙齿结构、形态及萌出异常等问题.由于儿童口颌面部解剖结构及生长发育特点的特殊性,其诊疗策略与成人存在显著差异,更强调微创干预、功能结构保存及长期生长发育的综合考量.文章结合近年来国内外相关研究进展与临床实践经验,系统综述常见儿童颌骨囊肿的诊断要点与治疗策略,重点阐述其对继承恒牙发育和萌出的影响机制,并进一步总结受累继承恒牙在保留、萌出引导及牙髓管理等方面的综合管理原则,旨在为儿童颌骨囊肿的规范化诊疗及继承恒牙的功能保存提供临床参考.

Cysts of the jaws in children are pathological cystic lesions in the jaws that commonly occur during the mixed dentition period.Through mechanisms involving me-chanical compression,alterations in the inflammatory microen-vironment,and molecular dysregulation,these lesions can im-pair the normal development and eruption of succedaneous permanent teeth,clinically manifested as dental structural ab-normalities,morphological abnormalities,and eruption distur-bances.Owing to the distinctive anatomical characteristics and growth-related features of the pediatric oral and maxillofa-cial region,diagnostic and therapeutic strategies differ sub-stantially from those in adults,with greater emphasis on mini-mally invasive intervention,preservation of functional struc-tures,and long-term growth considerations.Based on the relat-ed research progress and clinical practice experience at home and abroad in recent years,this review systematically summa-rizes the key diagnosis points and management strategies of common cysts of the jaws in children,elucidates the mecha-nisms underlying their effects on the development and erup-tion of succedaneous permanent teeth,and outlines compre-hensive management principles for affected teeth,including preservation decisions,eruption guidance,and pulp manage-ment,aiming to provide a clinical reference for standardized diagnosis and treatment of cysts of the jaws and function pres-ervation of succedaneous permanent teeth in children.

尹茂运;丁振江;陈旭

中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002中国医科大学口腔医学院·附属口腔医院儿童口腔科,辽宁省口腔疾病临床医学研究中心,辽宁沈阳 110002

医药卫生

颌骨囊肿儿童继承恒牙牙齿发育综合管理

cysts of the jawschildrensuccedaneous per-manent teethtooth developmentcomprehensive management

《中国实用口腔科杂志》 2026 (2)

158-163,6

辽宁省科技计划联合计划项目(自然科学基金-面上项目)(2025-MSLH-736)

10.19538/j.kq.2026.02.005

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