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MDT模式在颌骨囊性病变临床处理及教学中的应用OACSTPCD

Application of MDT approach in clinical management and teaching of the jaw cystic lesions

中文摘要英文摘要

根尖周囊肿、含牙囊肿、牙源性角化囊肿、单囊型成釉细胞瘤等是常见的颌骨囊性病变.它们通常无不适症状,但可引起牙阻生、牙松动移位、咬合障碍、骨膨胀、面部畸形等并发症.这类病变主要采用手术治疗,但被累及的活髓牙或囊内阻生牙的处理,常需要牙体牙髓科、修复科、正畸科等多学科合作,患者获得满意的治疗效果.本文介绍在颌骨囊性病变治疗中开展多学科协作(multidisciplinary team,MDT)模式及其在临床教学中的初步经验.

Periapical cysts,dentigerous cysts,odontogenic keratocysts,unicystic ameloblastomas and others are com-mon cystic lesions of the jaws.They are generally asymptomatic,but can cause impacted tooth/teeth,loosening and displace-ment of the teeth,occlusion disorder,bone expansion and facial deformity.These lesions are surgically treated,but when the standing tooth/teeth of the pulp vitality is associated with the cystic lesions,especially tooth roots are protruded into the cyst cavity,or impacted tooth is enclosed in the cavity of developmental cysts,different treatment options have been recommended to support tooth preservation.Successful results will be obtained via the individual strategy made by the multidisciplinary team(MDT),including oral surgeons,endodontists,prosthodontists and orthodontists.We present our experience of the clinical teaching in application of MDT approach for management of the cystic lesions of the jaws.

孙艳芳;段佩佩;欧阳小百;姚立豪;赵熠

口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室武汉大学口腔医(学)院 湖北 武汉 430079||武汉大学口腔医院口腔颌面外科 湖北 武汉 430079口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室武汉大学口腔医(学)院 湖北 武汉 430079||武汉大学口腔医院口腔修复科 湖北 武汉 430079口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室武汉大学口腔医(学)院 湖北 武汉 430079||武汉大学口腔医院口腔综合科 湖北 武汉 430079

口腔医学

颌骨囊性病变手术治疗多学科协作临床教学

JawsCystic lesionsSurgical treatmentMultidisciplinary teamClinical teaching

《临床口腔医学杂志》 2024 (008)

484-487 / 4

10.3969/j.issn.1003-1634.2024.08.010

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