악골에 발생한 치성각화낭종의 임상 및 방사선학적 연구

Abstract

[한글]

저자는 1965년부터 1986년까지 연세대학교치과대학 부속병원과 서울대학교치과대학 부속병원에서 병리학적 소견에서 치성각화낭종으로 진단된 2세에서 63세사이의 남자 26명과

여자 21명의 환자 총 47명에서 발생한 총 57예의 치성각화낭종을 연구대상으로 하여 임상적 및 방사선학적 소견을 연구 조사하여 다음과 같은 결론을 얻었다.

1. 본 질환은 10대에서 29.8%로 가장 호발하였으며 그 이후는 점차 감소하였다. 남녀간의 비율은 1.23:1을 나타내어 남자에서 발생율이 다소 높았다.

2. 가장 흔히 관찰되는 주소는 부종 (65.9%)이있으며 배농, 종창, 동통, 잔존치아의 순으로 관찰되었다.

3. 상악보다 하악에서 더 발생되었고 호발부위는 하악제 3대 구치 및 하악지 (15.8%), 하악체와 하악지, 하악제 3대구치, 하악전치등의 순으로 관찰되었다.

4. 치아와 무관한 병소가 14.0%이었고, 치아와 관련된 병소에서 치근흡수를 보이는 경우는 35.1%, 치근흡수가 없는 경우는 50.9%이었으며 도한 치아 이동이 있는 경우가 35.1%, 치아 이동이 없는 경우는 50.9%이었다.

5. 병소의 과골변연이 부채꼴 모양이 52.6%, 평활한 모양이 47.4%이었으며 또한 병소의 형태는 단방성이 50.9%, 다방성이 49.1%이었다.

6. 본 질환의 방사선학적 유형은 여포형(42.1%), 원기형, 미분류치성형, 잔류형, 측방치주형, 구상상악형의 순으로 관찰되었다.

CLINICAL AND RADIOLOGIC STUDY OF ODONTOGENIC KERATOCYST IN THE JAWS

Choi Chong Ho

Department of Dental Science, Graduate School, Yonsei University

(Directed by Assistant Professor, Chang Seo Park, D.D.S., Ph.D.)

The author has clinically and radiologically investigated 57case of odontogenic

keratocyst in 47 patients consisted of 26 males and 21 females aged from 2 to 63

years, who were pathologi-cally diagnosed as odontogenic keratocyst at infirmaries

of dental colleges, Yonsei University and Seoul national university during

1962-1986.

The results were as follows:

1. The peak incidence of the disease was in their teenagers(29.8%)

The ratio of Male/Female was 1.23 : 1 and incidence rate of males showed higher

than their counterpart.

2. The most frequent complanints were swelling in(65.9%) followed by pus

discharge, unknown mass, pain, residual roor.

3. The most common site was mandibular third molar and mandibular ramusb

region(15.8%) followed by mandibular body and ramus, mandibular third molar,

mandibular anterior teeth. Incidence of this disease in mandible was higer than in

maxilla.

4. The lesions nor associated with adjacent teeth were (14.0%) and in the lesions

associated with adjacent teeth (35.1%) showed root resorption, (50.9%) were without

root resorption, (35.1%) showed tooth migration and (50.9%), were without tooth

migration.

5. The border types of the lesions were scalloped type in (52.6%), smooth type in

(47.4%) and morphological type were unilocular in (50.9%), multilocular in (49.1%).

6. The radiologic cyst type of the lesions were follicular type (42.1%) followed

by primordial, unclassified odontogenic, residual, lateral periodontal, median

mandibular, globulomaxillary type.

[영문]

The author has clinically and radiologically investigated 57case of odontogenic keratocyst in 47 patients consisted of 26 males and 21 females aged from 2 to 63 years, who were pathologi-cally diagnosed as odontogenic keratocyst at infirmaries of dental colleges, Yonsei University and Seoul national university during

1962-1986.

The results were as follows:

1. The peak incidence of the disease was in their teenagers(29.8%)

The ratio of Male/Female was 1.23 : 1 and incidence rate of males showed higher than their counterpart.

2. The most frequent complanints were swelling in(65.9%) followed by pus discharge, unknown mass, pain, residual roor.

3. The most common site was mandibular third molar and mandibular ramusb region(15.8%) followed by mandibular body and ramus, mandibular third molar, mandibular anterior teeth. Incidence of this disease in mandible was higer than in maxilla.

4. The lesions nor associated with adjacent teeth were (14.0%) and in the lesions associated with adjacent teeth (35.1%) showed root resorption, (50.9%) were without root resorption, (35.1%) showed tooth migration and (50.9%), were without tooth migration.

5. The border types of the lesions were scalloped type in (52.6%), smooth type in (47.4%) and morphological type were unilocular in (50.9%), multilocular in (49.1%).

6. The radiologic cyst type of the lesions were follicular type (42.1%) followed by primordial, unclassified odontogenic, residual, lateral periodontal, median mandibular, globulomaxillary type.