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Título
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Active decompression and distraction sugosteogenesis for the treatment of calcifying odontogenic cyst
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Description
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El quiste odontogénico calcificante es un quiste odontogénico de desarrollo raro y benigno con una amplia gama de características histológicas. Puede presentarse junto con otras patologías odontogénicas como odontoma, ameloblastoma, tumor odontogénico adenomatoide, fibroma ameloblástico y fibroodontoma ameloblástico. Clínicamente, puede ser una tumefacción indolora intraósea o extraósea que puede producir expansión cortical. Afecta principalmente a la zona anterior de la mandíbula. Radiográficamente, aparece como una radiotransparencia unilocular bien delimitada que contiene motas de radiopacidades indistintas. En alrededor de un tercio de los casos, se asocia un diente retenido. En este artículo, empleamos a un paciente con un enorme quiste odontogénico calcificante para revisar tanto la patología como la descompresión activa y la sugosteogénesis por distracción. una técnica novedosa empleada para el tratamiento de entidades odontogénicas. Este abordaje dual por lo general da como resultado una cicatrización ósea acelerada (sugosteogénesis), eliminación parcial del epitelio quístico, engrosamiento de la pared y migración de células inflamatorias crónicas que desencadenaron la modulación epitelial y, en última instancia, causaron un realineamiento en el comportamiento biológico de la lesión.
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Relation
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Grupo de Ciencias Odontológicas Unicoc
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Creator
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Castro Núñez, Jaime Alberto
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Moreno-Rodríguez, Pedro
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Guerrero, Lidia M.
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Gómez-Delgado, Andrés
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Mediator
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Centro de Investigación Colegio Odontológico - CICO
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Date Issued
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2021-07-17
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Abstract
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The calcifying odontogenic cyst is as a benign, rare developmental odontogenic cyst with a wide range of histologic characteristics. It may present along with other odontogenic pathologies such as odontoma, ameloblastoma, adenomatoid odontogenic tumor, ameloblastic fibroma, and ameloblastic fibro-odontoma. Clinically, it can be an either intra- or extraosseous painless swelling that can produce cortical expansion. It affects mostly the anterior area of the mandible. Radiographically, it appears as a well-circumscribed unilocular radiolucency containing flecks of indistinct radiopacities. In about one third of cases, an impacted tooth is associated. In this paper, we employ a patient with an enormous calcifying odontogenic cyst to review both the pathology and active decompression and distraction sugosteogenesis, a novel technique employed to treat odontogenic entities. This dual approach usually results in an accelerated bone healing (sugosteogenesis), partial removal of the cystic epithelium, thickening of the wall, and migration of chronic inflammatory cells which triggered epithelial modulation, ultimately causing a realignment in the biologic behavior of the lesion.
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Extent
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9 pp.
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Format
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application/pdf
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issn
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1865-1569
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Lenguaje
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Inglés
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Publisher
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Springer
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page end
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97
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issue
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1
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page start
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89
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Fuente
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Oral and Maxillofacial Surgery
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Oral Maxillofac Surg
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Repositorio Institucional Unicoc - RI-Unicoc
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volume
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25
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Is Part Of
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Oral and Maxillofacial Surgery, ISSN: 1865-1569, Vol. 25, No. 1, (2021); pp. 1–7
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Access Rights
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restrictedAccess
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Bibliographic Citation
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primary topic
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Research Subject Categories::ODONTOLOGY::Surgical research
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Subject
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Calcifying odontogenic cyst
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Active decompression
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Distraction sugosteogenesis
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Case report
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Quiste odontogénico calcificante
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Descompresión activa
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Sugosteogénesis por distracción
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Reporte de Caso
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Alternative Title
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Descompresión activa y sugosteogénesis por distracción para el tratamiento del quiste odontogénico calcificante
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Tipo
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Artículo
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current project
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Grupo de Ciencias Odontológicas Unicoc
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number of pages
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9 pp.
