問題詳情

21.關於牙根尖組織病變的敘述,下列敘述何者錯誤?
(A)大約有15~42%的牙根尖組織病變會轉變成囊腫(cyst)
(B)真性囊腫(true cyst)往往伴隨著連續性的上皮細胞,並與牙齒產生隔離現象
(C)囊袋囊腫(pocket cyst)則是其空腔往往向著受感染的牙齒根管是敞開的
(D)囊袋囊腫(pocket cyst)往往無法單由非手術性根管治療來解決,常須藉由手術方式才能解決

參考答案

答案:D
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摘錄自Pathway Ch8 Nonsurgical retreatment p326The incidence of periapical cysts has been reported to be 15% to 42% of all periapical lesions, and determining whether a periapical radiolucency is a cyst or the more common periapical granuloma cannot be done with available radiographic methods. There are two types of periapical cysts: the periapical true cyst and the periapical pocket cyst. True cysts have a contained cavity or lumen within a continuous epithelial lining and are therefore isolated from the tooth, whereas with pocket cysts, the lumen is open to the root canal of the affected tooth. True cysts, due to their self-sustaining nature, probably do not heal following nonsurgical endodontic therapy and usually require surgical enucleation.