Çocuk hastalarda dentigeröz kistin konservatif tedavisi: İki olgu sunumu
Dentigeröz kistler (DK), en yaygın odontojenik gelişimsel kistlerdir. Bununla birlikte, DK'lar hayatın ilk on yılında nispeten nadiren görülür. DK'lar daima yeni oluşmakta olan veya gömülü kalmış dişler ile ilişkilidir. Klasik tedavi seçeneği, kistin enükleasyonu ve ilgili dişin ekstraksiyonudur. Bununla birlikte çocuklarda, yüksek rejeneratif potansiyelleri nedeniyle, bölgedeki kalıcı dişlerin sürme şansını da artırmak için marsupializasyon veya dekompresyon ilk tedavi seçeneği olarak düşünülmelidir. Bu makale, altı yaşındaki bir erkek ve dokuz yaşındaki bir kız çocuğunda dekompresyon tekniği sayesinde DK'larin tedavisi ve bölgedeki dişlerin sürdürülmesini rapor edilmektedir
Conservative treatment of dentigerous cysts in children: Report of two cases
Dentigerous cyst (DC) is the most common odontogenic developmental cyst. However DCs are rare in the first decade of life. They are always associated with an unerupted or developing tooth. The classic treatment option is the enucleation of cyst and extraction of the involved tooth. However, in children due to the great regenerative potential, marsupialization or decompression should be considered as the first treatment option in order to preserve the chance of the associated permanent teeth’s eruption. This article reports the treatment of DCs in a six-year-old male and a nine-year-old female child using decompression technique and management of the unerupted teeth in the affected areas
___
- 1. Deboni MC, Brozoski MA, Traina AA, Acay RR, Naclerio-Homem Mda G. Surgical management of dentigerous cyst and keratocystic odontogenic tumor in children: a conservative approach and 7-year follow-up. J Appl Oral Sci 2012; 20: 282-285.
- 2. Demiriz L, Misir AF, Gorur DI. Dentigerous cyst in a young child. Eur J Dent 2015; 9: 599-602.
- 3. Park HS, Song IS, Seo BM, Lee JH, Kim MJ. The effectiveness of decompression for patients with dentigerous cysts, keratocystic odontogenic tumors, and unicystic ameloblastoma. J Korean Assoc Oral Maxillofac Surg 2014; 40: 260-265.
- 4. Ziccardi VB, Eggleston TI, Schneider RE. Using fenestration technique to treat a large dentigerous cyst. J Am Dent Assoc 1997; 128: 201-215.
- 5. Gay-Escoda C, Camps-Font O, Lopez-Ramirez M, VidalBel A. Primary intraosseous squamous cell carcinoma arising in dentigerous cyst: Report of 2 cases and review of the literature. J Clin Exp Dent 2015; 7: e665-670.
- 6. Kimura T, Ohba S, Yoshimura H, Fujita S, Imamura Y, Kitagawa Y, Sano K. Keratocystic odontogenic tumor arising at the mandibular ramus with an impacted tooth: a case report and mimic lesions. Cranio 2015; 29: 1-8.
- 7. Tucker WM, Pleasants JE, MacComb WS. Decompression and secondary enucleation of a mandibular cyst: report of case. J Oral Surg 1972; 30: 669-673.
- 8. Scariot R, da Costa DJ, Rebellato NL, Muller PR, Gugisch RC. Treatment of a large dentigerous cyst in a child. J Dent Child (Chic). 2011; 78: 111-114.
- 9. Fujii R, Kawakami M, Hyomoto M, Ishida J, Kirita T. Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg 2008; 66: 272-276.
- 10. Tolstunov L. Marsupialization catheter. J Oral Maxillofac Surg 2008; 66: 1077-1079.