Maksiller Sinüste Diplopi ve Burun Tıkanıklığına Yol Açan Geniş Boyutlarda Dentijeröz Kist: Olgu Sunumu
Dentijeröz kistler, çenelerin en yaygın gelişimsel odontojenik kistleridir. Sıklıkla erkeklerde görülür ve en çok maksillar kanin, mandibular üçüncü molar dişleri etkilerler. Süpernumere ve ektopik olarak sürmüş dişlerle ilişkili olabilirler. Bu makalede; maksiller sinüste ektopik üçüncü molar dişle ilişkili dentijeröz kistin tedavisini sunmayı amaçladık. 16 yaşında kadın hasta, yaklaşık altı aydır olan, sağ yanağının üzerinde ağrılı şişlik şikâyeti ile kliniğimize başvurdu. Tüm daimi dişler sağ üst üçüncü molar dışında mevcuttu. Ekstraoral muayenede yüzde asimetri, göz kürelerinin seviyelerinin eşit olmadığı görüldü. Radyografik muayenede, sol maksiller sinüste ektopik üçüncü molar dişle ilişkili kistik lezyon saptandı. Lokal anestezi altında marsüpyalizasyon yapıldı. Altı aylık takipten sonra genel anestezi ile cerrahi operasyonu yapıldı. Hastanın şikâyetlerinin operasyondan sonra tamamen geçtiği görüldü ve 3 yıllık takipte herhangi bir problemle karşılaşılmadı.Dentijeröz kistin istenmeyen etkilerinden kaçınabilmek için, sürmemiş dişlerin radyolojik incelemeleri dikkatle yapılmalıdır. Tedavi edilmeyen dentigeröz kistler büyük boyutlara ulaşabilir. Ayrıca odontojenik tümör oluşturma potansiyeline sahiptirler
LARGE DENTIGEROUS CYST IN THE MAXILLARY SINUS LEADING TO DIPLOPIA AND NASAL OBSTRUCTION: CASE REPORT
Dentigerous cysts are the most commondevelopmental odontogenic cyst of the jaws. Theyare more frequent in males and although mostoften affected teeth are maxillary canines andmandibular third molars, they may also be relatedwith supernumerary or an ectopically erupted tooth.Our aim was to report the management of ectopicthird molar tooth related with a dentigerous cystin maxillary sinus. 16 years old girl referred to ourclinic with a complaint of painful swelling over herright cheek since past six months. All permanentteeth were present except the right upper third molar.External examination showed that the face was gentlyasymmetrical; levels of eye globes were abnormal.Radiographic examination revealed a cystic lesionrelated with ectopic third molar which located in theroof of the left maxillary sinus. Under local anesthesia,hard drain was inserted into the hole and the cysticpressure was decreased. After the six month of followup,the operation was performed under generalanesthesia. The patient’s symptoms were resolvedcompletely after surgery and remained symptom-freefor over a postoperative follow-up period of 3 year.To avoid unwanted effects of a dentigerouscyst, unerupted tooth should be observedwith radiographic imaging. Some untreateddentigerous cysts may grow large and have apotential to develop into an odontogenic tumor.
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