Rezidüel Kist Enükleasyonu Sonrası İmplant Tedavisi:Bir Olgu Sunumu
Rezidel kistler enflamatuvar odontojenik grupta yer alan çenede en yaygın kemik kaybına sebep olan kisttir. Diş çekiminden sonra yeterli enükleasyonu yapılmayan lateral periodontal veya apikal kistin kemik dokusunda kalmasıyla oluşur. Çoğunlukla asemptomatik olan bu kistler belirli boyutlara ulaştıklarında bölgede ciddi kemik defektlerine sebep olabilirler. Dental implantlar tam dişsiz hastaların tedavilerinde önemli bir role sahiptir. Dişsiz üst çenede uygulanan implant destekli hareketli protezler, yaygın bir şekilde uygulanan ve yüksek başarı gösteren protetik tedavi seçeneğidir. Bu olgu sunumunda maksilla anterior bölgede gelişen büyük boyutlardaki radiküler kistin enükleasyonu ardından defekt alanına komşu, protetik rehabilitasyonu amacıyla eş zamanlı dental implant uygulaması sunulmuştur.
Implant Treatment Following Residual Cyst Enucleation: A Case Report
Residual cysts are a part of the inflammatory group of odontogenic cysts, which are one of the most common osseous-destructive lesions affecting the jaws. It occurs when the lateral periodontal or apical cyst remains in the bone tissue which is not enucleated after tooth extraction. These cysts, which are mostly asymptomatic, can cause serious bone defects when they reach certain dimensions. Dental implants have an important role in treatment of edentulous patients. Maxillar implant-supported overdentures can provide an effective and successful treatment modality for edentulous patients. In this case report, we present a simultaneous dental implant application for prosthetic rehabilitation adjacent to the defect area following enucleation of a large radicular cyst in the maxillary anterior region.
___
- KAYNAKLAR:
1. Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical pathologic correlations. Saunders Co 2003.p. 241.
2. Cardesa A, Slootweg PJ. Pathology of the Head and Neck. Springer: 2006. p. 105-109.
3. Türker M, Yücetaş Ş. Çene ve çevre dokuların kistleri ve tedavileri. Türker M, Yücetaş Ş, editörler. Ağız, Diş Çene Hastalıkları ve Cerrahisi. 3. Baskı. Ankara: Özyurt Matbaacılık;2004. p.293-308.
4. Yücetaş Ş. [Hard and soft tissue cysts]. Ağız ve Çevre Dokusu Hastalıkları. 1. Baskı. Ankara: Atlas Yayıncılık; 2005. p.340-1.
5. Regezi JA, Sciubba JJ, Jordan RC. Cysts of the jaws and neck. Oral Pathology Clinical Pathologic Correlations. 4thed. Chapter 10. St. Louis, Missouri: Saunders; 2003. p.244.
6. Jackson IT, Shaw K. Tumors of the craniofacial skeleton, including the jaws. In: McCarthy JG, editor. Plastic Surgery. Vol. 5. Philadelphia: W. B. Saunders; 1990. p.3336-411.
7. Georgiade NG, McGraw TA, Georgiade GS. Solid and cystic tumors of the jaw. In: Georgiade GS, Riefkohl R, Levin LS, editors. Plastic, maxillofacial and reconstructive surgery. 3rd ed. Baltimore: Williams&Wilkins; 1997. p. 436-45.
8. Harorlı A, Yılmaz AB, Akgül HM. Çene kemiklerinde görülen kistler. Harorlı A, Yılmaz AB, Akgül HM, editörler. Dişhekimliğinde Radyolojide Temel Kavramlar ve Radyodiagnostik.1. Baskı. Erzurum: Atatürk Üniversitesi Ziraat Fakültesi Ofset Tesisleri; 2001. p.328-9.
9. Boyd JB, Assad CJ. The mandible. In: Achauer BM, Eriksson E, Coleman JJ, Kolk CV, Russell RC, Guyuron B, editors. Plastic surgery: indications, operations, and outcomes. Vol. 3, St. Louis: Mosby; 2000. p. 1233-77.
10. Borah GL, Aziz SR. Tumors of the mandible. In: Mathes SJ, Hentz VR, editors. Plastic surgery. Vol. 5, 2nd ed. Philadelphia: W. B. Saunders; 2006. p. 91-157.
11. Stellingsma C, Meijer HJ, Raghoebar GM . Use of short endosseous implants and an overdenture in the extremely resorbed mandible: a five-year retrospective study. J Oral Maxillofac Surg 2000;58:382-387.
12. Philipsen HP. Keratocystic odontogenic tumour. In:World health organization classification of tumours:pathology and genetics of tumours of the head and neck tumours, Barnes EL, Eveson JW, Reichart P, Sidransky D eds, IARC Press, Lyon. 2005; 306-307.
13. Varinauskas V, Gervickas A, Kavoliûniene O.Analysis of odontogenic cysts of the jaws. Medicina (Kaunas). 2006; 42(3): 201-207.
14. Williams TP, Hellstein JW. Odontogenic cysts of the jaws and other selected cysts. In: Williams TP, Stewart JCB, eds. Oral and Maxillofacial Surgery Surgical Pathology. 5th ed. Philadelphia:W B Saunders; 2000. p.297-317
15. Mosqueda-Taylor A, Irigoyen-Camacho ME,Diaz-Franco MA, Torres-Tejero MA. Odontogenic cysts. Analysis of 856 cases. Med Oral 2002;7(2):89-96. [Article in English, Spanish]
16. Bataineh AB, Rawashdeh MA, Al Qudah MA.The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population:a clinicopathologic study.Quintessence Int 2004;35(10):815-9.
17. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006;35(8):500-7.
18. Meningaud JP, Oprean N, Pitak-Arnnop P,Bertrand JC. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci 2006;48(2):59-62.
19. Ochsenius G, Escobar E, Godoy L, Peñafiel C. Odontogenic cysts: analysis of 2,944 cases in Chile. Med Oral Patol Oral Cir Bucal 2007;12(2):E85-91.
20. Ioannidou F, Mustafa B, Seferiadou-Mavropoulou T. [Odontogenic cysts of the jaws. A clinicostatistical study]. Stomatologia (Athenai) 1989;46(2):81-90. [Article in Greek, Modern]
21. Di Girolamo S, Di Girolamo M, Giacomini PG,Ferraro S, Izzo R.Unusual evolution of a residual dental cyst: a giant rhinolith. Cranio 2008;26(4):294-7.