Büyük boyutlara ulaşmış odontojenik kistlerin tedavisinde konservatif yaklaşım: İki olgu sunumu

Amaç: Odonotojenik Keratokist çenelerde görülen en agresif kistlerdendir. Dental lamina artıklarından gelişir, nüks ve dokulara infiltrasyon özelliği vardır. Dentigeröz kist ikinci en çok görülen odontojenik kisttir ve çoğu zaman semptom vermez. Bu olgu sunumunda geniş yerleşimli bu iki kistin marsupyalizasyon vakası sunulmaktadırOlgu Sunumu: Her iki olguda, klinik ve radyolojik muayenesi sonrası mandibula yerleşimli, ağrısız, intraoral ve ekstraoral ekspansiyon yapmamış geniş radyolüsent lezyon tespit edildi. Lokal anestezi altında ilgili bölgelerden tam kalınlık flep kaldırılarak kemikte kavite açıldı. Kist sıvısı boşaltılarak kist kavitesi yıkandı ve kavite açıklığı korunacak şekilde gaz iodoform suture edildi.Sonuçlar: Odontojenik keratokist ve dentigeröz kist çoğunlukla mandibula posterior bölgede görülen ve büyük boyutlara ulaşabilen lezyonlardır. Tedavide lezyonun büyüklüğüne göre enükleasyon ve marsupyalizasyon yapılabilir. Operasyon sonrası histopatolojik inceleme yapılmalı ve hastalar uzun dönem takibi edilmelidir.Anahtar Kelimeler: Keratokist, dentigeröz kist, marsupyalizasyon

Anahtar Kelimeler:

Keratokist, dentigeröz kist, marsupyalizasyon

Conservative approach for the treatment of odontogenic cysts: Report of two cases

Backround: Odontogenic keratocyst is the most aggressive cyst that develops from dental lamina remnants. It recurrence and infiltrate to tissues. Dentigerous cyst is the second most common cyst and often does not cause symptoms. In this case report, marsupialization of these two cysts with large settlement is presented. Case Report: In both cases, after clinical and radiological examination, a large radiolucent lesion was determined at the mandibula, without pain, intraoral and extraoral expansions. Under local anesthesia, full thickness flap was raised and the cavity was opened in the bone. The cyst fluid was evacuated. Then, the gas iodoform sutured to maintain cavity gap. Conclusions: Odontogenic keratocyst and dentigerous cyst are mostly lesions have seen in the posterior region of the mandible and reaching large sizes. Enucleation and marsupialisation can be performed according to the size of the lesion in treatment. Patients should be followed for a long time with postoperative histopathological examination.Keywords: Keratocyst, dentigerous cyst, marsupialization

Keywords:

Keratocyst, dentigerous cyst, marsupialization,

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