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

Year 2021, Volume: 8 Issue: 2, 561 - 565, 31.08.2021

Mehmet Melih Ömezli , Ferhat Ayrancı , Hale Yurtyapan Kadircan Kahveci

https://doi.org/10.15311/selcukdentj.550819

Abstract

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

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

Abstract

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 sunulmaktadır

Olgu 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

Keywords

Keratokist, dentigeröz kist, marsupyalizasyon

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