Oral Kavite Kistleri: Odontojenik Keratokist; 4 Yıllık Takipli Nadir Bir Vaka Raporu


Dilsiz A., Korkmaz A.

Clinics of Surgery, cilt.2638, sa.1451, ss.3-7, 2022 (Hakemli Dergi)

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 2638 Sayı: 1451
  • Basım Tarihi: 2022
  • Dergi Adı: Clinics of Surgery
  • Sayfa Sayıları: ss.3-7
  • Atatürk Üniversitesi Adresli: Evet

Özet

Abstract

Giriş/ Amaç: Odontojenik keratokist, sıklıkla mandibulayı etkileyen nadir odontojenik kistlerden biridir. Çeşitli sunumu ve yüksek nüks oranı nedeniyle ağız cerrahisi alanında özel bir yere sahiptir. Odontojenik keratokistlerin tedavisinin sonuçlarıyla ilgili birkaç vaka bildirilmiştir. Bu raporun amacı, bir hastada OKC vakasını göstermek ve takip bilgilerini ve başarılı tedavisini açıklamaktı. Yöntemler: 18 yaşında bir Türk kızı, diş hekimi tarafından Kasım 2017'de mandibular kesici bölgedeki kist tedavisi için Diş Hekimliği Fakültesi periodontoloji kliniğine sevk edildi. Klinik ve radyografik olarak önerilen odontojenik keratokist tanısı histopatolojik çalışma ile doğrulandı. Tedavi oral hijyen eğitimi, periodontal-endodontik tedavi ve kist rezeksiyonundan oluşuyordu.

Bulgular: Ameliyattan dört hafta sonra iyileşme meydana geldi ve üç yıl sonra lezyon bölgesi klinik ve radyografik olarak tamamen normal görünüyordu. 4 yıllık takipten sonra lokal nüks belirtisi yoktu.

Sonuçlar: Odontojenik keratokist cerrahi periodontal tedavi ile başarılı bir şekilde tedavi edildi.

Anahtar Kelimeler: Odontojenik kistler, Odontojenik tümörler, Gelişimsel kist, Odontojenik keratokist, Ameliyatsız periodontal debridman, enükleasyon, marsupiyalizasyon, olgu sunumuMethods: A 18-year-old Turkish girl was referred by her dentist to the periodontology clinic of the Faculty of Dentistry in November 2017, for the treatment of cyst in the mandibulary incisor region. The diagnosis of odontogenic keratocystsuggested clinically and radiographically was confirmed by the histopathological study. Treatment consisted of oral hygiene instruction, periodontal-endodontic treatment and resection of cyst.

Results: Four weeks after surgery healing was occurred and three years later area of the lesion appeared completely normal as clinical and radiographically. There were no signs of local recurrence after a 4-year follow-up.

Conclusions: The odontogenic keratocyst was treated successfully by surgical periodontal treatment.

Key Words: Odontogenic cysts, Odontogenic tumours, Developmental cyst, Odontogenic keratocyst, Non-surgical periodontal debridement, enucleation, marsupialization, case report

Abstract

Backgrounds/ Aim: Odontogenic keratocyst is one of the rare odontogenic cyst, commonly affecting the mandible. It has a special mention in the field of oral surgery due to its varied presentation and high recurrence rate. There have been a few cases reported of outcomes of treatment of odontogenic keratocysts. The aim of this report was to illustrate the case of OKC in a patient and to describe the follow-up information and successful treatment of its. 

Methods: A 18-year-old Turkish girl was referred by her dentist to the periodontology clinic of the Faculty of Dentistry in November 2017, for the treatment of cyst in the mandibulary incisor region. The diagnosis of odontogenic keratocystsuggested clinically and radiographically was confirmed by the histopathological study. Treatment consisted of oral hygiene instruction, periodontal-endodontic treatment and resection of cyst.

Results: Four weeks after surgery healing was occurred and three years later area of the lesion appeared completely normal as clinical and radiographically. There were no signs of local recurrence after a 4-year follow-up.

Conclusions: The odontogenic keratocyst was treated successfully by surgical periodontal treatment.

Key Words: Odontogenic cysts, Odontogenic tumours, Developmental cyst, Odontogenic keratocyst, Non-surgical periodontal debridement, enucleation, marsupialization, case report