TY - JOUR T1 - Büyük boyutlara ulaşmış odontojenik kistlerin tedavisinde konservatif yaklaşım: İki olgu sunumu TT - Conservative approach for the treatment of odontogenic cysts: Report of two cases AU - Kahveci, Kadircan AU - Ömezli, Mehmet Melih AU - Ayrancı, Ferhat AU - Yurtyapan, Hale PY - 2021 DA - August DO - 10.15311/selcukdentj.550819 JF - Selcuk Dental Journal JO - Selcuk Dent J PB - Selcuk University WT - DergiPark SN - 2148-7529 SP - 561 EP - 565 VL - 8 IS - 2 LA - tr AB - Amaç:Odonotojenik Keratokist çenelerde görülen enagresif kistlerdendir. Dental lamina artıklarından gelişir, nüks ve dokularainfiltrasyon özelliği vardır. Dentigeröz kist ikinci ençok görülen odontojenik kisttir ve çoğu zaman semptom vermez. Bu olgusunumunda geniş yerleşimli bu iki kistin marsupyalizasyon vakası sunulmaktadırOlgu Sunumu:Her iki olguda, klinik ve radyolojik muayenesisonrası mandibula yerleşimli, ağrısız, intraoral ve ekstraoral ekspansiyonyapmamış geniş radyolüsent lezyon tespit edildi. Lokalanestezi altında ilgili bölgelerden tam kalınlık flep kaldırılarak kemiktekavite açıldı. Kist sıvısı boşaltılarak kistkavitesi yıkandı ve kavite açıklığı korunacak şekilde gaz iodoform sutureedildi.Sonuçlar:Odontojenikkeratokist ve dentigeröz kist çoğunlukla mandibula posterior bölgede görülen vebüyük boyutlara ulaşabilen lezyonlardır. Tedavide lezyonun büyüklüğüne göreenükleasyon ve marsupyalizasyon yapılabilir. Operasyon sonrası histopatolojikinceleme yapılmalı ve hastalar uzundönem takibi edilmelidir.Anahtar Kelimeler:Keratokist, dentigeröz kist, marsupyalizasyon KW - Keratokist KW - dentigeröz kist KW - marsupyalizasyon N2 - Backround:Odontogenic keratocyst is the most aggressive cyst that develops fromdental lamina remnants. It recurrence and infiltrate to tissues. Dentigerouscyst is the second most common cyst and often does not cause symptoms. In thiscase report, marsupialization of these two cysts with large settlement ispresented.Case Report:In both cases, after clinical and radiologicalexamination, a large radiolucent lesion was determined at the mandibula,without pain, intraoral and extraoral expansions. Under local anesthesia, fullthickness flap was raised and the cavity was opened in the bone. The cyst fluidwas evacuated. Then, the gas iodoform sutured to maintain cavity gap.Conclusions:Odontogenic keratocyst and dentigerous cyst aremostly lesions have seen in the posterior region of the mandible and reachinglarge sizes. Enucleation and marsupialisation can be performed according to thesize of the lesion in treatment. Patients should be followed for a long timewith postoperative histopathological examination.Keywords:Keratocyst,dentigerous cyst, marsupialization CR - 1. Partsch C. Uber kiefercysten. Deutsche Monatsschrift Fur Zahnheilkunde 10, 271, Quoted from Pogrel, MA, 2005. 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