Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

1300-9044 2667-5161

Ataturk University

10.17567/ataunidfd.895815

Dentistry

Diş Hekimliği

PERIODONTAL DOKULARI ETKILEYEN REAKTIF HIPERPLASTIK LEZYONLAR: 268 VAKADA GERÇEKLEŞTIRILEN RETROSPEKTIF BIR ÇALIŞMA

https://orcid.org/0000-0002-7868-4217

Kurgan

Şivge

ANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ

https://orcid.org/0000-0002-8995-6361

Önder

Canan

ANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ

https://orcid.org/0000-0001-6094-4538

Şengül

Volkan

ANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ

https://orcid.org/0000-0002-3848-6195

Günhan

Meral

ANKARA ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ

https://orcid.org/0000-0002-3712-1469

Günhan

Ömer

TOBB EKONOMİ VE TEKNOLOJİ ÜNİVERSİTESİ

07 14 2021

31 3 355 361 10 26 2020 03 12 2021

1986

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Amaç: Oral kavitedeki lezyonlar geniş bir yelpazede çeşitlilik göstermekte olup; yumuşak dokunun reaktif proliferatif lezyonları sık görülen oral lezyonlardandır. Bu lezyonların sıklığı çeşitli popülasyonlarda farklılık gösterir. Bu çalışmada, oral lezyonların cinsiyet ve yaş ortalamalarına göre dağılımını belirlemek ve bu lezyonların klinik belirtileri, tanı ve tedavi süreçleri hakkında fikir vermek amaçlanmaktadır.Gereç ve Yöntem: Çalışma materyalini oluşturmak amacıyla 2010-2015 yıllarını kapsayan patolojik retrospektif arşiv incelemesi yapılmış ve lezyonlara ait 268 biyopsi materyali ve kaydedilmiş olan klinik verileri incelenmiştir. Değerlendirmeye alınan örnekler histopatolojik tanı, yaş, cinsiyet ve sıklıklarına göre sınıflandırılmıştır.Bulgular: 268 dişeti biyopsisinin 117'si (% 43,66) inflamatuar fibröz hiperplazi, 58'i (% 21,64) iritasyon fibromu, 29'u (% 10,82) periferal ossifiye fibrom, 26'sı (% 9,70) periferal dev hücreli granülom, 17'si (% 6,34) piyojenik granülom, 12'si (% 4,48) lignöz periodontitis, 7'si (% 2,61) gingival fibromatozis ve 2'si (% 0,75) juvenil hyalin fibromatozis idi. Lezyonlar kadınlarda (n=167, %62.31) erkeklere (n=101, %37.69) göre daha yaygındı. Reaktif lezyonların en sık görüldüğü yer 206 (% 76.90) olgu ile yapışık dişetiydi. Sonuç: Saptanan lezyonların dağılımı, ağız lezyonlarının periodontal dokuları sıklıkla tutabileceğini göstermektedir. Periodontologlar, bu lezyonların erken teşhis ve tedavisinden asıl sorumlu olduklarını unutmamalıdırlar. Ciddi lezyonların teşhisinin gecikmesini önleyerek, uygun tedavi için rehberlik sağlayabilirler.Anahtar kelimeler: Reaktif hiperplastik lezyonlar, Lignöz periodontitis, Periferal ossifiye fibrom, Periferal dev hücreli granülom.REACTIVE HYPERPLASTIC LESIONS AFFECTING PERIODONTAL TISSUE: A RETROSPECTIVE STUDY ON 268 CASESABSTRACTAim: Lesions in the oral cavity are seen in a broad spectrum of diversity. Reactive proliferative lesions of soft tissue are comman oral lesions. The frequency of these lesions differs across various populations. This study aims to determine the distribution of the oral lesions by gender and age averages, and also to give an idea about the clinical manifestations, diagnosis and treatment process of these lesions.Materials and Methods: For this purpose, a clinical and pathological retrospective archive review has been performed covering between years 2010-2015. 268 biopsies and clinical datas of patients were studied and classified on the basis of their histopathologic diagnosis, age, gender and frequency.Results: Of 268 gingival biopsies, 117 (43.66%) cases were inflammatory fibrous hyperplasia, 58 (21.64%) were irritation fibroma, 29 (10.82%) were peripheral ossifying fibroma, 26 (9.70%) were peripheral giant cell granuloma, 17 (6.34%) were pyogenic granuloma, 12 (4.48%) were ligneous periodontitis, 7 (2.61%) were gingival fibromatosis, and 2 (0.75%) were juvenile hyaline fibromatosis. The lesions were more common in females (n=167, %62.31) than in males (n=101, %37.69). Gingiva with 206 (% 76.90) cases was the most frequent place of reactive lesions. Conclusion: The spectrum of determined lesions indicates that various diseases of oral pathology could hold periodontal tissues. Periodontists should not forget that they are the main responsible for the early diagnosis and treatment of these lesions. Preventing the delay of the diagnosis of serious lesions, guidance can be provided for the appropriate treatment.Key words: Reactive hyperplastic lesions, Ligneous periodontitis, Peripheral ossifying fibroma, Peripheral giant cell granuloma.

Reaktif hiperplastik lezyonlar Lignöz periodontitis Periferal ossifiye fibrom Periferal dev hücreli granülom.

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