MANDİBULADA MULTİPLE FLORİD SEMENTOSSÖZ DİSPLAZİ: BİR OLGU SUNUMU

Year 2021, Volume: 31 Issue: 4, 621 - 626, 14.10.2021

Yunus Emre Aşçı Mustafa Seçkin Yazar Adnan Kılınç

https://doi.org/10.17567/ataunidfd.899233

Abstract

Amaç: Florid sementossöz displazi gibi çenelerin fibröz lezyonlarında ayırıcı tanı çok önemlidir. Yanlış teşhis gereksiz endodontik tedaviye, insizyonel biyopsiye veya cerrahi eksizyona neden olabilir. Florid sementossöz displazi gibi çenelerin fibröz lezyonlarının prevalansının ve klinik özelliklerinin tanınması doğru teşhis ve uygun bir tedavi planı için önemlidir. Bu vaka raporunun amacı nadir bir lezyon olan florid sementossöz displaziyi sunmak ve diğer fibröz lezyonlar ile ayırıcı tanısını vermektir.
Olgu Sunumu: 30 yaşındaki kadın hasta yüzündeki şişlik nedeniyle kliniğimize başvurmuştur. Hastanın klinik muayenesinde, sol mandibula premolar-molar bölgesinde şişlik tespit edilmiştir. Ortopantomografide, mandibulanın her iki kadranında da dağılmış küresel radyoopak kitleler görüldü. Sklerotik alanların çoğunda ince radyolusent alanlar görülmüştür. Tüm bu bulgular ışığında hastadan alınan insizyonel biyopsi sonucu florid sementossöz displazi (FCOD) ön tanısı konuldu. Hastaya lokal anestezi altında kontur düzeltmesi yapılmasına ve daha sonra takip edilmesine karar verildi. Lokal anestezi altında kontur düzeltmesi yapıldı. Operasyon sonrası iyileşme bir haftada başarıyla tamamlandı. Mandibulanın her iki kadranında da dağılmış küresel radyoopak kitleler takibe alındı. Hastaya düzenli takip muayeneleri önerilmiştir.
Sonuç: Klinisyenlerin Fibro-osseöz lezyonlar hakkında bilgili olması önemlidir. Fibröz lezyonların tüm özellikleri, doğru bir tanı ve tedavi planlaması için dikkatle değerlendirilmelidir. Radyografik olarak benzer lezyonlardan ayırıcı tanısının yapılması, gereksiz ve potansiyel olarak zararlı müdahaleleri önleyebilir.
Anahtar Kelimeler: Fibro-osseöz lezyon, Florid sementossus displazi, Skleroz

MULTİPLE FLORİD CEMENTO-OSSEOUS DYSPLASİA OF THE MANDİBLE: A CASE REPORT
ABSTRACT
Aim: Differential diagnosis is very important in fibrous lesions of jaws such as fluoride cemented dysplasia. Misdiagnosis may lead to unnecessary endodontic treatment, incisional biopsy or surgical excision. The recognition of the prevalence and clinical characteristics of fibrous lesions of the jaws, such as fluorid cemented dysplasia, is important for accurate diagnosis and an appropriate treatment plan. The aim of this case report is to present a rare lesion, fluoride cemented dysplasia, and to give a differential diagnosis with other fibrous lesions.
Case Report: A 30-year-old female patient was admitted to our clinic with a swelling in her face. In the clinical examination of the patient, swelling was detected in the premolar-molar region of the left mandible. In orthopantomography, global radio-opaque masses scattered in both quadrants of the mandible were seen. Thin radiolucent areas were seen in most sclerotic areas. In the light of all these findings, the patient was diagnosed with fluoride cementous dysplasia (FCOD). It was decided to correct the contour under local anesthesia and then follow-up. Contour correction was performed under local anesthesia. Postoperative recovery was successfully completed in one week. Global radio-opaque masses scattered in both quadrants of the mandible were followed. Regular follow-up examinations were recommended to the patient.
Conclusion: It is important that clinicians are knowledgeable about fibro-osseous lesions. All features of fibrous lesions should be carefully evaluated for an accurate diagnosis and treatment planning. The differential diagnosis of radiographically similar lesions may prevent unnecessary and potentially harmful interventions.
Key Words: Fibro-osseous lesion, Florid cemento-osseous dysplasia, Sclerosis

Keywords

Fibro-osseöz lezyon, Florid sementossus displazi, Skleroz

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