Treatment of Radicular and Dentigerous Cysts With Marsupialization: A Retrospective Study

Year 2018, Issue: 1, 21 - 25, 01.01.2018

Ahmet Altan , İbrahim Damlar Soydan Kılıç

Abstract

Aim: The most common odontogenic cysts of the jaws are the radicular cyst and dentigerous cyst. The treatment of cystic lesions depends on cyst’s location, size and the proximity to the anatomical structure such as maxillary sinus, mandibular canal, nasal cavity. The aim of this study was to analyze clinic and radiologic features of jaw cysts that treated with marsupialization. Material and Method: In this retrospective study, cysts in large size that were located in the maxilla and mandible were decided to treat with marsupialization in order to avoid damage to adjacent anatomical structures. Patients were followed with routine clinical and radiological examinations. Patient data and clinical-radiological features of odontogenic cysts were analyzed. Results: 11 patients 5 females and 6 males were included in the study. 7 of lesions in this patients were radicular cyst 63.4% and 4 of them were dentigerous cyst 36.6% . Mandible was found to be the most affected jaw. The follow-up period varied between 8-40 months. Conclusion: Marsupialization is an effective treatment method in the treatment of cysts in large sizes with a low complication rate

Keywords

Dentigerous cyst, Odontogenic cyst, Radicular cyst, Marsupialization.

Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma

Abstract

Amaç: Radiküler ve dentigeröz kistler çenelerin en sık görülen odontojenik kistlerindendir. Kistlerin tedavisinde tercih edilecek yöntem; kistin boyutlarına, lokalizasyonuna ve anatomik yapılara uzaklığına bağlıdır. Bu çalışmanın amacı marsüpyalizasyon ile tedavi edilen kistlerin klinik ve radyolojik özelliklerini analiz etmektir. Gereç ve Yöntem: Bu retrospektif çalışmada; maksilla ve mandibulada lokalize geniş boyutlardaki kistlerin, anatomik yapılara zarar vermemek amacıyla marsüpyalizayonla tedavi edilmesine karar verildi. Hastaların takibi tam bir iyileşme sağlanana kadar devam etti. Hasta bilgileri ve kistlerin takip periyodunda karşılaşılan klinik-radyolojik özellikleri analiz edildi. Bulgular: Bu çalışmada 11 hasta 5 kadın, 6 erkek yer almaktadır. Tedavi edilen lezyonlardan 7’si radiküler % 63.4 , 4’ü dentigeröz % 36.6 kisttir. Mandibula en fazla etkilenen çenedir. Takip süreleri 8-40 ay arasında değişmektedir. Sonuç: Marsüpyalizasyon geniş boyuttaki kistlerin tedavisinde, düşük komplikasyon oranıyla etkili bir tedavi yöntemidir

Keywords

Dentigeröz kist, Odontojenik kist, Radiküler kist, Marsüpyalizasyon

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