INFLAMMATORY ODONTOGENIC CYST IN A CHILD: CASE REPORT

Year 2021, Volume: 23 Issue: 1, 169 - 173, 30.04.2021

Kamile Nur Tozar Merve Erkmen Almaz Hatice Önder Fethi Atıl Emre Barış

https://doi.org/10.24938/kutfd.681415

Abstract

Odontogenic cysts arise from epithelium residuals forming the tooth. When they are infected, they can reach large sizes and cause bone resorption in the surrounding bone.

A 9-year-old girl who was brought to Department of Pediatric Dentistry was referred to the Department of Oral and Maxillofacial Surgery due to a suspicion of a cystic lesion in the premolar region of the patient's right lower jaw as a result of clinical and radiographic examinations. Fine needle aspiration biopsy was performed after the patient's cone beam computed tomography was taken, and the specimen was sent to pathology. Histopathologically, cyst with suppurative inflammation was diagnosed. Then, the treatment was planned and marsupialization method was chosen considering the size of the lesion, the age of the patient, and the presence of impacted tooth in the region concerned.

As a result of a 14-month follow-up, the radiography of the patient showed that although the cyst was not enucleated, radiolucency in the related region disappeared and the tooth number 45 erupted to the oral cavity. In this way, it was considered that marsupialization treatment was a successful method.

Keywords

Cyst, marsupialization, mandibula, pediatric patient

Çocuk Hastada İnflamatuar Odontojenik Kist: Olgu Sunumu

Abstract

Odontojenik kistler dişi oluşturan epitel artıklarından meydana gelmektedir. Enfekte olduğu durumlarda büyük boyutlara ulaşabilmektedir ve çevredeki kemik dokuda rezorbsiyona neden olabilmektedir.

Kliniğimize başvuran 9 yaşındaki kız hastaya yapılan klinik ve radyografik tetkikler sonucu, hastanın sağ mandibular premolar bölgesinde kistik bir lezyondan şüphelenilerek hasta Ağız, Diş ve Çene Cerrahisi bölümüne sevk edilmiştir. Hastadan konik ışınlı bilgisayarlı tomografi alınmış ve lezyondan ince iğne aspirasyon biyopsisi yapılarak sonuç patolojiye gönderilmiştir. Histopatolojik olarak; süpüratif inflamasyon içeren kist tanısı konmuştur. Yapılan tedavi planlamasında, lezyonun büyüklüğü, hastanın yaşı ve ilgili bölgede gömülü diş varlığı göz önünde bulundurularak marsüpyalizasyon yöntemi tercih edilmiştir.

14 aylık takip sonucunda hastadan alınan radyografide kistin enükle edilmemesine rağmen ilgili bölgedeki radyolüsensinin kaybolduğu ve 45 nolu dişin ağız ortamına sürdüğü gözlenmiştir. Bu doğrultuda marsüpyalizasyon tedavisinin başarılı bir yöntem olduğu düşünülmektedir.

Keywords

Kist, marsüpyalizasyon, mandibula, çocuk hasta

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