Cilde fistülizasyonu olan ve olmayan geniş periradikuler lezyonların cerrahi olmayan endodontic tedavisi: iki olgu sunumu ve derleme

Yıl 2011, Cilt: 2 Sayı: 2, 89 - 100, 17.11.2011

Gul Celik Unal Bulem Ureyen Kaya

Öz

Bu olgu sunumunun amacı cilde fistülizasyonu olan ve olmayan geniş periradiküler lezyonu olan iki vakanın sunumu ile birlikte, tanı ve tedavi prensiplerini sunarak, diğer rapor edilmiş vakaları özetlemektir.
Birinci vaka mandibular kesici dişlerinden kaynaklanan çene ucu cilt fistülizasyonu olan 23 yaşında bir kadındı. Iki yıldır mevcut olan lezyonda ara sıra pürülan bir sıvı drene olmaktaydı.
Ikinci vaka ise radyografik olarak sol mandibular ikinci premolar diş kökünün apikalinde sınırları belirsiz geniş bir radyolusent lezyonu olan 46 yaşında bir kadındı.
Her iki vakada da, cerrahi olmayan endodontik tedaviyi takiben lezyonlar tamamen iyileşti. İzleyen 3, 6 ve 12 aylarda kontrolleri yapıldı. Birinci vakada fistül iki hafta içinde küçük çukur şeklinde bir skarla iyileşirken, her iki vakada da 1 yılın sonunda radyografik olarak tam bir kemik iyileşmesi görüldü.
Anahtar kelimeler: geniş periapikal lezyon, diş kaynaklı cilt fistülü, cerrahi olmayan endodontik tedavi, taşkın kalsiyum hidroksit

Anahtar Kelimeler

Geniş periapikal lezyon, diş kaynaklı cilt fistülü, cerrahi olmayan endodontik tedavi, taşkın kalsiyum hidroksit

Non-Surgical Endodontic Treatment of Large Periradicular Lesions with and without Cutaneous Sinus Tract: Report of Two Cases and Review

Öz

The purposes of this report are to report two cases of large periradicular lesions with and without cutaneous sinus tract and to present diagnostic guidelines, treatment guidelines and to summarize other reported cases.
The first case was 23 year-old women with a draining cutaneous sinus tract on the chin, which originated from mandibular incisors. The lesion had been present for two years and had been occasionally draining purulent fluid.
The second case was 46 year-old women with a large non-demarcated radiolucent lesion located in apical portion of the mandibular left second premolar root. The patient had exhibited slight discomfort in the premolar region.
In both cases, the lesions completely resolved following non-surgical endodontic treatment. Recall visits were performed after 3, 6 month and 12-month period. In the first case, the sinus tract completely healed within two weeks with a small dimple-like scar, one-year recall radiography demonstrated completed bony repair.
Keywords: large periapical lesion, odontogenic cutaneous sinus tract, non-surgical treatment, extruded kalsiyum hidroksit

Anahtar Kelimeler

large periapical lesion, odontogenic cutaneous sinus tract, non-surgical treatment, extruded calcium hydroxide

Kaynakça

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