Odontojenik Keratokistlerde Farklı Tedavi Yaklaşımları ve Takip Sonuçlarının Retrospektif Olarak Değerlendirilmesi

Yıl 2024, , 308 - 316, 10.05.2024

Kübra Uğurlu , Nilüfer Özkan , Emel Bulut

https://doi.org/10.58711/turkishjdentres.vi.1463641

Öz

Amaç: Odontojenik keratokistler (OKK); lokal agresif özellikleri ve yüksek nüks etme oranları ile karakterize
odontojenik kistlerdir. Bu çalışmada; OKK’lerin demografik özellikleri, tedavi sonuçları ve nüks oranlarının incelenmesi hedeflenmektedir.
Gereç ve Yöntem: Bu çalışma; Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’nda yürütülmüştür. Çalışmaya OKK tanısı konulan 19 hasta dahil edilmiştir. Hastaların; yaş, cinsiyet, lezyonun lokalizasyonu, uygulanan cerrahi tedavi yöntemleri, nüks varlığı ve takip süreleri retrospektif olarak incelenmiştir.
Bulgular: İncelenen hastaların yaş aralığı 8-79 yıl aralığında olup ortalama yaşları 38,7’dir. 19 hastanın 14’ü
kadın, 5’i ise erkektir. İncelenen 20 lezyondan 11’i multiloküler, 9’u ise uniloküler radyografik görünümdedir. Lezyonların 18’i mandibular posterior bölgede tespit edilmiştir. Tedavi yöntemleri olarak enükleasyon ve küretaj öne çıkmış, bazı vakalarda ise lezyon boyutlarının küçültülmesi amacıyla dekompresyon tedavisine başvurulmuştur. Tedavisi tamamlanan 16 hastanın 3’ünde nüks geliştiği tespit edilmiştir. Takip süreleri 5 ila 120 ay arasında değişkenlik göstermektedir.
Sonuç: Odontojenik keratokistlerin tedavisinde kullanılan yöntemlerin dikkatle seçilmesi ve hastaların uzun süreli klinik ve radyografik olarak takip edilmesi, tedavi başarısı üzerinde önemli bir etkiye sahiptir.

Anahtar Kelimeler

Odontojenik kistler, Odontojenik keratokist, Retrospektif değerlendirme

Etik Beyan

Bu araştırma, Ondokuz Mayıs Üniversitesi Klinik Araştırmalar Etik Kurulu tarafından 05.03.2024 tarihli 2024/92 karar numarası ile etik onayı almış ve Helsinki Deklarasyonu Prensipleri’ne uygun olarak yapılmıştır.

Retrospective Evaluation of Different Treatment Approaches and Follow-up Outcomes in Odontogenic Keratocysts

Öz

Aim: Odontogenic keratocysts (OCCs) are odontogenic cysts characterised by locally aggressive features and high recurrence rates. The aim of this study is to investigate the demographic characteristics, treatment results and recurrence rates of OCCs.
Material and Method: This study was conducted in the Department of Oral and Maxillofacial Surgery at Ondokuz Mayıs University Faculty of Dentistry. The study included nineteen patients diagnosed with OCCs. Age, gender, localization of the lesion, surgical treatment methods, presence of recurrence and follow-up periods of the patients were retrospectively analysed.
Results: The age range of the patients was 8-79 years with a mean age of 38.7 years. 14 of 19 patients were female and 5 were male. Of the 20 lesions, 11 were multilocular and 9 were unilocular radiographically. The mandibular posterior region revealed 18 of the lesions. Enucleation and curettage
were the most common treatment modalities, and in some cases decompression therapy was used to reduce the size of the lesions. Recurrence was detected in 3 of 16 patients whose treatment was completed. Follow-up periods varied between 5 and 120 months.
Conclusion: Careful selection of the methods used in the treatment of odontogenic keratocysts and long-term clinical and radiographic follow-up of patients have a significant effect on treatment success.

Anahtar Kelimeler

Odontogenic cysts;, Odontogenic keratocyst;, Retrospective analysis

Kaynakça

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