ODONTOJENİK KİST: ATATÜRK ÜNİVERSİTESİ AĞIZ, DİŞ VE ÇENE CERRAHİSİ ANABİLİM DALI’NA ODONTOJENİK KİST NEDENİYLE BAŞVURAN 100 OLGUNUN KLİNİK VE RADYOLOJİK OLARAK İNCELENMESİ

Yıl 2019, Cilt: 29 Sayı: 2, 313 - 319, 22.03.2019

Gelengül Urvasızoğlu Berkay Aşkın

https://doi.org/10.17567/ataunidfd.479201

Öz

Amaç: Bu çalışmanın
amacı, bölgemizde odontojenik kist görülen hastaların demografik bilgilerini ve
lezyon lokalizasyonlarını tespit etmek ve bu verileri dünya geneli ile
karşılaştırmaktır. Gereç ve Yöntem: Odontojenik
kistler oral patolojik lezyonların önemli bir bölümünü oluşturmasına rağmen,
çeşitli popülasyonlardaki dağılım modelleri henüz açıklığa kavuşturulamamıştır.
 Bu çalışma, Atatürk Üniversitesi Diş
Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’na 2017-2018
yılları arasında başvuran hastalardan odontojenik kist tanısı alan 100 olgu
seçilerek gerçekleştirildi ve tanıyı doğrulamak için histopatolojik inceleme
yapıldı. Hastaların demografik bilgileri (yaş ve cinsiyet) ve lezyonun yeri
tanımlayıcı istatistikler kullanılarak kaydedildi ve analiz edildi. Bulgular ve Sonuçlar:  Çalışma popülasyonunda erkek-kadın oranı 1.66:
1 olarak bulundu. Hastaların ortalama yaşının 31,2 yıl (yaş aralığı 3-75)
olduğu görüldü. Kistlerin % 48'i maksillada, % 52'si ise mandibulada bulundu.
Radiküler kist(%56) en sık görülen tipti ve bunu takiben dentigeröz kist(%16), rezidüel
kist(%15), paradental kist(%5), odontojenik keratokist(%5) diğer sık görülen
kistler arasındaydı. Ayrıca lateral periodontal kist(%1) ve erüpsiyon(%2) kisti
de az sayıda vakada gözlendi. Erzurum’daki odontojenik kistlerin dağılım modeli,
dünyanın diğer bölgeleriyle benzerdir. lezyonların kesin tanısı için rutin
takibin ve histopatolojik bulguların önemi vurgulandı.

Anahtar
Kelimeler:
Odontojenik Kist, Histopatoloji, Demografik Faktör

 

ODONTOGENIC
CYST: Clinical and Radiological Examination of Odontogenic cysts of 100
patients who referred to the Ataturk University Oral and Maxillofacial Surgery
Department.

 Abstract:

Aim: The
aim of this study is to determine the demographic information and lesion
localization of patients with odontogenic cysts in our region and to compare
these data with the rest of the world. Materaial
and Methods: Despite the odontogenic cysts constitute a major part of
oral pathological lesions, information about their distribution patterns in
different populations has been unclear. This study was carried out by
collecting 100 patients with a diagnosis of odontogenic cyst from patients
admitted to the Department of Oral and Maxillofacial Surgery, Faculty of
Dentistry, Ataturk University between 2017-2018 and these were
histopathologically re-evaluated to confirm the diagnosis. demographic
information of patients (age and sex) and location of the lesion were recorded
and analyzed using descriptive statistics. Results: The male to female ratio was 1.66:1 in study
population. The mean age of the patients was 31.2 years (range 3-75 years). 48%
of cysts were found in maxilla and 52% in mandible. Radicular cyst(%56) was the
most common type, followed by dentigerous cyst(%16), residual cyst(%15),
paradental cyst(%5), and odontogenic keratocyst(%5). Lateral periodontal cyst(%1)
and eruption cyst (%2) were also observed in limited number of cases.

Conclusion: The distribution
pattern of odontogenic cysts in Erzurum is relatively similar to that in other
parts of the world. The importance of routine follow-up examinations and
histopathological finding are reported for final diagnosis.

 

Key Words: Odontogenic Cyst, Histopathology, Demographic Factor

Anahtar Kelimeler

Odontojenik Kist, Histopatoloji

Kaynakça

• 1. SOLUK-TEKKEŞİN M, Wright JM. The World Health Organization Classification of Odontogenic Lesions: A Summary of the Changes of the 2017 (4th) Edition. Turkish Journal of Pathology, 2018, 34.
• 2. Varinauskas V, Gervickas A, Rožnova O. Analysis of odontogenic cysts of the jaws. Medicina, 2006, 42: 201-207.
• 3. Robinson RA. Diagnosing the most common odontogenic cystic and osseous lesions of the jaws for the practicing pathologist. Modern Pathology, 2017, 30: S96.
• 4. Sharifian MJ, Khalili M. Odontogenic cysts: a retrospective study of 1227 cases in an Iranian population from 1987 to 2007. Journal of oral science, 2011, 53: 361-367.
• 5. Zhao Y-F, Wei J-X, Wang S-P. Treatment of odontogenic keratocysts: a follow-up of 255 Chinese patients. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2002, 94: 151-156.
• 6. Zecha JA, Mendes RA, Lindeboom VB, van der Waal I. Recurrence rate of keratocystic odontogenic tumor after conservative surgical treatment without adjunctive therapies–A 35-year single institution experience. Oral Oncology, 2010, 46: 740-742.
• 7. Boffano P, Ruga E, Gallesio C. Keratocystic odontogenic tumor (odontogenic keratocyst): preliminary retrospective review of epidemiologic, clinical, and radiologic features of 261 lesions from University of Turin. Journal of Oral and Maxillofacial Surgery, 2010, 68: 2994-2999.
• 8. Blanas N, Freund B, Schwartz M, Furst IM. Systematic review of the treatment and prognosis of the odontogenic keratocyst. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2000, 90: 553-558.
• 9. Shear M. The aggressive nature of the odontogenic keratocyst: is it a benign cystic neoplasm? Part 1. Clinical and early experimental evidence of aggressive behaviour. Oral Oncology, 2002, 38: 219-226.
• 10. Jones A, Craig G, Franklin C. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30‐year period. Journal of Oral Pathology & Medicine, 2006, 35: 500-507.
• 11. Mosqueda-Taylor A, Irigoyen-Camacho M, Diaz-Franco M, Torres-Tejero M. Odontogenic cysts. Analysis of 856 cases. Medicina oral: organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal, 2002, 7: 89-96.
• 12. Ochsenius G, Escobar E, Godoy L, Peñafiel C. Odontogenic cysts: analysis of 2.944 cases in Chile. Medicina Oral, Patología Oral y Cirugía Bucal (Internet), 2007, 12: 85-91.
• 13. Ertem SY. 38 Vakalık Seride Çenelerdeki Kistlerin Retrospektif Olarak Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 2012; 22: 139-143.
• 14. Silvestre A, Soulie D, Rizzoli P, Helie O, Le GF, Cordoliani Y. Dental-radicular cysts invading the maxillary sinus. Journal de radiologie, 1995, 76: 379-382.
• 15. Gibson G, Pandolfi P, Luzader J. Case report: a large radicular cyst involving the entire maxillary sinus. General Dentistry, 2002, 50: 80-81.
• 16. UJ. M. principles of oral and maxillofacial surgery 5th. ed. blackwell science 2001: p.170-195.
• 17. JI. V. Principles of facial-mandibular and dental surgery. 3rd ed. Vitebsk, 1998: p. 303-318.
• 18. Öztan M. Endodontic treatment of teeth associated with a large periapical lesion. International Endodontic Journal, 2002, 35: 73-78.
• 19. Ledesma-Montes C, Hernández-Guerrero JC, Garcés-Ortı́z M. Clinico-pathologic study of odontogenic cysts in a Mexican sample population. Archives of medical research, 2000, 31: 373-376 . 20. Meningaud J-P, Oprean N, Pitak-Arnnop P, Bertrand J-C. Odontogenic cysts: a clinical study of 695 cases. Journal of oral science, 2006, 48: 59-62.
• 21. Tortorici S, Amodio E, Massenti MF, Buzzanca ML, Burruano F, Vitale F. Prevalence and distribution of odontogenic cysts in Sicily: 1986-2005. Journal of oral science, 2008, 50: 15-18.
• 22. Shah SK, Le MC, Carpenter WM. Retrospective review of pediatric oral lesions from a dental school biopsy service. Pediatric dentistry, 2009; 31: 14-19.
• 23. Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MCF, Mesquita RA. Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2007; 104: e35-e41.
• 24. Bataineh AB, Ma'amon AR, Qudah MAA. The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population: a clinicopathologic study. Quintessence international, 2004, 35.
• 25. Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocysts and the behavior of recurrences. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2006; 101: 5-9.
• 26. Ali M, Baughman RA. Maxillary odontogenic keratocyst: a common and serious clinical misdiagnosis. The Journal of the American Dental Association, 2003, 134: 877-883.
• 27. Myoung H, Hong S-P, Hong S-D, Lee J-I, Lim C-Y, Choung P-H, Lee J-H, Choi J-Y, Seo B-M, Kim M-J. Odontogenic keratocyst: review of 256 cases for recurrence and clinicopathologic parameters. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2001, 91: 328-333.
• 28. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surgery, Oral Medicine, Oral Pathology, 1994; 77: 276-280.
• 29. De Sousa SOM, Corrêa L, Deboni MC, De Araújo VC. Clinicopathologic features of 54 cases of paradental cyst. Quintessence international, 2001; 32: 737-41.