SEMENTO-OSSEÖZ DİSPLAZİNİN TANI VE TEDAVİSİNDE İKİLEMLER: GÖRSEL BİR DERLEME

Öz

Semento-osseöz displazi, genellikle çene kemiklerinde veya dişsiz alveolar kretlerde görülen benign fibro-osseöz lezyonlardan birisidir. Prensip olarak, semento-osseöz displazi tanısı yalnızca klinik ve radyolojik bulgulara dayandırılmaktadır. Enfeksiyon riski nedeniyle biyopsi, cerrahi müdahale veya diş çekimi genellikle önerilmemektedir. Semento-osseöz displazi tanısının konulamaması hastalara gereksiz ve invaziv dental tedavi prosedürlerinin uygulanmasına neden olabilmektedir. Olası komplikasyonların önlenmesi için, bu lezyonların doğru teşhis edilmesi ve diğer benzer lezyonlardan ayırıcı tanısının yapılması gerekmektedir. Bu makalede; semento-osseöz displazinin klinik ve radyolojik özellikleri, histopatolojik bulguları, ayırıcı tanısı, tedavi ve prognozu, komplikasyonları ve korunma stratejileri, doğru tanının gereksiz iatrojenik dental prosedürlerin yanı sıra hastalıkla ilgili olası komplikasyonların önlenmesindeki önemi özellikle vurgulanarak, pratik ve sistematik bir şekilde tartışılmaktadır.

Anahtar Kelimeler

• Semento-osseöz displazi
• Sınıflama
• Ayrıcı tanı
• Fibro-osseöz lezyon
• Radyografik özellikler

DIAGNOSTIC AND TREATMENT DILEMMAS OF CEMENTO-OSSEOUS DYSPLASIA: A PICTORIAL REVIEW

Abstract

Cemento-osseous dysplasia is one of the benign fibro-osseous lesions that commonly occurs in the jaws or edentulous alveolar processes. Principally, the diagnosis of cemento-osseous dysplasia is based solely on clinical and radiological findings. Biopsy, surgical intervention, or tooth extraction is generally not recommended due to the infection risk. The failure to diagnose cemento-osseous dysplasia may lead to unnecessary and invasive dental treatment procedures in patients. In order to prevent possible complications, this lesion should be diagnosed accurately and differentiated from other similar lesions. In this review, the clinical and radiological features, histopathological findings, differential diagnosis, treatment and prognosis, complications and preventive strategies of cemento-osseous dysplasia are discussed in a practical and systematic way with a particular emphasis on the importance of the accurate diagnosis in terms of preventing unnecessary iatrogenic dental procedures as well as possible disease-related complications.

Keywords

• Cemento-osseous dysplasia
• Classification
• Differential diagnosis
• Fibro-osseous lesion
• Radiological features

Kaynakça

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