Mandibular odontojenik keratokistin kişiye özel çıkarılabilir bir aparey yardımıyla dekompresyon tedavisi: Vaka sunumu ve literatür derlemesi

Abstract

Keratokistik odontojenik tümör (KCOT) odontojenik orijinli nadir görülen iyi huylu intraosseöz bir tümör olup agresif davranışı ve çevre dokulara infiltratif özelliğine sahiptir. Spesifik histopatolojik özellikler gösterirler ve yüksek bir nüks oranına sahiptirler. Bu sunumda 17 yaşında bayan hastada sağ mandibula ramus bölgesinde gömülü yirmi yaş dişiyle ilişkili, geniş boyutlu keratokistik odontojenik tümör vakası ve dekompresyon tedavisini sunulmaktadır. Dekompresyon, boşluğun kapanmasını önlemek için kişiselleştirilmiş çıkarılabilir alet yardımı ile uygulanmıştır. Hastanın 3. ve 6. ay kontrol radyografilerinde kalsifikasyon odaklarının görülmeye başlandığı ve lezyonun hacminin küçülmesi sonucu gömülü dişin sürmeye devam ettiği görüldü. 18 ay sonrasında ise alınan tomografide bölgenin tamamında normal kontrast bir görüntü mevcuttu ve ağız içinde iyileşme sorunsuzdu. 

Anahtar Kelimeler: Kişisel çıkarılabilir aparey, dekompresyon tedavisi, keratokistik odontojenik tümör

Keywords

• Kişisel çıkarılabilir aparey,dekompresyon tedavisi,keratokistik odontojenik tümör

Treatment of mandibular odontogenic keratocyst by decompression with a customized removable device: A case report and literature review

Abstract

Keratocystic odontogenic tumor (KCOT) is a rare, bening intraosseous tumor of odontogenic origin with a potential of aggressive and infiltrative behavior. It shows specific histopathological features, and has a high recurrence rate. In this report, we present a case of 17 year old female patient with large-sized KCOT associated with impacted third molar in the mandibular ramus region and its decompression treatment. Decompression was applied by a customized removable appliance to prevent the closing of the cyst cavity. On the 3rd and 6th months of the control radiography, it was seen that the calcification foci began to be seen and erupting the impacted teeth as a result of shrinkage of the lesion volume. After 18 months, there was a normal contrast image on the tomography and the intraoral healing was uneventfully.

Keywords: Customized removable aparey, decompression treatment, keratocystic odontogenic tumor.

Keywords

• Customized removable aparey,decompression treatment,keratocystic odontogenic tumor

References

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