Mandibular Üçüncü Molar Dişin Dev Paradental Kistinin Radyolojik Değerlendirmesi ve Cerrahi Tedavisi Olgu Sunumu

Öz

: Paradental kistler; dişlerin servikal ve distal yüzeylerinde embriyolojik dönemden kalan epitel artıklarından gelişen kistlerden biridir. Bu olgu sunumumuzda otuz yaşındaki kadın hasta mandibular üçüncü molar dişinin distalinden başlayarak mandibula ramusuna kadar uzayan büyük radyolüsent lezyon için dış merkezden fakültemize yönlendirilmiştir. Hasta gerekli klinik ve radyolojik değerlendirmeden sonra paradental kist ön tanısı ile Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’na yönlendirilmiştir. Lezyon kaynağı olan dişin çekimi yapılmıştır. Ayrıca kist oldukça büyük bir hacme sahip olduğundan dekompresyon tedavisine başlanmıştır. Tedavisi yapılmayan perikoronal enfeksiyonlu dişlerden paradental kist gelişebileceği ve bu kistlerinde osteomyelite sebep olabileceği unutulmamalı, tanı ve tedavisinde dikkatli davranılmalıdır.

Anahtar Kelimeler

• Paradental Kist
• dekompresyon
• Konik Işınlı Bilgisayarlı Tomografi
• mandibular üçüncü molar.

Radiologic Examination And Surgical Treatment of Huge Paradental Cyst Of Mandibular Third Molar Tooth Case Report

Öz

Paradental cyst is one of the cysts which develop from the epithelial residues remaining from the embriyologic period on the cervical and distal surfaces of the teeth. In this case report, a thirty-year-old female patient was referred from an external center to our faculty owing to a large radiolucent lesion locating from the distal of the mandibular third molar tooth to the ramus of the mandible. After the clinical and radiological examination, the patient was referred to the Department of Oral and Maxillofacial Surgery with a pre-diagnosis of paradentalcyst. The tooth associated with the lesion was extracted. Furthermore since the cyst has a large volume, decompression treatment was started. It should be kept in mind that paradental cysts may develop from untreated pericoronal infected teeth and these cysts may cause osteomyelitis. Therefore the diagnosis and the treatment should be considered carefully.

Anahtar Kelimeler

• Paradental Cyst
• decompression
• Cone Beam Computed Tomography
• mandibular third molar

Kaynakça

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