Kalsifiye Epitelyal Odontojenik Tümör Oluşumuna Bağlı Olarak Gömülü Kalmış Dişin Cerrahi Tedavi Sonrası Ortodontik Sürdürülmesi

Yıl 2022, Cilt: 3 Sayı: 2, 31 - 36, 31.12.2022

Volkan Kaplan , Levent Ciğerim Mehmet Güzel Jamil Bayzed Hayrettin Baş Hüseyin Melik Böyük

Öz

Kalsifiye Epitelyal Odontojenik Tümör oldukça nadir görülen lezyonlardandır. Literatürde neoplazm ya da kist olarak tanımlandığı gibi intraosseoz veya ekstraosseoz gibi çeşitli şekillerde sınıflandırılmıştır. Bu lezyonun histopatolojik olarak en belirgin özelliği kist epitelinde bulunan ve “hayalet” olarak adlandırılan karakteristik hücrelerin bulunmasıdır. Her yaşta ve her cinsiyette eşit oranda görülebildiği gibi genellikle mandibulada premolar bölgede görülürler. Genellikle gömülü bir diş ile ilişkilidirler. Asemptomatik ilerler ve kemikte büyüme, dişlerde rezorbsiyonlara neden olabilirler. İlerlemiş vakalarda radyolüsent görüntünün içinde düzensiz radyoopak adacıklar izlenebilmektedir. Literatürde genellikle iyi huylu olarak ifade edilmesine rağmen bildirilen nüks ve malignite vakaları vardır. Lezyonun yeri ve büyüklüğüne bağlı olarak çeşitli tedaviler olsa da genellikle enükleasyon tercih edilmektedir. Bu vaka raporunda 13 yaşında kadın hastada asemtomatik olarak ilerleyen kalsifiye epitelyal odontojenik tümörün tedavisi ve tümörün çevresinde gömülü kalan mandibular ikinci premolar dişin ortodontik sürdürme tedavisi sunulmaktadır.

Anahtar Kelimeler

Kalsifiye epitelyal odontojenik tümör, malign lezyon, ortodontik tedavi, pinborg tümör, tedavi planlaması

Orthodontic Maintaining after Surgical Treatment of Impacted Tooth due to Formation of Calcified Epithelal Odontogenic Tumor

Öz

Calcified Epithelial Odontogenic Tumor is one of the rare lesions. It has been classified in various ways such as intraosseous or extraosseous, as well as defined as neoplasm or cyst in the literature. Histopathologically, the most distinctive feature of this lesion is the presence of characteristic cells called “ghosts” in the cyst epithelium. Although it can be seen at all ages and in all genders, it is usually seen in the premolar region of the mandible. They are often associated with an impacted tooth. They progress asymptomatically and may cause bone growth and tooth resorption. In advanced cases, irregular radiopaque islets can be observed in the radiolucent image. Although it is generally expressed as benign in the literature, there are reported cases of recurrence and malignancy. Although there are various treatments depending on the location and size of the lesion, enucleation is generally preferred. In this case report, the treatment of an asymptomatically progressive calcified epithelial odontogenic tumor and the orthodontic maintenance treatment of the mandibular second premolar tooth impacted around the tumor in a 13-year-old female patient are presented.

Anahtar Kelimeler

Calcified epithelial odontogenic tumor, malignant lesion, orthodontic treatment, pinborg tumor, treatment planning

Kaynakça

• 1. Pindborg, JJ. A calcifying epithelial odontogenic tumor. Cancer. 1958;11(4):838-843.
• 2. Prætorius F, Hjørting-Hansen E, Gorlin RJ, Vickers RA. Calcifying odontogenic cyst: Range, variations and neoplastic potential. Acta Odontol Scand. 1981;39(4):227-240.
• 3. Buchner A. The central (intraosseous) calcifying odontogenic cyst: an analysis of 215 cases. J Oral Maxillofac Surg. 1991;49(4):330-339.
• 4. Lawal AO, Adisa AO, Olusanya AA. Odontogenic tumours: A review of 266 cases. J Clin Exp Dent. 2013; 5(1):e13.
• 5. Tarsitano A, Agosti R, Marchetti C. The diagnostic and surgical management of a multifocal calcifiyng epithelial odontogenic tumor in the mandible and maxilla associated with a squamous odontogenic tumor: first reported case in the literature. Oral Surg OralMed Oral Pathol Oral Radiol. 2012;113(4):e6-e11.
• 6. Philipsen HP, Reichart PA. Calcifying epithelial odontogenic tumour: biological profile based on 181 cases from the literature. Oral oncol. 2000;36(1):17-26.
• 7. Bridle C, Visram K, Piper K, Ali N. Maxillary calcifying epithelial odontogenic (Pindborg) tumor presenting with abnormal eye signs: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102(4):e12-e15.
• 8. Aktaş A, Tümer C, Özbek M, Ünlü DL, Abdullazade S. Dental Muayenede Tanımlanan Kalsifiye Odontojenik Kist Calcifying Odontogenic Cyst Diagnosed During Dental Examination. Hacettepe Diş Hekimliği Fakültesi Derg. 2008;32(4):74-80.
• 9. Buchner A, Merrell PW, Hansen LS, Leider AS. Peripheral (extraosseous) calcifying odontogenic cyst: a review of forty-five cases. Oral Surg Oral Med Oral Pathol. 1991;72(1):65-70.
• 10. Singh N, Sahai S, Singh S, Singh S. Calcifying epithelial odontogenic tumor (Pindborg tumor). Natl J Maxillofac Surg. 2011;2(2):225.
• 11. Kramer I.R, Pindborg JJ, Shear M. The WHO histological typing of odontogenic tumours. A commentary on the second edition. Cancer. 1992;70(12):2988-2994.
• 12. Cheng YSL, Wright JM, Walstad WR, Finn MD. Calcifying epithelial odontogenic tumor showing microscopic features of potential malignant behavior. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 93(3):287-295.
• 13. Zanakis S, Maria F, Dicoglou C, Dendrinos C. Calcifying epithelial odontogenic tumor: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 112(6):e117-e120.
• 14. Basu MK, Matthews JB, Sear AJ, Browne RM. Calcifying epithelial odontogenic tumour: a case showing features of malignancy. J Oral Pathol. 1984; 13(3):310-319.
• 15. Moleri AB, Moreira LC, Carvalho JJ. Comparative morphology of 7 new cases of calcifying odontogenic cysts. J Oral Maxillofac Surg. 2002;60(6):689-696.
• 16. Regezi JA, Sciubba JJ, Jordan RC. Oral pathology: clinical pathologic correlations. Elsevier Health Sciences, 2016.
• 17. Franklin CD, Pindborg JJ. The calcifying epithelial odontogenic tumor: a review and analysis of 113 cases. Oral Surg Oral Med Oral Pathol. 1976; 42(6):753-765.
• 18. Ciğerim L, Çınarsoy Ciğerim S. Dental İmplant Cerrahisinde Anksiyete: Literatür Derlemesi. Van Tıp Derg. 2017; 24(4):415-419.
• 19. Cigerim L, Cigerim SC. Evaluation of the Relationship between Alexithymia and Dental Fear in Individuals Undergoing Tooth Extraction for Orthodontic Reasons. J Contemp Dent. 2019; 9(3):109-112.
• 20. Çınarsoy Ciğerim S, Ozlek E. Evaluation of the Effect of Different Bracket Systems on External Apical Root Resorption Using Cone-Beam Computed Tomography. Turk J Orthod. 2021;34(2):109-115.