Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma

Ahmet Altan; İbrahim Damlar; Soydan Kılıç

Treatment of Radicular and Dentigerous Cysts With Marsupialization: A Retrospective Study

Year 2018, Issue: 1, 21 - 25, 01.01.2018

Abstract

Aim: The most common odontogenic cysts of the jaws are the radicular cyst and dentigerous cyst. The treatment of cystic lesions depends on cyst’s location, size and the proximity to the anatomical structure such as maxillary sinus, mandibular canal, nasal cavity. The aim of this study was to analyze clinic and radiologic features of jaw cysts that treated with marsupialization. Material and Method: In this retrospective study, cysts in large size that were located in the maxilla and mandible were decided to treat with marsupialization in order to avoid damage to adjacent anatomical structures. Patients were followed with routine clinical and radiological examinations. Patient data and clinical-radiological features of odontogenic cysts were analyzed. Results: 11 patients 5 females and 6 males were included in the study. 7 of lesions in this patients were radicular cyst 63.4% and 4 of them were dentigerous cyst 36.6% . Mandible was found to be the most affected jaw. The follow-up period varied between 8-40 months. Conclusion: Marsupialization is an effective treatment method in the treatment of cysts in large sizes with a low complication rate

Keywords

Dentigerous cyst, Odontogenic cyst, Radicular cyst, Marsupialization.

References

1. Rohilla M, Namdev R, Dutta S. Dentigerous cyst containing multiple impacted teeth: a rare case report. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2011;29:244-247.
2. Asian-Gonzalez E, Pereira-Maestre M, CondeFernandez D, Vilchez I, Segura-Egea JJ, Gutierrez-Perez JL. Dentigerous cyst associated with a formocresol pulpotomized deciduous molar. Journal of endodontics 2007;33:488-492.
3. Kadam NS, Ataide Ide N, Raghava P, Fernandes M, Hede R. Management of large radicular cyst by conservative surgical approach: a case report. Journal of clinical and diagnostic research : JCDR 2014;8:239-241.
4. Lin LM, Huang GT, Rosenberg PA. Proliferation of epithelial cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. Journal of endodontics 2007;33:908-916.
5. Akay MC, Kaya E, Zeytinoglu M. Treatment of nonsyndromic dentigerous cysts in primary dentition. Clinical, cosmetic and investigational dentistry 2011;3:17- 23.
6. Ertem SY. 38 Vakalık Seride Çenelerdeki Kistlerin Retrospektif Olarak Değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2012; 22(2): 138-142.
7. Cho CY, Nam KY. Expansile dentigerous cyst invading the entire maxillary sinus: a case report. J Korean Assoc Oral Maxillofac Surg 2012; 38(4): 245-248
8. Sands T, Tocchio C. Multiple dentigerous cysts in a child. Oral health 1998;88:27-29.
9. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2010;28:203-208.
10. Enislidis G, Fock N, Sulzbacher I, Ewers R. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. The British journal of oral & maxillofacial surgery 2004;42:546- 550.
11. Bodner L, Bar-Ziv J. Characteristics of bone formation following marsupialization of jaw cysts. Dento maxillo facial radiology 1998;27:166-171.
12. Martin SA. Conventional endodontic therapy of upper central incisor combined with cyst decompression: a case report. Journal of endodontics 2007;33:753-757.
13. Bava FA, Umar D, Bahseer B, Baroudi K. Bilateral radicular cyst in mandible: an unusual case report. Journal of international oral health : JIOH 2015;7:61-63.
14. Koseoglu BG, Atalay B, Erdem MA. Odontogenic cysts: a clinical study of 90 cases. Journal of oral science 2004;46:253-257.
15. Singh S, Singh M, Chhabra N, Nagar Y. Dentigerous cyst : a case report. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2001;19:123-126.
16. Wakolbinger R, Beck-Mannagetta J. Long-term results after treatment of extensive odontogenic cysts of the jaws: a review. Clinical oral investigations 2015.
17. Sakkas N, Schoen R, Schulze D, Otten JE, Schmelzeisen R. Obturator after marsupialization of a recurrence of a radicular cyst of the mandible. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2007;103:e16-18.
18. Taşkaldıran A, Koçyiğit İD, Atıl F, Alp YE, Şenses F, Tekin U, Tüz HH. Odontojenik kist tedavisinde başarılı sonuçlarla marsupyalizasyon. ADO Klinik Bilimler Dergisi 2011; 4: 739-744.
19. Madras J, Lapointe H. Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. Texas dental journal 2008;125:446-454.

Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma

Year 2018, Issue: 1, 21 - 25, 01.01.2018

Ahmet Altan İbrahim Damlar Soydan Kılıç

Abstract

Amaç: Radiküler ve dentigeröz kistler çenelerin en sık görülen odontojenik kistlerindendir. Kistlerin tedavisinde tercih edilecek yöntem; kistin boyutlarına, lokalizasyonuna ve anatomik yapılara uzaklığına bağlıdır. Bu çalışmanın amacı marsüpyalizasyon ile tedavi edilen kistlerin klinik ve radyolojik özelliklerini analiz etmektir. Gereç ve Yöntem: Bu retrospektif çalışmada; maksilla ve mandibulada lokalize geniş boyutlardaki kistlerin, anatomik yapılara zarar vermemek amacıyla marsüpyalizayonla tedavi edilmesine karar verildi. Hastaların takibi tam bir iyileşme sağlanana kadar devam etti. Hasta bilgileri ve kistlerin takip periyodunda karşılaşılan klinik-radyolojik özellikleri analiz edildi. Bulgular: Bu çalışmada 11 hasta 5 kadın, 6 erkek yer almaktadır. Tedavi edilen lezyonlardan 7’si radiküler % 63.4 , 4’ü dentigeröz % 36.6 kisttir. Mandibula en fazla etkilenen çenedir. Takip süreleri 8-40 ay arasında değişmektedir. Sonuç: Marsüpyalizasyon geniş boyuttaki kistlerin tedavisinde, düşük komplikasyon oranıyla etkili bir tedavi yöntemidir

Keywords

Dentigeröz kist, Odontojenik kist, Radiküler kist, Marsüpyalizasyon

References

1. Rohilla M, Namdev R, Dutta S. Dentigerous cyst containing multiple impacted teeth: a rare case report. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2011;29:244-247.
2. Asian-Gonzalez E, Pereira-Maestre M, CondeFernandez D, Vilchez I, Segura-Egea JJ, Gutierrez-Perez JL. Dentigerous cyst associated with a formocresol pulpotomized deciduous molar. Journal of endodontics 2007;33:488-492.
3. Kadam NS, Ataide Ide N, Raghava P, Fernandes M, Hede R. Management of large radicular cyst by conservative surgical approach: a case report. Journal of clinical and diagnostic research : JCDR 2014;8:239-241.
4. Lin LM, Huang GT, Rosenberg PA. Proliferation of epithelial cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. Journal of endodontics 2007;33:908-916.
5. Akay MC, Kaya E, Zeytinoglu M. Treatment of nonsyndromic dentigerous cysts in primary dentition. Clinical, cosmetic and investigational dentistry 2011;3:17- 23.
6. Ertem SY. 38 Vakalık Seride Çenelerdeki Kistlerin Retrospektif Olarak Değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg. 2012; 22(2): 138-142.
7. Cho CY, Nam KY. Expansile dentigerous cyst invading the entire maxillary sinus: a case report. J Korean Assoc Oral Maxillofac Surg 2012; 38(4): 245-248
8. Sands T, Tocchio C. Multiple dentigerous cysts in a child. Oral health 1998;88:27-29.
9. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2010;28:203-208.
10. Enislidis G, Fock N, Sulzbacher I, Ewers R. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. The British journal of oral & maxillofacial surgery 2004;42:546- 550.
11. Bodner L, Bar-Ziv J. Characteristics of bone formation following marsupialization of jaw cysts. Dento maxillo facial radiology 1998;27:166-171.
12. Martin SA. Conventional endodontic therapy of upper central incisor combined with cyst decompression: a case report. Journal of endodontics 2007;33:753-757.
13. Bava FA, Umar D, Bahseer B, Baroudi K. Bilateral radicular cyst in mandible: an unusual case report. Journal of international oral health : JIOH 2015;7:61-63.
14. Koseoglu BG, Atalay B, Erdem MA. Odontogenic cysts: a clinical study of 90 cases. Journal of oral science 2004;46:253-257.
15. Singh S, Singh M, Chhabra N, Nagar Y. Dentigerous cyst : a case report. Journal of the Indian Society of Pedodontics and Preventive Dentistry 2001;19:123-126.
16. Wakolbinger R, Beck-Mannagetta J. Long-term results after treatment of extensive odontogenic cysts of the jaws: a review. Clinical oral investigations 2015.
17. Sakkas N, Schoen R, Schulze D, Otten JE, Schmelzeisen R. Obturator after marsupialization of a recurrence of a radicular cyst of the mandible. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2007;103:e16-18.
18. Taşkaldıran A, Koçyiğit İD, Atıl F, Alp YE, Şenses F, Tekin U, Tüz HH. Odontojenik kist tedavisinde başarılı sonuçlarla marsupyalizasyon. ADO Klinik Bilimler Dergisi 2011; 4: 739-744.
19. Madras J, Lapointe H. Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. Texas dental journal 2008;125:446-454.

There are 19 citations in total.

Details

Primary Language	Turkish
Journal Section	Research Article
Authors	Ahmet Altan İbrahim Damlar This is me Soydan Kılıç This is me
Publication Date	January 1, 2018
Published in Issue	Year 2018 Issue: 1

Cite

APA	Altan, A., Damlar, İ., & Kılıç, S. (2018). Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi)(1), 21-25.
AMA	Altan A, Damlar İ, Kılıç S. Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma. J Int Dent Sci. January 2018;(1):21-25.
Chicago	Altan, Ahmet, İbrahim Damlar, and Soydan Kılıç. “Radiküler Ve Dentigeröz Kistlerin Marsüpyalizasyon Ile Tedavisi: Retrospektif Bir Çalışma”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1 (January 2018): 21-25.
EndNote	Altan A, Damlar İ, Kılıç S (January 1, 2018) Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 21–25.
IEEE	A. Altan, İ. Damlar, and S. Kılıç, “Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma”, J Int Dent Sci, no. 1, pp. 21–25, January 2018.
ISNAD	Altan, Ahmet et al. “Radiküler Ve Dentigeröz Kistlerin Marsüpyalizasyon Ile Tedavisi: Retrospektif Bir Çalışma”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 1 (January 2018), 21-25.
JAMA	Altan A, Damlar İ, Kılıç S. Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma. J Int Dent Sci. 2018;:21–25.
MLA	Altan, Ahmet et al. “Radiküler Ve Dentigeröz Kistlerin Marsüpyalizasyon Ile Tedavisi: Retrospektif Bir Çalışma”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), no. 1, 2018, pp. 21-25.
Vancouver	Altan A, Damlar İ, Kılıç S. Radiküler ve Dentigeröz Kistlerin Marsüpyalizasyon ile Tedavisi: Retrospektif Bir Çalışma. J Int Dent Sci. 2018(1):21-5.