Çenelerdeki Foliküler Radyolüsent Görünümlü İki Ortak Odontojenik Kistten Kısa Bir Radyografik Rapor
Öz
Amaç: Perikoronal radyolüsensiler rutin dişhekimliği
muayenelerinde yaygın patolojik bulgulardır. Dentigeröz kist en yaygın
patolojik perikoronal radyolüsensi ve aynı zamanda odontojenik keratokist (OKC)
yaygın ve yüksek nüks gösteren agresif bir lezon olduğundan dolayı, bu
lezyonların radyografik özellikleri panoramik radyografi ve konik ışınlı
bilgisayarlı tomografi kullanılarak tartışıldı.
Gereç
ve Yöntem: Bu kesitsel vaka serisi çalışmasında 2008-2013 yılları
arasında Mashhad / İran'da özel maksillofasiyal radyoloji merkezine veya
dişhekimliği fakültesine sevk edilen 56 hastanın radyolüsent perikoronal
lezyonunun dentigeröz kist veya OKC'nin histopatolojik sonuçları ile çenelerde
görüldüğü radyografileri iki maksillofasiyal radyolog tarafından ayrı ayrı
incelendi. Her iki gözlemci de patoloji sonuçlarının farkında değildi.
Lezyonlar, yerleri, çevresi ve çevreleyen yapılar üzerindeki etkisine göre
değerlendirildi. Elde edilen veriler tanımlayıcı tablolar kullanılarak analiz
edildi.
Bulgular: 56 hastada 56 lezyon tespit edildi. 20 OKC ve 36
dentigeröz kist vardı. Dentigeröz kistlerin ve OKC'lerin çoğunluğu posterior
mandibulada ortaya çıkmış ve iyi kortekslenmiş bir sınır göstermiştir. OKC
olgularında dış kök rezorpsiyonu daha yüksekti. Ek olarak, burun zemini,
mandibuler kanal, bukal ve lingual korteks (genişleme şeklinde) gibi çevreleyen
yapıların (diş hariç) yer değiştirme eğilimleri, korteks, burun zemini veya
sinüs duvarlarının tahrip edilmesi, OKC'de dentigerous kistten daha yüksekti.
Sonuçlar: Bu çalışmada, diş
yer değiştirmesinin haricinde, çevre yapılara etkisi ile ilgili diğer
parametreler OKC'de dentigeröz kistten daha yüksek dağılım gösterdi.
Anahtar Kelimeler
odontojenik kist panoramik radyografi konik ışınlı bilgisayarlı tomografi odontojenik keratokist dentigeröz kist
Kaynakça
- 1. Kotrashetti VS, Kale AD, Bhalaerao SS, Hallikeremath SR. Histopathologic changes in soft tissue associated with radiographically normal impacted third molars. Indian J Dent Res. 2010; 21: 385-90.
- 2. Stathopoulos P, MezitisM, Kappatos C, Titsinides S, Stylogianni E. Cysts and Tumors associated with impacted third molars: Is prophylactic removal justified? J Oral MaxillofacSurg. 2011; 69:405-8.
- 3. Adelsperger J, Campbell JH, Coates DB, Summerlin DJ, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89:402-6.
- 4. Rakprasitkul S. Pathologic changes in pericoronal tissue of unerupted third molars. Quintessence Int. Sep 2001; 32:633-8
- 5. Villalba L, Stolbizer F, Blasce FC, Maurino N, Piloni MJ, Keszeler A. Pericoronal follicles of asymptomatic impacted teeth: a radiographic, histomorphologic, and immunohistochemical study. Int J Dent 2012; 23:121-124.
- 6. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th edn. St. Louis, Mosby Co, 2014: 334-58.
- 7. Wood NK, Goaz PW. Differential diagnosis of oral and maxillofacial lesions. St Louis: Mosby Co, 1997: 251-79.
- 8. Devi P, Thimmarasa VB, Mehrotra V, Agarwal M.. Multiple Dentigerous Cysts: A Case Report and Review. J. Maxillofac. Oral Surg. 2015; 14:47–51.
- 9. Kornafel O, Jaźwiec P, Pakulski K. Giant Keratocystic Odontogenic Tumor of the Mandible – A Case Report. Pol J Radiol. 2014; 79:498-501.
- 10. MacDonald-Jankowski DS. Keratocystic odontogenic tumour: systematic review. Dentomaxillofacial Radiology. 2011; 40:1-23.
- 11. Zhu L, Yang J, Zheng JW. Radiological and clinical features of peripheral keratocystic odontogenic tumor. Int J Clin Exp Med. 2014; 7:300-306.
- 12. González-Alva P, Tanaka A, Oku Y, Yoshizawa D, Itoh S, Sakashita H, et al. Keratocystic odontogenic tumor: a retrospective study of 183 cases. J Oral Sci. 2008; 50:205-12.
- 13. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, et al. A radiologic analysis of dentigerous cysts and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 91:743-7.
- 14. Imanimoghaddam M, MojeriKhazani T. The Evaluation of 41 Panoramic Radiographic Cases of Dentigerous Cysts and Odontogenic Keratocysts. JMDS. 2007; 31:1-6.
- 15. Habibi A, Saghravanian N, Habibi M, Mellati E, Habibi M. Keratocystic odontogenic tumor: a 10-year retrospective study of 83 cases in an Iranianpopulation. J Oral Sci. 2007; 49:229-35.
- 16. Sharifian MJ, Khalili M. Odontogenic cysts: a retrospective study of 1227cases in an Iranian population from 1987 to 2007. J Oral Sci. 2011; 53:361-7.
A BRIEF RADIOGRAPHIC REPORT FROM TWO COMMON ODONTOGENIC CYSTS IN JAWS WITH FOLLICULAR RADIOLUCENT APPEARANCE
Öz
Objectives:
Pericoronal radiolucencies are common pathologic
findings in regular dental checkups. Since dentigerous cyst is the most common
pathologic pericoronal radiolucency and as odontogenic keratocyst (OKC) is a
common cyst also and an aggressive lesion with high recurrence, radiographic
features of these lesions were discussed in this study using panoramic
radiography and cone beam computed tomography.
Materials
and Methods: In this
cross-sectional case series study, radiographs from 56 patients who were
referred to a private maxillofacial
radiology center or dentistry faculty in
Mashhad/Iran from 2008 to 2013 in which radiolucent pericoronal lesion was
observed in jaws with histopathologic results of dentigerous cyst or OKC were
separately examined by two maxillofacial radiologists. Both observers were
unaware of pathology results. Lesions
were assessed based on their location, periphery, and impaction on the surrounding structures. Then, obtained data
were analyzed using descriptive tables.
Results: 56 lesions were
identified in 56 patients. There were 20 odontogenic keratocyst and 36 dentigerous cysts.
The majority of dentigerous cysts and OKCs occurred in the posterior mandible
and showed a well corticated border. External root resorption was higher
in OKC cases. In addition, displacement tendency of surrounding structures
(other than tooth) such as nasal floor, mandibular canal, buccal and lingual
cortex (in the form of expansion) as well as destruction of cortex, nasal floor
or sinus walls was higher in OKC than in dentigerous cyst.
Conclusion: Except of tooth displacement other parameters related to the
effect on surrounding structures in this study showed higher frequency in OKC
than dentigerous cyst.
Anahtar Kelimeler
odontogenic cyst panoramic radiography cone beam computed tomography odontogenic keratocyst dentigerous cyst
Kaynakça
- 1. Kotrashetti VS, Kale AD, Bhalaerao SS, Hallikeremath SR. Histopathologic changes in soft tissue associated with radiographically normal impacted third molars. Indian J Dent Res. 2010; 21: 385-90.
- 2. Stathopoulos P, MezitisM, Kappatos C, Titsinides S, Stylogianni E. Cysts and Tumors associated with impacted third molars: Is prophylactic removal justified? J Oral MaxillofacSurg. 2011; 69:405-8.
- 3. Adelsperger J, Campbell JH, Coates DB, Summerlin DJ, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89:402-6.
- 4. Rakprasitkul S. Pathologic changes in pericoronal tissue of unerupted third molars. Quintessence Int. Sep 2001; 32:633-8
- 5. Villalba L, Stolbizer F, Blasce FC, Maurino N, Piloni MJ, Keszeler A. Pericoronal follicles of asymptomatic impacted teeth: a radiographic, histomorphologic, and immunohistochemical study. Int J Dent 2012; 23:121-124.
- 6. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th edn. St. Louis, Mosby Co, 2014: 334-58.
- 7. Wood NK, Goaz PW. Differential diagnosis of oral and maxillofacial lesions. St Louis: Mosby Co, 1997: 251-79.
- 8. Devi P, Thimmarasa VB, Mehrotra V, Agarwal M.. Multiple Dentigerous Cysts: A Case Report and Review. J. Maxillofac. Oral Surg. 2015; 14:47–51.
- 9. Kornafel O, Jaźwiec P, Pakulski K. Giant Keratocystic Odontogenic Tumor of the Mandible – A Case Report. Pol J Radiol. 2014; 79:498-501.
- 10. MacDonald-Jankowski DS. Keratocystic odontogenic tumour: systematic review. Dentomaxillofacial Radiology. 2011; 40:1-23.
- 11. Zhu L, Yang J, Zheng JW. Radiological and clinical features of peripheral keratocystic odontogenic tumor. Int J Clin Exp Med. 2014; 7:300-306.
- 12. González-Alva P, Tanaka A, Oku Y, Yoshizawa D, Itoh S, Sakashita H, et al. Keratocystic odontogenic tumor: a retrospective study of 183 cases. J Oral Sci. 2008; 50:205-12.
- 13. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, et al. A radiologic analysis of dentigerous cysts and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 91:743-7.
- 14. Imanimoghaddam M, MojeriKhazani T. The Evaluation of 41 Panoramic Radiographic Cases of Dentigerous Cysts and Odontogenic Keratocysts. JMDS. 2007; 31:1-6.
- 15. Habibi A, Saghravanian N, Habibi M, Mellati E, Habibi M. Keratocystic odontogenic tumor: a 10-year retrospective study of 83 cases in an Iranianpopulation. J Oral Sci. 2007; 49:229-35.
- 16. Sharifian MJ, Khalili M. Odontogenic cysts: a retrospective study of 1227cases in an Iranian population from 1987 to 2007. J Oral Sci. 2011; 53:361-7.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Ağustos 2017 |
| Gönderilme Tarihi | 23 Ekim 2017 |
| Yayımlandığı Sayı | Yıl 2017Cilt: 20 Sayı: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.
Frequency: Four times a year (March, June, September, and December)
IMPORTANT NOTICE
All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.
Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.