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MAKSİLLER SİNÜSTE SÜREKLİ KANİN DİŞİ İLE İLİŞKİLİ DENTİGERÖZ KİST

DENTIGEROUS CYST INVOLVING THE MAXILLARY SINUS ASSOCIATED WITH PERMANENT CANINE TEETH

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Dcntigcrous cys t is odontogenic lesions which proceed in prevalance the apical cyst.thc most frequent lesions of the jaws, it is associated with and contains the unerupted crown of a tooth.The dentigerous cyst that may expose an asymptomatic development until facial asymmetry and swelling are observed. When untreated, it causes bone loss and block the eruption of the associated tooth and displaces the tooth to abnormal positions in the jaws. Rarely it is found to be located in the maxillary sinus. In this case report, diagnosis of a dentigerous cyst which involved maxillary sinus associated with permanent canine teeth and caused significant bone loss was presented. Treatment modalities comprising marsupialization and subsequently enucleation was performed to prevent the loss of adjacent teeth. Epithelium of dentigerous cycts may show ameloblastic proliferation and transform to ameloblastoma and uncommonly show malign changes and transform to carcinoma in silu, squamous cell carcinoma, epidermoid and mucoepidcrmoid carcinoma. The importance of early diagnosis and management of a dentigerous cyct that may develop asymptomatically and manifest invasion to adjacent anatomical regions as maxillary sinus was emphasized.
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Abstract (Original Language): 
Dentigeröz kist apikal kistlerden sonra en sık rastlanılan, genellikle sürmemiş bir dişin kuronu ile ilişkili olan odontojenik lezyonlardır. Fasiyal asimetri ve şişlik ortaya çıkana kadar uzun süre asemptomatik olarak gelişebilen dentigeröz kistler, sebep oldukları kemik kayıplarının yanı sıra tedavi edilmeyen olgularda ilgili dişin sürmesine engel olur ve çenelerde anormal pozisyonlara iter. Dentigeröz kist nadir olarak da maksiller sinüste yerleşim gösterebilir. Bu olgu sunumunda ciddi kemik kayıplarına sebep olmuş ve maksiller sinüs içinde yer alan sürekli kanın dişi ile ilişkili dentigeröz kistin teşhisi ve ilgili dişlerin kaybedilmesini önlemek amacıyla tedavisinde izlenen marsüpiyalizasyon ve cnüklcasyon yöntemleri bildirilmektedir. Dentigeröz kistin epiteli ameloblasıik proliferasyon göstererek ameloblastomaya ve nadir olarak malign değişim göstererek karsinoma in situ, skuamöz hücreli karsinoma. epidermoid ve mukoepidermoid karsinomaya dönüşebilir. Asemptomatik olarak gelişen ve maksiller sinüs gibi komşu anatomik bölgelere yayılım gösterebilen dentigeröz kistlerin, erken teşhisinin ve tedavisinin önemi bu olgu ile vurgulanmıştır.
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REFERENCES

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