Large dentigerous cyst in the maxillary sinus leading to diplopia and nasal obstruction : case repor
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Tarih
2015
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info:eu-repo/semantics/openAccess
Özet
Dentijeröz kistler, çenelerin en yaygın gelişimsel odontojenik kistleridir. Sıklıkla erkeklerde görülür ve en çok maksillar kanin, mandibular üçüncü molar dişleri etkilerler. Süpernumere ve ektopik olarak sürmüş dişlerle ilişkili olabilirler. Bu makalede; maksiller sinüste ektopik üçüncü molar dişle ilişkili dentijeröz kistin tedavisini sunmayı amaçladık. 16 yaşında kadın hasta, yaklaşık altı aydır olan, sağ yanağının üzerinde ağrılı şişlik şikâyeti ile kliniğimize başvurdu. Tüm daimi dişler sağ üst üçüncü molar dışında mevcuttu. Ekstraoral muayenede yüzde asimetri, göz kürelerinin seviyelerinin eşit olmadığı görüldü. Radyografik muayenede, sol maksiller sinüste ektopik üçüncü molar dişle ilişkili kistik lezyon saptandı. Lokal anestezi altında marsüpyalizasyon yapıldı. Altı aylık takipten sonra genel anestezi ile cerrahi operasyonu yapıldı. Hastanın şikâyetlerinin operasyondan sonra tamamen geçtiği görüldü ve 3 yıllık takipte herhangi bir problemle karşılaşılmadı.Dentijeröz kistin istenmeyen etkilerinden kaçınabilmek için, sürmemiş dişlerin radyolojik incelemeleri dikkatle yapılmalıdır. Tedavi edilmeyen dentigeröz kistler büyük boyutlara ulaşabilir. Ayrıca odontojenik tümör oluşturma potansiyeline sahiptirler
Dentigerous cysts are the most common developmental odontogenic cyst of the jaws. They are more frequent in males and although most often affected teeth are maxillary canines and mandibular third molars, they may also be related with supernumerary or an ectopically erupted tooth. Our aim was to report the management of ectopic third molar tooth related with a dentigerous cyst in maxillary sinus. 16 years old girl referred to our clinic with a complaint of painful swelling over her right cheek since past six months. All permanent teeth were present except the right upper third molar. External examination showed that the face was gently asymmetrical; levels of eye globes were abnormal. Radiographic examination revealed a cystic lesion related with ectopic third molar which located in the roof of the left maxillary sinus. Under local anesthesia, hard drain was inserted into the hole and the cystic pressure was decreased. After the six month of followup, the operation was performed under general anesthesia. The patient's symptoms were resolved completely after surgery and remained symptom-free for over a postoperative follow-up period of 3 year.To avoid unwanted effects of a dentigerous cyst, unerupted tooth should be observed with radiographic imaging. Some untreated dentigerous cysts may grow large and have a potential to develop into an odontogenic tumor
Dentigerous cysts are the most common developmental odontogenic cyst of the jaws. They are more frequent in males and although most often affected teeth are maxillary canines and mandibular third molars, they may also be related with supernumerary or an ectopically erupted tooth. Our aim was to report the management of ectopic third molar tooth related with a dentigerous cyst in maxillary sinus. 16 years old girl referred to our clinic with a complaint of painful swelling over her right cheek since past six months. All permanent teeth were present except the right upper third molar. External examination showed that the face was gently asymmetrical; levels of eye globes were abnormal. Radiographic examination revealed a cystic lesion related with ectopic third molar which located in the roof of the left maxillary sinus. Under local anesthesia, hard drain was inserted into the hole and the cystic pressure was decreased. After the six month of followup, the operation was performed under general anesthesia. The patient's symptoms were resolved completely after surgery and remained symptom-free for over a postoperative follow-up period of 3 year.To avoid unwanted effects of a dentigerous cyst, unerupted tooth should be observed with radiographic imaging. Some untreated dentigerous cysts may grow large and have a potential to develop into an odontogenic tumor
Açıklama
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Kaynak
Journal of Istanbul University Faculty of Dentistry
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49
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2
