Büyük Odontojenik Kistlerde Tedavi Yaklaşımı

Abstract

Objective: The purpose of this study is to determine the bony healing of giant odontogenic cysts which underwent conventional surgical operations without using any supplementary bone filling materials. Treatment of choice for large cysts depends on the size and location of the lesion (its approximity to vital structures), the patient's age and dention. Material and Methods: Twenty patients who were referred to Ege University School of Dentistry, Department of Oral and Maxillofacial Surgery between 1999 and 2010 for surgical operation of their giant cystic lesions were enrolled. All patients were treated under local anesthesia using standard materials and conventional surgical methods. None of the patients had bone resection as the treatment of choice and no bone filling biomaterials were utilized throughout the treatment. All cysts were subjected to histological examination after fixation in a 10% formalin solution. The final diagnoses after histological examination are reported. Results: Histological diagnoses of the giant cystic lesions revealed one radicular (5%), one residual (5%) and 18 dentigerous (90%) cysts of the jaws. The radiographic findings were analyzed in 24 months. During recall examinations, none of the patients showed postoperative complications and cystic lesions revealed considerable or complete bone healing. Conclusion: Rather than jaw resection, a well-planned conservative surgical approach following careful evaluation, meticulous treatment planning and close follow-up of patients may be preferred for treatment of giant cystic lesions.