Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Rezidüel Kist: 71 Olgunun Klinik Çalışması
Residual Cyst: A Clinical Study of 71 Cases
Gülten USALANa
aÇankaya Belediyesi, Sağlık İşleri Müdürlüğü Diş Polikliniği, Ankara
Turkiye Klinikleri J Dental Sci. 2009;15(3):191-5
Article Language: TR
Full Text
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Amaç: Rezidüel kist, çenelerin dişsiz bölgesinde rutin radyografik muayene sırasında fark edilebilmektedir. Bu çalışmanın amacı, 71 rezidüel kist olgusunun yaş, cinsiyet ve anatomik lokalizasyona göre dağılımını incelemek ve diğer coğrafi bölgelerden daha önce elde edilen bilgilerle bu bilgileri kıyaslamaktır. Gereç ve Yöntemler: 2000-2007 yılları arasında Gazi Üniversitesi Diş Hekimliği Fakültesi Oral Diagnoz ve Radyoloji Bilim Dalına çeşitli dental nedenlerle başvuran erişkin hastalarda tespit edilen 71 kist çalışmaya dahil edildi. Klinik ve radyografik değerlendirme sonucu rezidüel kist ön tanısı ve histopatolojik inceleme sonucunda da rezidüel kist tanısı konulan 71 olgunun yaş, cinsiyet ve anatomik lokalizasyona göre dağılımı istatistiksel olarak incelendi. Bulgular: Yapılan değerlendirmeler sonucunda, 71 rezidüel kistin 48'i erkeklerde, 23'ü kadınlarda ortaya çıktı. Hastaların yaşları 20-79 arasında değişmekteydi. Rezidüel kist en çok 40-49 yaş grubunda 23 (%32.4) olguda görüldü. En az 70-79 yaş grubunda 2 (%2.8) olguda görüldü. Anatomik lokalizasyona göre dağılımında ise en fazla mandibula posterior bölgede 26 (%36.6) olguda görülürken, bunu sırasıyla maksilla anterior bölgede 20 (%28.2) olgu, maksilla posterior bölgede 16 (%22.5) olgu ve mandibula anterior bölgede 9 (%12.7) olgu izlemekteydi. Mandibula anteroposterior ve maksilla anteroposterior bölgelerde ise lezyon tespit edilmedi. Sonuç: Bu çalışmanın sonuçları genel olarak diğer literatürlerle benzer bulunmuştur. Nadiren de olsa malign transformasyona uğrayan rezidüel kistlerle ilgili yeni çalışmalar yapılmasına gerek vardır. Ayrıca, bu lezyonların dağılımı ile ilgili çalışmalar teşhis ve tedavi planlamasında hekimlere her zaman yardımcı olacaktır.

Anahtar Kelimeler: Odontojenik kistler, istatistiksel dağılımlar, retrospektif çalışmalar
ABSTRACT
Objective: Residual cyst may be detected during a routine radiographic examination in the edentulous areas of jaws. The purpose of this study is to determine the age, sex and anatomic location distributions of 71 residual cysts cases and to compare these data with previously published reports from other geographic areas. Material and Methods: The study comprised 71 cases of residual cysts that were diagnosed in adult patients apply to Gazi University of Faculty Dentistry, Department of Oral Diagnosis and Radiology for some kind of dental problems from 2000 to 2007. Seventy one cases that were prediagnosed as residual cyst according to clinical and radiographic features and diagnosed as residual cyst according to histopathological validations were analyzed statistically with regard to age, sex and anatomical location distribution. Results: Based on the clinical data, there were a total of 71 residual cysts; of these 48 occured in male, 23 in female. Patients were aged between 20-79. Residual cysts were seen in the most frequently in 40-49 age groups, including 23 (32.4%) cases. They were seen at least in 70-79 age groups, including 2 (2.8%) cases. The most common anatomic site was the mandibular posterir region in 26 (36.6%) cases, followed by the maxillary anterior region in 20 (28.2%) cases, the maxillary posterior region in 16 (22.5%) cases and the mandibular anterior region in 9 (12.7%) cases. The lesion was not seen in the maxillary anteroposterior and mandibular anteroposterior regions. Conclusion: The results of this sudy are generally in accordance with the other studies in literature. There is need for further studies with the residual cysts that may undergo malignant transformation rarely. Also, the studies related to distributions of these lesions are to help always dentists to diagnose and to plan treatment

Keywords: Odontogenic cyst, statistical distributions, retrospective studies.

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