Dentijeröz kist: Kist-kron ilişkisi ve diğer görüntü özelliklerinin konik ışınlı bilgisayarlı tomografik görüntülerinde değerlendirilmesi
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Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çenelerde en sık görülen ikinci kist tipi olan dentijeröz kist sürmemiş bir dişin kronu etrafında gelişir. Kistin dişe bağlanma yerinin mine-sement sınırı olduğu ve bu özelliğinin ayırıcı tanıda önemli olduğu belirtilmiştir. Ancak kist-kron ilişkisinin farklı radyografik varyasyonlarının olduğu da bildirilmiştir. Bu nedenle çalışmamızda dentijeröz kistlerin kistkron ilişkisi ile diğer görüntü özelliklerinin (lokalizasyonu, boyutu, çevre dokulara etkisi, şekli, sınırları) konik ışınlı bilgisayarlı tomografik (KIBT) görüntülerinde incelenmesi amaçlanmıştır. Gereç ve Yöntemler: KIBT görüntüleri ve patoloji raporu olan 25 dentijeröz kist hastası çalışma grubunu oluşturdu. Kistlerin kist-kron ilişkisi ile diğer görüntü özellikleri değerlendirildi. Bulgular: Hastaların yaş aralığı 10-75, yaş ortalaması ise 43±19’du. Mandibular molar bölge kistlerin en sık görüldüğü bölge olup dentijeröz kistlerin % 40’ı dişe mine-sement sınırından, % 60’ı ise kök seviyesinden bağlanmıştı. Kist-kron ilişkisi ile yaş arasında istatistiksel olarak anlamlı (p<0.05) ilişki bulunmuştur. Sonuç: Dentijeröz kistlerde kist-kron ilişkisinde farklılıklar olabileceği göz önüne alınmalı, özellikle ileri yaşlarda görülen dentijeröz kistlerin dişe kök yüzeyinden tutunabileceği düşünülmeli ve ayırıcı tanıda sadece bu kritere güvenilmemelidir.
Background: Dentigerous cyst is the second most common type of cyst in the jaws that forms around the crown of an unerupted tooth. It was stated that the cyst attaches to the tooth at the cementoenamel junction and this feature is important for differential diagnosis. However, it was also reported that the cyst-to-crown relationship shows several radiographic variations. Therefore, the aim of this study is to evaluate the cyst-to-crown relationship and cone beam computed tomography (CBCT) features of dentigerous cysts. Methods: Twenty-five patients who had both CBCT images and pathology reports were included in the study. The cyst-to-crown relationship and other imaging features (localization, dimension, effects to the surrounding structures, shape, periphery) of the cyst were evaluated. Results: Age range of the patients was between 10 and 75 (mean age; 43±19). The mandibular molar region was the most commonly detected location and 40 % of the dentigerous cysts attached to the tooth at cementoenamel junction and 60 % attached at the root level. There was a statically significant relation between the cyst-to-crown relationship and age of the patients (p<0.05). Conclusion: It must be considered that the cyst-to-crown relationship of the dentigerous cysts may show variability and the cyst may attached at the root level especially in older patients. Therefore, only this criterion should not be relied on in differential diagnosis.
Background: Dentigerous cyst is the second most common type of cyst in the jaws that forms around the crown of an unerupted tooth. It was stated that the cyst attaches to the tooth at the cementoenamel junction and this feature is important for differential diagnosis. However, it was also reported that the cyst-to-crown relationship shows several radiographic variations. Therefore, the aim of this study is to evaluate the cyst-to-crown relationship and cone beam computed tomography (CBCT) features of dentigerous cysts. Methods: Twenty-five patients who had both CBCT images and pathology reports were included in the study. The cyst-to-crown relationship and other imaging features (localization, dimension, effects to the surrounding structures, shape, periphery) of the cyst were evaluated. Results: Age range of the patients was between 10 and 75 (mean age; 43±19). The mandibular molar region was the most commonly detected location and 40 % of the dentigerous cysts attached to the tooth at cementoenamel junction and 60 % attached at the root level. There was a statically significant relation between the cyst-to-crown relationship and age of the patients (p<0.05). Conclusion: It must be considered that the cyst-to-crown relationship of the dentigerous cysts may show variability and the cyst may attached at the root level especially in older patients. Therefore, only this criterion should not be relied on in differential diagnosis.
Açıklama
Anahtar Kelimeler
Ayırıcı tanı, Dentijeröz kist, Konik ışınlı bilgisayarlı tomografi, Cone beam computed tomography, Dentigerous cyst, Differential diagnosis
Kaynak
Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
4
Künye
Akçiçek, G., Çağırankaya, L. B., Akkaya, N., (2019). Dentijeröz kist: Kist-kron ilişkisi ve diğer görüntü özelliklerinin konik ışınlı bilgisayarlı tomografik görüntülerinde değerlendirilmesi. Selçuk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 6 (4), 135-140.
