LARGE ODONTOGENIC CYSTIC LESIONS WITH ECTOPIC IMPACTED TEETH CASE REPORT

Abstract

Aim: Cystic and cystlike lesions of the maxilla and mandible are

primarily ellipsoid, radiolucent, and clearly demarcated and may

be odontogenic or nonodontogenic. Odontogenic cysts and tumors

develop during or after the formation of teeth. Most odontogenic

lesions are benign, but some may exhibit aggressive and destruc-

tive behavior locally. In this case report will be presented some

cases like dentigerous cysts, keratocysts and an unicystic amelo-

blastoma with ectopic impacted teeth and their wide variety treat-

ment options from minimal invasive to more aggresive.

Cases: We describe six cases, who refferred to our Oral and Max-

illofacial Surgery clinic of Istanbul Universtiy Faculty of Dentistry

between years 2009 and 2010 with some complaints like facial

asymmetry and absence of teeth. The patient age ranged from 18

to 34 years, with sex distribution of one female and five males.

According to radiological examinations large cystic lesions and

ectopic impacted teeth were diagnosed.

Four dentigerous cysts, one keratocyst and one unicystic amelo-

blastoma were diagnosed after histological examination. Five of

these lesions were located in mandibular ramus region, one were

located in maxillary tuber area. Three years follow up after sur-

gery was made and postoperative healing were satisfactory.

Conclusions: It is important by selecting the treatment protocol. It

is often difficult to distinguish cystic-appearing lesions from one

another with radiography. Careful consideration of the patient his-Aim: Cystic and cystlike lesions of the maxilla and mandible are

primarily ellipsoid, radiolucent, and clearly demarcated and may

be odontogenic or nonodontogenic. Odontogenic cysts and tumors

develop during or after the formation of teeth. Most odontogenic

lesions are benign, but some may exhibit aggressive and destruc-

tive behavior locally. In this case report will be presented some

cases like dentigerous cysts, keratocysts and an unicystic amelo-

blastoma with ectopic impacted teeth and their wide variety treat-

ment options from minimal invasive to more aggresive.

Cases: We describe six cases, who refferred to our Oral and Max-

illofacial Surgery clinic of Istanbul Universtiy Faculty of Dentistry

between years 2009 and 2010 with some complaints like facial

asymmetry and absence of teeth. The patient age ranged from 18

to 34 years, with sex distribution of one female and five males.

According to radiological examinations large cystic lesions and

ectopic impacted teeth were diagnosed.

Four dentigerous cysts, one keratocyst and one unicystic amelo-

blastoma were diagnosed after histological examination. Five of

these lesions were located in mandibular ramus region, one were

located in maxillary tuber area. Three years follow up after sur-

gery was made and postoperative healing were satisfactory.

Conclusions: It is important by selecting the treatment protocol. It

is often difficult to distinguish cystic-appearing lesions from one

another with radiography. Careful consideration of the patient his-