Treatment Results of Dentigerous Cysts Managed by Marsupialisation, Enucleation or Enucleation with Platelet Rich Plasma-a Retrospective Study

Objective: This study aimed to evaluate the effectiveness of dentigerous cysttreatment with enucleation, marsupialisation or enucleation with platelet richplasma (PRP) application.Materials and Methods: The study included 27 cases with dentigerous cysts.Demographic data, treatment modalities, treatment results, size of the bony defectbefore and after treatment and complications were analysed retrospectively. Patientswere separated into three treatment arms. Group 1 comprised 11 patients treatedwith enucleation, group 2 comprised seven patients treated with enucleation andPRP and group 3 comprised nine patients treated with marsupialisation. Reductionsin the size of the radiolucent area at the sixth month follow-up were compared interms of the vertical and horizontal shrinkage of the lesion and monthly reductionsin lesional area.Results: The treatment results of the three groups were similar. Only the groupto which PRP was applied revealed significant vertical shrinkage (p=0.045).Preoperative lesional area and age appeared to be factors significantly affectingbone regeneration (p

Marsupiyalizasyon, Enükleasyon veya Enükleasyon ve Plateletten Zengin Plazma Uygulaması ile Tedavi Edilen Dentijeröz Kistlerin Tedavi Sonuçları: Retrospektif Bir Çalışma

Amaç: Bu çalışmanın amacı marsupiyalizasyon, enükleasyon, enükleasyon ve plateletten zengin plazma (PRP) uygulaması ile tedavi edilen dentijeröz kistlerin tedavi sonuçlarının karşılaştırmalı değerlendirilmesidir. Gereç ve Yöntemler: Dentijeröz kiste sahip 27 olgu çalışmaya dahil edildi. Demografik veriler, tedavi şekilleri ve sonuçları, tedavi öncesi ve sonrası kemik defektinin boyutsal ölçümleri ve komplikasyonlar retrospektif olarak analiz edildi. Hastalar 3 farklı tedavi grubuna ayrılarak incelendi. Grup 1 enükleasyonla tedavi edilen 11 hasta içerirken, grup 2 enükleasyon ve kist kavitesine PRP uygulanan 7 hastadan oluşmaktaydı. Üçüncü grup marsupiyalizasyon ile tedavi edilen 9 hasta içermekteydi. Altıncı ayda radyolusent alanda vertikal küçülme, horizontal küçülme ve lezyon alanında aylık küçülme olmak üzere üç parametre şeklinde incelendi.Bulgular: Üç grubun tedavi sonuçları benzer çıkarken, PRP uygulanan grup istatistiksel açıdan anlamlı olarak daha hızlı vertikal küçülme sergiledi (p=0,045). Preoperatif lezyon alanı ve yaşın istatistiksel olarak anlamlı bir sonuçla kemik iyileşmesinde etkili bir faktör olduğu görüldü (p

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