Cilt:49 Sayı:01 (2022) Özel Sayı

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https://dspace.ankara.edu.tr/handle/20.500.12575/92260

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Browsing Cilt:49 Sayı:01 (2022) Özel Sayı by Author "Bağcı, Nuray"

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    Clinic and Radiographic Evaluation of Cemento-osseous Dysplasia: Case Series
    (Ankara Üniversitesi, 2022) Bağcı, Nuray; Üçok, Özlem; Peker , İlkay
    Aim: Cemento-osseous dysplasia (COD) is usually asymptomatic and slowly progressive benign fibro-osseous lesion characterized by the replacement of normal bone with fibrous tissue. The aim of this presentation is to evaluate the clinical and radiographical findings of six COD cases that were detected incidentally during radiographic examination. Case Report: Six female patients who four (%66) of them with different dental complaints and two (%33) of them for routine control examination of the previously diagnosed COD with a mean age of 38 applied to our clinic. It was learned that the patients did not have any systemic disorders in their medical anamnesis. There is not any finding on extraoral examination. In intraoral examination, teeth associated with COD lesions were vital as a result of the electric pulp test, and there is no other finding related to the lesion. In the radiography examination, different sizes radiolucent, mixed, and radiopaque lesions were detected in the mandible on control panoramic radiographs. The lesions were examined in detail with cone-beam computed tomography. Local thinning and resorption were observed in the buccal and lingual cortical bone in the relevant region. Histopathological examination revealed that the lesions were definitively diagnosed as SOD in four patients. Based on clinical, radiographic, and histopathological examinations, three (%50) of the lesions were diagnosed as periapical COD and the others (%50) were diagnosed with fluoride COD. All patients were followed up periodically for six months. Conclusion: The findings of this case series showed that all lesions examined were clinically asymptomatic and mixed on radiography. Due to insufficient vascular support of the bone in the COD area, there is a risk of infection and osteomyelitis may occur. Therefore, dentists should be aware of the clinical and radiographic features of COD in clinical practice and follow the patients periodically.
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    Reactive Hyperplasias in the Oral Mucosa: Case Series
    (Ankara Üniversitesi, 2022) Bağcı, Nuray; Peker, İlkay; Üçok, Özlem
    Purpose: Reactive hyperplasias are often encountered tumor-like exophytic lesions of the oral mucosa, but they are not a neoplasm. Local factors such as dental calculus, food residue stuck between teeth, incompatible prosthetic restoration, and systemic factors such as hormonal changes play a role in the etiology of these hyperplasia. The aim of this presentation is to evaluate the possible etiological factors, clinical, and radiological findings of 10 reactive hyperplasia cases seen in different regions of the mouth. Case report: Ten patients (seven females and three males) with a mean age 40.2 applied to our clinic with complaints of swelling in the mouth. In the medical anamnesis, it was learned that three (30%) patients had recently given birth and the related swelling started to occur in the second trimester of pregnancy, three (30%) patients had different diseases such as heart, hypertension, diabetes, and cholesterol, and were under regular medication for systemic disease. There was no finding on extraoral examination. In intraoral examination, mass lesions which red and/or pink, lobular/nodular, painless, pedunculated and/or sessile, and smooth and/or ulcerated was seen on the maxilla of six patients, mandible of three patients, and lower lip mucosa of one patient. Poor oral hygiene in seven (70%) patients, prosthetic restoration in the lesion-related area in two (20%) patients, and attrition incisal tooth surface and diastema in one (10%) patient were found. Radiographic examination revealed that minimal resorption on the alveolar crest in the lesion-related area of only three (30%) patients was seen. All lesions were histopathologically examined after surgical excision. According to the clinic, radiographic and histopathological features, diagnosis of the lesions was made as pyogenic granuloma (four cases; 40%), peripheral ossifying fibroma (three cases; 30%), traumatic fibroma (two cases; 20%) and peripheral giant cell granuloma (one case; 10%). Conclusion: It was concluded that the lesions examined in this case series were mostly caused by local factors. The clinical findings observed in the patients were red nodular mass, painless, soft, and smooth-surfaced. In the radiographic examination, no finding was detected in most of the lesions.