ODONTOGENIC JAW CYSTS IN PEDIATRIC PATIENTS: A REPORT OF TWO RADICULAR CYSTS AND ONE ODONTOGENIC KERATOCYST
5th International Congress of Contemporary Pediatric Dentistry (ICCPD 2025), İstanbul, Türkiye, 7 - 09 Kasım 2025, cilt.6, sa.1, ss.36, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Cilt numarası: 6
- Basıldığı Şehir: İstanbul
- Basıldığı Ülke: Türkiye
- Sayfa Sayıları: ss.36
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- İstanbul Üniversitesi Adresli: Evet
Özet
Odontogenic cysts, although relatively uncommon in children, require early diagnosis and careful treatment planning because of their potential to interfere with craniofacial growth and tooth eruption. Radicular cysts are the most frequent type, typically developing from chronic periapical inflammation following pulp necrosis, and although rare in primary teeth, they are more commonly found in posterior regions susceptible to caries. Odontogenic keratocysts, in contrast, display more aggressive behavior with infiltrative growth and a high recurrence rate. This report describes three pediatric cases, emphasizing clinical and radiographic features, treatment, and outcomes. In the first case, a 9-year-old girl presented with a radiolucent lesion involving the first and second deciduous molars, diagnosed as a radicular cyst; extraction of the affected teeth and placement of a space maintainer led to complete resolution within three months, followed by normal eruption of the first premolar. In the second case, another 9-year-old girl exhibited a lesion in the region of previously extracted primary molars (#84 and #85), diagnosed as a radicular cyst; management included a removable space maintainer, and after one year, teeth #44 and #45 erupted normally while tooth #46 remained unaffected. In the third case, a 13-year-old boy presented with swelling in the right mandibular posterior region; radiographs revealed a unilocular radiolucency extending to the mandibular ramus, and histopathology confirmed an odontogenic keratocyst. Conservative decompression with a removable appliance following tooth extraction was performed, and after one year, significant cyst reduction and new bone formation were observed. These cases underscore the importance of early diagnosis and multidisciplinary conservative management of odontogenic cysts in children to ensure proper dental development and minimize complications.