Yeditepe J Dent. 2015; 11(1): 37-42

Büyük santral dev hücreli granülomanýn yumuþak doku ve sert doku ogmentasyonu ile rekonstriksiyonu

Erol Cansýz, Ayþenur Uzun, Berkem Atalay, Sabri Cemil Ýþler, Taylan Can
Istanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery

Santral dev hücreli granuloma, benign karakterli ancak lokal- agresif seyir gösteren intraosseöz, nonodontojenik bir lezyondur. Lezyonun agresif tipte olmasý, tedavi sonrasý rekürens oranýný arttýrmakta ve tedavide geniþ rezeksiyon yaklaþýmýnýn tercih edilmesine neden olmaktadýr. Bu makalede, dekstrüktif bir santral dev hücreli granuloma olgusunun yumuþak doku geniþletici, iliak kemik grefti, dental implant ve serbest diþ eti grefti ile rehabilitasyonu sunulmuþtur. Çene kemiðinde agresif olarak ilerleyen geniþ lezyonlarýn tedavisinde, lezyonun eksizyonu ile rekürrens oranýnýn azaltýlmasý ve oluþan defektin estetik ve fonksiyonel olarak rekonstrüksiyonu önem taþýmaktadýr. Bu raporda, lokal agresif seyir gösteren santral dev hücreli granülom olgusunda, yumuþak ve sert doku ogmentasyon prosedürlerinin baþarýsý vurgulanmaktadýr.

Anahtar Kelimeler: Alveolar kemik ogmentasyonu, iliak greft, doku geniþletme apareyi, dev hücreli granülom.

---

Reconstruction of a large central giant cell granuloma with combined soft and hard tissue augmentation procedures

Erol Cansýz, Ayþenur Uzun, Berkem Atalay, Sabri Cemil Ýþler, Taylan Can
Istanbul University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery

The central giant cell granuloma is a nonodontogenic, intraosseos lesion accounting for fewer than 7% of all benign tumours of the jaws. The aggressive types of the lesions have a tendency to recur after excision and require wide resection. Resection of the mandibular lesions may result in oral function deficiency and aesthetic or psychological problems. In this article, the reconstruction of a case with destructive giant-cell granuloma with tissue expander, iliac bone graft, dental implant and free gingival graft is presented. It is crucial to totally eliminate the aggressive lesion and reconstruct the bone defect for acceptable aesthetic and functional results. The present case emphasizes the success of soft and hard tissue augmentation procedures in the management of a large aggressive benign tumour.

Keywords: Alveolar ridge augmentation, iliac graft, tissue expansion devices, giant cell granuloma.

---

ATIF KOPYALA