Gambaran bone graft menyerupai odontoma compound pada regio anterior maksila

https://doi.org/10.22146/mkgk.81953

Sariyani Pancasari Audry Arifin(1*), Menik Priaminiarti(2), Chairunnisa Amarta(3), Heru Suryonegoro(4)

(1) Program Pendidikan Dokter Gigi Spesialis Radiologi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Jakarta, Indonesia Departemen Radiologi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Trisakti, Jakarta, Indonesia
(2) Departemen Radiologi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Jakarta, Indonesia
(3) Departemen Bedah Mulut, Klinik Gigi, Jakarta, Indonesia
(4) Departemen Radiologi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Jakarta, Indonesia
(*) Corresponding Author

Abstract


Bone graft digunakan untuk rehabilitasi area maksilofasial akibat kehilangan gigi, trauma, tumor, dan kista yang menyebabkan kehilangan tulang luas. Kista radikular besar perlu diberikan bone graft untuk menghindari defek tulang. Ceraform® granule merupakan graft sintetik bisphasic ceramic, secara radiografis tampak hyperdensity dentikel, menyerupai odontoma compound. Komplikasi yang sering menyebabkan kegagalan bone graft ing yaitu tidak tepatnya stabilisasi graft dan infeksi. Laporan kasus ini bertujuan untuk menampilkan dan membahas temuan bahan bone graft yang menyerupai odontoma compound pada hasil pemeriksaan CBCT. Pasien laki-laki 63 tahun mengeluh pus keluar dari bawah bibir atas. Fistula di apikal 23 dan 25, palpasi tidak sakit, perabaan keras. Pemeriksaan CBCT tampak massa hyperdensity hypodensity membulat, berbatas jelas dikelilingi pita radiolusen, terkortikasi, struktur internal hyperdensity menyerupai dentikel. Diagnosis kerja yaitu suspek odontoma compound. Dilakukan kuretase radikal dan ditemukan bone graft serta lapisan dinding kista. Pemeriksaan histopatologi lapisan dinding kista sesuai dengan kista radikuler. Rekurensi kista radikular dapat menjadi penyebab utama infeksi sekunder sehingga graft tidak menyatu dengan jaringan sekitar, granule tetap utuh, dan pembentukan tulang baru tidak terjadi. Bone graft
sintetik bisphasic ceramic berbentuk granule, secara radiografis tampak hyperdensity dentikel menyerupai odontoma compound, tersusun rapih dan teratur. Rekurensi kista radikular dan infeksi sekunder dapat menghambat integrasi graft dengan tulang. Pemeriksaan CBCT dan histopatologi perlu untuk evaluasi lebih detail dan mendapatkan diagnosis lebih akurat.

Keywords


Bone graft; CBCT; kista radicular; odontoma compound

Full Text:

4. Sariyani


References

1. Hahn HM, Lee YJ, Park DH. Huge radicular cyst of the maxilla treated with complete resection and immediate reconstruction by Rib Bone graft. J Maxillofac Oral Surg. 2019; 18(3):
378-381. doi: 10.1007/s12663-018-1125-0

2. Velasco I, Vahdani S, Nuñez N, Ramos H. Large recurrent radicular cyst in maxillary sinus: a case report gran quiste radicular recurrente en seno maxilar: reporte de caso. Int J Odontostomat. 2017; 11(1): 101-105.

3. Garcia IM, Arashiro FN, Jardim ECG, Silva JCL da. Enucleation of odontogenic cyst with bone graft . Int J Odontosomat. 2019; 13(4): 433-436.

4. Melia F. Management of a Radicular Cyst. Cakradonya Dent J. 2014; 6(1): 619-677.

5. Azad A, Chourasia HR, Singh D, Sharma I, Azad A, Pahlajani V. Management of a Large
Periapical Cyst : A Case Report. People’s J Sci Res. 2014; 7(1): 47-50.

6. Patomo RJ, Latief A, Latief B. Surgical approach to radicular cyst with relocation of tjhe inferior alveolar nerve: a case report. Clin Reports Dent. 2020: 1-418.

7. Kadam NS, de Ataide I de N, Raghava P, Fernandes M, Hede R. Management of large radicular cyst by conservative surgical approach: A case report. J Clin Diagnostic Res. 2014; 8(2): 239-241. doi: 10.7860/JCDR/2014/5763.4069

8. Kumar P, Vinitha B, Fathima G. Bone graft s in dentistry. J Pharm bioallied Sci. 2013; 5(1):
125-127. doi: 10.4103/0975-7406.113312

9. Fairbairn P, Leventis M, Mangham C, Horowitz R. Alveolar ridge preservation using a novel
synthetic grafting material: A case with twoyear follow-up. Case Rep Dent. 2018; 2018.
doi: 10.1155/2018/6412806

10. Titsinides S, Agrogiannis G, Karatzas T. Bone graft ing materials in dentoalveolar
reconstruction: A comprehensive review. Jpn Dent Sci Rev. 2019; 55(1): 26-32.
doi: 10.1016/j.jdsr.2018.09.003

11. Singh J, Takhar RK, Bhatia A, Goel A. Bone graft materials: dental aspects. J Nov Res
Healthc Nurs. 2016; 3(1): 99-103.

12. Sˇponer P, Urban K, Kucˇera T, Kohout A, Brtkova J, Knizek J. The use of interconnected
b -tricalcium phosphate as bone substitute after curettage of benign bone tumours. Eur J Orthop Surg Traumatol. 2011; 21: 235-241. doi:10.1007/s00590-010-0701-x

13. Fujioka-kobayashi M. The impact of the size of bone substitute granules on macrophage
and osteoblast behaviors in vitro. Clin Oral Investig. 2021; 25(8): 4949-4958.
doi: 10.1007/s00784-021-03804-z

14. Giannoudis PV, Dinopoulos H, Tsiridis E. Bone substitutes: An update. Injury. 2005; 36(3):
20-27. doi: 10.1016/j.injury.2005.07.029

15. Beaman FD, Bancroft LW, Peterson JJ, Kransdorf MJ, Menke DM, DeOrio JK. Imaging characteristics of bone graft materials. Radiographics. 2006; 26(2): 373-389. doi: 10.1148/rg.262055039

16. Kao ST, Scott DD. A Review of bone substitutes. Oral Maxillofac Surg Clin North Am. 2007; 19(4): 513-521. doi: 10.1016/j.coms.2007.06.002

17. Kalfas IH. Principles of bone healing. Neurosurg Focus. 2001; 10(4): 4-7.
doi: 10.3171/foc.2001.10.4.2

18. Turco G, Porrelli D, Marsich E, et al. Three-Dimensional bone substitutes for oral and maxillofacial surgery : biological and structural characterization. J Funct Biomater. 2018; 9(4): 62. doi: 10.3390/jfb9040062

19. Travan A, Pelillo C, Donati I, et al. Nanocomposites with Antimicrobial Activity. Biomacromolecules. 2009; 10(6): 1429-1435.

20. Sponer P, Urban K, Kucera T, Kohout A, Brtkova J, Knızek J. The use of interconnected
β -tricalcium phosphate as bone substitute after curettage of benign bone tumours The
use of interconnected b -tricalcium phosphate as bone substitute after curettage of benign bone tumours. Eur J Orthop Surg Traumatol.
2011; 21(4): 235-241. doi: 10.1007/s00590-010-0701-x

21. Elakkiya S, Ramesh AS, Prabhu K. Systematic analysis on the efficacy of bone enhancement
methods used for success in dental implants. J Indian Prosthodont Soc. 2017; 2017(17):
219-225. doi: 10.4103/jips.jips

22. Mallaya S, Lam E. White and Pharoah’s Oral Radiology Principles and Interpretation. 8th
ed. Elsevier Health Sciences; 2019.

23. Lalabonova H, Daskalov H. Jaw cysts and guided bone regeneration (a late complication
after enucleation). J of IMAB. 2013; 19(4): 401-403. doi: 10.5272/jimab.2013194.401

24. Grottoli CF, Ferracini R, Compagno M, et al. A Radiological Approach to evaluate bone
graft integration in reconstructive surgeries. Applied Sciences. 2019; 9(7): 1469.
doi: 10.3390/app9071469

25. Torul D, Keskin M, Gun S, Odabasi D. Complex-Compound odontoma: a rare clinical
presentation odontoma. Odovtos. 2018; 22(1): 23-28. doi: 10.15517/ijds.v0i0.33920

26. Lee HM, Kim CK, Jo DI, Shin DH, Choi HG, Kim SH. Compound type odontoma at maxilla.
Arch Craniofac Surg. 2016; 17(2): 96-98.

27. Wang J, Yao Q, Zhu H. Efficacy of bone grafts in jaw cystic lesions: a systematic review.
World J Clin Cases. 2022; 10(9): 2801-2811. doi: 10.12998/wjcc.v10.i9.2801

28. Miramond T, Borget P, Baroth S, Daculsi G. Comparative critical study of commercial
calcium phosphate bone substitutes in terms of physico-chemical properties. KEM. 2014;
587: 63-68. doi: 10.4028/www.scientific.net/KEM.587.63



DOI: https://doi.org/10.22146/mkgk.81953

Article Metrics

Abstract views : 484 | views : 255

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2023 MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


View my stats

site stats