Akademik Veri Yönetim Sistemi
TAOMS 28.ULUSLARARASI BİLİMSEL KONGRESİ, Antalya, Türkiye, 14 - 18 Kasım 2021, cilt.28, sa.1, ss.187
Objectives: Central giant cell granuloma is a rare intraosseous lesion of the jaws of unknown etiology. It is traditionally treated with
surgery. The high rate of recurrence of aggressive types and the difficulty of preserving vital structures in their treatment complicate
surgical treatments.The aim of this study is to present two cases of giant cell granuloma and their treatment with intralesionel steroid
enjection as an alternative to surgical treatment.
Case: A 25-year-old male patient complained of pain and a 23-year-old male patient applied to our clinic for routine dental treatments.
As a result of the biopsy taken from both patients, the lesions were diagnosed as central giant cell granuloma and intralesional steroid
administration was preferred. In the first case, intralesional steroids were administered for six sessions at weekly intervals. The second
patient was treated in the same intervals and an additional four administrations were made. In both patients, recovery was observed
with radiographic follow-ups without tooth extraction and preserving vital structures. No recurrence was observed.
Conclusion: Preferring a more conservative intralesional steroid injection as a treatment method in non-aggressive types prevents
tooth loss and damage to vital structures, and gives positive results. This method can be preferred before surgical treatment, especially
in the treatment of lesions associated with vital structures.
Keywords: Giant cell granuloma, Mandible, Steroid