PS-044 MAKSİLLADA SANTRAL DEV HÜCRELİ GRANÜLOM: VAKA RAPORU

Introduction: Central giant cell granuloma (CGCG) is a rare non-odontogenic lesion of unknown etiology, thought to be reactive or neoplastic. It most commonly develops in the mandible anterior of the first molars. It constitutes 7% of benign lesions seen in the jaws. 60% of cases occur under 20 years of age. The most common symptom is painless swelling. It often causes tooth displacement and root resorption. The purpose of this case report is to present a case of central giant cell granuloma located in the maxilla. Case Report: A 22-year-old systemically healthy female patient was admitted to our clinic with complaints of a feeling of fullness in the left maxillary posterior region, bleeding in the gums, and mobility in the teeth. On intraoral examination, a fibrotic hyperemic lesion was detected on palpation, which was located in the left maxillary posterior buccal sulcus. In the panoramic radiography, a radiolucent lesion with no clear borders and associated with the roots of teeth numbered 24-25-26 was detected. The lesion had displaced the teeth numbered of 25-26. Cone beam computed tomography (CBCT) examination of the lesion revealed that the lesion was expanded in the superoinferior and buccopalatal direction with dimensions of 28x26x20 mm, and the buccal cortex was perforated in the lesion area. The lesion, which underwent incisional biopsy, was sent for histopathological examination and a diagnosis of CGCG was made. The mucoperiosteal flap was removed and mobile teeth numbered 24-25-26 were extracted. The lesion was curetted. The oroantral relationship that occurred was closed with a buccal mucosa flap. The area was primarily sutured. Conclusion: CGCGs are rare benign lesions. However, they may show a local aggressive course in the maxilla. For this reason, it should be examined with CBCT and its relationship with anatomical structures should be evaluated.