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Oral Path Chap 19
| Question | Answer |
|---|---|
| Cyst? | abnormal cavity in hard or soft tissue, which contains fluid or semi-soft fluid and is often encapsulated and lined with epithelium |
| Why does a cyst form? | Body’s attempt to protect the area of tissue |
| Why during inflammation—caries leading to necrosis of the pulp? | Epithelium grows and forms a distinct circle, and eventually closes itself from the surrounding tissue Cyst fills with fluid and expands |
| what does osteoclasts do? | Absorb bone |
| Odontogenic cyst? | cysts with an epithelial lining composed of remnants of the tooth-forming organ that arise primarily in tissue and bone |
| Non-odontogenic cyst? | abnormal closed epithelium-lined cavity in the body, containing gas, serous/liquid or semisolid material. |
| Pseudocyst? | an abnormal or dilated space resembling a cyst but not lined with epithelium |
| Periapical granuloma? etiology? | result of necrotic pulp tissue and by-products resulting from inflammatory process that has damaged the tissue at the apex of the tooth i-e trauma, perio disease, fracture. |
| Pathogenesis of Periapical Granuloma | diseased tissue causes granulation tissue to accumulate at the apex of the tooth; pulp becomes necrotic (irreversible pulpitis); poss. nonvital tooth |
| Location of periapical Granuloma | Apex of the tooth |
| radiographic appearance of Periapical Granuloma | round or ovoid translucent lesion |
| Cells in Periapical Granuloma that help to fight infection? | Plasma cells, neutrophils, macrophages, eosinophils |
| Radicular cyst/“periapical cyst” | Always associated with a nonvital tooth |
| Common causes of Radicular cyst? Location? | caries, trauma, periodontal disease apex of a nonvital tooth; favors the mx anterior teeth |
| Epidemiology of Radicular Cyst? | most commonly occurring inflammatory cyst/tooth cyst of the jaw; adults; mean age of 30 |
| Microscopic features of Radicular cyst? | non-keratinized epithelial lining w/necrotic debris & inflammation infiltrate |
| Pathogenesis of Radicular cyst? radiographically? | Derived from the rests of Malassez of perio ligament blunting of the root (resorption) |
| Aneurysmal bone cyst? | Benign lesion/pseudocyst that is blood filled A localized dilatation of an artery or a vein |
| Pseudocysts? | False cyst |
| where does aneurysmal bone cyst arises from? | prior trauma or some genetic components |
| Aneurysmal bone cyst is seen in? | less than 30 years of age; sl. more females |
| radiographic characteristics and tx of Aneurysmal bone cyst? | unilocular or mutilocular lesions removal of lesion and curettage |
| Traumatic bone cyst? | Simple bone cyst thought to be caused by trauma |
| Epidemiology and pathogenesis of traumatic bone cyst? location? | 10-20 year old age group may be empty or filled with a small amount of fluid (blood & bone products) Mand. |
| Radiographic charac. of Traumatic bone cyst? | "scalloping cyst” or scalloping between teeth; honeycomb appearance |
| Cemento-osseous dysplasia Etiology? | unknown but condition is considered reactive or developmental (related to a defect in the bone and/or cementum remolding) |
| Cemento? | Cementum |
| Osseous | Bone |
| Where can Cemento-osseous dysplasia develop? | Can develop in mandibular area, posterior area. |
| Microscopic Features of Cemento-osseous dysplasia? | contains fibrous connective tissue that can be seen with bone and cementum in varying amounts |
| Location of Cemento-osseous dysplasia? | Apex of the vital teeth |
| Static (Stafne) bone cyst? | defect in the mandible that surrounds salivary gland tissue |
| Location of Static bone cyst? | inferior to the md canal and happens during development |
| static? | lacking in movement, action, or change, especially in a way viewed as undesirable or uninteresting. |
| Lateral Periodontal Cyst? Epidemiology? Location? | odontogenic, nonkeratinized developmental cyst 30 years and older; > males md premolar-canine; on lateral surface Asymptomatic but adjacent teeth are vital |
| Dentigerous Cyst? | Second most common cyst of the jaw arises from a cystic change in the dental follicle following crown formation forms around crowns of unerupted tooth |
| Pathogenesis of Dentigerous Cyst? | fluid between formed crown and reduced enamel epithelium |
| Location of Dentigerous Cyst? | cyst is attached at CEJ; most common location is unerupted third molars; impacted, odontoma, supernumerary teeth |
| Eruption cyst/“eruption hematoma” | caused by the accumulation of fluid and blood between the crown of an erupting tooth and the reduced enamel organ, due to trauma |
| Epidemiology/location/Clinical characteristics of Dentigerous Cyst? | deciduous teeth and perm molars of children crest of alveolar ridge/gingiva bluish swelling of the tissue with a dome-shape |
| Odontogenic Keratocyst (OKC)? | Develops from dental lamina or its remnants. more common in male |
| Location of OKC? | Posterior mandibular location is frequent (can occupy most of the ramus) |
| Clinical Characteristics of OKC? | large enough to displace teeth and extend through the cancellous bone into the oral cavity; as jaw weakens it may fracture |
| Calcifying Odontogenic Cyst? | calcifying cyst derived from reduced-enamel epithelium or dental lamina remnants |
| Radiographic Calcifying Odontogenic Cyst? | radiodencities (calcified material) and radiolucent properties |
| Microscopic feature of Calcifying Odontogenic Cyst? | ghost cells”, epithelial cells that appear to have pink cytoplasm and have no nucleus; calcifications seen |
| Gingival Cyst? Clinical characteristics? Location? | Nodules are multiple small cysts that disappear and rupture over time Md canine / premolar area. soft tissue/gingiva |
| Nasopalatine/incisive Canal Cyst? | arises from epithelial remnants of the embryologic structure of the nasopalatine ducts. adults 40-60 year old, males |
| location of Nasopalatine/incisive Canal Cyst? radiographically? | nasopalatine canal; between the mx central incisors heart-shaped |
| Median Palatine Cyst? | Rare fissural cyst believed to develop from entrapped epithelium along the embryonic line of fusion in the two lateral mx processes that fuse to make the hard palate. |
| Location of Median Palatine Cyst? | apically centered toward the midline hard palate |
| Median Mandibular Cyst? | Rare Midline of mandible Well-defined radiolucency below apices of md incisors Surgical excision |
| Adenomatoid odontogenic tumor? | Benign neoplasm of epithelial tissue; epithelial odontogenic tumor with a dense fibrous connective tissue capsule. facial swelling |
| Location/epidemiology of Adenomatoid odontogenic tumor? | usually surrounds the crown of a tooth/impacted tooth; anterior mx. seen in an adolescent or young adult; females |
| Odontogenic myxoma? | Derived from odontogenic ectomesenchyme, and it originates in the periodontal ligament or dental pulp. capable of rapid growth . Root resorption and displacement may be seen in some cases |
| Myxomas have also been described as? | “step ladder” or “honeycombed” appearance. |
| Ameloblastic fibroma? | The lesions are composed of neoplastic epithelium and neoplastic myxomatous connective tissue and are usually associated with third molars. mixed odontogenic tumor; rare |
| Perioral and Intraoral Characteristics of Ameloblastic fibroma? | no pain with any swelling that may occur. has potential for extensive growth causing jaw expansion. |
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Zbutt
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