Dental Pathology Cysts Quiz
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Questions and Answers

What results from the degeneration of central cells in an epithelial mass?

  • Formation of new capillaries
  • Development of necrosis and liquefaction (correct)
  • Enhancement of nutritional supply
  • Increase in stable epithelial tissue

Which of the following describes the typical age range for the occurrence of apical periodontal cysts?

  • Children under 12
  • Adults (third to sixth decades) (correct)
  • Elderly (over 70 years)
  • Young adults (18-25 years)

Which feature is NOT typically associated with radicular cysts?

  • Presence of vital tooth (correct)
  • Asymptomatic detections during x-rays
  • Rounded, hard swelling at first
  • Painless swellings

What causes the formation of a mucous extravasation cyst?

<p>Mechanical trauma to minor salivary gland excretory duct (D)</p> Signup and view all the answers

What is responsible for the increase in osmotic pressure within a cyst lumen?

<p>Cellular debris breakdown into more simple proteins (B)</p> Signup and view all the answers

Which histopathologic feature is associated with a mucous extravasation cyst?

<p>Surrounding granulation tissue infiltrated by various immune cells (A)</p> Signup and view all the answers

What radiographic feature may indicate an infection in a radicular cyst?

<p>Hazy outline of the cyst (A)</p> Signup and view all the answers

In apical periodontal cysts, which type of epithelium is commonly found in the lining?

<p>Stratified squamous epithelium (C)</p> Signup and view all the answers

Where is a mucocele most commonly located?

<p>On the lower lip (B)</p> Signup and view all the answers

What physical change occurs to the swelling as the overlying bone is resorbed?

<p>Turns into a soft, bluish fluctuating swelling (B)</p> Signup and view all the answers

What is the typical appearance of a mucocele?

<p>Soft and painless swelling with smooth, translucent surface (B)</p> Signup and view all the answers

Which statement describes the size of radicular cysts?

<p>Ranges from 5 mm to several centimeters (C)</p> Signup and view all the answers

What is the recommended treatment for a mucous extravasation cyst?

<p>Surgical excision (B)</p> Signup and view all the answers

What characterizes the connective tissue lining of apical periodontal cysts?

<p>Contains collagen fibers, fibroblasts, and capillaries (D)</p> Signup and view all the answers

What type of bodies are formed from red blood cells in small capillaries found within the epithelial lining?

<p>Eosinophilic Hyaline bodies (A)</p> Signup and view all the answers

How is the treatment approach determined for larger cysts?

<p>Enucleation and repair with bone chips (A)</p> Signup and view all the answers

What is a potential complication of residual cysts?

<p>Risk of jaw fracture due to weakening of bone (A)</p> Signup and view all the answers

What fluid components are typically found in the cystic fluid of a cyst?

<p>Serum albumin, globulin, cholesterol, and nucleoproteins (A)</p> Signup and view all the answers

Inflammatory lateral periodontal cysts typically form at the side of which type of tooth?

<p>Pulpless tooth (B)</p> Signup and view all the answers

What is a primary characteristic of fully formed cysts regarding their epithelial lining?

<p>Epithelial lining exhibits regularity and flattening (A)</p> Signup and view all the answers

What can happen if periapical granulomas are misdiagnosed?

<p>They might be treated as cysts without proper evaluation (D)</p> Signup and view all the answers

What is the primary characteristic of a static bone cyst?

<p>It appears as a radiolucent area without epithelial lining. (C)</p> Signup and view all the answers

Which feature is commonly associated with multilocular radiolucency in certain jaw lesions?

<p>Honeycomb or soap-bubble appearance. (A)</p> Signup and view all the answers

What type of tissue is typically found in the histopathological examination of dermoid cysts?

<p>Keratinized stratified squamous epithelium. (A)</p> Signup and view all the answers

How is the diagnosis of a static bone cyst confirmed?

<p>With a sialogram injecting radiopaque material. (D)</p> Signup and view all the answers

What is a common clinical feature of epidermoid cysts?

<p>They cause bulging in the submental area when deeper. (D)</p> Signup and view all the answers

What treatment is generally indicated for soft tissue cysts of the jaws?

<p>Surgical removal. (B)</p> Signup and view all the answers

What imaging feature helps distinguish a static bone cyst?

<p>Sharp circumscribed radiolucency under the dental canal. (D)</p> Signup and view all the answers

What is NOT a characteristic of the lesion described as having multilocular radiolucency?

<p>Asymptomatic nature. (A)</p> Signup and view all the answers

What is the typical appearance of a cyst that contains blood in the cystic space?

<p>Soft rounded swelling that appears deep blue (A)</p> Signup and view all the answers

Which of the following treatments may be necessary for very large cysts of the mandible?

<p>Marsupialization to allow for shrinkage of the bony defect (B)</p> Signup and view all the answers

What is a possible complication of an odontogenic keratocyst?

<p>Transformation into an ameloblastoma (C)</p> Signup and view all the answers

What type of epithelium is typically found in the lining of an odontogenic keratocyst?

<p>Stratified squamous epithelium (D)</p> Signup and view all the answers

What is the most common site for odontogenic keratocysts?

<p>Mandibular third molar area (C)</p> Signup and view all the answers

What content is typically found in an infected cyst?

<p>Yellowish fluid with cholesterol crystals (C)</p> Signup and view all the answers

What is the demographic trend related to the occurrence of odontogenic keratocysts?

<p>Typically found in the second and third decades of life (A)</p> Signup and view all the answers

Which of these cysts is NOT listed as a differential diagnosis for odontogenic keratocysts?

<p>Dentigerous cyst (D)</p> Signup and view all the answers

What is the most common developmental cyst of the neck?

<p>Thyroglossal tract cyst (B)</p> Signup and view all the answers

At what stage of development does the thyroid begin to form in the neck?

<p>Fourth week of intrauterine life (C)</p> Signup and view all the answers

Which clinical feature is associated with a large thyroglossal tract cyst?

<p>Dysphasia and difficulty with eating (B)</p> Signup and view all the answers

What type of epithelium is typically found lining a thyroglossal tract cyst above the level of the hyoid bone?

<p>Stratified squamous epithelium (C)</p> Signup and view all the answers

What is the primary treatment recommended for a thyroglossal tract cyst?

<p>Complete surgical excision (A)</p> Signup and view all the answers

Where is a benign cervical lymphoepithelial cyst typically located?

<p>Lateral aspect of the neck (A)</p> Signup and view all the answers

During what age range are benign cervical lymphoepithelial cysts most commonly seen?

<p>Childhood and young adults (B)</p> Signup and view all the answers

What type of tissues may be found in the wall of a thyroglossal tract cyst?

<p>Thyroid tissue and lymphoid tissue (B)</p> Signup and view all the answers

The central cells of the epithelial mass often receive adequate nutrition from surrounding capillaries.

<p>False (B)</p> Signup and view all the answers

Apical periodontal cysts are primarily asymptomatic and often discovered incidentally on x-rays.

<p>True (A)</p> Signup and view all the answers

A radicular cyst can cause painful swellings when infected.

<p>True (A)</p> Signup and view all the answers

Radicular cysts can be identified radiographically as irregular, poorly defined radiolucencies.

<p>False (B)</p> Signup and view all the answers

The epithelial lining of apical periodontal cysts consists of respiratory epithelium in all cases.

<p>False (B)</p> Signup and view all the answers

The enlargement of cysts is caused by a decrease in osmotic pressure of the cystic fluid.

<p>False (B)</p> Signup and view all the answers

The typical age range for adults affected by apical periodontal cysts is from their late teens to early twenties.

<p>False (B)</p> Signup and view all the answers

Radicular cysts may present with root resorption of the offending tooth.

<p>True (A)</p> Signup and view all the answers

In fully formed cysts, the epithelial lining becomes regular and flattened.

<p>True (A)</p> Signup and view all the answers

Hypo-plastic epithelium is commonly seen in newly formed cysts.

<p>False (B)</p> Signup and view all the answers

Residual cysts can cause problems with dentures and may lead to jaw fractures.

<p>True (A)</p> Signup and view all the answers

The connective tissue lining of periapical cysts predominantly contains macrophages only.

<p>False (B)</p> Signup and view all the answers

Marsupialization is a treatment option used for large cysts to avoid critical structures like the inferior dental nerve.

<p>True (A)</p> Signup and view all the answers

Inflammatory lateral periodontal cysts are more common than periapical cysts.

<p>False (B)</p> Signup and view all the answers

Cystic fluid typically contains serum albumin, globulin, and cholesterol.

<p>True (A)</p> Signup and view all the answers

Degenerated plasma cells in cysts are identified as Russell bodies.

<p>True (A)</p> Signup and view all the answers

The primary treatment for a mucous extravasation cyst is surgical excision.

<p>True (A)</p> Signup and view all the answers

Mucous extravasation cysts are typically painful swellings located on the upper lip.

<p>False (B)</p> Signup and view all the answers

Mucocele can result from mechanical trauma to major salivary gland ducts.

<p>False (B)</p> Signup and view all the answers

A ranula is specifically located on the ventral surface of the tongue and the floor of the mouth.

<p>True (A)</p> Signup and view all the answers

Histopathologically, an extravasated mucous pool is usually surrounded by dense bone tissue.

<p>False (B)</p> Signup and view all the answers

The Developmental Lateral Periodontal Cyst is a non-inflammatory cyst occurring adjacent to the root of a non-vital tooth.

<p>False (B)</p> Signup and view all the answers

The common age range for individuals affected by the Developmental Gingival Cyst of Adulthood is from 20 to 30 years.

<p>False (B)</p> Signup and view all the answers

Gingival Cysts appear as small, well-circumscribed swellings and can be more than 1cm in diameter.

<p>False (B)</p> Signup and view all the answers

Dentigerous cysts are commonly found associated with erupted teeth.

<p>False (B)</p> Signup and view all the answers

The primary origin of the Gingival Cyst of the New Born is the remnants of the dental lamina.

<p>True (A)</p> Signup and view all the answers

The male to female ratio for the Developmental Lateral Periodontal Cyst is 1:2.

<p>False (B)</p> Signup and view all the answers

Most dentigerous cysts are symptomatic and lead to noticeable clinical features.

<p>False (B)</p> Signup and view all the answers

The age range most affected by dentigerous cysts is typically in the second and third decades of life.

<p>True (A)</p> Signup and view all the answers

Inflammatory cells are typically observed in the connective tissue wall of the Developmental Lateral Periodontal Cyst.

<p>False (B)</p> Signup and view all the answers

The histopathologic features of a Developmental Gingival Cyst of Adulthood include thick stratified squamous epithelium.

<p>False (B)</p> Signup and view all the answers

Expansion of the dentigerous cyst is linked to a decrease in cystic fluid osmolarity.

<p>False (B)</p> Signup and view all the answers

The typical radiographic feature of Developmental Lateral Periodontal Cyst is a small radiolucent area, usually over 1cm in diameter.

<p>False (B)</p> Signup and view all the answers

A dentigerous cyst can lead to root resorption of adjacent teeth.

<p>True (A)</p> Signup and view all the answers

The lining of a dentigerous cyst typically consists of non-keratinized stratified squamous epithelium.

<p>True (A)</p> Signup and view all the answers

Ciliated epithelium is commonly observed in dentigerous cysts originating from maxillary locations.

<p>True (A)</p> Signup and view all the answers

Pain and swelling are uncommon unless a dentigerous cyst becomes infected.

<p>True (A)</p> Signup and view all the answers

The eruption cyst is commonly found in the soft tissue of the gum overlying a tooth about to erupt.

<p>True (A)</p> Signup and view all the answers

Keratocysts contain pus, which has an offensive smell when examined during operation.

<p>False (B)</p> Signup and view all the answers

Ameloblastomas are a potential complication of cysts.

<p>True (A)</p> Signup and view all the answers

Odontogenic keratocysts are the most common type of odontogenic cyst.

<p>False (B)</p> Signup and view all the answers

The treatment for an eruption cyst is typically surgical removal.

<p>False (B)</p> Signup and view all the answers

Inflammation associated with cysts can lead to epithelial hyperplasia and the presence of inflammatory cells.

<p>True (A)</p> Signup and view all the answers

The treatment for very large cysts of the mandible may include marsupialization to facilitate shrinkage.

<p>True (A)</p> Signup and view all the answers

Keratocysts typically present with peripheral radiopaque borders in radiographic features.

<p>False (B)</p> Signup and view all the answers

What happens to the central cells of an epithelial mass when they become separated from their nutrient source?

<p>They degenerate, become necrotic, and eventually liquefy.</p> Signup and view all the answers

Describe the typical characteristics of a radicular cyst upon clinical examination.

<p>Radicular cysts are usually asymptomatic, presenting as slowly progressive painless swellings that can cause bone resorption and fluctuation.</p> Signup and view all the answers

How does the osmotic pressure within a cyst lumen increase?

<p>It increases due to the breakdown of complex tissue proteins into simpler proteins, leading to fluid transport across the epithelial lining.</p> Signup and view all the answers

What is the typical radiographic appearance of an apical periodontal cyst?

<p>It appears as a round or ovoid well-defined radiolucency with a thin opaque margin.</p> Signup and view all the answers

What occurs to the overlying bone as a radicular cyst progresses?

<p>The overlying bone is resorbed, leading to a soft, fluctuant swelling that may appear bluish in color.</p> Signup and view all the answers

In which age group is the prevalence of apical periodontal cysts typically highest?

<p>They are most commonly found in adults, particularly in the third to sixth decades of life.</p> Signup and view all the answers

What type of epithelium can be found in the lining of an apical periodontal cyst?

<p>The lining may consist of stratified squamous epithelium or respiratory pseudostratified ciliated columnar epithelium.</p> Signup and view all the answers

What factors may lead to a cyst enlarging over time?

<p>Cyst enlargement results from fluid ingress into the lumen and an increase in osmotic pressure due to cellular debris breakdown.</p> Signup and view all the answers

What is the origin of a dentigerous cyst and how does it affect tooth eruption?

<p>A dentigerous cyst originates from cystic change of the reduced enamel epithelium and can prevent a tooth from erupting.</p> Signup and view all the answers

What are common clinical features of a dentigerous cyst?

<p>Common clinical features include facial asymmetry, displacement of teeth, and potential for pain if infected.</p> Signup and view all the answers

Describe the histopathological features of a dentigerous cyst.

<p>The cyst is lined by a thin non-keratinized stratified squamous epithelium and has a connective tissue wall devoid of inflammatory cells.</p> Signup and view all the answers

What radiographic characteristics typically indicate the presence of a dentigerous cyst?

<p>Radiographically, a dentigerous cyst appears as a well-defined, unilocular radiolucency associated with the crown of an unerupted tooth.</p> Signup and view all the answers

What age group is most commonly affected by dentigerous cysts?

<p>Dentigerous cysts are most commonly observed in individuals during their second and third decades of life.</p> Signup and view all the answers

What role do cholesterol clefts and giant cells play in the connective tissue wall of a dentigerous cyst?

<p>Cholesterol clefts and foreign body giant cells may be found in the connective tissue wall, indicating cellular response to degeneration.</p> Signup and view all the answers

How does the expansion of a dentigerous cyst occur?

<p>Expansion occurs due to increased cystic fluid osmolarity resulting from the degeneration of epithelial cells within the cyst lumen.</p> Signup and view all the answers

What potential complications may arise from an infected dentigerous cyst?

<p>Infection of a dentigerous cyst can lead to significant pain, swelling, and further displacement or damage to adjacent teeth.</p> Signup and view all the answers

What are cholesterol clefts and in which context are they typically not observed?

<p>Cholesterol clefts are uncommonly seen in cysts that contain inflammatory cell infiltration.</p> Signup and view all the answers

Why is the x-ray negative for the cyst of the palatine papilla?

<p>The cyst of the palatine papilla shows no radiographic changes; it primarily presents as a superficial fluctuant bluish swelling.</p> Signup and view all the answers

What is the primary cause of the globulomaxillary cyst's formation?

<p>The globulomaxillary cyst arises due to non-odontogenic epithelium entrapped at the fusion site of the globular and maxillary processes.</p> Signup and view all the answers

What distinguishes the nasolabial cyst from other cysts in terms of location?

<p>The nasolabial cyst is a soft tissue cyst that does not involve the alveolus and is located in the upper lip region.</p> Signup and view all the answers

Describe the age and gender demographic typically associated with nasolabial cysts.

<p>Nasolabial cysts commonly occur in the fourth and fifth decades of life and are more prevalent in females, with a ratio of 4:1.</p> Signup and view all the answers

How does a median palatal cyst form?

<p>The median palatal cyst forms from epithelial remnants at the line of fusion of the palatal processes.</p> Signup and view all the answers

What clinical feature characterizes the median mandibular cyst?

<p>The median mandibular cyst arises from epithelial entrapment at the midline during the fusion of the mandibular arches.</p> Signup and view all the answers

What is a traumatic bone cyst, and how does it differ from typical cysts?

<p>A traumatic bone cyst is a bony cavity without epithelial lining and often lacks fluid content.</p> Signup and view all the answers

What treatment options are available for large cysts of the mandible?

<p>Marsupialization may be needed for very large cysts to allow shrinkage of the bony defect.</p> Signup and view all the answers

Describe the characteristic contents of an infected cyst.

<p>An infected cyst may contain purulent yellowish fluid and cholesterol crystals.</p> Signup and view all the answers

What clinical features differentiate an eruption cyst from other cyst types?

<p>An eruption cyst appears as a soft rounded swelling over a tooth about to erupt, and may have a deep blue color if blood is present.</p> Signup and view all the answers

What is a potential complication of odontogenic keratocysts?

<p>Odontogenic keratocysts can transform into an ameloblastoma.</p> Signup and view all the answers

What age group is most commonly affected by odontogenic keratocysts?

<p>Odontogenic keratocysts most commonly affect individuals in their second and third decades of life.</p> Signup and view all the answers

Identify one histopathologic feature of an odontogenic keratocyst.

<p>The epithelial lining of an odontogenic keratocyst is a thin, regular, stratified squamous epithelium.</p> Signup and view all the answers

What clinical symptoms might an infected odontogenic keratocyst produce?

<p>It may produce paraesthesia of the lower lip, pain, and swelling of the jaws.</p> Signup and view all the answers

How does the size of an eruption cyst affect the need for treatment?

<p>Eruption cysts generally do not require treatment as they disappear spontaneously during tooth eruption.</p> Signup and view all the answers

What is the primary clinical feature associated with the cyst described in the content?

<p>The cyst is typically symptomless and may be found incidentally on routine radiography.</p> Signup and view all the answers

What age group is most commonly affected by the aneurysmal bone cyst?

<p>Individuals under 30 years of age, particularly in the second decade of life, are most commonly affected.</p> Signup and view all the answers

Describe the radiographic appearance of the cyst mentioned in the content.

<p>The cyst appears as a well-demarcated unilocular cavity located above the inferior alveolar canal.</p> Signup and view all the answers

What is the recommended treatment for the cyst before closure?

<p>The cavity is surgically opened, irrigated with saline, and the walls are scratched to promote bleeding before closure.</p> Signup and view all the answers

What is a common histopathological finding in the cyst cavity?

<p>The cyst cavity often contains remnants of blood or blood-stained fluid with no epithelial lining.</p> Signup and view all the answers

What clinical feature is commonly observed in cases of aneurysmal bone cyst?

<p>A firm swelling that is often painful and tender is commonly observed.</p> Signup and view all the answers

What is the typical location of the cysts mentioned in the content?

<p>The most common sites for these cysts are in the body and ramus of the mandible, particularly in the molar and premolar regions.</p> Signup and view all the answers

What is one suggested pathogenesis for the aneurysmal bone cyst?

<p>One suggested view is that it results from increased venous pressure leading to a dilated vascular bed in the bone area.</p> Signup and view all the answers

What is the primary characteristic of a thyroglossal tract cyst regarding its appearance?

<p>It appears as a slowly growing asymptomatic firm cystic midline mass.</p> Signup and view all the answers

What type of epithelium lines a thyroglossal tract cyst below the level of the hyoid bone?

<p>It is lined by ciliated or columnar type epithelium.</p> Signup and view all the answers

How does infection affect a benign cervical lymphoepithelial cyst?

<p>If infected, it may lead to abscess formation and the development of draining sinuses.</p> Signup and view all the answers

What is the recommended treatment for both thyroglossal tract cysts and benign cervical lymphoepithelial cysts?

<p>Complete surgical excision is recommended.</p> Signup and view all the answers

Identify the typical location of a benign cervical lymphoepithelial cyst.

<p>It is located on the lateral aspect of the neck, anterior to the sternomastoid muscle.</p> Signup and view all the answers

What age group is most likely to present with benign cervical lymphoepithelial cysts?

<p>They are most commonly seen in childhood and young adults.</p> Signup and view all the answers

What connective tissue elements may be found in the wall of a thyroglossal tract cyst?

<p>The wall may contain areas of thyroid tissue, lymphoid tissue, and mucous glands.</p> Signup and view all the answers

During which stage of fetal development does the thyroid begin to form?

<p>The thyroid starts to develop in the fourth week of intrauterine life.</p> Signup and view all the answers

A cyst is a pathological cavity lined by epithelium containing _____ fluid or a semi-fluid material.

<p>fluid</p> Signup and view all the answers

Odontogenic cysts arise from _____ epithelial cells.

<p>odontogenic</p> Signup and view all the answers

Inflammatory periodontal cysts include apical, lateral, and _____ cysts.

<p>residual</p> Signup and view all the answers

The predominant type of cyst, accounting for 65% of all cysts, is the _____ cyst.

<p>apical</p> Signup and view all the answers

The epithelium associated with odontogenic cysts can be derived from the enamel organ and _____ rests of Malassez.

<p>epithelial</p> Signup and view all the answers

Non-odontogenic cysts include nasopalatine cysts and _____ cysts.

<p>fissural</p> Signup and view all the answers

_____ cysts may include dermoid, epidermoid, and benign lymphoepithelial types.

<p>Soft tissue</p> Signup and view all the answers

An apical cyst can be either apical or _____, related to the lateral root surface.

<p>lateral</p> Signup and view all the answers

In a newly formed cyst, the epithelium is __-plastic.

<p>hyper</p> Signup and view all the answers

The connective tissue lining of apical periodontal cysts contains collagen fibers, fibroblasts, and ___.

<p>capillaries</p> Signup and view all the answers

Cystic fluid typically contains serum albumin, globulin, cholesterol, and ___.

<p>nucleoproteins</p> Signup and view all the answers

Larger cysts may require __ to avoid damaging the antrum or important structures.

<p>marsupialization</p> Signup and view all the answers

Inflammatory lateral periodontal cysts form at the side of the root of a __ tooth.

<p>pulpless</p> Signup and view all the answers

Residual cysts can cause trouble with __ and may enlarge significantly.

<p>dentures</p> Signup and view all the answers

Multinucleated giant cells may be observed in the connective tissue lining of __ cysts.

<p>apical periodontal</p> Signup and view all the answers

Degenerated plasma cells in the connective tissue lining are also known as __ bodies.

<p>Russel</p> Signup and view all the answers

A developmental lateral periodontal cyst is a non-inflammatory cyst occurring adjacent to the root of a vital __________.

<p>tooth</p> Signup and view all the answers

The most common age range for developmental gingival cysts of adulthood is between __________ years.

<p>40-60</p> Signup and view all the answers

Gingival cysts appear as small, well-circumscribed painless swelling of the gingiva that is less than __________ in diameter.

<p>1cm</p> Signup and view all the answers

Bohn's Nodules, or gingival cysts of the newborn, originate from remnants of the __________ lamina.

<p>dental</p> Signup and view all the answers

The most common clinical site for a lateral periodontal cyst is the mandibular __________ region.

<p>premolar</p> Signup and view all the answers

Histopathologically, the epithelial lining in the developmental lateral periodontal cyst consists of thin stratified __________ epithelium.

<p>squamous</p> Signup and view all the answers

The appearance of a gingival cyst in adulthood includes a swelling of the __________ that appears nearly identical to the adjacent mucosa.

<p>gingiva</p> Signup and view all the answers

A developmental lateral periodontal cyst is commonly seen in individuals aged __________.

<p>40-60</p> Signup and view all the answers

The pathogenesis of this cyst is associated with mild trauma to the jaw that causes bleeding and __________ formation within bone.

<p>haematoma</p> Signup and view all the answers

About __________% of patients have a history of prior trauma to the area of involvement.

<p>80</p> Signup and view all the answers

The cyst is often discovered accidentally on routine __________.

<p>radiography</p> Signup and view all the answers

A cyst of the palatine papilla develops from the epithelial remnants in the palatine ______.

<p>papilla</p> Signup and view all the answers

In the anterior region, the outline of the cyst is usually round or __________ in shape.

<p>oval</p> Signup and view all the answers

The cavity of the aneurysmal bone cyst may appear resembling a __________ sponge.

<p>blood-soaked</p> Signup and view all the answers

Globulomaxillary cysts arise from non-odontogenic epithelial entrapped at the site of fusion of the globular and maxillary ______.

<p>process</p> Signup and view all the answers

The nasolabial cyst is more commonly found in females with a ratio of ______:1.

<p>4</p> Signup and view all the answers

The lining of the cyst is often described as thin fibrous or __________ tissue without an epithelial component.

<p>granulation</p> Signup and view all the answers

The median palatal cyst arises from epithelial remnants at the line of fusion of the palatal ______.

<p>processes</p> Signup and view all the answers

Aneurysmal bone cysts exhibit a slight __________ predilection, often affecting females more than males.

<p>female</p> Signup and view all the answers

The cyst is classified as a __________ because it appears radiographically as a cyst-like lesion but lacks an epithelial lining.

<p>pseudocyst</p> Signup and view all the answers

A ______ bone cyst is a bony cavity with no epithelial lining and often no fluid content.

<p>traumatic</p> Signup and view all the answers

Radiographic features of the nasolabial cyst may show negative results but might cause bone ______ due to pressure.

<p>resorption</p> Signup and view all the answers

Histopathologic features of cysts may include lining by embryonic cuboidal epithelium or ciliated ______ epithelium.

<p>columnar</p> Signup and view all the answers

The clinical feature of a globulomaxillary cyst often includes its location between the maxillary lateral incisor and ______ teeth.

<p>canine</p> Signup and view all the answers

The static bone cyst appears as a cystic or ______ area on radiographic examination.

<p>radiolucent</p> Signup and view all the answers

Fibrous connective tissue contains many blood-filled spaces and ______ blood cells.

<p>extravasated</p> Signup and view all the answers

Dermoied and epidermoid cysts appear in the anterior part of the floor of the mouth and sub-mandibular and sub-______ areas.

<p>lingual</p> Signup and view all the answers

To confirm the diagnosis of a static bone cyst, a ______ is made where a radiopaque material is injected.

<p>sialogram</p> Signup and view all the answers

The appearance of a soft tissue cyst is described as ______ growing and may vary in size.

<p>lowly</p> Signup and view all the answers

A thin layer of keratinized stratified squamous epithelium characterizes the histologic features of ______ cysts.

<p>epidermoid</p> Signup and view all the answers

The treatment for dermoid and epidermoid cysts usually involves ______ removal.

<p>surgical</p> Signup and view all the answers

The contents of a cyst may include numerous sebaceous glands, hair follicles, and ______.

<p>teeth</p> Signup and view all the answers

Match the cyst type with its key characteristic:

<p>Epstein pearls = Midline cysts in newborns without treatment Dentigerous cyst = Associated with unerupted teeth Radicular cyst = Typically arises from necrotic pulp Mucocele = Commonly found in the oral cavity due to mucus retention</p> Signup and view all the answers

Match the cyst type with its typical age range and sex predominant:

<p>Dentigerous cyst = Second and third decades; more common in males Epidermoid cyst = Adolescence to young adults; no sex predilection Static bone cyst = Seen in various ages; no sex predilection Thyroglossal tract cyst = Can occur at any age; primarily in younger individuals</p> Signup and view all the answers

Match the histopathologic feature with its associated cyst:

<p>Dentigerous cyst = Non-keratinized stratified squamous epithelium Epidermoid cyst = Keratinized stratified squamous epithelium Odontogenic keratocyst = Parakeratinized epithelium Mucous extravasation cyst = Cystic space filled with mucus</p> Signup and view all the answers

Match the radiographic feature with the corresponding cyst:

<p>Dentigerous cyst = Well-defined, unilocular radiolucency Radicular cyst = Irregular, poorly defined radiolucency Odontogenic keratocyst = Multilocular radiolucency Static bone cyst = Unilocular and may show cortical expansion</p> Signup and view all the answers

Match the cyst with its potential complications:

<p>Dentigerous cyst = Prevention of tooth eruption Thyroglossal tract cyst = Infection due to trapped material Epidermoid cyst = Possible rupture causing inflammation Mucocele = Potential to enlarge and cause pain</p> Signup and view all the answers

Match the term with its description related to dentigerous cysts:

<p>Amelocemental junction = Attachment point of the cyst lining Cystic fluid accumulation = Precedes the development of cystic changes Root resorption = May occur in long-standing dentigerous cysts Facial asymmetry = Possible feature as cyst size increases</p> Signup and view all the answers

Match the clinical feature with the associated cyst type:

<p>Dentigerous cyst = Asymptomatic but may cause expansion or infection Radicular cyst = Painful swellings when infected Static bone cyst = Usually asymptomatic unless large Thyroglossal tract cyst = Displacement of the hyoid bone</p> Signup and view all the answers

Match the cyst type with its common site of occurrence:

<p>Dentigerous cyst = Mandibular third molar region Epidermoid cyst = Hair-bearing skin areas Thyroglossal tract cyst = Midline of the neck Benign cervical lymphoepithelial cyst = Lateral part of the neck</p> Signup and view all the answers

Match the following cystic features with their descriptions:

<p>Hyperplastic epithelium = In a newly formed cyst Regular flattened epithelium = In fully formed cysts Cystic fluid contents = Serum albumin and globulin Multinucleated giant cells = Found in the connective tissue lining</p> Signup and view all the answers

Match the following treatment approaches with the corresponding cyst size:

<p>Small cyst = Enucleation and apicectomy Medium size cyst = Remove tooth and enucleate cyst Large cysts = Marsupialization to avoid important structures Very large cysts = Enucleation and bone chips to fill cavity</p> Signup and view all the answers

Match the following types of periodontal cysts with their characteristics:

<p>Periapical granuloma = Small radiolucency Periapical scar = Previously treated periapical pathology Residual cyst = Persists in the jaw post-extraction Inflammatory lateral periodontal cyst = Forms at side of pulpless tooth</p> Signup and view all the answers

Match the following cellular components found in cystic fluid with their types:

<p>Serum albumin = Protein Globulin = Antibody component Cholesterol = Lipid Nucleoproteins = Nucleic acid-bound proteins</p> Signup and view all the answers

Match the following inflammatory features with their histopathological descriptions:

<p>Acute inflammatory cells = Present in connective tissue lining Cholesterol clefts = Found in the epithelial lining Eosinophilic Hyaline bodies = Thin, curved bodies from red blood cells Foam cells = Lipid-filled macrophages</p> Signup and view all the answers

Match the following inflammatory responses with their corresponding conditions:

<p>Epithelial hyperplasia = In early cyst formation Chronic inflammation = In fully formed cysts Dystrophic calcification = Haematoxyphilic masses Degenerated plasma cells = Russell bodies present</p> Signup and view all the answers

Match the following terms with their corresponding definitions:

<p>Cystic fluid = Contains albumin and cholesterol Marsupialization = Surgical procedure for large cysts Apicectomy = Removal of the apex of a tooth Enucleation = Complete removal of a cyst</p> Signup and view all the answers

Match the following features with their associated tissues in apical periodontal cysts:

<p>Collagen fibers = Form the connective tissue lining Fibroblasts = Support connectivity in cysts Capillaries = Supply nutrients to the epithelium Inflammatory cells = Present in connective tissue</p> Signup and view all the answers

Match the types of cysts with their definitions:

<p>Odontogenic keratocyst = Cyst derived from odontogenic epithelium, known for aggressive behavior Aneurysmal bone cyst = Pseudocyst characterized by blood-filled spaces Thyroglossal tract cyst = Cyst commonly located midline of the neck, formed during thyroid development Gingival cyst of adults = Cyst occurring in the gingiva, usually asymptomatic</p> Signup and view all the answers

Match the periodontitis-related cysts with their specifics:

<p>Apical cyst = Most common type, arises from periapical granuloma Lateral cyst = Related to lateral root surfaces or accessory canals Residual cyst = Leftover cystic lesion post tooth extraction Inflammatory cyst = Develops from inflammation in the periodontal ligament</p> Signup and view all the answers

Match the origins of epithelium associated with odontogenic cysts:

<p>Enamel organ = Source of epithelium in dentigerous cyst Epithelial rests of Malassez = Derived from periodontal ligament and involved in apical cysts Reduced enamel epithelium = Associated with the protective layer over developing teeth Epithelial rests of Serres = Involved in the formation of primordial cysts</p> Signup and view all the answers

Match the cyst types to their classifications:

<p>Nasopalatine cyst = Non-odontogenic cyst related to the incisive canal Primordial cyst = Odontogenic cyst that occurs in place of a tooth Median palatal cyst = Fissural cyst found in the maxilla Dermoid cyst = Soft tissue cyst located in the jaw and neck region</p> Signup and view all the answers

Match the cyst types with their clinical characteristics:

<p>Mucous retention cyst = Cystic lesion formed from duct obstruction leading to retention of mucus Static bone cyst = Pseudocyst that appears radiolucent but lacks epithelial lining Globulomaxillary cyst = Fissural cyst typically found between maxillary lateral and canine teeth Benign lymphoepithelial cyst = Soft tissue cyst found in association with lymphoid tissue</p> Signup and view all the answers

Match the types of inflammatory cysts with their specific features:

<p>Radicular cyst = Commonly caused by pulp necrosis and is rooted in periapical areas Apical cyst = Another term for radicular cyst when associated with tooth apex Lateral periodontal cyst = Cyst that can occur alongside roots of teeth but not typically apical Residual cyst = Cyst remaining at the site of previous extraction, potentially symptomatic</p> Signup and view all the answers

Match the cyst-related terms with their meanings:

<p>Pseudocyst = Pathological cavity not lined by epithelium Epidermoid cyst = Soft tissue cyst arising from epithelial elements typically along the neck Thyroglossal cyst = Cyst often located at midline, arising from thyroid development Aneurysmal bone cyst = Characterized by blood-filled cystic spaces within bone</p> Signup and view all the answers

Match the cyst types with their associated dental structures:

<p>Dental cyst = Linked to tooth development and its associated tissues Mucous extravasation cyst = Often occurs due to trauma affecting saliva glands Gingival cyst of newborn = Clinical presentation of Bohn's nodules on newborns' gums Cyst of palatine papilla = Located on the hard palate and involves nasal structures</p> Signup and view all the answers

Match the types of cysts with their characteristics:

<p>Globulomaxillary cyst = Located between the maxillary lateral incisor and canine teeth Nasolabial cyst = Soft tissue cyst causing swelling in the upper lip Median palatal cyst = Develops from epithelial remnants at the fusion of palatal processes Median mandibular cyst = Arises in the midline of the mandible during fusion of the arches</p> Signup and view all the answers

Match the cysts with their locations or radiographic features:

<p>Traumatic bone cyst = No epithelial lining and often no fluid content Pseudocyst = Cyst-like cavity without epithelial lining Fissural cysts = Arise from entrapped epithelium during embryonic processes Cyst of the palatine papilla = Presents as a fluctuant bluish swelling behind the mucosal covering</p> Signup and view all the answers

Match the following cyst types with their key characteristics:

<p>Static Bone Cyst = No epithelial lining, cystic appearance Dermoid Cyst = Contains hair follicles and sebaceous glands Epidermoid Cyst = Filled with keratin Soft Tissue Cyst = Painless, lowly growing bulge in the mouth</p> Signup and view all the answers

Match the cysts with their etiology:

<p>Globulomaxillary cyst = Non-odontogenic epithelial entrapment at fusion site Nasolabial cyst = Epithelial entrapment at fusion of nasal and maxillary processes Median palatal cyst = Epithelial remnants at the line of palatal fusion Median mandibular cyst = Epithelial entrapment in midline during mandibular fusion</p> Signup and view all the answers

Match the cysts with their clinical features:

<p>Globulomaxillary cyst = Divergence of roots of surrounding teeth Nasolabial cyst = More common in females aged 40-50 Median palatal cyst = May present as a soft tissue swelling Median mandibular cyst = Requires evaluation of midline of mandible</p> Signup and view all the answers

Match the following radiographic features with their descriptions:

<p>Multilocular Radiolucency = Honeycomb or soap-bubble appearance Ovoid Radiolucency = Sharply circumscribed beneath the dental canal Subperiosteal New Bone Deposition = Displaces teeth with root resorption Constant Cyst Size = Lesion does not increase in size over time</p> Signup and view all the answers

Match the cysts with their histopathologic features:

<p>Globulomaxillary cyst = Lined by cuboidal or columnar epithelium Nasolabial cyst = Soft tissue with a lack of alveolar involvement Median palatal cyst = Epithelial remnants indicative of palatal fusion Median mandibular cyst = Epithelial lining in the midline area</p> Signup and view all the answers

Match the following treatment approaches with the appropriate lesions:

<p>Curettage or Excision = Multilocular radiolucency Surgical Removal = Dermoid and Epidermoid cysts No Treatment Required = Static Bone Cyst Sialogram Diagnosis = Static Bone Cyst</p> Signup and view all the answers

Match the cysts with their potential complications:

<p>Nasolabial cyst = May lead to mild nasal obstruction Median palatal cyst = Can cause swelling on the roof of the mouth Median mandibular cyst = May affect the surrounding bone structure Traumatic bone cyst = Can cause pain but lacks epithelial changes</p> Signup and view all the answers

Match the following histopathologic features with the respective cyst types:

<p>Fibrous Connective Tissue = Multilocular radiolucency Thin Layer of Keratinized Epithelium = Epidermoid Cyst Many Blood-Filled Spaces = Multilocular radiolucency Presence of Salivary Tissue = Static Bone Cyst</p> Signup and view all the answers

Match the following clinical features with the appropriate cysts:

<p>Asymptomatic = Static Bone Cyst Young Adults, No Sex Predilection = Dermoid Cyst Figure Bulging on Palpation = Epidermoid Cyst Difficulty in Eating and Drinking = Dermoid Cyst</p> Signup and view all the answers

Match the cysts with their radiographic findings:

<p>Globulomaxillary cyst = Well-defined radiolucency between teeth Nasolabial cyst = Negative on X-ray but may cause bone resorption Median palatal cyst = Radiographically evaluates fusion areas Median mandibular cyst = Notable in midline observations on scans</p> Signup and view all the answers

Match the cysts with their common symptoms:

<p>Cyst of the palatine papilla = Salty fluid discharge upon rupture Globulomaxillary cyst = Displacement of adjacent teeth Median palatal cyst = Fluctuant swelling on the hard palate Traumatic bone cyst = Usually asymptomatic unless infected</p> Signup and view all the answers

Match the following features with the corresponding treatments:

<p>Instrumental Curettage = Curettage or excision for multilocular radiolucency Observation = Static Bone Cyst Surgical Intervention = Epidermoid and Dermoid Cysts Salivary Tissue Detection = Sialogram for Static Bone Cyst</p> Signup and view all the answers

Match the following characteristics with their relevant descriptors:

<p>External Circumscription = Round or ovoid radiolucency Intramural Swelling = Bulging in submental area Painless Growth = Cyst in the floor of the mouth Keratin-Filled Lumen = Epidermoid Cyst</p> Signup and view all the answers

Match the following terms with their meanings:

<p>Haemosiderin Histiocytes = Indicative of blood breakdown within a cyst New Osteoid Tissue = Present in multilocular radiolucency Developmental Inclusion = Cause of Static Bone Cyst Fluctuant Consistency = Common in Dermoid Cysts</p> Signup and view all the answers

Match the following characteristics with the appropriate cyst type:

<p>Aneurysmal Bone Cyst = Excessive bleeding resembling a blood-soaked sponge Traumatic Bone Cyst = Age below 40 years, typically in mandible</p> Signup and view all the answers

Match the following clinical features with their associated cyst:

<p>Aneurysmal Bone Cyst = Age under 30 years, often in jaws molar areas Traumatic Bone Cyst = Teeth associated often vital and not loosened</p> Signup and view all the answers

Match the following key terms with their correct definitions:

<p>Aneurysmal Bone Cyst = Involves resorption of bone by giant cells Traumatic Bone Cyst = Surgical treatment includes irrigation with saline</p> Signup and view all the answers

Match the following radiographic features to the corresponding cyst types:

<p>Aneurysmal Bone Cyst = Hematoma formation within bone Traumatic Bone Cyst = Appears as an unilocular cavity above inferior alveolar canal</p> Signup and view all the answers

Match the following treatments with the applicable cyst types:

<p>Aneurysmal Bone Cyst = Irrigation and closure of the cavity Traumatic Bone Cyst = Expected complete bone repair with no recurrence</p> Signup and view all the answers

Match the following cyst features with their possible complications or characteristics:

<p>Aneurysmal Bone Cyst = Resorption through giant cell activity Traumatic Bone Cyst = Lamina dura of roots remains intact</p> Signup and view all the answers

Match the following age-related characteristics with cyst types:

<p>Aneurysmal Bone Cyst = Occurs primarily in the second decade of life Traumatic Bone Cyst = Commonly diagnosed in early adulthood</p> Signup and view all the answers

Match the following features with the correct histopathological findings:

<p>Aneurysmal Bone Cyst = Presence of blood remnants in cyst cavity Traumatic Bone Cyst = Lack of epithelial component in lining</p> Signup and view all the answers

What is the initial physical characteristic of the swelling associated with a radicular cyst?

<p>Rounded and hard (C)</p> Signup and view all the answers

The epithelial lining of apical periodontal cysts can include stratified squamous epithelium.

<p>True (A)</p> Signup and view all the answers

What is a common feature of radicular cysts when infected?

<p>Painful swelling and rapid increase in size</p> Signup and view all the answers

The apical periodontal cyst typically occurs in adults, particularly those in their ___________.

<p>third to sixth decades</p> Signup and view all the answers

Match the clinical features with their descriptions:

<p>Fluid transport across the epithelial lining = Contributes to cyst enlargement Radiographic appearance of cyst = Round or ovoid well-defined radiolucency Age group most affected = Adults in their third to sixth decades Men to women ratio = More prevalent in men</p> Signup and view all the answers

What is a typical radiographic feature of a radicular cyst?

<p>Well-defined radiolucency with a thin opaque margin (B)</p> Signup and view all the answers

Radicular cysts are commonly symptomatic and are often discovered during routine x-ray examination.

<p>False (B)</p> Signup and view all the answers

What happens to the epithelial mass if its central cells do not receive sufficient nutrients?

<p>They degenerate, become necrotic, and liquefy.</p> Signup and view all the answers

What is the primary treatment recommended for a benign cervical lymphoepithelial cyst?

<p>Complete surgical excision (A)</p> Signup and view all the answers

A thyroglossal tract cyst can occur anywhere in the neck.

<p>True (A)</p> Signup and view all the answers

What is the characteristic radiographic appearance of a static bone cyst?

<p>Sharp, well-defined round or ovoid radiolucency (D)</p> Signup and view all the answers

What type of epithelium typically lines a thyroglossal tract cyst below the level of the hyoid bone?

<p>Ciliated or columnar type epithelium</p> Signup and view all the answers

Epidermoid cysts are typically painless and cause significant discomfort.

<p>False (B)</p> Signup and view all the answers

The thyroglossal tract cyst is the most common ________ cyst of the neck.

<p>developmental</p> Signup and view all the answers

What histopathologic feature is commonly seen in dermoid cysts?

<p>Thin layer of keratinized stratified squamous epithelium</p> Signup and view all the answers

Which of the following age groups is most commonly associated with benign cervical lymphoepithelial cysts?

<p>Young adults (A)</p> Signup and view all the answers

Match the following cyst types with their primary characteristic:

<p>Thyroglossal tract cyst = Most common developmental cyst of the neck Benign cervical lymphoepithelial cyst = Located on the lateral aspect of the neck Both = Require surgical excision</p> Signup and view all the answers

The treatment for soft tissue cysts of the jaws generally involves _____ removal.

<p>surgical</p> Signup and view all the answers

What happens to teeth in the presence of multilocular radiolucencies?

<p>They may be displaced or have root resorption (A)</p> Signup and view all the answers

What is a clinical feature of a thyroglossal tract cyst if it becomes infected?

<p>Dysphagia (C)</p> Signup and view all the answers

Histopathologically, benign cervical lymphoepithelial cysts are primarily lined with columnar epithelium.

<p>False (B)</p> Signup and view all the answers

Match the following features with their respective cysts.

<p>Static Bone Cyst = No epithelial lining Epidermoid Cyst = Thin layer of keratinized epithelium Dermoid Cyst = Contains sebaceous glands and hair follicles Soft Tissue Cysts = Painless and may vary in size</p> Signup and view all the answers

A static bone cyst is a true cyst because it contains an epithelial lining.

<p>False (B)</p> Signup and view all the answers

What is the primary technique used to confirm a diagnosis of a static bone cyst?

<p>Sialogram</p> Signup and view all the answers

What is the most common site for dentigerous cysts to occur?

<p>Mandibular third molar (A)</p> Signup and view all the answers

Dentigerous cysts are more common in females than males.

<p>False (B)</p> Signup and view all the answers

What is the primary cause of dentigerous cysts?

<p>Cystic change of the reduced enamel epithelium</p> Signup and view all the answers

The cyst lining of a dentigerous cyst is typically ___ cells thick.

<p>2-4</p> Signup and view all the answers

Match the following clinical features with their corresponding cyst types:

<p>Dentigerous cyst = May prevent tooth eruption Epithelial cysts = Occur along the midline of the palate Long-standing dentigerous cyst = Can cause root resorption Infected dentigerous cyst = Causes pain and swelling</p> Signup and view all the answers

Which radiographic feature is commonly associated with dentigerous cysts?

<p>Well-defined unilocular radiolucency (C)</p> Signup and view all the answers

An expansion of a dentigerous cyst is likely due to increased fluid accumulation.

<p>True (A)</p> Signup and view all the answers

What does the term 'dentigerous' refer to?

<p>Containing unerupted tooth</p> Signup and view all the answers

What are the components typically found in cystic fluid?

<p>Serum albumin, globulin, cholesterol, and nucleoproteins (D)</p> Signup and view all the answers

Fully formed cysts have a regular and flattened epithelial lining.

<p>True (A)</p> Signup and view all the answers

What is the treatment approach for large cysts?

<p>Marsupialization to avoid important structures.</p> Signup and view all the answers

Inflammatory lateral periodontal cysts form as a result of irritation of __________ tissue.

<p>periodontal</p> Signup and view all the answers

Match the following cyst characteristics with their definitions:

<p>Collagen fibers = Connective tissue component of cysts Eosinophilic hyaline bodies = Thin, curved bodies related to red blood cells Cholesterol clefts = Fat deposits in cystic lesions Multinucleated giant cells = Cells formed by the fusion of macrophages</p> Signup and view all the answers

Which of the following is a common complication of residual cysts?

<p>Jaw fracture due to weakening (C)</p> Signup and view all the answers

Degenerated plasma cells, known as Russell bodies, are not typically found in apical periodontal cysts.

<p>False (B)</p> Signup and view all the answers

What potential differential diagnosis could be considered for small radiolucencies?

<p>Periapical granuloma</p> Signup and view all the answers

What is the primary treatment for very large cysts of the mandible?

<p>Marsupialization (B)</p> Signup and view all the answers

An eruption cyst requires surgical treatment to ensure proper healing.

<p>False (B)</p> Signup and view all the answers

Name one potential complication of an odontogenic keratocyst.

<p>Transformation into an ameloblastoma</p> Signup and view all the answers

The cyst contents of keratocysts typically include ________ seen during operation.

<p>keratin</p> Signup and view all the answers

What is a common radiographic feature of unilocular lesions associated with primordial cysts?

<p>Well circumscribed radiolucency with smooth margins (C)</p> Signup and view all the answers

Match the type of cyst with its treatment:

<p>Eruption Cyst = Spontaneous resolution during eruption Odontogenic Keratocyst = Enucleation and possible follow-up Very Large Cyst = Marsupialization Infected Cyst = Antibiotic therapy may be required</p> Signup and view all the answers

Which of the following describes the appearance of an eruption haematoma?

<p>Soft rounded swelling deep blue in color (B)</p> Signup and view all the answers

Flashcards

Apical Periodontal Cyst

A fluid-filled cavity lined by epithelium, typically developing from the proliferation of epithelial remnants within the tooth root region.

Mechanism of Enlargement

The process of growth and expansion of an apical periodontal cyst, driven by increased osmotic pressure within the cyst lumen.

Necrosis

The destruction of cell structures and tissues within the cyst, resulting in liquefaction and fluid accumulation.

Fluid Transport

The movement of fluid across the epithelial lining of the cyst, driven by pressure differences.

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Epithelial Lining

The semipermeable nature of the epithelial lining of the cyst allows selective passage of fluids and molecules.

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Radiolucency

A radiolucent area seen on X-ray images, indicating the presence of a cyst or other fluid-filled space.

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Bone Resorption

The absorption of bone tissue, resulting in a thinning and eventual loss of the bone covering the cyst.

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Stratified Squamous Epithelium

A type of epithelial tissue that lines the cyst, characterized by multiple layers of cells.

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Epithelial Hyperplasia in Apical Periodontal Cysts

The epithelium lining a newly formed apical periodontal cyst is characterized by excessive cell growth, or hyperplasia.

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Epithelial Lining Changes in Mature Cysts

In fully formed apical periodontal cysts, the epithelium lining becomes regular and flat.

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Connective Tissue Lining of Apical Periodontal Cysts

Apical periodontal cysts contain a connective tissue lining composed of collagen fibers, fibroblasts, and capillaries.

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Inflammatory Cells in Apical Periodontal Cysts

Apical periodontal cysts often show signs of previous inflammation, such as chronic inflammatory cells in the connective tissue lining.

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Fluid Composition of Apical Periodontal Cysts

The fluid within apical periodontal cysts contains serum albumin, globulin, cholesterol, and nucleoproteins.

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Histological Features of Apical Periodontal Cysts

Degenerated plasma cells (Russell bodies), eosinophilic hyaline bodies (Rushton bodies), and multinucleated giant cells are histological features found in apical periodontal cysts.

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Lateral Periodontal Cyst

Lateral periodontal cysts are less common than apical cysts and develop on the side of the tooth root, often due to inflammation from an open lateral root canal.

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Residual Cysts

Residual cysts occur when a periapical cyst remains after tooth extraction.

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Dentigerous Cyst

A common type of odontogenic cyst, characterized by the presence of a yellowish fluid containing cholesterol crystals. It's often associated with an unerupted tooth and can grow to a significant size, sometimes requiring surgical intervention.

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Odontogenic Keratocyst (Primordial Cyst)

A cyst that forms when the epithelial remnants of the enamel organ undergo cystic degeneration, often occurring in the absence of a missing tooth. It can affect both mandibles and maxilla, usually presenting in the second and third decades of life.

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Eruption Cyst

A superficial dentigerous cyst that occurs in the soft tissue of the gums or alveolar mucosa overlying an erupting tooth. It often presents as a soft, rounded swelling, and in cases of blood presence, it may appear deep blue.

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Inflammatory Dental Follicle Cyst

A cyst that develops in the gum tissue as a result of an inflamed dental follicle. It is typically associated with an impacted tooth.

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Ameloblastoma

A benign tumor that develops from epithelial remnants of the enamel organ, often presenting as a multilocular radiolucency on X-rays. It can grow aggressively and be locally invasive, requiring careful surgical management.

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Adenomatoid Odontogenic Tumor

A benign tumor that arises from epithelial remnants of the dental lamina. It often presents as a well-defined, radiolucent lesion on X-rays and is typically found in the anterior jaw.

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Ameloblastic Fibroma

A benign mixed tumor that arises from the dental papilla. It is typically found in children and young adults, and it often presents as a painless swelling.

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Static Bone Cyst

A benign, non-cancerous lesion characterized by a honeycomb or soap bubble appearance on X-rays, often with displacement of teeth and root resorption.

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Dermoid Cyst

A developmental cyst arising from epithelial debris in the midline during the closure of the mandibular arches.

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Epidermoid Cyst

A developmental cyst that is derived from epithelial tissue remnants, typically in the midline of the floor of the mouth.

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Developmental Mandibular Salivary Gland Depression

A developmental defect in the mandible characterized by radiolucency on X-rays.

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Sialogram

A radiographic technique where a radiopaque material is injected into the submandibular salivary duct to visualize the gland and any associated lesions.

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Curettage

A common treatment option for static bone cysts that involves scraping away the lining of the cyst.

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Excision

The removal of the entire cyst, including the surrounding tissue.

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Multinucleated Giant Cells

A type of cell found in the cyst lining that has multiple nuclei.

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Thyroglossal Tract Cyst

A developmental cyst that forms in the neck due to remnants of the thyroglossal duct which forms during fetal development.

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Branchial Cleft Cyst (Benign Cervical Lymphoepithelial Cyst)

Residual epithelial cells of the branchial grooves trapped during neck development can form this cyst.

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What causes a thyroglossal tract cyst?

This cyst occurs when the thyroid gland doesn't descend properly in the neck and a part of the thyroid tissue remains connected to the tongue.

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What causes a branchial cleft cyst?

Branchial cleft cysts form from the remnants of the branchial grooves that are present during embryo development.

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What is the key difference in location between thyroglossal tract cysts and branchial cleft cysts?

Thyroglossal tract cysts usually appear in the midline of the neck, while branchial cleft cysts are located on the lateral side.

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What is the difference in texture between thyroglossal tract cysts and branchial cleft cysts?

A thyroglossal tract cyst is usually firm and movable, while a branchial cleft cyst is generally smooth and soft.

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What is the typical treatment for both thyroglossal tract cysts and branchial cleft cysts?

The treatment for both thyroglossal tract cysts and branchial cleft cysts is usually surgical removal to prevent complications and recurrence.

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What is the general nature of thyroglossal tract cysts and branchial cleft cysts?

Both thyroglossal tract cysts and branchial cleft cysts are generally benign and rarely cause complications.

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What is a mucous extravasation cyst?

A fluid-filled sac that forms when saliva leaks from a damaged salivary gland duct into surrounding tissues due to trauma like biting your cheek or lip.

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How does a mucous extravasation cyst form?

This cyst is formed when the leaked saliva irritates the surrounding tissues and causes an inflammatory reaction, which then forms a wall around the leaked saliva.

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Where are mucoceles found?

Mucoceles are commonly found on the inside of the lower lip and cheeks.

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What is a ranula?

Ranulas are a type of mucocele that occurs on the floor of the mouth or under the tongue.

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What are the clinical features of a mucocele?

Mucoceles appear as soft, painless, and sometimes translucent bumps in the mouth. They can shrink if a needle is used to draw out the fluid.

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Cyst Enlargement

The process of an apical periodontal cyst growing larger, driven by increased fluid pressure inside the cyst.

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Osmotic Pressure in Cyst Growth

The breakdown of complex proteins inside a cyst, increasing osmotic pressure and drawing more fluid into the cavity.

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Epithelial Lining's Role

The epithelial lining of the cyst acts like a filter, selectively allowing fluid to pass through.

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Radiolucency on X-ray

A radiolucent area on an X-ray image, indicating an empty space or fluid-filled area like a cyst.

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Cyst Infection

Inflammation of the cyst, causing pain and rapid swelling. The cyst's edges may appear blurred on X-rays.

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Cyst Lining Variations

The variation in the type of cells lining the cyst, sometimes including stratified squamous or columnar epithelium.

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Epithelial Hyperplasia

In a newly formed cyst, the epithelial cells are multiplying rapidly, leading to an increase in their number.

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Epithelial Lining Changes

The epithelium lining a fully formed cyst becomes organized and flattened, unlike the hyperplastic state in a newly formed cyst.

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Connective Tissue Lining

The connective tissue around an apical periodontal cyst contains collagen fibers, fibroblasts, and blood vessels.

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Inflammatory Cells

Apical periodontal cysts often show signs of past inflammation, with chronic inflammatory cells found in the connective tissue.

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Fluid Composition

The fluid inside apical periodontal cysts contains various proteins and substances like albumin, globulin, cholesterol, and nucleoproteins.

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Histological Features

Degenerated plasma cells (Russell bodies), eosinophilic hyaline bodies (Rushton bodies), and multinucleated giant cells are features observed in apical periodontal cysts.

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Mucous extravasation cyst

A fluid-filled sac that develops when saliva leaks from a damaged salivary gland duct, usually due to trauma like biting the lip or cheek.

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Ranula

A type of mucous extravasation cyst that occurs on the floor of the mouth or under the tongue.

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Mucocele formation

The process by which a mucous extravasation cyst forms. Saliva leaks out, irritating the surrounding tissue and causing an inflammatory response that forms a wall around the spilled saliva.

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Clinical features of a mucocele

Soft, painless swelling with a smooth surface and sometimes a translucent appearance. They often decrease in size if the fluid is aspirated (drained).

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Treatment for a mucocele

Surgical removal of the cyst is the standard treatment.

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Dentigerous Cyst Enlargement

The process of the dentigerous cyst getting larger, often due to the build-up of fluid pressure inside the cyst cavity.

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Central Dentigerous Cyst

The initial location of the dentigerous cyst, typically centered around the crown of the unerupted tooth.

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Lateral Dentigerous Cyst

A variant of the dentigerous cyst where the cyst attaches to only one side of the unerupted tooth.

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Cystic Fluid Accumulation

The breakdown of cells within the dentigerous cyst, causing the release of fluid and contributing to the cyst's enlargement.

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Radiolucent Area on X-ray

The presence of a distinct, dark area seen on an X-ray, indicating where the dentigerous cyst is located.

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Clinical Features of Infection

The presence of swelling, pain, and possible infection, often experienced when the dentigerous cyst becomes larger.

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Developmental Gingival Cyst of Adulthood

This cyst occurs on the gum tissue next to a healthy tooth. It forms from remnants of the dental lamina in the soft tissue between the oral epithelium and the periosteum.

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Gingival Cyst of the Newborn (Bohn's Nodules)

These are tiny white nodules on the gum ridge of a newborn infant. They result from remnants of the dental lamina that form small keratinized cysts.

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Locations of Lateral Periodontal Cyst

The lateral periodontal cyst is most commonly found in the premolar and canine regions of the mandible, as well as the lateral incisor region of the maxilla.

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Symptoms of Lateral Periodontal Cyst

Unlike some other cysts, lateral periodontal cysts often show no symptoms and are discovered during routine radiographic examinations.

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Radiographic Features of Lateral Periodontal Cyst

The lateral periodontal cyst typically appears as a small, radiolucent area on x-rays, often less than 1 cm in diameter. It may have a well-defined border.

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Appearance of Developmental Gingival Cyst of Adulthood

The developmental gingival cyst of adulthood typically appears as a small, well-defined painless swelling on the gum. It's less than 1 cm in diameter and has the same color as the surrounding gum.

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Radiographic Features of Developmental Gingival Cyst

Developmental gingival cysts of adulthood are not visible on dental x-rays, so their diagnosis relies on clinical presentation and biopsy.

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What is a Dentigerous Cyst?

A common type of odontogenic cyst, characterized by the presence of a yellowish fluid containing cholesterol crystals. It's often associated with an unerupted tooth and can grow to a significant size, sometimes requiring surgical intervention.

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What is an Odontogenic Keratocyst (Primordial Cyst)?

A cyst that forms when the epithelial remnants of the enamel organ undergo cystic degeneration, often occurring in the absence of a missing tooth. It can affect both mandibles and maxilla, usually presenting in the second and third decades of life.

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What is an Eruption Cyst?

A superficial dentigerous cyst that occurs in the soft tissue of the gums or alveolar mucosa overlying an erupting tooth. It often presents as a soft, rounded swelling, and in cases of blood presence, it may appear deep blue.

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What are the demographics of an Odontogenic Keratocyst?

The least common type of odontogenic cyst (7%). It commonly appears in the second and third decades of life, with no preference for either sex.

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What is the common location for an Odontogenic Keratocyst?

The most common location for an Odontogenic Keratocyst is in the mandible and maxillary third molar region, followed by the canine region.

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What are the symptoms of an infected Odontogenic Keratocyst?

Odontogenic Keratocysts usually remain asymptomatic unless they become infected, causing lower lip paraesthesia, pain, swelling, and tooth displacement.

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How does an Odontogenic Keratocyst appear on X-rays?

Odontogenic Keratocysts can be unilocular (single cavity) or multilocular (multiple cavities). Unilocular lesions appear as well-circumscribed radiolucencies with smooth margins and thin radiopaque borders.

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What is the content of an Odontogenic Keratocyst?

Odontogenic Keratocysts contain keratin seen during an operation as dirty white or yellowish material resembling pus, but with no offensive smell.

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What is an Apical Periodontal Cyst?

A fluid-filled cavity lined by epithelium, typically developing from the proliferation of epithelial remnants within the tooth root region.

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How does an Apical Periodontal Cyst enlarge?

The process of an apical periodontal cyst growing larger, driven by increased fluid pressure inside the cyst.

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What causes the increased osmotic pressure in cyst growth?

The breakdown of complex proteins inside a cyst increases osmotic pressure, drawing more fluid into the cavity.

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What is the role of the epithelial lining in cyst enlargement?

The epithelial lining of the cyst acts like a semipermeable membrane, selectively allowing fluid to pass through.

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What is radiolucency on an X-ray?

A radiolucent area on an X-ray image, indicating an empty space or fluid-filled area like a cyst.

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What is cyst infection, and how does it appear on X-rays?

Inflammation of the cyst, causing pain and rapid swelling. The cyst's edges may appear blurred on X-rays.

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What are the variations in the cyst lining?

The variation in the type of cells lining the cyst, sometimes including stratified squamous or columnar epithelium.

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What is epithelial hyperplasia?

In a newly formed cyst, the epithelial cells are multiplying rapidly, leading to an increase in their number.

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Dentigerous Cyst Origin

Originates from cystic degeneration of the reduced enamel epithelium after enamel formation.

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Dentigerous Cyst Demographics

Usually found in the second and third decades of life, more common in males, and often affecting mandibular third molars and maxillary canines.

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Dentigerous Cyst Symptoms

Small cysts may be asymptomatic. As the cyst grows, it can cause bone resorption, displacement of teeth, and facial asymmetry. Infection can lead to pain and swelling.

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Dentigerous Cyst on X-ray

Appears on X-ray as a well-defined, unilocular radiolucency surrounding the crown of an unerupted tooth, often with a sclerotic line.

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Dentigerous Cyst Lining

The lining is a non-keratinized stratified squamous epithelium, usually 2-4 layers thick. In maxillary cysts, cilia may be present.

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Dentigerous Cyst Connective Tissue

Connective tissue surrounding the cyst has no inflammatory cells but may contain cholesterol clefts and foreign body giant cells.

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Dentigerous Cyst Attachment

The dentigerous cyst attaches to the tooth at the cementoenamel junction, the point where enamel meets cementum.

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Globulomaxillary Cyst

A non-odontogenic cyst found between the maxillary lateral incisor and canine teeth, arising from epithelial remnants trapped during embryonic development.

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Nasolabial Cyst

A cyst located in the soft tissue of the upper lip near the canine region, often appearing as a bulge that obscures the nasolabial fold.

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Median Palatal Cyst

A cyst found in the midline of the palate, developing from epithelial remnants trapped during the fusion of the palatal processes.

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Median Mandibular Cyst

A cyst that forms in the midline of the mandible, arising from epithelial remnants trapped during the fusion of the mandibular arches.

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Traumatic Bone Cyst

A bony cavity without an epithelial lining, often lacking fluid content and thought to arise from trauma.

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Viscous Fluid Content

A cyst containing viscous fluid, usually mucoid but turning into pus if infected.

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Cyst of the Palatine Papilla

A cyst that develops from epithelial remnants trapped in the palatine papilla, presenting as a bluish swelling that discharges salty fluid.

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Fissural Cysts (Inclusion Cysts)

Cysts arising from epithelial remnants trapped in the lines of fusion of embryonic processes.

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What is an aneurysmal bone cyst?

A benign, non-cancerous lesion in bone that appears radiographically as a cyst but lacks epithelial lining.

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How does an aneurysmal bone cyst enlarge?

The expansion of an aneurysmal bone cyst is due to increased venous pressure and dilated blood vessels within the bone.

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Where is an aneurysmal bone cyst typically found?

It is often found in the molar areas of the jaws, predominantly in patients under 30 years old.

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What are the clinical features of an aneurysmal bone cyst?

Aneurysmal bone cysts can cause firm swelling and pain, often accompanied by excessive bleeding during surgery due to the dilated blood vessels.

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What is the possible cause of a solitary bone cyst?

The majority of patients with solitary bone cysts have a history of mild trauma to the jaw, suggesting a possible trigger for their development.

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Where and in whom are solitary bone cysts typically found?

Solitary bone cysts are usually found below the age of 40, commonly in the body and ramus of the mandible, often in the molar and premolar regions.

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What are the common features of a solitary bone cyst?

These cysts often remain asymptomatic and are discovered accidentally during routine radiography. They usually do not cause expansion of the bone and rarely lead to pain.

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How are solitary bone cysts treated?

The treatment for a solitary bone cyst involves surgically opening the cavity, irrigating it with saline, and stimulating bleeding to promote bone repair.

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Branchial Cleft Cyst

A benign cyst located on the lateral side of the neck, anterior to the sternocleidomastoid muscle. It arises from trapped epithelial cells of the branchial grooves, which are structures present during embryonic development.

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Thyroid Gland Descent

The process by which the thyroid gland descends from the base of the tongue to the midline of the neck during fetal development.

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Branchial Grooves

These are the folds in the neck of an embryo that develop into various structures, including the ears, throat, and face. Remnants of these folds can lead to branchial cleft cysts.

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Location of Neck Cysts

The thyroglossal tract cyst is typically found in the midline of the neck, while the branchial cleft cyst is located on the lateral side of the neck.

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Texture of Neck Cysts

A thyroglossal tract cyst is usually firm and movable, while a branchial cleft cyst tends to be soft and smooth.

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Treatment for Neck Cysts

The treatment for both thyroglossal tract cysts and branchial cleft cysts is usually surgical removal to prevent complications and recurrence.

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Nature of Neck Cysts

Both thyroglossal tract cysts and branchial cleft cysts are generally benign and rarely cause significant complications.

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Odontogenic Keratocyst Demographics

This type of odontogenic cyst is uncommon, typically found in the second and third decades of life with no gender preference. It is most common in the mandible and maxillary third molar region.

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Odontogenic Keratocyst Symptoms

Odontogenic Keratocysts often remain asymptomatic, but infection can lead to lower lip numbness, pain, swelling, and tooth displacement.

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Odontogenic Keratocyst Appearance on X-ray

On X-rays, Odontogenic Keratocysts appear as smooth, well-defined radiolucencies, either single or multiple cavities.

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Odontogenic Keratocyst Content

Odontogenic Keratocysts contain keratin, which appears as dirty white or yellowish material during surgery. It resembles pus but has no offensive smell.

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What are Apical Periodontal Cysts?

Apical periodontal cysts are a type of cyst that occurs at the tip of the root of a pulpless tooth.

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How do apical periodontal cysts form?

These cysts form when epithelial remnants, left over from tooth development, proliferate at the root tip.

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What is the radiographic appearance of apical periodontal cysts?

A key characteristic of apical periodontal cysts is their appearance on X-rays as a radiolucent area, indicating an empty space or fluid-filled cavity.

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How does the epithelial lining of an apical periodontal cyst change?

The epithelial lining of the cyst changes as it matures. Initially, it's hyperplastic (cells multiplying rapidly), but in a fully formed cyst, it becomes regular and flattened.

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What is the composition of the fluid inside apical periodontal cysts?

The fluid inside apical periodontal cysts contains a mixture of substances like albumin, globulin, cholesterol, and nucleoproteins.

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What are some features of the connective tissue surrounding apical periodontal cysts?

The connective tissue surrounding an apical periodontal cyst often contains chronic inflammatory cells, indicating past inflammation.

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How do apical periodontal cysts enlarge?

Apical periodontal cysts enlarge due to increased osmotic pressure inside the cyst. This means that the balance of fluids is disturbed, drawing more fluid into the cavity.

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How are apical periodontal cysts treated?

Apical periodontal cysts can be treated in various ways, including enucleation (surgical removal), apicectomy (removing the tip of the root), or marsupialization (creating an opening in the cyst).

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Odontogenic Keratocyst

A cyst that forms when the epithelial remnants of the enamel organ undergo cystic degeneration. It often occurs in the absence of a missing tooth.

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How do Apical periodontal cysts grow?

The process of growth and expansion of an apical periodontal cyst, driven by increased osmotic pressure within the cyst lumen.

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What are the defining characteristics of a dentigerous cyst?

It is characterized by the presence of yellowish fluid containing cholesterol crystals and is often associated with an unerupted tooth.

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What is a Static Bone Cyst?

A benign, non-cancerous lesion characterized by a honeycomb or soap bubble appearance on X-rays. It is often associated with displacement of teeth and root resorption.

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What is a Developmental Mandibular Salivary Gland Depression?

This cyst is caused by a developmental inclusion of sub-mandibular salivary tissue within or adjacent to the lingual surface of the body of the mandible. The lesion is entirely asymptomatic and may be discovered accidentally upon x-ray examination.

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What is a Dermoid Cyst?

This developmental cyst is derived from epithelial debris in the midline during closure of mandibular arches.

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What is an Epidermoid Cyst?

This developmental cyst is derived from epithelial tissue remnants, typically in the midline of the floor of the mouth.

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What is a Sialogram?

A radiographic technique where a radiopaque material is injected into the submandibular salivary duct to visualize the gland and any associated lesions.

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What is Curettage?

A common treatment option for Static Bone Cysts that involves scraping away the lining of the cyst.

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What is Excision?

The removal of the entire cyst, including the surrounding tissue.

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What are Multinucleated Giant Cells?

A type of cell found in the cyst lining that has multiple nuclei.

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What is a Globulomaxillary Cyst?

A non-odontogenic cyst located between the maxillary lateral incisor and canine teeth, arising from epithelial remnants trapped during embryonic development.

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What is a Nasolabial Cyst?

A soft tissue cyst located in the upper lip near the canine region, often appearing as a swelling that obscures the nasolabial fold.

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What is a Median Palatal Cyst?

A cyst found in the midline of the palate, developing from epithelial remnants trapped during the fusion of the palatal processes.

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What is a Traumatic Bone Cyst?

A bony cavity with no epithelial lining and often no fluid content, often due to trauma.

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What is an Odontogenic Keratocyst?

A dental cyst that forms when epithelial remnants of the enamel organ undergo cystic degeneration, often occurring in the absence of a missing tooth.

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What is a Developmental Gingival Cyst of Adulthood?

A cyst that develops in the gum tissue next to a healthy tooth, forming from remnants of the dental lamina.

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What are Gingival Cysts of the Newborn?

Tiny white nodules on the gum ridge of a newborn infant, resulting from remnants of the dental lamina.

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What is a Lateral Periodontal Cyst?

A cyst located on the side of the tooth root, often occurring in the premolar and canine regions of the mandible and the lateral incisor region of the maxilla.

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What are the epithelial lining changes in a mature cyst?

The epithelium lining a fully formed cyst becomes organized and flattened, unlike the hyperplastic state in a newly formed cyst.

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What are some histological features of Apical Periodontal Cysts?

Degenerated plasma cells (Russell bodies), eosinophilic hyaline bodies (Rushton bodies), and multinucleated giant cells are features observed in apical periodontal cysts.

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What are the clinical features of a Dentigerous Cyst?

Small dentigerous cysts may be asymptomatic, but as the cyst grows, it can cause bone resorption, displacement of teeth, and facial asymmetry. Infection can lead to pain and swelling.

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How does a Dentigerous Cyst appear on X-ray?

It appears on X-ray as a well-defined, unilocular radiolucency surrounding the crown of an unerupted tooth, often with a sclerotic line.

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Describe the lining of a Dentigerous Cyst.

The lining is a non-keratinized stratified squamous epithelium, usually 2-4 layers thick. In maxillary cysts, cilia may be present.

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What is the characteristic of the connective tissue surrounding a Dentigerous Cyst?

Connective tissue surrounding the cyst has no inflammatory cells but may contain cholesterol clefts and foreign body giant cells.

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Where does a Dentigerous Cyst attach to the tooth?

The dentigerous cyst attaches to the tooth at the cementoenamel junction, the point where enamel meets cementum.

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What are the demographics and common locations of a Dentigerous Cyst?

This cyst usually forms in the second and third decades of life and is more common in males. It is often associated with mandibular third molars and maxillary canines.

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List the symptoms of a Dentigerous Cyst.

Small cysts may be asymptomatic. As the cyst grows, it can cause bone resorption, displacement of teeth, and facial asymmetry. Infection can lead to pain and swelling.

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How does a Dentigerous Cyst look on an X-ray?

The cyst appears on X-ray as a well-defined, unilocular radiolucency surrounding the crown of an unerupted tooth, often with a sclerotic line.

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Necrosis in Apical Periodontal Cyst

The destruction of cells within a cyst, resulting in liquefaction and fluid accumulation.

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Origin of Apical Periodontal Cyst

An apical periodontal cyst develops from the proliferation of epithelial remnants within the tooth root.

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Mechanism of Cyst Enlargement

The breakdown of complex proteins in the cyst increases osmotic pressure, drawing more fluid into the cyst.

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Epithelium's role in cyst enlargement

The epithelial lining of the cyst acts like a filter, controlling the passage of fluids.

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Variations in Cyst Lining

The type of cells lining the cyst can vary, with possibilities including stratified squamous or columnar epithelium.

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What happens to the epithelium in a newly formed cyst?

The epithelium lining a newly formed cyst is characterized by excessive cell growth, or hyperplasia.

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How does the epithelial lining change in a fully formed cyst?

In a fully formed cyst, the epithelial lining becomes regular and flattened. The connective tissue lining has few inflammatory cells.

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What components make up the connective tissue lining of an apical periodontal cyst?

The connective tissue lining of an apical periodontal cyst consists of collagen fibers, fibroblasts, and capillaries. It may also have chronic inflammatory cells present.

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What is the composition of the fluid inside an apical periodontal cyst?

The fluid inside an apical periodontal cyst contains a mix of substances, including serum albumin, globulin, cholesterol, and nucleoproteins.

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What are some other histological features found in apical periodontal cysts?

Russell bodies are degenerated plasma cells, Rushton bodies are eosinophilic hyaline bodies, and multinucleated giant cells are other common features observed in apical periodontal cysts.

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Where do lateral periodontal cysts form, and what usually triggers them?

Lateral periodontal cysts, less common than apical cysts, form on the side of the root of a pulpless tooth. They often result from inflammation caused by a lateral root canal opening.

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What is a residual cyst?

A residual cyst is a periapical cyst that remains in the jawbone after the tooth has already been extracted.

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What are the different treatment options for apical periodontal cysts, and which one is used depending on the cyst's size?

If a cyst is small, it may be treated with enucleation (removal) and apicectomy (removal of the tooth's root tip). For larger cysts, marsupialization (opening and draining) or enucleation followed by bone grafting may be necessary.

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Dentigerous Cyst: Location and Effects

The cyst is attached to the neck of the unerupted tooth, preventing it from erupting. It can grow large enough to cause facial asymmetry, pain, and displacement of other teeth.

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Dentigerous Cyst: Surrounding Tissue

The connective tissue surrounding the cyst does not contain inflammatory cells, but it may have cholesterol clefts (spaces filled with cholesterol) and foreign body giant cells which are a type of immune response cell.

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Dentigerous Cyst Treatment

The treatment for a dentigerous cyst usually involves surgical removal. Sometimes the cyst may be drained and the unerupted tooth extracted.

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Odontogenic Keratocyst Location

The most common location for an Odontogenic Keratocyst is in the mandible and maxillary third molar region, followed by the canine region.

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Dermoid and Epidermoid Cysts

This developmental cyst is derived from epithelial debris in the midline during closure of mandibular arches.

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Static Bone Cyst on Radiographs

A round to ovoid, sharply circumscribed radiolucency situated beneath the level of the inferior dental canal, constant in size.

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Sialogram for Diagnosis

A radiopaque contrast material is injected into the duct of the sub-mandibular gland of the affected side, allowing for detection of salivary tissue within the cyst.

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Histopathologic Features of a Static Bone Cyst

Many blood-filled spaces, extravasated red blood cells, haemosiderin histiocytes, and large multinucleated giant cells.

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Static Bone Cyst Symptoms

This cyst is entirely asymptomatic and may be discovered accidentally upon x-ray examination.

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Static Bone Cyst Treatment

Surgical removal or curettage (scraping away the lining).

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Dermoid Cyst Location and Appearance

A bulge in the floor of the mouth, causing elevation of the tongue causing difficulty in eating and drinking.

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What is a thyroglossal tract cyst?

Occurring in the midline of the neck, this cyst forms during fetal development when the thyroid gland doesn't descend properly, leaving remnant tissue connected to the tongue.

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What is a branchial cleft cyst?

Developing on the lateral side of the neck, this cyst forms from epithelial remnants trapped during neck development, specifically from the branchial grooves.

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Where do thyroglossal tract cysts and branchial cleft cysts form?

Thyroglossal tract cysts are typically midline on the neck, while branchial cleft cysts are located on the lateral side of the neck.

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How do thyroglossal tract cysts and branchial cleft cysts feel?

A thyroglossal tract cyst feels firm and movable, while a branchial cleft cyst feels smoother and softer.

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What is the common treatment for thyroglossal tract cysts and branchial cleft cysts?

Both thyroglossal tract cysts and branchial cleft cysts are usually treated by surgical removal to prevent complications and recurrence.

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Why is treatment important for thyroglossal tract cysts and branchial cleft cysts?

While thyroglossal tract cysts and branchial cleft cysts are benign, they can cause complications if left untreated, such as infection or blockage of the airway.

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Study Notes

Cysts of the Oral and Paraoral Regions

  • A cyst is a pathological cavity lined by epithelium, containing fluid or semi-fluid material. Pseudocysts are not lined by epithelium.
  • Odontogenic cysts develop from odontogenic epithelial cells.
    • Periodontal cysts:
      • Inflammatory: Apical, lateral, or residual. These cysts result from inflammatory hyperplasia of epithelial rests of Malassez in the periodontal ligament, following pulp death.
      • Developmental: Lateral developmental cysts, adult gingival cysts, neonatal gingival cysts (Bohn's nodules). These develop from developmental processes.
    • Dentigerous cyst: A cyst around unerupted teeth. Types include central, lateral, and circumferential.
    • Primordial cyst: Another type of odontogenic cyst, also called the odontogenic keratocyst, most commonly characterized by parakeratotic or orthokeratotic layers and high recurrence rates.
  • Non-Odontogenic cysts originate from sources other than odontogenic epithelial cells.
    • Nasopalatine cysts: Incisive canal cyst, palatine papilla cyst. These are less than 1% of oral cysts.
    • Fissural cysts: Globulomaxillary, nasolabial, median (maxillary and mandibular), median palatal, and median mandibular cysts, stemming from epithelial entrapment.
    • Pseudocysts: (traumatic bone cyst, aneurysmal, and static bone cysts. These are not lined by epithelium, and are bony cavities.)
    • Soft tissue cysts: Dermoid, epidermoid, thyroglossal tract cysts, benign lymphoepithelial (branchial-cleft), mucous retention, mucous extravasation cysts, ranula.

Epithelium of Odontogenic Cysts

  • The epithelium associated with odontogenic cysts derives from the enamel organ, reduced enamel epithelium, epithelial rests of Malassez, and epithelial rests of Serres.

Inflammatory Periodontal Cysts

  • These cysts account for 65% of all cysts.
  • They arise from periapical granuloma caused by inflammatory hyperplasia.
  • The epithelial mass grows, central cells lose nutrition and degenerate, forming a cystic cavity.
  • Apical, periapical (radicular), or lateral positions are possible. Residual cysts occur when tooth extraction doesn't remove the cyst completely.

Mechanism of Enlargement

  • Breakdown of complex proteins within the cyst lumen increases osmotic pressure.
  • Fluid transport across the semipermeable epithelial lining leads to cyst enlargement.

Clinical Features of Periodontal Cysts

  • Age: Adults, typically between the third and sixth decades, slightly more common in men; can also affect younger people.
  • Sex: Slightly more common in men; can also affect younger people.
  • Location: Often in the anterior maxilla; can be along lateral and other areas.
  • Often asymptomatic, and discovered through routine x-rays. Rapid swelling, pain can occur with infection. Resorption of bone to an eggshell-like texture is possible.

Microscopic Variations in Cyst Walls

  • Epithelial lining: Initially stratified squamous epithelium, but potentially respiratory or pseudostratified ciliated columnar epithelium.
  • Connective tissue lining: Contains inflammatory cells and foci of dystrophic calcification. Possibly cholesterol clefts, degenerating plasma cells (Russel bodies), eosinophilic or hyaline bodies (Rushton bodies), and multinucleated giant cells and lipid-filled macrophages (foam cells).

Differential Diagnosis

  • Periapical granuloma: Small radiolucency; distinguishable from small periapical cysts by radiographic features.
  • Periapical scar: Previously treated periapical pathology.
  • Periapical cemental dysplasia: Differentiated by appearance and location.

Other Types of Cysts (Pages 2-19)

  • Eruption cyst: Characterized by soft, rounded swellings with a deep blue appearance due to blood presence, erupting teeth; resolves spontaneously.
  • Primordial cyst: Least common type of odontogenic cyst. Often asymptomatic with a small, radiolucent, well-defined area and high recurrence risk. Can be parakeratotic or orthokeratotic in composition.
  • Nasopalatine duct cyst: Asymptomatic cyst in the mid-palatal area; less than 1% of all oral cysts.
  • Nasolabial cyst: Swelling not in the oral cavity.
  • Median palatal cysts: Palatal area, possibly asymptomatic.
  • Median mandibular cysts: Mandibular area, possibly asymptomatic.
  • Soft tissue cysts: Arise from epithelium entrapped during developmental processes and may include dermoid, epidermoid, ranula, thyroglossal tract cysts, and benign lymphoepithelial cysts.
  • Pseudocysts: are not lined by epithelium, including inflammatory lateral periodontal cysts, which are less common; they occur on the side of the root of a tooth caused by an opening in the lateral root. Also, aneurysmal, and static bone cysts.
  • (Developmental and Inflammatory Periodontal Cysts): These cysts have additional variations, such as those with different etiologies and locations. This includes the developmental lateral cyst, characterized by non-inflammatory developmental cysts adjacent or lateral to tooth roots, and residual cysts, which persist despite tooth extraction.
  • Mucous extravasation cyst: A soft tissue swelling often painless, in mouth areas; may have a translucent appearance.
  • Static bone cyst: Non-epithelial cyst; possibly developmental.

Treatment

  • Surgical excision is often recommended for cysts.
  • Marsupialization is for very large cysts to prevent issues.

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Description

Test your knowledge on the pathology of various dental cysts, focusing on apical periodontal cysts, radicular cysts, and mucous extravasation cysts. This quiz covers key histopathologic features, radiographic signs, and clinical characteristics relevant to dental professionals. Dive into the nature of these cysts and their implications in dentistry.

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