intro to odontogenic cysts and tumors
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Questions and Answers

What is the origin of odontogenic keratocysts?

  • Dental pulp
  • Rests of Malassez
  • Dental enamel
  • Epithelial rests of Serres (Remnants of dental lamina) (correct)
  • Which type of cyst is associated with nevoid basal cell carcinoma syndrome?

  • Periapical cysts
  • Medulloblastoma
  • Lateral periodontal cysts
  • Odontogenic keratocysts (correct)
  • What is the treatment for odontogenic keratocysts?

  • Enucleation with curettage (correct)
  • Radiotherapy
  • Extraction of associated teeth
  • Chemotherapy
  • What is the recurrence rate of odontogenic keratocysts?

    <p>2%</p> Signup and view all the answers

    What is the soft tissue counterpart of lateral periodontal cysts?

    <p>Gingival cyst of adults</p> Signup and view all the answers

    What is an uncommon developmental cyst along the lateral root surface?

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

    What is the origin of lateral periodontal cysts?

    <p>Epithelial rests of Serres</p> Signup and view all the answers

    What is a complication of untreated odontogenic keratocysts?

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

    What is the name of the cyst associated with the root of a nonvital tooth?

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

    Which of the following is NOT a type of periapical lesion?

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

    What is the name of the lesion that can mimic a periapical cyst in its early stages?

    <p>Cemento-osseous dysplasia</p> Signup and view all the answers

    Which type of cyst is typically unilocular and surrounds the crown of an unerupted tooth?

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

    What is the name of the tumor that can arise from the rests of Malassez?

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

    Which of the following is a characteristic of a periapical cyst?

    <p>It is of inflammatory origin</p> Signup and view all the answers

    What is the name of the lesion that is composed of a mixture of cementum and bone?

    <p>Cemento-osseous dysplasia</p> Signup and view all the answers

    Which of the following lesions can have a similar radiographic appearance to a periapical cyst?

    <p>All of the above</p> Signup and view all the answers

    What is the soft tissue counterpart of a dentigerous cyst also known as?

    <p>Eruption cyst</p> Signup and view all the answers

    What is the origin of a dentigerous cyst?

    <p>Rests of Serres (dental lamina remnants)</p> Signup and view all the answers

    Which of the following is associated with nevoid basal cell carcinoma syndrome?

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

    What is the genotype associated with nevoid basal cell carcinoma syndrome?

    <p>PTCH1 mutations</p> Signup and view all the answers

    What is the central giant cell granuloma characterized by?

    <p>A reactive lesion with giant cells and fibrous tissue</p> Signup and view all the answers

    What is the typical location of a periapical cyst?

    <p>Associated with the roots of a tooth</p> Signup and view all the answers

    What is cemento-osseous dysplasia characterized by?

    <p>A lesion with cementum and bone formation</p> Signup and view all the answers

    What is an ameloblastoma characterized by?

    <p>A odontogenic tumor with ameloblastic epithelium</p> Signup and view all the answers

    What is the name of the syndrome associated with multiple odontogenic keratocysts?

    <p>Gorlin-Goltz Syndrome</p> Signup and view all the answers

    What is the name of the publication where the information about Gorlin-Goltz syndrome was downloaded from?

    <p>Orphanet Journal of Rare Diseases</p> Signup and view all the answers

    What is the name of the license under which the publication about Gorlin-Goltz syndrome is available?

    <p>CC BY-NC-SA 3.0</p> Signup and view all the answers

    What is the name of the publication where the case report about Gorlin-Goltz syndrome was published?

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

    What is the name of the anomaly associated with Gorlin-Goltz syndrome?

    <p>Calcified falk cerebri</p> Signup and view all the answers

    What is the name of the article where the information about Gorlin-Goltz syndrome was accessed from?

    <p>Gorlin-Goltz Syndrome: A Case Report and Literature Review</p> Signup and view all the answers

    What is the name of the authors who published an article about Gorlin-Goltz syndrome in Cureus?

    <p>Al-Jarboua M N, Al-Husayni A H, Al-Mgran M</p> Signup and view all the answers

    In which year was the article about Gorlin-Goltz syndrome published in Case Reports in Dentistry?

    <p>2012</p> Signup and view all the answers

    What is the characteristic feature of periapical cysts?

    <p>Presence of stratified squamous epithelium</p> Signup and view all the answers

    Which of the following is a type of odontogenic keratocyst?

    <p>Gorlin cyst</p> Signup and view all the answers

    What is the characteristic histological feature of ameloblastoma?

    <p>Presence of ameloblastic Islands</p> Signup and view all the answers

    What is the most common type of cemento-osseous dysplasia?

    <p>Focal cemento-osseous dysplasia</p> Signup and view all the answers

    What is the characteristic radiological feature of central giant cell granuloma?

    <p>Multilocular radiolucency</p> Signup and view all the answers

    What is the most common location of periapical cysts?

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

    What is the treatment for unicystic ameloblastoma?

    <p>Enucleation with Carnoy's solution</p> Signup and view all the answers

    What is the risk of malignant transformation of ameloblastoma?

    <p>1-5%</p> Signup and view all the answers

    Study Notes

    Gorlin Syndrome

    • Gorlin syndrome is a genetic disorder characterized by PTCH1 mutations.
    • It is also known as nevoid basal cell carcinoma syndrome (NBCCS).
    • The syndrome is associated with various neoplasms, including basal cell carcinomas, medulloblastomas, and ovarian fibromas.

    Meningioma

    • Meningioma is a type of tumor that occurs in the meninges, the protective membranes surrounding the brain and spinal cord.
    • It is associated with Gorlin syndrome.
    • Tx: enucleation with curettage; Px: ~2% recurrence.

    Odontogenic Lesions

    • Odontogenic lesions are abnormalities that originate from the dental lamina or its remnants.
    • Examples include dentigerous cysts, lateral periodontal cysts, and keratocystic odontogenic tumors.

    Dentigerous Cyst

    • A dentigerous cyst is a type of odontogenic cyst that forms around the crown of an impacted tooth.
    • It is the most common type of odontogenic cyst.
    • Origin: rests of Serres (remnants of dental lamina).

    Lateral Periodontal Cyst

    • A lateral periodontal cyst is a type of odontogenic cyst that forms along the lateral root surface of a tooth.
    • It is an uncommon developmental cyst.
    • Origin: rests of Serres (remnants of dental lamina).

    Keratocystic Odontogenic Tumor

    • A keratocystic odontogenic tumor is a type of odontogenic tumor that forms from the remnants of the dental lamina.
    • It can be isolated or associated with Gorlin syndrome.
    • Origin: rests of Serres (dental lamina remnants).

    Eruption Cyst

    • An eruption cyst is a type of odontogenic cyst that forms over an erupting tooth.
    • Also known as "eruption hematoma".
    • Origin: rests of Serres (dental lamina remnants).

    Periapical Cyst

    • A periapical cyst is a type of odontogenic cyst that forms at the apex of a nonvital tooth.
    • Tx options: enucleation with curettage.

    Odontogenic Tumors

    • Odontogenic tumors are neoplasms that arise from the odontogenic apparatus.
    • Examples include ameloblastoma, unicystic ameloblastoma, and ameloblastic carcinoma.

    Ameloblastoma

    • An ameloblastoma is a type of odontogenic tumor that forms from the enamel organ.
    • It can be unicystic or solid.
    • Tx: enucleation with curettage.

    Unicystic Ameloblastoma

    • A unicystic ameloblastoma is a type of odontogenic tumor that forms from the enamel organ.
    • It is a rare variant of ameloblastoma.
    • Tx: enucleation with curettage.

    Ameloblastic Carcinoma

    • An ameloblastic carcinoma is a type of odontogenic tumor that forms from the enamel organ.
    • It is a rare and aggressive tumor.
    • Tx: surgical resection.

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