Monostotic Fibrous Dysplasia in Dentistry
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Questions and Answers

What is the primary characteristic of café au lait skin pigmentation in Mc Cune-Albright Syndrome?

  • It is limited to one side of the body and has irregular margins. (correct)
  • It occurs on both sides of the body and has irregular margins.
  • It occurs on both sides of the body and has regular margins.
  • It is limited to one side of the body and has regular margins.

    • Focal cemento-osseous dysplasia typically occurs in which area of the jaw?

  • Posterior area of the maxilla
  • Posterior area of the mandible (correct)
  • Anterior area of the mandible
  • Anterior area of the maxilla

    • What is the most common fibro-osseous lesion in the jaw?

  • Fibrous dysplasia
  • Osteosarcoma
  • Cemento-osseous dysplasia (correct)
  • Ossifying fibroma

    • What is the endocrine abnormality associated with Mc Cune-Albright Syndrome?

    <p>Premature sexual development in girls</p> Signup and view all the answers

    What is the typical size of focal cemento-osseous dysplasia?

    <p>Less than 1.5 cm in diameter</p> Signup and view all the answers

    What is a rare but potential complication of fibrous dysplasia?

    <p>Sarcomatous transformation</p> Signup and view all the answers

    What is a common oral manifestation of fibrous dysplasia?

    <p>Unilateral swelling of the maxilla</p> Signup and view all the answers

    When does the mutation of the GNAS1 gene occur in fibrous dysplasia?

    <p>During embryonic development</p> Signup and view all the answers

    What is a skeletal deformity that can occur in fibrous dysplasia?

    <p>Limb length discrepancy</p> Signup and view all the answers

    What is the term for fibrous dysplasia that involves multiple bones?

    <p>Polyostotic fibrous dysplasia</p> Signup and view all the answers

    What is a characteristic of monostotic fibrous dysplasia in terms of skeletal deformities?

    <p>Expansion of the buccal and lingual plates of the mandible</p> Signup and view all the answers

    What is a potential dental complication of monostotic fibrous dysplasia?

    <p>Displacement of teeth due to bone expansion</p> Signup and view all the answers

    What is a characteristic of polyostotic fibrous dysplasia in terms of age of diagnosis?

    <p>Usually diagnosed before 10 years of age</p> Signup and view all the answers

    What is a potential complication of monostotic fibrous dysplasia in terms of sarcomatous transformation?

    <p>Malignant transformation into osteosarcoma</p> Signup and view all the answers

    What is a laboratory finding associated with monostotic fibrous dysplasia?

    <p>Normal serum calcium and alkaline phosphatase levels</p> Signup and view all the answers

    What is a cardiovascular complication of Paget's disease of bone due to increased bone vascularity with multiple arterio-venous shunts during active disease?

    <p>Heart failure</p> Signup and view all the answers

    What is a potential complication of Paget's disease of bone in the maxilla?

    <p>Lion-like facial appearance</p> Signup and view all the answers

    What is a potential complication of tooth extraction in Paget's disease of bone during the avascular sclerotic phase?

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

    What is a potential long-term complication of Paget's disease of bone?

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

    What is a characteristic radiographic feature of Paget's disease of bone?

    <p>Mosaic or jigsaw puzzle appearance</p> Signup and view all the answers

    What is a characteristic feature of the final radiopaque stage of Cemento-osseous dysplasia?

    <p>Individual trabeculae fuse to form a sheet of sclerotic, cemento-osseous material</p> Signup and view all the answers

    What is the main concern in managing asymptomatic patients with Cemento-osseous dysplasia?

    <p>Maintaining good oral hygiene to avoid periodontal conditions and teeth loss</p> Signup and view all the answers

    What is a characteristic feature of Familial gigantiform cementoma?

    <p>A rare hereditary disorder characterized by cemento-osseous proliferation</p> Signup and view all the answers

    What is Ossifying (cemento-ossifying) Fibroma?

    <p>A benign fibro-osseous neoplasm affecting the jaws and craniofacial skeleton</p> Signup and view all the answers

    Why are surgical procedures generally avoided in symptomatic patients with Cemento-osseous dysplasia?

    <p>Because the lesions are hypovascular and prone to necrosis and secondary infection</p> Signup and view all the answers

    What is a possible consequence of Paget's disease of bone in the skull?

    <p>Increase in circumference of the head</p> Signup and view all the answers

    What is a common dental complication of Paget's disease of bone?

    <p>Dentures no longer fit</p> Signup and view all the answers

    Which of the following is a radiographic feature of Paget's disease of bone?

    <p>Patchy areas of sclerotic bone</p> Signup and view all the answers

    What is a possible skeletal deformity resulting from Paget's disease of bone?

    <p>Bowing deformity of weight-bearing bones</p> Signup and view all the answers

    Which of the following is NOT a clinical feature of Paget's disease of bone?

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

    What is a potential neurologic complication of Paget's disease of bone?

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

    What is the primary laboratory finding in Paget's disease of bone?

    <p>High serum alkaline phosphatase levels</p> Signup and view all the answers

    What is the hallmark of Paget's disease of bone histopathology?

    <p>Mosaic appearance</p> Signup and view all the answers

    What is the primary treatment for Paget's disease of bone?

    <p>Bisphosphonate therapy</p> Signup and view all the answers

    What is a complication of Paget's disease that can occur due to encroachment on foramina?

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

    What is a potential complication of Paget's disease in the skeletal system?

    <p>Sarcomatous transformation</p> Signup and view all the answers

    What is the primary goal of bisphosphonate therapy in Paget's disease?

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

    What is a characteristic histopathological feature of Paget's disease of bone?

    <p>Basophilic reversal lines</p> Signup and view all the answers

    What is a common feature of the bone in Paget's disease?

    <p>Mosaic appearance</p> Signup and view all the answers

    What is a complication of Paget's disease that can occur due to vascular fibrous connective tissue?

    <p>Dental complications</p> Signup and view all the answers

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