Podcast
Questions and Answers
For a patient diagnosed with a buccal bifurcation cyst associated with the buccal aspect of the mandibular first molar, particularly prevalent in pediatric populations, which of the following therapeutic modalities is considered the definitive and MOST conservative intervention?
For a patient diagnosed with a buccal bifurcation cyst associated with the buccal aspect of the mandibular first molar, particularly prevalent in pediatric populations, which of the following therapeutic modalities is considered the definitive and MOST conservative intervention?
- Enucleation of the cyst and meticulous curettage of the bony crypt to ensure complete removal. (correct)
- Marsupialization to decompress the cystic cavity and promote bone fill, followed by secondary closure.
- Radical resection encompassing the cyst and the involved molar to prevent recurrence.
- Aspiration of cystic fluid followed by injection of sclerosing agents to obliterate the cystic space.
In the clinical management of a dentigerous cyst exhibiting extensive size and encompassing a significant portion of the mandibular ramus, necessitating extraction of the impacted tooth, what surgical approach is MOST judicious to minimize morbidity and ensure complete cystic resolution?
In the clinical management of a dentigerous cyst exhibiting extensive size and encompassing a significant portion of the mandibular ramus, necessitating extraction of the impacted tooth, what surgical approach is MOST judicious to minimize morbidity and ensure complete cystic resolution?
- Primary closure following enucleation, irrespective of cyst size, to expedite wound healing.
- Two-stage approach involving initial marsupialization to reduce cyst size, followed by secondary enucleation. (correct)
- Aggressive curettage alone, ensuring meticulous removal of the cystic lining and peripheral bone.
- Radical resection of the involved mandibular segment to prevent potential recurrence from residual epithelial remnants.
Considering a lateral periodontal cyst diagnosed in a 45-year-old patient, situated interradicularly between vital mandibular premolars and exhibiting minimal radiographic expansion, which treatment strategy is MOST appropriate to achieve predictable resolution while preserving tooth vitality and function?
Considering a lateral periodontal cyst diagnosed in a 45-year-old patient, situated interradicularly between vital mandibular premolars and exhibiting minimal radiographic expansion, which treatment strategy is MOST appropriate to achieve predictable resolution while preserving tooth vitality and function?
- Surgical enucleation via a minimally invasive approach, ensuring preservation of periodontal ligament and alveolar bone. (correct)
- Root canal therapy on the adjacent vital teeth to preemptively address potential pulpal involvement.
- Observation with periodic radiographic monitoring, given the slow growth potential and benign nature.
- Intralesional injection of corticosteroids to induce cyst regression and avoid surgical intervention.
In managing a glandular odontogenic cyst (GOC) exhibiting multilocular radiolucency and crossing the midline of the mandible in a 50-year-old patient, which surgical approach is MOST critical to minimize recurrence given the GOC's aggressive biological behavior and propensity for multifocality?
In managing a glandular odontogenic cyst (GOC) exhibiting multilocular radiolucency and crossing the midline of the mandible in a 50-year-old patient, which surgical approach is MOST critical to minimize recurrence given the GOC's aggressive biological behavior and propensity for multifocality?
For an odontogenic keratocyst (OKC) diagnosed in the posterior mandible of a 35-year-old patient, exhibiting a large, multilocular radiolucency and demonstrating aggressive growth characteristics, which treatment modality is considered the gold standard to minimize the exceptionally high recurrence rate associated with this lesion?
For an odontogenic keratocyst (OKC) diagnosed in the posterior mandible of a 35-year-old patient, exhibiting a large, multilocular radiolucency and demonstrating aggressive growth characteristics, which treatment modality is considered the gold standard to minimize the exceptionally high recurrence rate associated with this lesion?
In the management of Nevoid Basal Cell Carcinoma Syndrome, characterized by multiple basal cell carcinomas and odontogenic keratocysts, what is the MOST critical long-term management strategy beyond surgical excision of individual lesions?
In the management of Nevoid Basal Cell Carcinoma Syndrome, characterized by multiple basal cell carcinomas and odontogenic keratocysts, what is the MOST critical long-term management strategy beyond surgical excision of individual lesions?
For a nasolabial cyst diagnosed in a 40-year-old female patient, presenting as swelling in the maxillary vestibule lateral to the midline and causing elevation of the ala of the nose, which surgical approach is MOST appropriate for definitive treatment and minimal scarring?
For a nasolabial cyst diagnosed in a 40-year-old female patient, presenting as swelling in the maxillary vestibule lateral to the midline and causing elevation of the ala of the nose, which surgical approach is MOST appropriate for definitive treatment and minimal scarring?
In the management of a nasopalatine duct cyst, exhibiting a heart-shaped radiolucency in the anterior maxilla and confirmed histologically, what is the standard surgical treatment to ensure complete resolution and prevent recurrence?
In the management of a nasopalatine duct cyst, exhibiting a heart-shaped radiolucency in the anterior maxilla and confirmed histologically, what is the standard surgical treatment to ensure complete resolution and prevent recurrence?
Considering an aneurysmal bone cyst (ABC) diagnosed in a 20-year-old patient, presenting with rapid swelling, pain, and radiographic evidence of multilocular radiolucency in the mandible, which treatment modality is MOST effective in managing ABCs while minimizing recurrence and morbidity?
Considering an aneurysmal bone cyst (ABC) diagnosed in a 20-year-old patient, presenting with rapid swelling, pain, and radiographic evidence of multilocular radiolucency in the mandible, which treatment modality is MOST effective in managing ABCs while minimizing recurrence and morbidity?
For a simple bone cyst (traumatic bone cyst) identified in the mandible of a 16-year-old male undergoing orthodontic treatment, exhibiting a characteristic scalloping pattern around the roots of vital teeth, which initial management approach is MOST appropriate?
For a simple bone cyst (traumatic bone cyst) identified in the mandible of a 16-year-old male undergoing orthodontic treatment, exhibiting a characteristic scalloping pattern around the roots of vital teeth, which initial management approach is MOST appropriate?
In the context of a dermoid cyst located in the anterior midline, submental region of a 5-year-old child, presenting as a doughy swelling, what is the definitive treatment to ensure complete removal and prevent recurrence?
In the context of a dermoid cyst located in the anterior midline, submental region of a 5-year-old child, presenting as a doughy swelling, what is the definitive treatment to ensure complete removal and prevent recurrence?
For an epidermoid cyst diagnosed in a 25-year-old male, arising from a hair follicle and presenting as a subcutaneous nodule, which treatment modality is MOST appropriate for definitive management and minimizing recurrence?
For an epidermoid cyst diagnosed in a 25-year-old male, arising from a hair follicle and presenting as a subcutaneous nodule, which treatment modality is MOST appropriate for definitive management and minimizing recurrence?
In the management of a thyroglossal duct cyst, located in the midline of the neck and diagnosed in a 15-year-old patient, what is the surgical procedure of choice to prevent recurrence, considering the cyst's embryologic origin?
In the management of a thyroglossal duct cyst, located in the midline of the neck and diagnosed in a 15-year-old patient, what is the surgical procedure of choice to prevent recurrence, considering the cyst's embryologic origin?
For a bronchial cleft cyst diagnosed in a 30-year-old patient, located on the lateral aspect of the neck anterior to the sternocleidomastoid muscle, which treatment approach is MOST appropriate to ensure definitive resolution and prevent infection?
For a bronchial cleft cyst diagnosed in a 30-year-old patient, located on the lateral aspect of the neck anterior to the sternocleidomastoid muscle, which treatment approach is MOST appropriate to ensure definitive resolution and prevent infection?
In the management of oral lymphoepithelial cysts, commonly found in the floor of the mouth or lateral tongue in young adults, what is the preferred treatment modality for definitive resolution and minimal morbidity?
In the management of oral lymphoepithelial cysts, commonly found in the floor of the mouth or lateral tongue in young adults, what is the preferred treatment modality for definitive resolution and minimal morbidity?
For an ameloblastoma diagnosed in the posterior mandible of a 45-year-old patient, exhibiting aggressive growth and cortical expansion, which surgical treatment strategy is considered MOST appropriate to minimize recurrence and ensure adequate oncologic control?
For an ameloblastoma diagnosed in the posterior mandible of a 45-year-old patient, exhibiting aggressive growth and cortical expansion, which surgical treatment strategy is considered MOST appropriate to minimize recurrence and ensure adequate oncologic control?
In managing a unicystic ameloblastoma, diagnosed in the posterior mandible of a 20-year-old patient, which treatment approach is considered MOST conservative yet effective in achieving resolution and minimizing recurrence?
In managing a unicystic ameloblastoma, diagnosed in the posterior mandible of a 20-year-old patient, which treatment approach is considered MOST conservative yet effective in achieving resolution and minimizing recurrence?
For a calcifying epithelial odontogenic tumor (CEOT, Pindborg tumor) diagnosed in the posterior mandible of a 40-year-old patient, exhibiting a mixed radiolucent-radiopaque lesion, which surgical treatment strategy is MOST appropriate to minimize recurrence and ensure adequate tumor control?
For a calcifying epithelial odontogenic tumor (CEOT, Pindborg tumor) diagnosed in the posterior mandible of a 40-year-old patient, exhibiting a mixed radiolucent-radiopaque lesion, which surgical treatment strategy is MOST appropriate to minimize recurrence and ensure adequate tumor control?
In the management of an adenomatoid odontogenic tumor (AOT) associated with an impacted maxillary canine in a 15-year-old female patient, what is the treatment of choice to achieve complete resolution and allow for orthodontic management of the impacted tooth?
In the management of an adenomatoid odontogenic tumor (AOT) associated with an impacted maxillary canine in a 15-year-old female patient, what is the treatment of choice to achieve complete resolution and allow for orthodontic management of the impacted tooth?
For a squamous odontogenic tumor (SOT) diagnosed in the anterior alveolar ridge of a 40-year-old patient, mimicking periodontal disease, which treatment approach is MOST appropriate given its benign nature and localized presentation?
For a squamous odontogenic tumor (SOT) diagnosed in the anterior alveolar ridge of a 40-year-old patient, mimicking periodontal disease, which treatment approach is MOST appropriate given its benign nature and localized presentation?
In the management of a central odontogenic fibroma (COF) diagnosed in the mandible of a 40-year-old patient, exhibiting slow growth and expansion, what is the treatment of choice to ensure complete resolution and prevent recurrence?
In the management of a central odontogenic fibroma (COF) diagnosed in the mandible of a 40-year-old patient, exhibiting slow growth and expansion, what is the treatment of choice to ensure complete resolution and prevent recurrence?
For an odontogenic myxoma diagnosed in the posterior mandible of a 30-year-old patient, exhibiting a large, multilocular 'soap bubble' radiolucency and aggressive infiltration, which surgical approach is MOST critical to minimize recurrence given the tumor's infiltrative nature?
For an odontogenic myxoma diagnosed in the posterior mandible of a 30-year-old patient, exhibiting a large, multilocular 'soap bubble' radiolucency and aggressive infiltration, which surgical approach is MOST critical to minimize recurrence given the tumor's infiltrative nature?
In the management of a cementoblastoma attached to the root of a vital mandibular molar in a 25-year-old patient, what is the MOST appropriate surgical intervention to address the lesion and preserve surrounding structures?
In the management of a cementoblastoma attached to the root of a vital mandibular molar in a 25-year-old patient, what is the MOST appropriate surgical intervention to address the lesion and preserve surrounding structures?
For an odontoma (complex or compound) diagnosed in a 14-year-old patient, preventing eruption of an adjacent permanent tooth, what is the standard treatment to resolve the impaction and allow for normal dental development?
For an odontoma (complex or compound) diagnosed in a 14-year-old patient, preventing eruption of an adjacent permanent tooth, what is the standard treatment to resolve the impaction and allow for normal dental development?
In the management of ameloblastic fibroma or fibro-odontoma diagnosed in a 10-year-old patient, exhibiting slow growth and expansion in the posterior mandible, what is the recommended treatment approach to ensure complete resolution and minimize recurrence in this pediatric population?
In the management of ameloblastic fibroma or fibro-odontoma diagnosed in a 10-year-old patient, exhibiting slow growth and expansion in the posterior mandible, what is the recommended treatment approach to ensure complete resolution and minimize recurrence in this pediatric population?
For an ameloblastic fibrosarcoma diagnosed in the mandible of a 60-year-old patient, arising de novo, exhibiting rapid growth and pain, which treatment modality is MOST critical to improve prognosis and achieve oncologic control of this malignant tumor?
For an ameloblastic fibrosarcoma diagnosed in the mandible of a 60-year-old patient, arising de novo, exhibiting rapid growth and pain, which treatment modality is MOST critical to improve prognosis and achieve oncologic control of this malignant tumor?
In the management of Paget's disease of bone affecting the jaws in an elderly patient, presenting with bone pain and enlarged jaws, what is the primary therapeutic approach to manage symptoms and reduce bone turnover?
In the management of Paget's disease of bone affecting the jaws in an elderly patient, presenting with bone pain and enlarged jaws, what is the primary therapeutic approach to manage symptoms and reduce bone turnover?
For a patient diagnosed with Gardner's syndrome, presenting with multiple osteomas, odontomas, and impacted teeth, what is the MOST critical aspect of long-term management to address the systemic manifestations and prevent life-threatening complications?
For a patient diagnosed with Gardner's syndrome, presenting with multiple osteomas, odontomas, and impacted teeth, what is the MOST critical aspect of long-term management to address the systemic manifestations and prevent life-threatening complications?
In the management of osteopetrosis (marble bone disease), infantile type, presenting with marrow failure and frequent fractures, what is the MOST definitive treatment to address the underlying hematopoietic defect and improve bone marrow function?
In the management of osteopetrosis (marble bone disease), infantile type, presenting with marrow failure and frequent fractures, what is the MOST definitive treatment to address the underlying hematopoietic defect and improve bone marrow function?
For a patient with cherubism, a genetic disorder causing painless, bilateral expansion of the posterior mandible in childhood, what is the MOST appropriate long-term management strategy, considering the self-limiting nature of the condition?
For a patient with cherubism, a genetic disorder causing painless, bilateral expansion of the posterior mandible in childhood, what is the MOST appropriate long-term management strategy, considering the self-limiting nature of the condition?
In the management of fibrous dysplasia affecting the jaws, particularly in a patient with polyostotic involvement, what is the primary goal of treatment, considering the benign but potentially deforming nature of the condition?
In the management of fibrous dysplasia affecting the jaws, particularly in a patient with polyostotic involvement, what is the primary goal of treatment, considering the benign but potentially deforming nature of the condition?
For a central giant cell granuloma (CGCG) diagnosed in the anterior mandible of a 25-year-old patient, exhibiting aggressive behavior and cortical perforation, which treatment modality is MOST effective and evidence-based to manage this lesion?
For a central giant cell granuloma (CGCG) diagnosed in the anterior mandible of a 25-year-old patient, exhibiting aggressive behavior and cortical perforation, which treatment modality is MOST effective and evidence-based to manage this lesion?
In the management of a central hemangioma of the mandible, diagnosed in a 15-year-old patient, presenting with bleeding risk and multilocular radiolucency, what is the MOST critical initial step before considering surgical intervention?
In the management of a central hemangioma of the mandible, diagnosed in a 15-year-old patient, presenting with bleeding risk and multilocular radiolucency, what is the MOST critical initial step before considering surgical intervention?
For an osteoblastoma diagnosed in the posterior mandible of a 35-year-old patient, presenting with mild pain and a well-circumscribed radiolucency, which treatment modality is MOST appropriate to achieve definitive resolution?
For an osteoblastoma diagnosed in the posterior mandible of a 35-year-old patient, presenting with mild pain and a well-circumscribed radiolucency, which treatment modality is MOST appropriate to achieve definitive resolution?
In the management of osteoid osteoma diagnosed in the mandible of a 20-year-old patient, presenting with nocturnal pain relieved by aspirin, what is the MOST definitive treatment to eradicate the nidus and resolve symptoms?
In the management of osteoid osteoma diagnosed in the mandible of a 20-year-old patient, presenting with nocturnal pain relieved by aspirin, what is the MOST definitive treatment to eradicate the nidus and resolve symptoms?
For a mandibular osteoma located on the lingual surface, causing difficulty with mouth opening, which treatment approach is MOST appropriate to improve function and address symptoms?
For a mandibular osteoma located on the lingual surface, causing difficulty with mouth opening, which treatment approach is MOST appropriate to improve function and address symptoms?
In the management of chondrosarcoma of the maxilla, diagnosed in a 45-year-old patient, presenting with painless swelling and tooth mobility, what is the MOST critical treatment modality to achieve oncologic control and improve survival?
In the management of chondrosarcoma of the maxilla, diagnosed in a 45-year-old patient, presenting with painless swelling and tooth mobility, what is the MOST critical treatment modality to achieve oncologic control and improve survival?
For osteosarcoma of the mandible, diagnosed in a 30-year-old patient, presenting with swelling, pain, and toothache, what is the MOST effective treatment strategy to improve prognosis and manage this aggressive malignant tumor?
For osteosarcoma of the mandible, diagnosed in a 30-year-old patient, presenting with swelling, pain, and toothache, what is the MOST effective treatment strategy to improve prognosis and manage this aggressive malignant tumor?
In the management of Langerhans cell histiocytosis (LCH) affecting the jaws in a child, presenting with 'teeth floating in air' and bone loss, what is the MOST appropriate initial treatment approach, considering the variable clinical presentation of LCH?
In the management of Langerhans cell histiocytosis (LCH) affecting the jaws in a child, presenting with 'teeth floating in air' and bone loss, what is the MOST appropriate initial treatment approach, considering the variable clinical presentation of LCH?
For Ewing's sarcoma diagnosed in the mandible of a 16-year-old patient, presenting with pain, swelling, and 'onion-skin' periosteal reaction, what is the MOST effective multi-modal treatment strategy to improve survival rates for this highly malignant tumor?
For Ewing's sarcoma diagnosed in the mandible of a 16-year-old patient, presenting with pain, swelling, and 'onion-skin' periosteal reaction, what is the MOST effective multi-modal treatment strategy to improve survival rates for this highly malignant tumor?
Flashcards
Periapical cyst treatment
Periapical cyst treatment
RCT or apicoectomy
Buccal bifurcation cyst treatment
Buccal bifurcation cyst treatment
Enucleation
Eruption cyst treatment
Eruption cyst treatment
None
Gingival cyst (adult) treatment
Gingival cyst (adult) treatment
Signup and view all the flashcards
Lateral periodontal cyst treatment
Lateral periodontal cyst treatment
Signup and view all the flashcards
OKC Treatment
OKC Treatment
Signup and view all the flashcards
Nasolabial cyst treatment
Nasolabial cyst treatment
Signup and view all the flashcards
Nasopalatine cyst treatment
Nasopalatine cyst treatment
Signup and view all the flashcards
Simple Bone Cyst/Traumatic Bone Cyst treatment
Simple Bone Cyst/Traumatic Bone Cyst treatment
Signup and view all the flashcards
Dermoid cyst treatment
Dermoid cyst treatment
Signup and view all the flashcards
Epidermoid cyst treatment
Epidermoid cyst treatment
Signup and view all the flashcards
Thyroglossal duct cyst treatment
Thyroglossal duct cyst treatment
Signup and view all the flashcards
Branchial cleft cyst treatment
Branchial cleft cyst treatment
Signup and view all the flashcards
Oral lymphoepithelial cyst treatment
Oral lymphoepithelial cyst treatment
Signup and view all the flashcards
Ameloblastoma treatment
Ameloblastoma treatment
Signup and view all the flashcards
Unicystic ameloblastoma treatment
Unicystic ameloblastoma treatment
Signup and view all the flashcards
Calcifying Epithelial Odontogenic Tumor (CEOT) treatment
Calcifying Epithelial Odontogenic Tumor (CEOT) treatment
Signup and view all the flashcards
Adenomatoid Odontogenic Tumor (AOT) treatment
Adenomatoid Odontogenic Tumor (AOT) treatment
Signup and view all the flashcards
Squamous Odontogenic Tumor (SOT) treatment
Squamous Odontogenic Tumor (SOT) treatment
Signup and view all the flashcards
Central Odontogenic Fibroma treatment
Central Odontogenic Fibroma treatment
Signup and view all the flashcards
Odontogenic Myxoma treatment
Odontogenic Myxoma treatment
Signup and view all the flashcards
Cementoblastoma treatment
Cementoblastoma treatment
Signup and view all the flashcards
Odontoma treatment
Odontoma treatment
Signup and view all the flashcards
Ameloblastic fibroma treatment
Ameloblastic fibroma treatment
Signup and view all the flashcards
Ameloblastic Fibrosarcoma treatment
Ameloblastic Fibrosarcoma treatment
Signup and view all the flashcards
Paget's Disease of Bone management
Paget's Disease of Bone management
Signup and view all the flashcards
Fibrous Dysplasia management
Fibrous Dysplasia management
Signup and view all the flashcards
Ossifying Fibroma treatment
Ossifying Fibroma treatment
Signup and view all the flashcards
Juvenile Ossifying fibroma treatment
Juvenile Ossifying fibroma treatment
Signup and view all the flashcards
Langerhans Cell Histiocytosis treatment
Langerhans Cell Histiocytosis treatment
Signup and view all the flashcards
Ewing's Sarcoma treatment
Ewing's Sarcoma treatment
Signup and view all the flashcards
Osteoblastoma treatment
Osteoblastoma treatment
Signup and view all the flashcards
Ameloblastic Fibrosarcoma treatment
Ameloblastic Fibrosarcoma treatment
Signup and view all the flashcards
Osteosarcoma treatment
Osteosarcoma treatment
Signup and view all the flashcards
Central Giant Cell Granuloma treatment
Central Giant Cell Granuloma treatment
Signup and view all the flashcards
Study Notes
Inflammatory Odontogenic Cysts
- These are the most common cysts of the jaw.
- Radiographic signs include widening of the periodontal ligament and possible root resorption.
Periapical (Radicular) Cyst:
- Can occur at any age, predominantly in individuals in their 20s to 50s.
- Characterized by non-vital teeth.
- Treatment involves root canal therapy or apicoectomy.
Residual Periapical Cyst:
- Arises from previous tooth extractions where epithelium is left behind.
- Inflammatory cells continue to proliferate.
Paradental Cyst:
- Appears as a radiolucency distal to the third molar.
Buccal Bifurcation Cyst:
- Located on the buccal aspect of the mandibular first molar.
- Commonly found in children.
- Treatment includes enucleation.
Developmental Odontogenic Cysts
- Most common developmental odontogenic cyst is the Dentigerous cyst
Dentigerous Cyst:
- Typically occurs in individuals aged 10 to 30 years.
- Often presents with a sclerotic border and is unilocular.
- Can become large and extend, or remain small and extrude a tooth.
- Treatment involves enucleation.
Eruption Cyst:
- Occurs in the first decade of life and appears as a nodule on the gingiva.
- Commonly associated with the first molars and maxillary incisors.
- Usually requires no treatment.
Gingival Cyst of the Newborn:
- Palatal cysts include Bohn’s nodules and Epstein pearls.
- Gingival cysts appear on the alveolar ridge mucosa.
- Presents as 1-3 mm white, creamy papules.
Gingival Cyst of the Adult:
- Occurs in individuals in their 40s and 50s.
- Presents as a painless, dome-like swelling that is bluish or grayish.
- Most commonly located in the mandibular canine/premolar region.
- Treatment is excision.
Lateral Periodontal Cyst:
- Occurs after age 30.
- Typically found in the mandibular canine/premolar region.
- Unilocular, located lateral to the root or between teeth.
- Usually does not extend past the apex.
- Teeth are vital.
- Treatment involves enucleation.
Glandular Odontogenic Cyst:
- Uncommon
- Occurs around age 40.
- Presents as a unilocular or multilocular lesion.
- More commonly found in the anterior mandible.
- May cross the midline.
- Well-defined and corticated.
- Treatment involves enucleation.
Odontogenic Keratocyst (OKC):
- Occurs between ages 10 and 40, but can occur at any age.
- More common in the mandible (60-80%).
- Often corticated.
- Grows antero-posteriorly before laterally.
- Treatment involves enucleation with peripheral ostectomy.
Nevoid Basal Cell Carcinoma:
- Associated with PTCH mutation.
- Characterized by multiple basal cell carcinomas of the skin, calcified falx cerebri, rib anomalies, epidermal cysts of the skin, palmar/plantar pitting, and increased risk of medulloblastoma.
Treatment notes for Odontogenic Cysts
Enucleation with Peripheral Ostectomy
- Treatment for cysts such as Odontogenic Keratocyst (OKC).
Calcifying Odontogenic Cyst (COC):
- Usually unilocular.
- May present as mixed (radiolucent/radiopaque).
- Typically occurs around age 30.
- More commonly found in the anterior mandible to molars or incisor/canine area.
- May cause blunt root resorption or displacement of roots.
Non-Odontogenic cysts
Nasolabial Cyst:
- Occurs in females in their 30s-40s
- Swelling in the lateral maxillary vestibule causing elevation of the ala of the nose.
- Surgical excision via intraoral approach treatement
Nasopalatine Cyst (Median Palatal Cyst):
- Usually in 30-50 year olds but can occur at any age.
- Can cause swelling of the anterior palate.
- Radiographically presents as a sclerotic radiolucency.
- Superimposition with the nasal septum or heart-shaped appearance.
- Surgical excision or enucleation treatment
Pseudocysts
- Not true cysts
Aneurysmal Bone Cyst (ABC)
- Usually in 20 year olds, first to second decade
- Rapid swelling, can be painful with paresthesia
- Unilocular or multilocular
- Teeth can be displaced, cortical expansion or thinning, spikey root resorption
Antral Pseudocyst:
- Accumulation of inflammatory exudate in the sinus.
- Radiographically appears as a dome-shaped elevation of the sinus floor.
Simple Bone Cyst/Traumatic Bone Cyst:
- Reactive
- Occurs in younger patients undergoing orthodontic treatment, more commonly in males.
- Usually in the mandibular premolar/molar region.
- Characterized by a painless swelling and scalloping; teeth are vital.
- Associated with florid cemento-osseous dysplasia.
- Diagnosis through biopsy (exploration and curettage).
Hematopoietic Bone Marrow Defect:
- Often in females in the posterior mandible.
- Frequently occurs in areas where extractions have happened.
- Presents as an irregular shaped radiolucency.
Stafne Bone Cyst:
- Focal concavity of cortical bone on the lingual mandible in adult males
- Located at the angle of the mandible below the inferior alveolar nerve.
- Well corticated.
- No treatment is needed.
Soft Tissue Cysts
Dermoid Cyst:
- Occurs in the 1st or 2nd decade of life.
- Appears as a doughy or rubbery swelling, usually on the anterior floor of the mouth on the midline.
- May elevate the tongue or present under the chin.
- Treatment is surgical excision.
Epidermoid Cyst:
- Arises after inflammation of a hair follicle, more common in males.
- Unusual before puberty.
- Associated with Gardner's syndrome.
- Subcutaneous nodule, firm-fluctuant papule on skin.
- Treatment is excision.
- Differential diagnosis includes salivary gland tumor/pleomorphic adenoma.
Thyroglossal Duct Cyst:
- Forms at the midline and 30% present prior to age 20
- If infected, can have a fistula tract
- Treatment is surgical excision.
Branchial Cleft Cyst:
- Lateral aspect of the neck, anterior to the SCM and occurs most often in young people
- Present from 20-40's
- Soft fluctuant swelling.
- Multiple lympoepithelial cysts bilaterally in patients with human immunodeficiency virus
- Surgical Excision as treatment
Oral Lymphoepithelial Cyst:
- Floor of the mouth
- Can also happen on the lateral posterior tongue, tonsillar, soft/firm
- Palate
- Creamy or yellow in color for young adults
- Pailess
- Ecision treatment
Benign Odontogenic Tumors
Ameloblastoma:
- Usually occurs around age 40, but can occur at any age.
- More common in the mandible (>80%).
- Associated with BRAF mutation.
- Can be bicortical or unilocystic.
- Sclerotic borders, blunt root resorption, and possible displacement of teeth.
- Treatment is resection.
- Unicystic variant treated with enucleation and curettage in the 2nd decade of life.
Calcifying Epithelial Odontogenic Tumor (CEOT):
- Most often found in people that are 30 to 50
- Usually on the posterior mandible and well defined
- Mixed (calcifications)
- In the 3rd molar, can have swelling of gingiva/alveolus
- Treatment is conservative local resection with rim of normal bone
Adenomatoid Odontogenic Tumor (AOT):
- Anterior jaws, female
- Impacted on K9 tooth
- Typically in 2nd decade, from ages 10 to 19
- 75% are unilocular involving the crown of an interrupted tooth.
- Can be mixed (snowflake calcifications)
- If mixed can have divergence of roots
- Enucleation as Treatment
Squamous Odontogenic Tumor (SOT):
- Rare and arise from rests of Malassez
- Usually people around 40 years of age
- Often located in the anterior alveolar ridge.
- May cause tooth mobility and slight pain.
- Presents as a semilunar radiolucency of the alveolar ridge.
- Can be well-defined.
- Conservative local excision as Treatment
Central Odontogenic Fibroma:
- Mean age of people that get it is 40
- Appears unilocular/multilocular
- Fibromas tend to expand in a circular oval shape
- It happens in the bone
- Treatment is enucleation & curettage
Aggressive Treatment notes for Odontogenic Tumors
- Maxillary posterior lesions should be treated more aggressively due to proximity to the MX sinus and base of skull.
Odontogenic Myxoma:
- Primarily in people that are 25 to 30 years old and more common in the mandible than the maxilla
- Can cause large, painless expansion of bone.
- Appears multilocular - "Soap bubble" RL, scalloping of borders and around roots of teeth
- Displace tooth & is able to resorb roots
- Surgical Ecision to remove
Cementoblastoma:
- Located on the root and its vital
- Occurs in 2nd to 3rd decade and is 75 % prior to 30 yr and occurs more often in the mandibular.
- Is over 75%, and 90% molar and premolar region
- 2/3 cases have swelling
- Thin RL mass fused to the root, that's thin
- If small, root amputation with attached tumor and endo is performed.
- Surgical extraction of tooth with tumor as treatment
Odontoma (Complex & Compound):
- Stops at certain size
- Made of E&D
- Can prevent EU
- Ant jaws small tooth like and poster poorly developed mass of cacified
- Excision or enucleation treatment
Ameloblastic Fibroma (AF) / Ameloblastic Fibro-Odontoma (AFO):
- Occurs in younger people, in first two decades of life, average being 12 yrs old
- Is able to expand
- Tx is always surgical
Benign Non-Odontogenic Tumors of Bone.
Central Giant Cell Granuloma (CGCG):
- Typically prior to age 30 and in the anterior of the mandible
- Usually, most are reactive
- Crosses midline, frequently may perforate and displaces teeth
- Not commonly Cort
- Not necessarily assicated with Hyper Parathy
- Should rule out Aneurysmal
- Curettage or injectison as treatment
Central Hemangioma:
- Risk of bleeding
- Aspirate first beofre multilocateed RL
- M>M
- slowly expanding swelling
Central Arteriovenous Malformations (CAMs):
- Look serrated/snakelike
- With intact bonne
- Enlarging canal
Osteoblastoma:
- Most are MD
- Not well with asperin
Osteosarcoma:
- Not with asprin!
- Painfuller
Osteomas
- Body of the MD or Condy, with tongue
- Peri and end stuff
- Mushroom like
Malignant and Non-Odontogenic Tumors notes
Chondrosarcoma:
- The worst kind
- Doesnt follow Chemo or radiation
Condyloma:
- Look for pain and the symetrical area and expanding and expanding the PDL over time.
Osteopetrosis:
- Looks hard
- Not eating foods
Osteomas:
- Bony
Paget's:
- Bone hurting and cotton
Other diseases or syndromes
Cherubism:
- Is genetic
- Big Jaws
Florid Desomoplasia:
- Look everywhere
Fibro dysplasia:
- Is genetic and will look a bit ground glass like
Polyostotic FD:
- Is macoon
Other tooth notes
Floating teeth:
- Langerhaus
- Always look for signs if people are floating in kids!
- DDX aggressive perio
- Histocytosis
- Lymphomas
- Cyclic neutrophima
- Papilon nefro
Periapical Cemento-osseous Dysplasia:
- Starts Lucent and then becomes Opec.
- Single sit
- All of same race
- All the same
Cemento stuff
Ceemento:
- Osseous and over African
- Americans
- Except you see it in people around the apex and they are not often affiliated to that group
- Non EXP
- Not with tooth pain
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
