Oral and Maxillofacial Pathology: Cysts and Cyst-Like Lesions
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Questions and Answers

What is the definition of odontogenic cysts?

  • Cysts arising from embryonic vestiges or tracts
  • Cysts containing fluid or semi-fluid material
  • Inflammatory cysts occurring in the periodontium of the tooth (correct)
  • Non-inflammatory cysts occurring in the periodontium of the tooth
  • Which type of cyst is characterized by epithelial proliferation resulting in necrosis of central cells?

  • Residual Cyst (correct)
  • Gingival Cyst of Adult
  • Primordial Cyst
  • Orthokeratinized Odontogenic Cyst
  • What is a potential consequence of odontogenic cysts?

  • Osteomyelitis (correct)
  • Disfigurement of face
  • Reduced intracystic pressure
  • Enhanced eruption of teeth
  • Which type of cyst may prevent the eruption of teeth?

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

    What is a characteristic feature of non-odontogenic cysts?

    <p>Neoplasms arising from the epithelial lining</p> Signup and view all the answers

    Which type of cyst is an example of an odontogenic keratocyst?

    <p>Orthokeratinized Odontogenic Cyst</p> Signup and view all the answers

    Which type of cyst is categorized as a non-odontogenic cyst?

    <p>Median Palatal Cyst</p> Signup and view all the answers

    What is a common feature of cyst-like lesions?

    <p>'Serres pearl' and 'RDE' are associated with their formation</p> Signup and view all the answers

    Which type of cyst is an example of a non-odontogenic fissural cyst?

    <p>'Median Alveolar Cyst'</p> Signup and view all the answers

    'Aneurysmal Bone Cyst' is an example of which category?

    <p>Non-Odontogenic Cysts.</p> Signup and view all the answers

    Which odontogenic cyst is the most common in the oral cavity?

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

    What is the histogenesis of the apical cyst?

    <p>Ep. rests of Malassez within a granuloma</p> Signup and view all the answers

    What is a key clinical feature associated with the apical cyst?

    <p>Always associated with a non-vital tooth</p> Signup and view all the answers

    What is the characteristic radiographic appearance of the apical cyst?

    <p>Well-defined radiolucent area surrounded by radiopaque margin</p> Signup and view all the answers

    What is commonly found in the connective tissue wall of the apical cyst?

    <p>Russell bodies (eosinophilic masses representing ageing plasma cells)</p> Signup and view all the answers

    What type of epithelial lining is commonly seen in the apical cyst?

    <p>Hyperplastic non-keratinized stratified squamous epithelium</p> Signup and view all the answers

    What is the characteristic fluid found in the cystic cavity of an apical cyst?

    <p>Yellowish, transparent fluid (sterile unless infected)</p> Signup and view all the answers

    What clinical manifestation may occur if an apical cyst enlarges and presses on the inferior alveolar nerve?

    <p>Numbness of the lower lip</p> Signup and view all the answers

    What does aspiration biopsy reveal in differentiating between cysts and tumors?

    <p>Presence of a fluid</p> Signup and view all the answers

    How might an infected apical cyst behave?

    <p>As an abscess</p> Signup and view all the answers

    Study Notes

    Odontogenic Cysts

    • Definition: Odontogenic cysts are cysts that originate from odontogenic tissues, including enamel, dentin, and pulp.
    • Characteristic feature: Epithelial-lined cavities that can arise from various parts of the tooth-forming apparatus.

    Types of Cysts

    • Odontogenic keratocyst: Characterized by epithelial proliferation resulting in necrosis of central cells.
    • Non-odontogenic cyst: Characterized by the absence of odontogenic epithelium.
    • Fissural cyst: A type of non-odontogenic cyst that may prevent the eruption of teeth.

    Apical Cyst

    • Definition: A type of odontogenic cyst that arises from the apical region of a tooth.
    • Histogenesis: Derived from the epithelial rests of Malassez.
    • Clinical feature: Often asymptomatic, but can cause pain and swelling.
    • Radiographic appearance: Radiolucent lesion at the apex of a tooth.
    • Connective tissue wall: May contain inflammatory cells and blood vessels.
    • Epithelial lining: Typically simple cuboidal or flat.
    • Cystic cavity fluid: Straw-colored fluid with protein and inflammatory cells.
    • Clinical manifestation: Compression of the inferior alveolar nerve can cause numbness or paresthesia of the lip and chin.
    • Aspiration biopsy: Reveals the nature of the lesion, helping to differentiate between cysts and tumors.

    Infected Apical Cyst

    • Behavior: May behave like an abscess, with pain, swelling, and pus.

    Miscellaneous

    • Aneurysmal Bone Cyst is an example of a non-odontogenic cyst.
    • Odontogenic cysts can have a significant impact on dental health and may require surgical intervention.
    • Cyst-like lesions often have a characteristic fluid-filled cavity.

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    Test your knowledge on cysts and cyst-like lesions in the context of oral and maxillofacial pathology. Explore pathological cavities, epithelial proliferation, and intracystic pressure in this quiz.

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