Orofacial Cysts Overview
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Orofacial Cysts Overview

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Questions and Answers

What is the primary characteristic of a cyst?

  • It originates only from developmental processes.
  • It is lined by connective tissue.
  • It contains fluid, semifluid, or gas. (correct)
  • It is always malignant.
  • In which stage of tooth development does histodifferentiation occur?

  • Histodifferentiation stage (correct)
  • Initiation stage
  • Proliferation stage
  • Eruption stage
  • Which of the following is NOT a type of cyst mentioned?

  • Dentigerous cyst
  • Residual periapical radicular cyst
  • Maxillary cyst (correct)
  • Buccal bifurcation cyst
  • Where do ectomesenchymal cells migrate from during tooth formation?

    <p>Neural crest</p> Signup and view all the answers

    What type of cyst is more commonly associated with inflammation?

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

    How do epithelial rests of Serres form?

    <p>From the dental lamina in the gingiva</p> Signup and view all the answers

    What is a key factor associated with developmental cysts?

    <p>They arise from specific gene mutations.</p> Signup and view all the answers

    Which process follows the calcification stage in tooth development?

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

    What type of tooth is always associated with a radicular cyst?

    <p>Non-vital Tooth</p> Signup and view all the answers

    Which variant of radicular cyst is located around the apex of a tooth?

    <p>Periapical / Apical Periodontal Cyst</p> Signup and view all the answers

    What is the typical clinical presentation of a radicular cyst?

    <p>Usually asymptomatic unless infected or large</p> Signup and view all the answers

    What is a common radiographic feature of a radicular cyst?

    <p>Unilocular, evenly radiolucent lesion</p> Signup and view all the answers

    What type of microscopic appearance is associated with a radicular cyst?

    <p>Non-keratinized stratified squamous epithelium with a thick capsule</p> Signup and view all the answers

    Which treatment option is NOT used for a radicular cyst?

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

    Where do inflammatory collateral cysts usually develop?

    <p>Adjacent to cervical area or furcation of molars</p> Signup and view all the answers

    What condition is often associated with a paradental cyst?

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

    What is the most common location for an odontogenic keratocyst (OKC)?

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

    Which of the following features is NOT associated with an odontogenic keratocyst?

    <p>Thick cyst wall</p> Signup and view all the answers

    What type of epithelium lines an odontogenic keratocyst?

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

    Which treatment is commonly employed for large odontogenic keratocysts?

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

    What condition is most directly associated with multiple odontogenic keratocysts?

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

    Which of the following is a feature of Nevoid Basal Cell Carcinoma Syndrome?

    <p>Calcification of the falx cerebri</p> Signup and view all the answers

    What is the recurrence rate of odontogenic keratocysts after treatment?

    <p>High recurrence rate</p> Signup and view all the answers

    Which type of cyst is known for causing minimal cortical expansion?

    <p>Odontogenic keratocyst</p> Signup and view all the answers

    Where is a buccal bifurcation cyst typically found?

    <p>Along the buccal aspect of an erupting mandibular molar</p> Signup and view all the answers

    What is a notable feature of a dentigerous cyst's radiographic appearance?

    <p>Unilocular radiolucency surrounding the crown of an unerupted tooth</p> Signup and view all the answers

    What is the most common clinical presentation of a dentigerous cyst?

    <p>Associated with an unerupted tooth at the neck portion</p> Signup and view all the answers

    What is a common treatment option for a buccal bifurcation cyst?

    <p>Enucleation of the cyst and extraction of the involved tooth</p> Signup and view all the answers

    Which type of cyst is considered the second most common odontogenic cyst?

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

    What histological feature is commonly seen in a dentigerous cyst?

    <p>Cystic cavity lined by cuboidal or stratified squamous epithelium</p> Signup and view all the answers

    Which risk is associated with large dentigerous cysts after treatment?

    <p>Pathologic fracture of adjacent bones</p> Signup and view all the answers

    What treatment may be necessary if the roots of an unerupted tooth are close to the mandibular nerve?

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

    What is the typical clinical behavior of an orthokeratinized odontogenic cyst compared to an odontogenic keratocyst (OKC)?

    <p>Less aggressive than OKC</p> Signup and view all the answers

    Which microscopic feature is characteristic of a lateral periodontal cyst?

    <p>Cystic cavity lined by stratified squamous epithelium with glycogen-filled clear cells</p> Signup and view all the answers

    What is the typical radiographic appearance of a lateral periodontal cyst?

    <p>Unilocular radiolucency between roots of teeth</p> Signup and view all the answers

    Which of the following is true regarding the treatment of botryoid odontogenic cyst?

    <p>Enucleation shows a tendency to recur</p> Signup and view all the answers

    Where does the lateral periodontal cyst typically originate from?

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

    What is a common feature of the orthokeratinized odontogenic cyst in terms of its association with teeth?

    <p>Frequently associated with an impacted tooth</p> Signup and view all the answers

    Which statement about the clinical presentation of a botryoid odontogenic cyst is accurate?

    <p>Can cause significant bone expansion</p> Signup and view all the answers

    Which patient demographic is most commonly affected by a lateral periodontal cyst?

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

    Study Notes

    Orofacial Cysts Overview

    • A cyst is a pathological cavity containing fluid or gas, lined with epithelium and surrounded by a fibrous capsule.
    • Cysts can arise from developmental or inflammatory processes.

    Tooth Development

    • Teeth originate from tissues derived from ectoderm and mesoderm.
    • Ectomesenchymal cells migrate from the neural crest to form teeth.
    • Stages of tooth development include initiation, proliferation, histodifferentiation, morphodifferentiation, apposition, calcification, eruption, and attrition.
    • Progenitor cells remaining post-development can lead to cyst formation.

    Types of Cysts

    Inflammatory Cysts

    • Commonly associated with non-vital teeth.
    • Examples include:
      • Periapical radicular cyst: the most prevalent jaw cyst linked to non-vital teeth.
      • Residual periapical cyst: occurs at a site of a previously extracted tooth.
      • Buccal bifurcation cyst: located adjacent to the buccal aspect of molars.

    Developmental Cysts

    • Usually arise from unknown causes or specific gene mutations.
    • Examples include:
      • Dentigerous cyst: the second most common odontogenic cyst, associated with unerupted teeth.
      • Odontogenic keratocyst (OKC): aggressive behavior and often multilocular.

    Specific Cyst Types

    Periapical Radicular Cyst

    • Associated with periapical inflammation due to non-vital teeth.
    • Radiographically appears as a well-defined unilocular radiolucent lesion.
    • Treatment includes root canal therapy, periapical surgery, or tooth extraction.

    Dentigerous Cyst

    • Develops from fluid accumulation around the crown of an unerupted tooth, often seen with impacted molars.
    • Well-defined radiolucency surrounding the tooth.
    • Treatment options include surgical enucleation and orthodontic intervention.

    Odontogenic Keratocyst (OKC)

    • Originates from epithelial rests and is known for aggressive growth.
    • Radiographically, may show a "soap-bubble" appearance and is often multilocular.
    • Surgical enucleation and careful follow-up are necessary due to high recurrence rates.

    Nevoid Basal Cell Carcinoma Syndrome

    • Genetic disorder marked by multiple OKCs, basal cell carcinomas, and other skeletal anomalies.
    • Associated with mutations in the PATCH (PTCH) tumor suppressor gene.

    Orthokeratinized Odontogenic Cyst

    • Less aggressive than OKC, commonly associated with impacted teeth.
    • Radiographically appears as a unilocular radiolucency and has a low recurrence rate.

    Lateral Periodontal Cyst

    • Develops in the periodontal ligament, often asymptomatic, seen in adults.
    • Characterized by a small, well-defined unilocular radiolucency.

    Botryoid Odontogenic Cyst

    • Rare variant of lateral periodontal cyst, appears as multilocular radiolucency resembling a "cluster of grapes."
    • Tends to recur post-enucleation.

    Treatment Approaches

    • Enucleation and extraction of teeth linked to cysts are common treatments.
    • Other options include marsupialization for large lesions and orthodontic assistance where applicable.
    • Long-term monitoring is vital due to recurrence potential with certain cyst types.

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    Related Documents

    OROFACIAL CYSTS 1.pdf

    Description

    Explore the nature and classification of orofacial cysts, their pathological origins, and the characteristics of their lining and contents. This quiz will test your understanding of cyst formation related to developmental and inflammatory processes.

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