Apical Radiolucent Lesion Flashcards
1
Q
What are possible differentials for large radiolucent corticated uni-locular lesion in mandible?
A
Radicular cyst
Odontogenic tumour - ameloblastoma/ keratocyst
Non-Odontogenic - Stafne bone cyst
Malignancy - metastasis
2
Q
If see large radiolucent area on PA - what history should you take?
A
Facial swelling
Altered sensation
Tooth mobility
If pt was aware of this
3
Q
What need to check for during clinical exam if see large radiolucent lesion?
A
Change in occlusion
Alveolar bone expansion
Sinus
Mobility or displacement of teeth
Vitality testing
4
Q
Where does radicular cyst arise from?
A
Cell rests of Mallasez - non-vital tooth
5
Q
What to do if lesion >2cm in size
A
Unlikely to resolve w/ RCT or XLA alone
Require biopsy for diagnosis
