BONE DISORDERS (ppt) Flashcards
T/F
OSTEOGENESIS IMPERFECTA is autosomal dominant
T
“Brittle Bones”
OSTEOGENESIS IMPERFECTA
Fragilatis Ossium
OSTEOGENESIS IMPERFECTA
Osteopsathyrosis
OSTEOGENESIS IMPERFECTA
Lobstein’s Disease
OSTEOGENESIS IMPERFECTA
abnormality in the type I collagen (bone, ligament, dentin, and sclera)
OSTEOGENESIS IMPERFECTA
fragility of bones
OSTEOGENESIS IMPERFECTA
OSTEOGENESIS IMPERFECTA has 2 Forms:
- Vrolik’s type
- Lobstein type
T/F
OSTEOGENESIS IMPERFECTA increase bone mass
False
(INCREASE bone mass)
Extreme fragility /porosity of bones
OSTEOGENESIS IMPERFECTA
- abnormal electrical response of muscles
- Triangular-shaped head
- Pale, blue sclera
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
Q. CHERUBISM
A
- Deafness
- Skin: thin and translucent
- Subcutaneous capillary bleeding
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
Q. CHERUBISM
A
Oral Manifestations / Radiographic Findings
- teeth: bulbous crowns, with narrow, constricted roots and obliterated canals
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
A
Oral Manifestations / Radiographic Findings
- blue-gray to yellowish-brown teeth
- Anterior and posterior cross bites and open bites
maxillary hypoplasia rather than mandibular hyperplasia
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
A
Histologic Features:
1. bone: thin cortices, immature spongy bone
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
A
*cortical bone replaced with fibrous tissue
* retarded osteoblastic activity
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
A
Treatment and prognosis of OSTEOGENESIS IMPERFECTA
Treatment and Prognosis:
> no definite treatment (bisphonates)
> immobilization of fractures
> may improve after puberty
Caffey’s Disease,
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
B
Clinical Features:
1. tender, deeply-placed soft tissue swellings
2. systemic manifestations
3. cortical thickening
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
B
Caffey-Silverman Syndrome
Infantile cortical hyperostosis
DOral Manifestations:
1. assymetric deformity of mandible
2. facial swelling
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
B
©Radiographic Manifestations:
1. unilateral / bilateral
thickening of cortex
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
B
@Prognosis:
1. may regress without treatment
2. may recurr
3. conservative treatment
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
B
Marie and Sainton’s Disease
. CLEIDOCRANIAL DYSPLASIA
Scheuthauer-Marie-Sainton Syndrome, Mutational Dysostosis
. CLEIDOCRANIAL DYSPLASIA
Vertical midline furrow
with frontal bossing
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
C
> Depressed midface
Prominent chin
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
C
Oral Manifestations:
prolonged retention of deciduous teeth and delayed
eruption of succedaneous teeth
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
C
Oral Manifestations:
*high, narrow arched palate
*underdeveloped maxilla and maxillary sinus
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
C
CLEIDOCRANIAL DYSPLASIA treatment
Treatment:
1. care of deciduous teeth
2. multidisciplinary
approach
•Clinical Features:
1. affects head, face
2. other areas:
Spina bifida occulta
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
C
T/F
Craniofacial Dysostosis:
•Cranial synostosis with syndactyly
False
•Cranial synostosis WITHOUT syndactyly
T/F
Craniofacial Dysostosis is hereditary
T
Triangular frontal defect
Steep forehead
Hypertelorism
Exophthalmus
Antimongoloid slope of eyes
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
D
Parrot-beak nose
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
D
Frog-like features
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
D
Oral Features:
1. hypoplasia of maxilla
2. mandibular prognathism
3. high-arched palate
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
D
Craniofacial Dysostosis treatment
Treatment and Prognosis:
1. craniectomy; cosmetic surgery
2. may lead normal lives
3. may or may not be retarted
coloboma of the outer portion of the lower eyelids
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E
*deficiency of eyelashes
*malformation of middle and inner ear
*ear: underdeveloped;
malformed; or prominent
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E
(Treacher-Collin Syndrome)
MANDIBULOFACIAL DYSOSTOSIS
*blind fistulas between angles of the ear and angle of mandible
* atypical hair growth
*hypoplasia of malar bones and mandible
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E
*increased anterior facial height
*. anterior open bite
* small chin
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E
bird-like or fish like features
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E. MANDIBULOFACIAL DYSOSTOSIS
Other Features:
1. grossly underdeveloped paranasal sinuses
2. absent / deficient auditory ossicles, cochlea, and vestibular apparatus
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E. MANDIBULOFACIAL DYSOSTOSIS
normal cranial vault
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
E. MANDIBULOFACIAL DYSOSTOSIS
MANDIBULOFACIAL DYSOSTOSIS treatment
©Can live a normal life span;
reconstruction of deformities
Anomalad
Pierre Robin Syndrome
Primary defect of Pierre Robin Syndrome
Micrognathia
Secondary defect of Pierre Robin Syndrome
Cleft palate
Tertiary defect of Pierre Robin Syndrome
*respiratory difficulty
*glossoptosis
is a malformation together with its subsequently derived structural changes, the primary defect setting off a series of secondary or even tertiary events resulting in multiple anomalies.
anomalad
Arachnodactyly
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
autosomal dominant; defect on chromosome 15 codes for the connective tissue protein, fibrillin
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
musculoskeletal, cardiac, and ocular problems predominate.
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
- disproportionately long thin extremities
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
funnel chest pigeon breast
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
kyphosis / scoliosis
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
*dislocation of lens of eyes; nearsightedness
*pale blue sclera
*cardiovascular complications
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
Oral Manifestations:
1. high-arched palate
2. bifid uvula
3. malocclusions
4. odontogenic cysts
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
TMJ dysarthrosis
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
cardiovascular compromise: most common cause of patient death.
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
G. MARFAN SYNDROME
Txt of Marfan Syndrome
- no specific treatment
*management of the cardiovascular manifestations
*Patient longevity now approaches that of persons without Marfan syndrome
T/F
Etiology of Down Syndrome is advanced maternal age
T
*uterine and placental abnormalities
* chromosomal aberrations
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
subnormal mentality with cranial and facial deformities
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
Features:
1. sexual underdevelopment
2. cardiac abnormalities
3. hypermobility of joints
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
*short stature with short hands and fingers
*may have acute leukemia
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
Oral Features:
1. high-arched palate
2. microdontia
3. enamel hypoplasia
4. teeth with abnormal shape and form
5. abnormal eruption sequence
6. periodontal disease
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
T/ F
Oral features of DOWN SYNDROME, is high-arched palate and periodontal disease
T
• Macroglossia
• open-mouthed appearance
• Bifid uvula
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
H. DOWN SYNDROME
2 Main Types:
1. Benign Dominant
2. Malignant Recessive
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
I. OSTEOPETROSIS
T/f
DOWN SYNDROME has Teeth with short roots
T
Marble Bone Disease
OSTEOPETROSIS
Albers-Schonberg Disease
OSTEOPETROSIS
Osteosclerosis Fragilis Generalista
OSTEOPETROSIS
Radiographic Features:
- dense bone
- obliterated sinuses
*. hypoplastic maxilla
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
I. OSTEOPETROSIS
OSTEOPETROSIS:
multiple pathologic fractures
A. Benign Dominant Form
B. Malignant Recessive Form
A
OSTEOPETROSIS:
bone pain
A. Benign Dominant Form
B. Malignant Recessive Form
A
OSTEOPETROSIS:
cranial nerve palsy
A. Benign Dominant Form
B. Malignant Recessive Form
A
OSTEOPETROSIS:
osteomyelitis
A. Benign Dominant Form
B. Malignant Recessive Form
A
OSTEOPETROSIS:
- optic atrophy
- hepatosplenomegaly
A. Benign Dominant Form
B. Malignant Recessive Form
B
OSTEOPETROSIS:
*poor growth
*frontal bossing
A. Benign Dominant Form
B. Malignant Recessive Form
B
OSTEOPETROSIS:
loss of hearing
A. Benign Dominant Form
B. Malignant Recessive Form
B
OSTEOPETROSIS:
pathologic fractures
A. Benign Dominant Form
B. Malignant Recessive Form
B
OSTEOPETROSIS:
*facial palsy
*genu valgum
A. Benign Dominant Form
B. Malignant Recessive Form
B
T/ F
OSTEOPETROSIS’ Oral Manifestation are
- enamel hypoplasia
- slow root development
- caries - prone
- delayed tooth eruption
T
Radiographic Features:
roots of teeth “invisible”
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
I. OSTEOPETROSIS
T/ F
Osteopetrosis develop osteomyelitis
T
T/ F
Osteopetrosis develop genu valgum
T
Treatment for osteopetrosis:
Adult and infantile
Infantile osteopetrosis:
Calcitriol, Erythropoietin’ Corticosteroids,
Gamma interferon
Adult osteopetrosis:
requires no treatment by itself complications might require intervention.
Features:
1. short stature with thickened musculature
2. brachycephalic skull
3. small hands and stubby fingers
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
J. ACHONDROPLASIA
T/ F
osteopetrosis:
Prognosis:
remarkable change after bone marrow transplantation.
Adult osteopetrosis: good long-term survival rates
T
T/ F
ACHONDROPLASIA is an Autosomal Dominant
T
*lumbar lordosis
* limited joint movement
*. unusual physical strength and ability
*normal intelligence
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
J. ACHONDROPLASIA
Oral Features:
1. mandibular prognathism / maxillary retrusion
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
J. ACHONDROPLASIA
Histologic Features:
1. aplasia of the zone of calcification of endochondral growth
2. disruption of the longitudinal growth of bone
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
J. ACHONDROPLASIA
T/F
Achondroplasia’s treatment and prognosis is none and they lives a normal lives
T
T/ F
OSTEITIS DEFORMANS has specific etiology
False
(Non-specific etiology)
T/ F
OSTEITIS DEFORMANS Clinical features:
1. pathologic fractures
2. bone pain
3. severe headache
4. dizziness
5. deafness and blindness
5. facial paralysis
6. weakness
T
T/F
OSTEITIS DEFORMANS progressive skull enlargement, deformed spine, femur, tibia
T
T/F
OSTEITIS DEFORMANS broadening and flattening of chest, areas affected feels warm
T
Affected bones (sacral and lumbar vertebrae, pelvis, tibia, femur) soften and bend
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
Oral Manifestations:
1. progressive enlargement of maxilla with widening and flattening of the palate
2. teeth: loose, migrating
3. open-mouth appearance
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
Hypercementosis
Loss of lamina dura
mosaic-bone appearance
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
Histologic Feature:
1. mosaic-bone appearance or jigsaw puzzle appearance of bone resorption and deposition
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
Osteosarcoma due
to Paget’s disease
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
Paget’s disease of bone
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
K. OSTEITIS DEFORMANS
O Features:
1. swelling at the angles of the mandible and bridge of nose
2. loss of vision and facial sensation
3. facial paralysis
4. deafness
5. overgrowth of alveolar process
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
L. GENERALIZED CORTICAL HYPEROSTOSIS
T/F
GENERALIZED CORTICAL HYPEROSTOSIS has no treatment and patient can live normal lives
T
Features:
1. pathologic fractures after minor trauma
2. destruction of mandible
3. facial asymmetry
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
M. MASSIVE OSTEOLYSIS
polyostotic: clavicle, ilium, ishium, humerus, ribs, sacrum
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
M. MASSIVE OSTEOLYSIS
Cortical and cancellous bone showing osteoporosis with an increased number of capillaries and small arterioles
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
M. MASSIVE OSTEOLYSIS
T/F
. MASSIVE OSTEOLYSIS has No specific treatment
T
osteolytic process involving the whole of the femur and vital teeth with ill-defined radiolucency
A. OSTEOGENESIS IMPERFECTA
B. INFANTILE CORTICAL HYPEROSTOSIS
C. CLEIDOCRANIAL DYSPLASIA
D. CRANIOFACIAL DYSOSTOSIS
E. MANDIBULOFACIAL DYSOSTOSIS
F. PIERRE ROBIN SYNDROME
G. MARFAN SYNDROME
H. DOWN SYNDROME
I. OSTEOPETROSIS
J. ACHONDROPLASIA
K. OSTEITIS DEFORMANS
L. GENERALIZED CORTICAL HYPEROSTOSIS
M. MASSIVE OSTEOLYSIS
N. FIBROUS DYSPLASIA OF BONE
O. POLYOSTOTIC FIBROUS DYSPLASIA
P. MONOSTOTIC FIBROUS DYSPLASIA OF THE JAWS
M. MASSIVE OSTEOLYSIS
Lesions affecting multiple bones
A. McCune-Albright Syndrome
B. Jaffe type
A
(Polyostotic Fibrous
Dyplasia)
A. McCune-Albright Syndrome
B. Jaffe type
A
Café-au-lait pigmentation
A. McCune-Albright Syndrome
B. Jaffe type
A
Endocrine disturbances
A. McCune-Albright Syndrome
B. Jaffe type
A
> Pathologic fractures with pain and deformity
Teeth: disturbed eruption pattern; jaw expansion
A. McCune-Albright Syndrome
B. Jaffe type
A
Histologic feature: Chinese script-writing appearance
A. McCune-Albright Syndrome
B. Jaffe type
A
Leontiasis ossea
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
B
massive jaw expansion
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
A
ground glass or orange peel appearance
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
A
Localized intramedullary fibrous lesion with curved woven bone Chinese letters (thick material)
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
A
-osteoid material surround by fibrous stroma
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
A
Fibroblasts in woven bone, Oral hyperpigmentation
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
A
cafe-au-lait
A. Monostotic Fibrous Dysplasia
B. Polyostotic Fibrous Dyplasia
B
Treatment of Fibrous Dysplasia:
> Surgery: mainly to alleviate functional disturbances
radiation therapy is contraindicated
T/ f
CHERUBISm is an autosomal dominant
T
Slow-growing expansion of posterior portion of
maxilla and mandible
CHERUBISM
Radiographic appearance:
soap-bubble appearance
CHERUBISM
Tx: self-limiting ; conservative curettage of lesion with bone recontouring
CHERUBISM
Oral Manifestations:
> Premature loss of primary teeth
> Displacement of follicles of permanent teeth
CHERUBISM
> Ectopic eruption
Permanent teeth may be missing or malformed
CHERUBISM
bilateral expansion of rami
CHERUBISM