Cemento-osseous dysplasia Flashcards

1
Q

What hx if mobile teeth and bleeding gums?

A

Duration and type of symptoms - pain/ bleeding/ numbness
Hx of periodontal disease
If had braces - wearing retainer
MH

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2
Q

What MH would be worried about if presentation of mobility/ bleeding?

A

MH exacerbate periodontal - diabetes
Any medications - anticoagulants

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3
Q

What MH would you be more concerned about identifying because of this?

A

Leukaemia
Bone disease - Paget’s

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4
Q

What IO exam carry out if mobility/ bleeding gums?

A

Teeth: TTP, mobility, caries
Periodontal - pocketing/ recession
Vitality testing
Palpating for mass

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5
Q

What radiograph would you want if mobile teeth/ bleeding gums?

A

PA or OPT

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6
Q

What are possible differentials of radiopaque mass seen between 4/5s on PA?

A

Cementoma
Scelorsing osteomyelitis
Fibrous dysplasia
Paget’s
Cementoblastoma
Hypercementosis
Ossifying fibroma
PA abscess

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7
Q

What is feature often seen with a cementoma?

A

Resorption of roots / fusion with lesion

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8
Q

What is most ideal radiographic view if see lesion?

A

OPT to rule out any other lesions and show full extent of lesions

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9
Q

Is memento-osseous dysplasia focal or generalised?

A

Can be focal - but can be a florid variety which is multifocal

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10
Q

What to do if see opaque mass on radiograph?

A

Referral maxfax

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11
Q

Patient has opaque mass (likey osseous- dysplasia) and concerned cancer what should tell her?

A

Reassure that while neoplastic process it is not representative of cancer
Likely to be a chronic process

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12
Q

How to answer pt if asked why not seen before?

A

Explain in initial stage of lesion can be radiolucent which may have can be misdiagnosed as infection

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13
Q

What are sinister features that would make you worry?

A

Loss of sensation
Root resoprtion
Palpable mass

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14
Q

What are possible complications of cemnto-osseous dysplasia?

A

Infection and abscess formation
Delayed healing after XLA
Secondary pulp infection and necrosis
Secondary periodontal infection
Failure of implants to oesseo-integrate

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