Cysts and Odontogenic Tumors Part 1 Flashcards

1
Q

what is a cyst

A

epithelial lined pathologic cavity

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2
Q

what are the 3 components to a cyst

A
  • epithelial lining
  • lumen
  • wall
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3
Q

what are the developmental non-odontogenic cysts

A
  • nasopalatine duct cyst
  • median palatine cyst
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4
Q

describe the nasopalatine duct cyst

A
  • incisve canal cyst
  • most common non- odontogenic cyst of oral cavity
  • a developmental cyst that arises from epithelial remnants of nasopalatine duct
  • vital teeth
  • adults 4th-6th decades
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5
Q

which is larger nasopaaltine duct cyst or incisve

A

nasopalatine

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6
Q

what are the symptoms associated with nasopalatine duct cyst

A
  • radiolucency 0.6cm is the upper limit of normal for the incisive foramen
  • swelling of anterior palate
  • drainage and pain if inflamed
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7
Q

describe median palatine cyst

A
  • well circumscribed palatal lucency
  • epithelium entrapped during fusion of palatal shelves
  • stratified squamous or pseudostratified columnar
  • may be difficult to distinguish from nasopalatine duct cyst
  • also in midline
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8
Q

what is the difference between median palatine cyst and nasopalatine cyst

A

median palatine cyst is more posterior

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9
Q

what are the odontogenic cysts

A
  • inflammatory cysts
  • developmental cysts
  • PA cysts
  • residual cysts
  • buccal bifurcation cyst
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10
Q

describe PA cysts

A
  • associated with apex of non vital tooth
  • arises from rests of malassez
  • has to occur at apex or where lateral canal is
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11
Q

if rests of malassez dont proliferate you get:

A

a PA granuloma

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12
Q

what is a residual cyst

A

a cyst left behind

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13
Q

what is special about residual cysts compared to other jaw cysts

A

incidence of malignancy is higher

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14
Q

describe a buccal bifurcation cyst

A
  • paradental cyst
  • buccal bifurcation of vital mandibular molar teeth with cervical enamel projection
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15
Q

what are the developmental odontogenic cysts

A
  • dentigerous cysts
  • eruption cysts
  • dental lamina cyst
  • odontokeratocyst
  • calcifying odontogenic cyst
  • glandular odontogenic cyst
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16
Q

describe a dentigerous cyst

A
  • most common type of developmental odontogenic cyst
  • arises from dental follicle- attached to the CEJ, enclosing the crown of an unerupted tooth
  • enlarged follicluar space greater than 4mm
  • pericoronal radiolucency
17
Q

describe a unicystic ameloblastoma

A
  • looks like a cyst under a microscope
  • pericoronal radiolucency
18
Q

what is the difference between an eruption cyst and a dentigerous cyst

A
  • a dentigerous cyst is an intra osseous lesion and an eruption cyst is a soft tissue lesion
19
Q
A