L2 Flashcards

1
Q

Nasolabial Cyst

A

the Ala of the nose may be elevated

Female to Male 3:1

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2
Q

Nasolabial cyst treatment

A

Biopsy, surgical removal

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3
Q

Incisive canal Cyst develops from

A

Epithelial remnants of the nasopalatine duct

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4
Q

Incisive Canal Cyst occurs

A

At the spices of maxillary central incisors

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5
Q

Incisive Canal Cyst Treatment

A

Simple curettage is curative

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6
Q

Incisive Canal Histopathology

A

Highly variable cyst lining

Cyst wall contains contents of the incisive Canal

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7
Q

Epidermoid Cyst arise from

A

Arise from the hair follicle

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8
Q

Epidermoid cysts usually affect

A

Facial skin, neck or back

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9
Q

Milia

A

Very small epidermoid cysts

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10
Q

epidermoid Cyst treatment

A

Simple excision

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11
Q

Epidermoid Cysts histopathology

A

Cystic lining that resembles the epidermis with production of orthokeratin

Have a very doughy feel to them because they are lined with that keratinized tissue

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12
Q

Milia often occur

A

In clusters/multiples

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13
Q

Milia most common location

A

Perioorbital location

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14
Q

Milia treatment

A

Resolve spontaneously by self marsupialization

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15
Q

Dermoid Cyst lined by

A

Epidermis like epithelium

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16
Q

Dermoid cyst walls

A

Contains adnexal skin structures

-hair follicles, sebaceous glands, sweat glands

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17
Q

Dermoid cysts may be classified as _____

A

Benign cystic form of teratoma composed of tissue derived from multiple germ layers

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18
Q

Cysts of the incise papilla

A

No bony involvement

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19
Q

Dermoid cysts most commonly

A

Occurs as fluctuate swelling midline floor of mouth

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20
Q

Dermoid above geniohyoid

A

Displaces tongue superiors

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21
Q

Dermoid below geniohyoid

A

Submental swelling

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22
Q

Dermoid cysts treatment

A

Surgical excision

Rare malignant transformation

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23
Q

Thyroglobulin Duct Cyst arise

A

From remnants of thyroglassal tract

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24
Q

Thyroglobulin Duct Cyst may be

A

Attached to hyoid bone or tongue and may elevate on swelling

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25
Q

Thyroglobulin Duct Cyst

A

Midline; foramen cecum to suprasternal notch

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26
Q

Thyroglobulin Duct Cyst treatment

A

High recurrence rate unless treated by Sistrunk Procedure

-Excision with a portion of hyoid bone and musucural tissue

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27
Q

Thyroglobulin Duct Cyst Histopathology

A

Lined by columnar or statrified squamous epithets with thyroid tissue in cyst wall

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28
Q

Bronchial Cleft Cyst

A

Cervical variant of lymphoepithelial cyst

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29
Q

Bronchial Cleft Cyst arise from

A

Remnants of the branchial arches; 2nd arch

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30
Q

Bronchial Cleft Cyst flucutuant

A

Swelling of upper lateral neck

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31
Q

Bronchial Cleft Cyst is usually _______ to SCM

A

Anterior

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32
Q

Bronchial Cleft Cyst may develop

A

Fistula tract

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33
Q

Bronchial Cleft Cyst treatment

A

Surgical removal

  • minimal recurrence
  • questionable malignant transformation
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34
Q

Bronchial Cleft Cyst Histopathology

A

Line by stratified squamous epithelium with lymphoid tissue in cyst wall

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35
Q

Oral Lymphoepithelial Cyst Counter part

A

Oral counterpart of branchial cleft cyst

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36
Q

Oral Lymphoepithelial Cyst arise

A

Arises from epithelial rests trapped in oral lymphoid tissue

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37
Q

Oral Lymphoepithelial Cyst

A

Soft to firm, yellowish white nodule

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38
Q

Oral Lymphoepithelial Cyst treatment

A

Surgical excision is curative

39
Q

Oral Lymphoepithelial Cyst histopathology

A

Lined by stratified squamous epithelium with lymphoid tissue in cyst wall

40
Q

Enamel Hypoplasia

A

Incomplete or defective enamel formation

41
Q

Enamel Hypoplasia causes

A

Variety of environmental influences

  • Turners Hypoplasia
  • Antineoplastic agents
  • Flurosis
  • Syphilis
42
Q

Attrition

A

Physiological wear due to tooth to tooth contact during occlusion

43
Q

Abrasion

A

Tooth structure loss secondary to external agent

44
Q

Erosion

A

Cupped out depression of occlusal surfaces of cusp tips associated with regurgitated gastric acid or dietary acid

45
Q

Abfraction

A

Wedge shaped defect limited to cervical area

Bruxism associated

46
Q

Internal Resorption

A

Destruction of tooth structure accomplished by cells located in the dental pulp

47
Q

Teeth may appear pink

A

Internal resorption

48
Q

Internal resorption therapy

A

Endo therapy prior to perforation

-once communication with PDL

49
Q

External Resorption

A

Destruction of tooth structure accomplished by cells located in the PDL

50
Q

External resorption causes

A
Chronic inflammation
Cysts
NEoplasms
Trauma
Re-implantation of avlused tooth
Impaction
Ortho
Idiopathic
51
Q

External Resorption treatment

A

Depends on extent

Extraction may be necessary

52
Q

Extrinsic Stains

A

Surface accumulation of exogenous pigment which can typically be removed by prophylaxis

53
Q

Intrinsic stains

A

Endogenous material is incorporated into developing teeth

-deposition of circulation substances including drugs and blood pigments

54
Q

Hypodontia

A

reduced number of teeth

55
Q

Oligodontia

A

Lack of 6 or more teeth

56
Q

Anodontia

A

Total lack of teeth development

57
Q

Hypodontia most affected

A

Third molars, second premolars, Lateral incisors

58
Q

Hyperdontia

A

Presence of supernumerary teeth

59
Q

Microdotnia

A

Small teeth may also affect shape

60
Q

Microdontia most commonly affect

A

Maxilllary laterals and third molars

61
Q

Macrodontia

A

Large teeth

Uncommon

Associated with various syndromes and systemic disease

62
Q

Germination

A

Partial division of single tooth buds; Crown appears split

Tooth count is normal

Anterior teeth

63
Q

Fusion

A

2 tooth buds merge to from single large tooth

Separate root canals but share cementum and dentin

Reduced number of teeth in arch

64
Q

Concrescence

A

Characterized by fusion of two teeth by cementum alone

More frequent in posterior maxilla

65
Q

Talon Cusp

A

Affects maxillary incisors

An exaggerated cingulum

66
Q

Dens Evaginatus

A

Extra cusp in central developmental groove

Premolar teeth most commonly affected; mandibular predominance

67
Q

Dens Invaginatus

A

Maxillary lateral incisors

Tooth within a tooth perhaps due to invagination of tooth bud

Quite variable in severity

Affected tooth becomes non vital shortly after eruption

68
Q

Enamel Pearl

A

Droplets of ectopic enamel

Furcation of maxillary or mandibular molars

69
Q

Enamel pearls may have

A

Dentin and pulp horns

70
Q

Enamel pearls detected by

A

Probing if mistaken for calculus can lead to exposure

71
Q

Taurodontism

A

Enlargement of the body and pulp chamber of a multi roots tooth

Apical displacement of pulpal floor and furcation

72
Q

Tarudontism results

A

Chromosomal lacerations

Associated with various syndromes

73
Q

Hypercementosis

A

Asymptomatic deposition of excessive cementum

74
Q

Hypercementosis most cases

A

Are sporatic

Strong association with pagers disease of bone

75
Q

Dilaceration

A

Curvature/bend of tooth roots

76
Q

Dilaceration etiology

A

Trauma to developing tooth

77
Q

Dilaceration complication s

A

Extraction or RCT may be difficult

78
Q

Amelogenisis Imperfecta

A

Group of uncommon genetic disorders affecting enamel of teeth

79
Q

Amelogenisis Imperfecta affects

A

Both primary and permanent teeth

80
Q

Amelogenisis Imperfecta Hypoplastic

A

Inadequate deposition of enamel matrix

81
Q

Amelogenisis Imperfecta hypomaturation

A

Incomplete mineralization

82
Q

Amelogenisis Imperfecta hypocalcified

A

No significant degree of mineralization

83
Q

Clinical Amelogenisis Imperfecta

A

Rough smooth pitted pigmented or snow capped

84
Q

Amelogenisis Imperfecta radiographic

A

Thin enamel of normal or decreased density; normal root and pulp morphology

85
Q

Dentinogenesis Imperfecta inheritance

A

Autosomal dominant

86
Q

Dentinogenesis Imperfecta affects

A

Both primary and secondary just like AI

87
Q

Dentinogenesis Imperfecta results

A

In abnormal dentin formation

88
Q

Dentinogenesis Imperfecta clinically

A

Teeth appear translucent “Opalescent teeth”

Enamel is normal but poorly supported rapid attrition of dentition is often seen

89
Q

Dentinogenesis Imperfecta radiographic

A

Bulbous crowns and obliteration of pulps

90
Q

Dentinogenesis Imperfecta due to

A

Mutation of DSPP gene

91
Q

DSPP gene

A

Dentin sialophosphorprotein

-one of the major non collagenous proteins of dentin

92
Q

Dentin Dysplasia

A

Autosomal Dominant inheritance

93
Q

Type I Dentin Dysplasia

A

Radicular dentin dysplasia

-radicular roots are very short “rootless teeth” obliteration of pulp, periapical radiolucencies

94
Q

Type II Dentin Dysplasia

A

Coronal Dentin Dysplasia

Thought to be related to dentinogenesis imperfect

Enlarged pulps with thistle tube appearance, pulp stones