Mixed Odontogenic Tumors Flashcards

1
Q

What are the three Mixed odontogenic tumors that were discussed?

A

Ameloblastic Fibroma
Ameloblastic Fibro-odontoma
Odontoma

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2
Q

Ameloblastic fibroma contain myxoid connective tissue that resembles dental ______ with strands/islands of epithelium that resembles dental ______.

A

connective tissue = Papilla

islands = lamina

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3
Q

True or False: The epithelial strands associated with ameloblastic fibroma are often large enough to mimic ameloblastoma.

A

True

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4
Q

What is the treatment for ameloblastic fibroma?

A

aggressive curettage

rare malignant transformation, low recurrance 15%

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5
Q

What is an ameloblastic fibro-odontoma?

A

an odontogenic tumor with features of ameloblastic fibroma admixed with odontoma
(well-circumscribed radiolucency around impacted tooth)

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6
Q

Ameloblastic fibro-odontoma is usually diagnosed in ______ around age ______ years when swelling is noted or a tooth doesn’t erupt.

A

children

10

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7
Q

The odontoma portion of an ameloblastic fibro-odontoma is usually of the ______ type.

A

complex (calcified material)

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8
Q

How are ameloblastic fibro-odontomas treated?

A

conservative curettage with unusual recurrence

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9
Q

True or False: An odontoma is a true neoplasm.

A

false, more likely that it is an odontogenic hemartoma (normal tissue occurring in the wrong place)

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10
Q

What are the two forms of odontoma?

A
  1. compound

2. complex

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11
Q

Where do complex odontomas occur?

A

posterior

an “ex” is in your past…complEX =post

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12
Q

Where do compound odontomas occur?

A

anterior

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13
Q

True or False: Most odontoma will occur in the first two decades of life.

A

True (mean age is 14)

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14
Q

Which is more common for odontomas: maxilla or mandible?

A

maxilla

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15
Q

What does a compound odontoma present as?

A

a collection of small malformed teeth surrounded by a narrow radiolucent rim

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16
Q

What does a complex odontoma present as?

A

a calcified mass (dentin, enamel matrix, cementum, odontogenic epithelium, etc) that, if fully formed, has the density of tooth structure and is surrounded by a narrow radiolucent rim

17
Q

True or False: Both forms of odontoma will typically overly an impacted tooth.

A

True

18
Q

How are odontomas treated?

A

enucleation