ODONTOGENIC CYST Flashcards

1
Q

Most common cyst of the jaw

Most common odontogenic cyst

A

Periapical Cyst ( Radicular, Apical Periodontal)

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2
Q

Clinical features of Periapical cyst (Radicular, Apical Periodontal)

A

📌Mx. Anterior - Mx. Posterior- Mand. Posterior- Mand. Anterior
📌Nonvital tooth

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3
Q

Radiograph of Periapical Cyst (Radicular/ Apical Periodontal)

A

Rount to ovoid radiolucency

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4
Q

‼️‼️‼️BE‼️‼️‼️

Microscopic / Histopath of Periapical Cyst

A
  • Nonkeratinized stratified squamous epithelium
  • Source of epithelial lining: Rest of Malassez
  • Rushton bodies / Hyaline Bodies
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5
Q

Tx. Periapical cyst/ Apical Periodontal/Radicular

A

Extraction
RCT
Apicoectomy

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6
Q

Cyst developed after tooth extraction & incomplete removal of a periapical cyst

A

Residual Cyst

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7
Q

QUESTIONS:

What is the remnant of HERS

A

Rest of Malassez

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8
Q

Remnant of dental lamina

A

Rest of serres

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9
Q

Between roots of mandibular premolar & canine

Vital teeth

A

Lateral periodontal cyst

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10
Q

Round & teardrop shaped radiolucency

A

Lateral Periodontal Cyst

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11
Q

Microscopic/ Histopath of Lateral Periodontal Cyst

A

Nonkeratinized stratified squamous epithelium

Source of epithelial lining: Rest of Serres

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12
Q

Tx. of Lateral Periodontal Cyst

A

Enucleation

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13
Q

2nd most common odontogenic cyst

Most common developmental cyst

A

Dentigerous Cyst (Follicular Cysf)

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14
Q

Clinical features of Dentigerous Cyst / Follicular Cyst

A

📌3rd molars & canine
📌attached to the CEJ
📌most common idndication is delayed eruption
📌may transform into Ameloblastoma

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15
Q

Radiographic of Dentigerous Cyst

A

RDL around the crown of the tooth

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16
Q

Microscopic / Histopath Dentigerous Cyst

A

📌Nonkeratinized Stratified Squamous Epithelium
📌Source of Epithelial lining: REE
📌Rushton bodies/ Hyaline Bodies

17
Q

Tx. of Dentigerous Cyst

A

Enucleation

18
Q

Soft tissue variant of Dentigerous cyst/ Follicular cyst

A

Eruption Cyst

19
Q

Aggressive
High recurrence rate
Mandible (Molar-ramus area)

A

Odontogenic Keratocyst (Keratocystic Odontogenic Tumor)

20
Q

DDX of Dentigerous cyst/ Follicular Cyst

A

AOT

21
Q

Classificatim of Odontogenic Keratocyst (Keraotocystic Odontogenic Tumor)

A

Solitary

Multiple

22
Q

1 only one

most common Classification of Odontogenic Keratocyst ( Keratocystic Odontogenic Tumor)

A

Solitary

23
Q

Common children associated w/ syndrome

A

Multiple Odontogenic Keratocyst

24
Q

Radiograph of Odontogenic Keratocyst

A

RDL

25
Q

Microscopic / Histopath of Odontogenic Keratocyst / Keratocystic Odontogenic Tumor

A

📌Keratinized Stratified squamous epithelium (parakeratinized)
📌 Source of Epithelial lining: Rest of Serres
📌Palisading basal layer with no epitthelial ridges
📌Aspirate : cheese like substance

26
Q
📌Multiple OKC
📌Basal Cell Carinoma
📌Palmar or Plantar Keratotic Pitting
📌Bifid ribs
📌Calcified falx cerebri
A

‼️‼️‼️BEQ‼️‼️

Nevoid Basal Cell Carcinoma Syndrome / Basal Cell Nevus / Gorlin Goltz /Bifid Rib

27
Q

Tx. Nevoid Basal Cell Carcinoma

A

Enucleation w/ currettage
Marsupialization
Peripheral Ostectomy

28
Q

Maxilla
RDL / amixed lucent opaque
Salt & Pepper pattern
**Microscopic/ Histopath : Ghost cell keratinizatin

A

Calcifying Odontogenic Cyst ( Calcifying Cystic Odontogenic Tumor)

29
Q

Tx. COC

A

Enucleation

Marsupialization