Odontogenic cysts Flashcards
What is odontogensis?
Odontogenesis starts with surface ectoderm (epithelium) growing into jaw (dental lamina) and producing the tooth germ, a portion of which is the enamel organ.
Definition of odontogensis cyst?
Pathologic cavity lined by odontogenic epithelium and filled with fluid or semisolid material
What it the etiology of Odontogenesis cyst?
- Inflammation
- Unknown, these are called developmental cysts but are not
inflammatory
What are the two types of inflammation cyst
- Radicular cyst
2. buccal bifurcation cyst are inflammatory, all the rest are developmental
What is Primordial cyst
Cyst arising from degeneration of enamel organ prior to tooth formation aborts odontogenesis resulting in radiolucency in place of a missing tooth. ↑↑ Md3M.
Where are primordial cyst found highly
MD3M
mandibular 3rd molar
Dentigerous Cyst (Follicular Cyst)
Cyst resulting from separation of the follicle from around the crown of developing toot
Where do you mostly see the Dentigerous cyst?
↑ Md3M, ↑ MxCu,asymptomatic, usually no expansion
Radiographic finding of Dentigerous Cyst (Follicular Cyst)
Well circumscribed pericoronal radiolucency. From CEJ around crown.
Histology of Dentigerous Cyst (Follicular Cyst)
Stratified squamous epithelium without keratinization (this was originally the ameloblasts which following odontogenesis becomes reduced enamel epithelium).
How to treat DEntigerous cyst
urgical removal of tooth and cyst if 3M. For Cu may be able to decompress and pull Cu in orthodontically
What are the two types of Dentigerous Cyst (Follicular Cyst)
A. Eruption cyst – a dentigerous cyst that gets pushed into oral cavity by erupting tooth, may treat with decompression so tooth can erupt
B. Lateral - ↑Md 3M – laterally placed
Can Dentigerous cyst be neoplastic
3 types of cancer associated with it?
Ameloblastoma
Squamous cell carcinoma Mucoepidermoid carcinoma
What are the 2 types of periodontal cyst
Apical Periodontal Cyst (radicular cyst)
Lateral Periodontal cyst
What is the most common odontogenic cyst
Apical Periodontal Cyst (radicular cyst)
What kind of cyst is Apical Periodontal Cyst (radicular cyst) ?
Inflammatory secondary to devitalized pulp