Odontogenic tumors- Mesenchymal Flashcards
Most common mesenchymal odontogenic tumor
Odontogenic Myxoma
‼️‼️BE‼️‼️
Clinical feature of Odontogenic Myxoma
📌Mimics dental pulp microscopically (follicular connective tissue)
📌Loose gelatinous consistency
Radiographic of Odontogenic Myxoma
RDL
Soap Bubble/ Honeycomb
Microscopic / Histopath Odontogenic Myxoma
📌Fibroblast
📌Collagen
📌Capillaries
‼️‼️Primitive connective tissue resemble the pulp
Odontogenic Myxoma
Mesenchymal odontogenic tumor w/ honeycomb pattern
Myxoma
Clinical features: Fused or connected to the root
Tooth remains vital
Cementoblastoma (True Cementoma)
Radiopaque (replacing root outline)
RDL ring , continuous with PDL space
Cementoblastoma (true cementoma)
Tx. Cementoblastoma (True cementoma)
Surgical Excision with removal of associated tooth
DDX: Cementoblastoma (true cementoma)
Condesing Osteitis
Osteoblastoma
Condensing Osteitis AKA
Chronic Focal Sclerosing Osteomyelitis
complete Radioapaque
No RDL ring
Preserve root outline
Condensing Osteitis / Chronic Focal Sclerosing Osteomyelitis
replace root outline
radiolucency
Mixed radioapaque
RL ring no continuity in the PDL space
Osteoblastoma
Type of cemento- osseous dysplasia
Periapical Cemento osseous dysplasia / Cementoma/ False cementoma
📌Clinical Features📌
Apex of mandibular ant. teeth
Teeth remains vital
Female black women, African- American
Periapical Cemento- osseous dysplasia /cementoma/ false cementoma
Fibro- Osseous Lesion (FOL)
Fibrous Bone Tissue (OFCC)
📌Ossifying fibroma
📌Fibrous Dysplasia
📌Cherubism
📌Cemento- osseous Dysplasia - most common
3 types of Cemento- osseous dysplasia
- Florrid
- Focal
- Periapical
Radiographic of Periapical Cemento osseous dysplasia
RDL to Radiopaque
📌Periapical Cemento osseous Dysplasia
Microscopic / Histopath
📌Cementum
📌Bone
📌Fibrous tissue
Tx. of Periapical Cemento osseous Dysplasia
NONE
entire mandible / maxilla Type of Cemento osseous dysplasia
Florid
edentulous, post-extractiom site
Focal
