Odontogenic Tumour Flashcards

1
Q

What is ameloblast?

A

Cell which produce enamel

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2
Q

Give differential of defined radiolucent lesion angle of mandible?

A

Ameloblastoma
Odontogenic keratocyst
Dentigerous cyst - if associated w/ tooth

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3
Q

What histology expect see ameloblastoma?

A

Can be follicular or plexiform

Can be mixed

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4
Q

How does folicular ameloblastoma present

A

Islands of odontogenic epithelium in fibrous stroma
Islands have columnar ameloblast-like cells at periphery
Stellate-like reticulum in centre of islands
Cysts in stellate-reticular space

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5
Q

How does plexiform ameloblastoma present?

A

Cords of columnar ameloblast like cells in fibrous stroma

Cysts formwithinstroma

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6
Q

What is ameloblastoma?

A

Benign odontogenic neoplasm

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7
Q

How does ameloblastoma behave?

A

Benign but destructive

Can displace tissue and resrob bone

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8
Q

Most common site ameloblastoma?

A

Angle of mandible

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9
Q

Source of proliferation for ameloblastoma?

A

Dental lamina

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10
Q

What else arise from dental laimia?

A

Odontogenic keratocyst

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11
Q

What gives rise to dentigerous cyst?

A

Reduced enamel epithelium

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12
Q

Management ameloblastoma?

A

Excision, may require reconstruction

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13
Q

What is odontoma?

A

Harmatoma - comprised normal tissue growing irregular way

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14
Q

Types of odontome?

A

Complex

Compound

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15
Q

How does complex odontome present radiographically?

A

Irregular radioapque mass within follicular space unerupted tooth

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16
Q

Histology of complex odontome

A

Haphazard arrangement of tissue
Enamel prism - scaly appearance
Dentine
Pulpal tissue

17
Q

What clinical problem can complex odontome cause?

A

Infected due to plaque accumulation

Impede eruption of teeth