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Periapical radiopacities Flashcards

1
Q

What’s this?

A

Peripheral sclerosing osteitis

Condensing osteitis

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2
Q

What’s this?

A

Peripheral sclerosing osteitis

Condensing osteitis

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3
Q
  • Apex of non-vital tooth
  • Chronic inflammatory process
  • Reactive bone deposition
  • May be apical radiolucency
  • Often asymptomatic
A

Peripheral sclerosing osteitis

Condensing osteitis

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4
Q

What’s this?

A

Peripheral sclerosing osteitis

Condensing osteitis

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5
Q
  • Unknown etiology
  • Usually solitary
  • Painless, non-expansile
  • Mandible – premolar/molar region
  • Vital tooth
A

Osteosclerosis

Dense Bone Island

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6
Q

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A

Osteosclerosis

Dense Bone Island

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7
Q

What’s this?

A

Osteosclerosis

Dense Bone Island

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8
Q

What’s this?

A

Osteosclerosis

Dense Bone Island

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9
Q

What’s this?

A

Osteosclerosis

Dense Bone Island

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10
Q

What’s this

A

Osteosclerosis

Dense Bone Island

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11
Q

What’s this?

A

Osteosclerosis

Dense Bone Island

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12
Q
  • etiology unknown
  • mainly involves lower incisors
  • 3 stages of development
  • self-limiting condition
  • middle-aged African American, Asian females
A

Periapical Cemento-Osseous Dysplasia

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13
Q

Whats this

A

Periapical Cemento-Osseous Dysplasia

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14
Q

What’s this

A

Periapical Cemento-Osseous Dysplasia

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15
Q

Whats this

A

Periapical Cemento-Osseous Dysplasia

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16
Q

What’s this

A

Periapical Cemento-Osseous Dysplasia

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17
Q 
 Most common in anterior mandible
 Single or multiple lesions
 Radiolucent, mixed, radiopaque
 Well-defined margins
 Radiolucent rim with possible sclerotic border
 Lamina dura discontinuous
 Larger lesions may expand cortex
 Teeth vital
-No Tx needed
A

Periapical Cemento-Osseous Dysplasia

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18
Q 
Solitary lesion
Most common in posterior mandible
Radiolucent, mixed, radiopaque
Most common appearance: 
mixed lucent/opaque
May progress to more widespread form
A

Focal Cemento-Osseous Dysplasia

19
Q

What’s this

A

Focal Cemento-Osseous Dysplasia

20
Q

What’s this

A

Focal Cemento-Osseous Dysplasia

21
Q

What’s this?

A

Focal Cemento-Osseous Dysplasia

22
Q

______ may be associated
with some cemento-osseous dysplasia
lesions.

A

Traumatic bone cysts

23
Q
  • Wide age range; young adults
  • Males > Females
  • Mandibular premolar, first molar
  • Solitary lesion; expansile
  • Radiopaque or mixed density with radiolucent rim
  • Attached to root; external root resorption
  • Vital tooth; often painful
A

Cementoblastoma

24
Q

What’s this?

A

Cementoblastoma

25
Q

What’s this?

A

Cementoblastoma

26
Q

What’s this?

A

Cementoblastoma

27
Q

Etiology unknown
Bulbous-shaped roots
Intact PDL space, lamina dura
Teeth are vital

A

Hypercementosis

28
Q

What’s this?

A

Hypercementosis

29
Q

What’s this?

A

Hypercementosis

30
Q

What’s this?

A

Hypercementosis

31
Q

How do you treat periapical sclerosing osteitis?

32
Q

What is the vitality of a tooth with a periapical sclerosing osteitis?

33
Q

How do you treat osteoscleorsis?

34
Q

What is the vitality of a tooth with a osteosclerosis?

A

Vital pulp

35
Q

What is Tx of periapical cemento osseous dysplasia?

36
Q

What is the vitality of a tooth with a periapical cemento osseous dysplasia?

37
Q

what are the demographics for periapical cemento osseous dysplasia?

A

middle-aged African American, Asian females

38
Q

Which cemento osseous dysplasia has single or multiple lesions in anterior mand?

39
Q

What 2 PA Radiopaque lesions can you see ERR with?

A

OSteosclerosis and Cementoblastoma

40
Q

What is the vitality of cementoblastoma?

A

Vital but painful

41
Q

What are the demographics of cementoblastoma?

A

Young Adult Males in posterior mand

42
Q

Which cemento osseous dysplasia has single lesions in posterior mand?

43
Q

What is Tx of cementoblastoma?

A

Removal via sectioned RCT or extraction

Radio 2 (14 decks)

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