simplified charts Flashcards
Histology
Odontogenic developmental cyst
DC. EC/EH. PC. OKC. NBCCS (Gorlin Syndrome). OKOC. LPC. GCA. COC (Gorlin Cyst or Dentinogenic ghost cell tumor). GOD (dialo-odontogenic cyst). Carcinoma arising in odontogenic cysts.
Radiology
Dentigerous cyst.
Eruption cyst.
Paradental cyst. Odontogenic keratocyst.
Nevoid basal cell carcinoma sydrome “Gorlin syndrome.”
ortokeratinized dentinoGENIC cyst.
Lateral periodontal cyst.
Gingival cyst of a newborn.
Gingival cyst of the adult.
califying odontogenic cyst.
glandular odontogenic cyst.
[carcinoma arising in odontogenic cysts]
developmental cysts- ~12
Histology
Thin, non-keratinized epithelial lining, multipotential (may have mucous or other cells present), Inflamed cyst=APC histo
dentigerous cyst (DC)
Radiology
WD, CB, UL, RL around crown of an unerupted tooth, attached to the CEJ
dentigerous cyst (DC)
Histology
Thin layer of keratinized squamous epithelium, may contain blood
eruption cyst (eruption hematoma)
Radiology
Soft, translucent swelling in gingival mucosa overlying the crown of an erupting tooth (most commonly 1st perm molars)
eruption cyst (eruption hematoma)
Histology
“inflamed dentigerous cyst”, Hx of pericoronitis
Paradental cyst
Radiology
Cyst on distal or buccal of partially erupted 3rd molar
Paradental cyst
Histology
Small satellite cysts in fibrous wall, uniformly thin epithelium, corrugated parakeratin, palisaded basal layer with hyperchromatic nuclei
odontogenic keratocyst (OKC)
Radiology
WD, smooth and CB, UL, RL between teeth. Smetimes ML. resemnbles other cytsts, Rx descriotion not diagnostic
odontogenic keratocyst (OKC)
Histology
Multiple basal cell ca’s, multiple OKCs, palmar/plantar pits, calcified cerebri, enlarged head circumference, Rib anomalies, ocular hypertelorism, spina bifida occulta
nevoid basal cell carcinoma syndrome “Gorlin syndrome”
Radiology
Jaw cysts present in 75% of patients
nevoid basal cell carcinoma syndrome “Gorlin syndrome”
Histology
Orthokeratin WITHOUT nuclei, prominent granular cell layer, basal cell layer NOT PALISADED and less hyperchromatic
orthokeratinized odontogenic cyst
Radiology
Posterior mandible, unerupted 3rd molars, UL, RL. Resembles DC
orthokeratinized odontogenic cyst
Histology
Focal nodular thickenings (epithelial plaques), lined by uniformly flattened squamous cells, swirl appearance
lateral periodontal cyst
Radiology
WD, CB, RL lateral to the roots of VITAL teeth
lateral periodontal cyst
Histology
Multiple whitish papules on mucosa overlying alveolar process on a newborn (<3mos). Derived from rests of dental lamina, Keratin-filled cysts lined by parakeratotic stratified squamous epithelium.
gingival cyst of the newborn
Radiology
N/A
gingival cyst of the newborn
Histology
Fluid-filled swelling of the facial gingiva or alveolar mucosa, blue/gray tint, md premolar/anteriors. Derived from rests of dental lamina, soft tissue counterpart of lateral periodontal cyst, focal nodular thickenings
gingival cyst of the adult
Radiology
Usually not seen on radiograph due to soft-tissue nature
gingival cyst of the adult
Histology
Ghost cells (outline, but no nuclei), dystrophic calcification of ghost cells (RO’s), ghost cell keratinization, epithelium similar to enamel organ and ameloblastoma, loose stellate/spindle cells, columnar cells
calcifying odontogenic cyst (Gorlin cyst or dentinoGENIC ghost cell tumor)
Radiology
WD, UL, RL with or without RO’s or Cal’s.
calcifying odontogenic cyst (Gorlin cyst or dentinoGENIC ghost cell tumor)
Histology
Derived from rests of dental lamina, lined by stratified squamous epithelium with cililated columnar shape, small microcysts and clusters of mucous cells in cystic lining
Glandular odontogenic cyst (sialo-odontogenic cyst)
Radiology
WD, SB, UL or ML, RL. Anterior mandible
Glandular odontogenic cyst (sialo-odontogenic cyst)
Histology
Well-differentiated SCC
Carcinoma Arising in odontogenic cysts
Radiology
Irregular and ragged margins of a RL defect
Carcinoma Arising in odontogenic cysts
Histology
APC (periapical cyst or radicular cyst). RC. BBC.
inflammatory cysts - 3
Radiology
Apical periodontal cyst. Residual cyst. Buccal bifurcation cyst.
inflammatory cysts - 3
Histology
NON-VITAL TOOTH. Derived from rests of Malassez, SSEpi exhibiting exocytosis and spongious, may have cholesterol clefts, dystrophic calcifications
Apical periodontal cyst (periapical cyst or radicular cyst)
Radiology
WD, CB, UL, RL in periapical area (classical) or interproximal area. May be along lateral aspect of the root
Apical periodontal cyst (periapical cyst or radicular cyst)
Histology
Persistent APC after infected tooth has been extracted. Same histo as APC
residual cyst
Radiology
WD, CB, RL at extraction site
residual cyst
Histology
Buccal of mandibular 1st molars, buccal enamel extension leads to pocket, “Site Specific” paradental cyst
buccal bifurcation cyst
Radiology
WD, UL, RL at buccal bifurcation
buccal bifurcation cyst
Histology
ABC. FOBMD. STBC. ScC. Idiopathic osteosclerosis. CGCG.osteoma. Chondroma.
Non-odontogenic cysts
Radiology
aneurysmal bone cyst. Focal osteoporotic bone marrow defect. Simple traumatic bone cyst. Surgical ciliated cyst. Idiopathic osteosclerosis. Central Giant cell Ganuloma. Osteoma. Chrodroma.
Non-odontogenic cysts
Histology
Blood-filled spaces lined by connective tissue septa, multinucleated giant cells
aneurysmal bone cyst
Radiology
UL or ML, RL with cortical expansion and thinning
aneurysmal bone cyst
Histology
Normal bone marrow, hematopoietic progenitor cells, fat cells. Stimulates an intraosseous neoplasm in an extraction socket
focal osteoporotic bone marrow defect
Radiology
RL with fine trabeculations, circumscribed with ill-defined borders
focal osteoporotic bone marrow defect
Histology
Thin connective tissue with reactive bone, NO epithelium (NOT a true cyst)
simple traumatic bone cyst
Radiology
WD, RL, irregular borders, UL, maybe ML, no tooth displacement or root resorption
simple traumatic bone cyst
Histology
Lined by respiratory epithelium, intrabony cyst caused by implantation of sinus epithelium
surgical ciliated cyst
Radiology
WD, RL in close proximity, but separate from the maxillary sinus
surgical ciliated cyst
Histology
Area of hematopoietic marrow, dense lamellar bone with scant fibro-fatty marrow, NOT pathological
idopathic osteosclerosis
Radiology
RL area with fine trabeculations
idopathic osteosclerosis
Histology
Multinuclated giant cells with plump proliferating mesenchymal cells, RBC extravasation
central giant cell granuloma
Radiology
WD, but NOT corticated, UL or ML, RL defect, anterior mandible
central giant cell granuloma
Histology
Associated with Gardner Syndrome, progressive shift in patient occlusion and deviation of midline. Mature compact or cancellous bone
osteoma
Radiology
Slowly growing masses on surface of mandible/maxilla
osteoma
Histology
Composed of mature hyaline cartilage, located on short trabecular bones of the hands and feet
chrondroma
Radiology
N/A
chrondroma
Histology
Ameloblastoma, conventional solid or multicystic ameloblastoma, unicystic ameloblastoma, peripheral ameloblastoma(extraosseaous), malignant ameloblastoma, ameloblastic carinoma, calcifying epithelial odontogenic tumor (pindborg tumor)
epithelial odontogenic tumors - 8
Radiology
ameloblastoma. Conventional solid or multicystic ameloblastoma. Unicystic ameloblastoma. Peripheral ameloblastoma (extraosseous). Malignant ameloblastoma. Ameloblastic carcinoma. Adenoatoid odontogenic tumor. Calcifying epithelial odontogenic tumor (pindborg).
epithelial odontogenic tumors - 8