Lab 4 Jaw Cysts ( slide )

8/3/2019 Lab 4 Jaw Cysts ( slide )

1/80

Click to edit Master subtitle style

Jaw CystsLab

Dr. Rima Safadi


2/80

Dermoid cyst

Sebaceous glands and hairfollicles


3/80

Epidermoid cyst

orthokeratin


4/80


5/80

Lateral periodontal cyst

Botryoidtype


6/80

Gingival cyst of the adult


7/80

Your diagnosis? Eruption cyst


8/80

Glandular odontogenic cyst


9/80

Aneurysmal bone cyst

Pools ofblood

Granulation tissue and

multinucleated giantcells


10/80

Idiopathic bone cavity

Scant fibroustissue


11/80


12/80

Lymphoepithelial cyst


13/80

Thyroglossal duct cyst


14/80

29 year old

A 29 year old male presents forendodontic evaluation. The patient

had become aware of anenlargement of his palate.


15/80


16/80

Differential Diagnosis


17/80


18/80


19/80

Diagnosis?? Nasopalatine duct cyst


20/80

47 year old female

Patient presents withthis incidentalradiographic finding.

Teeth test vital


21/80


22/80


23/80

Diagnosis??


24/80


Lateral Periodontal Cyst


25/80

Gingival cyst of the adult


26/80

Gingival Cyst of the newborn


27/80

Case 2X Patient:17-year-old

femaleX Chief Complaint:

tenderness first noticedone week previously in

the left posterior aspectof the mandible.

X Radiographs: a well-circumscribedradiolucency of the rightmandibular bodyinvolving uneruptedthird molar S-97-

1600


28/80


29/80

(keratinizing cystic odontogenictumor)


30/80

Daughter cyst formation in OKC


31/80

OKC biologic quality of epithelium


32/80

Radiographicpresentatio

ns

of OKC


33/80


34/80

OKC


35/80

OKC: Can be multiple


36/80

Notice Parakeratin Production


37/80

Inflammation changes the typical featuresof OKC


38/80

Orthokeratinized odontogenic cystsdifferent from OKC


39/80


What condition(s) should youconsider now?


40/80

B A S A L C E LL N E V U S S Y N D R O M E .Basal CellCarcinomasOdontogenicKeratocystsAutosomal Dominant withhigh penetrance andvariable expressivity


41/80

Sy s t em s A f fe c t ed


42/80

D U R A C A L C I F IC AT I O N S


43/80

B i f id R i b s


44/80

OKC


45/80

Case 4

X Patient:22-year-old maleX Chief Complaint: Patient with incidental

radiographic finding when patient reported

for 3rd molar extractionsX Radiographs: a coronal radiolucency is seen.


46/80


47/80

What is your diagnosis now?

D ti t


48/80

Dentigerous cyst


49/80

Eruption cyst


50/80

Case 5: Patient: 5 year old male

Chief Complaint:Enlargement of theventral tongue of one

week duration. Theenlargement appearedabruptly and isasymptomatic.


51/80

Clinical Differential Diagnosis:

Extravasation mucocele:(salivary extravasation

phenomenon)Retention mucocele: Salivaryduct cyst (dilated salivary duct)


52/80

Pools ofmucous

Granulationtissue

Minor salivaeryglands


53/80

Extravasation mucocele


54/80

Ranula/plunging ranula


55/80


56/80

Extraosseous Developmental Cysts

Nasolabial Cyst: Nasolacrimal duct origin Strong female predilection Trt: surgical excision


57/80

42 Year old female

Patient presents forroutine dental exam. Aperiradicular

abnormality is noted


58/80

Differential Diagnosis

List 1 2 3 4 5


59/80


60/80

Rushton bodies


61/80

Hyperplastic liningepithelium


62/80

Inflammatory infiltrates


63/80

Diagnosis?? Radicular/periapical cyst

Rests of Malassez


64/80


65/80

Residual Cyst

Oral Pathology, 4th edition, Soamsand Southam


66/80

Simple bonecyst


67/80

Dermoid cyst


68/80

Ranula


69/80

Aneurysmal bone cyst

Multinucleated giantcell

Blood


70/80

Dentigerous cyst


71/80

Paradental cyst


72/80


73/80

Th l l d


74/80

Thyroglossal duct cyst


75/80

http://www.radiology.wisc.edu/Med_Students/ENT/SINUS_labels1/sld001.htm

C 6 47 ld f l


76/80

Case 6: 47 year old female

Patient presents withepisodic pain andoccasional bad taste inmouth. Multipleendodontic therapies.


77/80


78/80

Di i


79/80

Diagnosis

Nasopalatine duct cyst


80/80

Questions

Lab 4 Jaw Cysts ( slide )

Documents