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Tumorile masivuluiTumorile masivului
facialfacial
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Tumorile benigneTumorile benigne
OdontogeneOdontogeneAmeloblastomAmeloblastom OdontomOdontom
CementomCementom DentinomDentinom
NeodontogeneNeodontogene OsteomOsteom Fibrom osifantFibrom osifant
Displazia fbroasaDisplazia fbroasa ExostozeleExostozele Fibrom desmoidFibrom desmoid
Condrom benignCondrom benign Fibrom condro-Fibrom condro-mixoidmixoid
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PseudotumoriPseudotumoriGranulomul central de reparareGranulomul central de reparare
Tumor[ cu mieloplaxeTumor[ cu mieloplaxeMixomulMixomulNeurinomulNeurinomul
angiomulangiomul
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Tumorile maligneTumorile maligne
OdontogeneOdontogene CarcinomulCarcinomul
odontogenodontogen SarcoameleSarcoamele
ameloblasticeameloblastice
NeodontogeneNeodontogene EpiteliomEpiteliom SarcomSarcom Melanom malignMelanom malign Neurom malign etc.Neurom malign etc.
SecundareSecundaremetasta!e"metasta!e"
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#meloblastoamele#meloblastoamele Este o afecEste o afec$iune a adultului$iune a adultului
t%n&rt%n&r #re o evolu$ie progresivre o evolu$ie progresiv& 'ormat& din elimente'ormat& din elimente
epiteliale ameloblasteepiteliale ameloblaste
(ocali!area cea mai(ocali!area cea maifrecvent& ) mandibula*frecvent& ) mandibula*poate refula canalul dentarpoate refula canalul dentarinferior* deformea!&inferior* deformea!&corticalele. +mpinge*corticalele. +mpinge*de!organi!ea!& din$ii ,ide!organi!ea!& din$ii ,iproduce ri!ali!&.produce ri!ali!&.
Poate - cistic& uni/ sauPoate - cistic& uni/ saumultilocular&" saumultilocular&" saucompact&.compact&.
0ecidivea!& ,i poate s&0ecidivea!& ,i poate s&maligni!e!e.maligni!e!e.
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'orma multilocular&'orma multilocular&
(acune rotunde*(acune rotunde*inegale ca dimensiuni*inegale ca dimensiuni*bine individuali!atebine individuali!ate
#re aspect de 1bule de#re aspect de 1bule de
s&pun2s&pun2 3in regiunea3in regiunea
gonionului* le!iunea segonionului* le!iunea se4ntinde ,i pe ramul4ntinde ,i pe ramul
ascendent alascendent almandibulei* darmandibulei* darrespect& condilulrespect& condilulmandibular.mandibular.
#fectare bilateral&*fractur& patologic&
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'orma unilocular&'orma unilocular&
Nu esteNu estecaracteristic&caracteristic&
3iagnosticul3iagnosticuldiferen$iat5 cistuldiferen$iat5 cistulradiculo/dentar sauradiculo/dentar saucistul corono/dentarcistul corono/dentar
3eformea!& t&blia3eformea!& t&bliaintern& dinintern& din
vecin&tate* ceea cevecin&tate* ceea cenu se 4nt%mpl& 4nnu se 4nt%mpl& 4nca!ul unui cist.ca!ul unui cist.
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OdontomaOdontoma
3ependent& de foliculul3ependent& de folicululunui dinte care lipse,teunui dinte care lipse,tede pe arcad&" sau dede pe arcad&" sau defoliculi supranumerari*foliculi supranumerari*c%nd unul sau mai mul$ic%nd unul sau mai mul$i
din$i sunt re$inu$i saudin$i sunt re$inu$i sauinclu,i.inclu,i. 'recvent la copii'recvent la copii 0ar la adul$i )0ar la adul$i )
tumefac$ie dur& caretumefac$ie dur& care
face corp comun cu osulface corp comun cu osul,i care are o evolu$ie,i care are o evolu$ielent&.lent&.
'ormat& din $esuturi'ormat& din $esuturidentaredentare
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#spectele radiologice#spectele radiologice
Odontom compusOdontom compus Odontom complexOdontom complex
Odontom mixtOdontom mixt
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Odontom compusOdontom compus
o mas& opac& format& din din$i 4no mas& opac& format& din din$i 4nminiatiur&* mai mult sau mai pu$inminiatiur&* mai mult sau mai pu$indismor-ci* frecvent observat& 4n regiuneadismor-ci* frecvent observat& 4n regiunea
incisivilor.incisivilor.
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Odontom complexOdontom complex
Odontom complex )Odontom complex )mai pu$in frecvent*mai pu$in frecvent*repre!entat de orepre!entat de o
forma$iune opac&forma$iune opac&grosier&* neregulat&*grosier&* neregulat&*cu contur muriform*cu contur muriform*situat& deseori 4nsituat& deseori 4n
regiunea din$ilorregiunea din$ilorfrontali.frontali.
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Odontom mixtOdontom mixt
repre!entat derepre!entat deasocierea celorasocierea celordou& aspectedou& aspecte
radiogra-ceradiogra-ceanterioareanterioare
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Cementomul displa!ieCementomul displa!iecementar& periapical&"cementar& periapical&"
3escoperit3escoperit4nt%mpl&tor la nivelul4nt%mpl&tor la nivelulmandibulei* 4nmandibulei* 4nvecin&tateavecin&tateaapexurilor r&d&cinelorapexurilor r&d&cinelorunuia sau ale maiunuia sau ale maimultor din$i evolua$imultor din$i evolua$i
Cu timpul deformea!&Cu timpul deformea!&segmentul de os dinsegmentul de os dinvecin&tatevecin&tate
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#specte radiologice#specte radiologice (acun& periapical&*(acun& periapical&*
care ulterior devine ocare ulterior devine oopacitateopacitatecircumscris&* 4ncircumscris&* 4ncontact cu r&d&cinacontact cu r&d&cina
unui dinte permanent.unui dinte permanent. Trabecula$ie radiar&*Trabecula$ie radiar&*
pornind de la apex*pornind de la apex*traversea!& un spa$iutraversea!& un spa$iutransparent care otransparent care osepar& de osulsepar& de osuls&n&tos.s&n&tos.
Sub$ia!& corticalaSub$ia!& corticalaosoas&* reali!%nd oosoas&* reali!%nd ococie periferic&.cocie periferic&.
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3iagnosticul diferen$iat3iagnosticul diferen$iat
'ibromul'ibromulcementi-antcementi-ant
'ibromul osi-ant'ibromul osi-ant 11cementomcementom
benign2benign2
'ibromul cemi-ant )'ibromul cemi-ant )
opacitate mai pu$inopacitate mai pu$inintens&intens&
cementom
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#lte tumori benigne#lte tumori benigneodontogeneodontogene
'ibrom
ameloblastic
Mixom odontogen
/ 'ibroodontom
/ Odontom ameloblastic ) o tumor& rar&* repre!entat& dede!voltarea simultan& a unui ameloblastom ,i a unui odontomcomplex. Se de!volt& la nivelul maxilarului superior* la copii ,i laadultul t%n&r. 6maginea este asem&n&toare cu ce a unuiodontom complex.
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CementoblastomaCementoblastoma
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Tumori neodontogeneTumori neodontogenebenignebenigne
'ibroblastice -brom osi-ant* displa!ie'ibroblastice -brom osi-ant* displa!ie-broas&* -brom desmoid"-broas&* -brom desmoid"
Osteoformatoare osteom* osteom osteoid"Osteoformatoare osteom* osteom osteoid"
Cartilaginoase exosto!a osteogenic&*Cartilaginoase exosto!a osteogenic&*condrom* condroblastom benign"condrom* condroblastom benign" Neoforma$iuni tumorale ,i pseudotumoraleNeoforma$iuni tumorale ,i pseudotumorale
granulom central de reparare* tumor& cugranulom central de reparare* tumor& cu
mieloplaxe* mixomul* neuronom* angiom*mieloplaxe* mixomul* neuronom* angiom*granulom eo!ino-l* cist anevrismal*granulom eo!ino-l* cist anevrismal*plasmocitom etc"plasmocitom etc"
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reparare cu celulereparare cu celule
giganticegigantice O le!iune neopla!ic&*O le!iune neopla!ic&*in7amatorie* intraosoas&*in7amatorie* intraosoas&*con$in%nd un $esut cu celulecon$in%nd un $esut cu celulegigante de natur& in7amatorie.gigante de natur& in7amatorie.
(a tineri(a tineri +n regiunea sim-!ar&+n regiunea sim-!ar& 6maginea ) o lacun& bine6maginea ) o lacun& bine
delimitat&* unic& saudelimitat&* unic& saupolilobat&* care su7& corticalapolilobat&* care su7& corticala,a care deplasea!& din$ii.,a care deplasea!& din$ii.
Poate produce re!ali!&Poate produce re!ali!&
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Osteomacentral&
Granulom eo!ino-lGranulom eo!ino-l
Osteoma
periferic&Osteomuleste o opacitate osoas&.Maifrecvent situat& central dec%tperiferic. (ocali!at 4n regiunea condiluluimandibular* determin& latero/devia$iamandibulei c&tre partea s&n&toas& 4n
momentul desciderii gurii"
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'ibrom desmoid 'ibrom osi-ant'ibrom osi-ant
3ispla!ia -broas&
'ibromul osi-ant )pre!en$a unor travee-broaseosteoformatoare a unuios normal
3ispa!ia -broas& )radiotransparen$&intraosoas&* limitat&* pe
suprafa$a sa are -neo acit& i.
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Osteocondrom
Osteoma osteoid&
Osteomul osteoideste o varietate deosteom* -indrepre!entat& de o
opacitate scleroas&condensat&* careare central o !on&clar& nidus".Osteomul osteoideste foarte dureros
,i tratamentul estecirurgical.
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Exoste!eleExoste!eleosteogeniceosteogenice
Sesile sau pediculateSesile sau pediculate 3ependente de un3ependente de un
segment osos normal*segment osos normal*continu%nd corticalacontinu%nd corticala
'recvent 4n por$iunea'recvent 4n por$iuneavestibular& a regiuniivestibular& a regiuniimolare ,i pe fa$amolare ,i pe fa$aintern& a marginiiintern& a marginiibe!ilare a mandibulei.be!ilare a mandibulei.
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3isp!ia -broas&3isp!ia -broas&
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Clasi-carea cisturilorClasi-carea cisturilor
Odontogene / radicular* periodontal*Odontogene / radicular* periodontal*folicular* re!idualfolicular* re!idual
Neodontogene / na!opalatin* medialNeodontogene / na!opalatin* medial-sural* lateral -sural* medial-sural* lateral -sural* medialmandibular* re!idualmandibular* re!idual
Pseudocisturi / solitar* anevrismal*Pseudocisturi / solitar* anevrismal*cavitate latent&cavitate latent&
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Cist radicularCist radicular
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Cist radicularCist radicular
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Cist radicularCist radicular
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Cist radicular re!idualCist radicular re!idual
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Cist radicular re!idualCist radicular re!idual
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CeratocistCeratocist
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Cist folicularCist folicular
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Cisturi neodontogeneCisturi neodontogene
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Cist solitarCist solitar
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#meloblastom#meloblastom
http://scw.asahi-u.ac.jp/~kawamata/jpg/amelo2.jpg7/24/2019 Prelegere Tumori Facial ROM
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#meloblastom#meloblastom
http://scw.asahi-u.ac.jp/~kawamata/jpg/amelo2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/amelo2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/amelo2.jpg7/24/2019 Prelegere Tumori Facial ROM
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Tumoare odontogen&Tumoare odontogen&adenomatoid&adenomatoid&
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Cist calci-at odontogenCist calci-at odontogen
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OdontomOdontom
http://scw.asahi-u.ac.jp/~kawamata/jpg/odont1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/odont1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/odont1.jpg7/24/2019 Prelegere Tumori Facial ROM
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OdontomOdontom
http://scw.asahi-u.ac.jp/~kawamata/jpg/odont2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/odont2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/odont2.jpg7/24/2019 Prelegere Tumori Facial ROM
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cementoblastom benigncementoblastom benign
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radiotransparen$& format& din mairadiotransparen$& format& din maimulte cavit&$i reali!at& de septurimulte cavit&$i reali!at& de septuri
netenete
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Semnele malignit&$iiSemnele malignit&$ii
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CarcinomCarcinom
http://scw.asahi-u.ac.jp/~kawamata/jpg/okk1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/okk1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/okk1.jpg7/24/2019 Prelegere Tumori Facial ROM
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CarcinomCarcinom
http://scw.asahi-u.ac.jp/~kawamata/jpg/okk2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/okk2.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/okk2.jpg7/24/2019 Prelegere Tumori Facial ROM
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Sarcom osteogenSarcom osteogen
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(ipom(ipom
http://scw.asahi-u.ac.jp/~kawamata/jpg/lip1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/lip1.jpghttp://scw.asahi-u.ac.jp/~kawamata/jpg/lip1.jpg7/24/2019 Prelegere Tumori Facial ROM
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