Cyst Flashcards

1
Q

Phases of growth of inflammatory cyst?

A
  • initiation phase
  • Cyst formation phase
  • cyst enlargement phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Growth factors in initiation phase are produced by …..

A

Stromal cells of granuloma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Factors other than pressure causes bone resorption in inflammatory cyst?

A

-stromal cells of granuloma produce
Interleukin
Prostaglandin
Proteinases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Xray of inflammatory cyst?

A

-RO margin is continuous with lamina dura
-long standing : displacement of neighbouring roots rarely resorbed
While affected tooth is resorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A.S.S. of inflammatory cyst?

A
  • 3rd to 6th decade
  • males are more
  • ant max then post max then post mand then ant max
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

D.d. of inflammatory cyst

A

Periapical granuloma, periapical scar, odontogenic tumors,

giant cell lesion. o Early stage of periapical cemental dysplasia.

D Traumatic bone cyst.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Paradental cyst definition etiology and location ?

A

It is an inflammatory cyst that develops on lateral surface of tooth root.

Result from inflammation of the

gingiva over an erupting molar.

➤ Associated with partially erupted 3rd molar.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Buccal bifurcation cyst cause?

A

1- inflammatory reaction during eruption of lower 6 cause inflammation of the follicle creating cyst
2- ectopic enamel on the buccal aspec creating pocket which leads to cyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A.S.S. of buccal bifurcation cyst

A

5 to 11y
Lower 6
Bilateral in third of people
Signs & symptoms:

  1. Buccal pocketing, swelling -
  2. Foul odor.

III. Slight to moderate tenderness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Xray of buccal bifurcation cyst?

A

Well defined unilocular radiolucent area involving buccal furcation area.

Occlusal film is essential to reveal the buccal location with roots tips are directed lingually.

o Single or multiple layers of reactive bone formation as a result of periostitis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Histology of buccal bifurcation cyst

A

Non-specific.

of The cyst is lined by non-keratinized stratified squamous epithelium with areas of hyperplasia

A prominent chronic inflammatory cell infiltrate is present in the

surrounding connective tissue wall.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Clinical of dentigirous?

A
  1. Age10-30 years.

2

Sex

males > females.

  1. Affect any unerupted tooth but mainly &-3.

3

4 Deciduous teeth rarely affected & may associate supernumerary tooth. Asymptomatic and discovered when the eruption of tooth is delayed.

6 Large cysts may cause cortical expansion of bone & facial asymmetry. Painful if infected by hematogenous route or PDL disease or

7.

periapical lesion of adjacent tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

X ray of dentigirous ?

A

Unilocular radiolucent area on crown of unerupted tooth

with well-defined sclerotic (opaque) border.

o Large cyst may be multilocular radiolucencies.

o If infected →ill-defined border.

CLINICO-RADIOGRAPHIC CLASSIFICATION: (according to relation with tooth)

o Central most common, cyst surround crown attach at CE), o Lateral cyst partially surround crown.

o Circumferential cyst surround crown and enclose a large portion of root

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dentegirous and adjacent roots ?

A

Resorption

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Complications of dentigirous

A
Patho fracture
Root resorption
-Mucoepidermoid carcinoma from mucous secreting cells
-sq.c.c
-ameloblastoma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dentigerous vs eruption cyst in pedo

A

Eruption can happen over pedo tooth but not dentigerous it’s too rare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Eruption cyst is called . … due to bleeding in cyst cavity with trauma

A

Eruption hematoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Site of eruption cyst?

A

Ant max
Post mand
Also deciduous

19
Q

Clinical of gingival cyst of newborn

A

Less than 2mm
Spontaneous healing
Multiple
More in max than mand

20
Q

HistoPayhology of gingival cyst of newborn

A

St sq k epi
Thun epi
Nodular thickening

21
Q

Epstein pearls

A

Inclusion non od keratinised cyst at midline of the palate

22
Q

Gingival cyst of adult ?

A
  • from epi rest of d lamina in ging.
  • non k
  • non specific histo
  • age –5th to 6th
  • site – mand pm and c gingiva
  • slowly growing painless
  • cupping of cortex
  • vital adjacent teeth
23
Q

Lateral periodontal cyst?

A

Non keratinized developmental odontogenic cyst lateral to root of the tooth within bone.

o Arise from epithelial rest of dental lamina

in bone

  1. Age 20-60 years.
  2. Sex males > females.
  3. Site →more in mandible

(premolar & canine area).

  1. Painless slowly growing.
  2. Adjacent teeth are vital.

o Well defined round or tear

drop RL area surrounded by RO margin between 2

adjacent roots.

o Thin non keratinized stratified squamous epithelium.

o Nodular thickening may be

present in the epithelial lining.

o Numerous daughter microcysts may be found in CT wall.

24
Q

Origin of OKC

A

Arise from cell rests of dental lamina

Mechanism of its growth is due to: unknown factors

o Vakoown factor inherited in setthelial es

inherent in epi tous.

EnZymatic Activity of fibrous a wall

so it

may be considered as benign cystic neoplasm (named keratocystic odontogenic tumor).

25
Q

OKC clinical

A

Age 10-40 years.

  1. Sex 60-80% of cases in males.
  2. Sitemandible> maxilla (mainly in posterior part of mandible and ascending ramus).
  3. If small asymptomatic.
  4. If large painless or painful.
  5. Grow in antero-posterior direction (Le. In medullary bone not causing obvious bone expansion). 7. Occasionally parasthesia of the lower lip may be present.
26
Q

OKC radio picture

A

R/E:

o Small cysts → usually unilocular, well defined radiolucent area with well-defined radioopaque

margin.

a Large cysts → multilocular radiolucent area.

May be associated with unerupted tooth. o Resorption of adjacent roots may be seen.

27
Q

Ttt and prog of OKC

A
  • friable ct wall don’t allow removal as one piece
  • cautterization with carnoy solution allows separation from bone and decreases recurrence
  • bur peripheral osteotomy with reconstruction and graft
  • 30%recurrence
  • rare carcinoma transformation
28
Q

Gardner goltz syndrome

A

Autosomal dominant condition which reveals:

Multiple BCCs.

Multiole odontogenic keratocysts

Bifid ribs.

Broad nasal bridge.

© Mandibular prognathism.

o Frontal bossing.

o Vertebral kyphosis.

o Intracranial calcifications.

o Palmer and plantar pits.

o Ovarian fibromas in females.

o Cleft lip & palate.

29
Q

Gorlin cyst origin

A

Reduced enamel epi.

Or remnants of dental lamina

30
Q

Nature of gorlin cyst

A

-may be classified as tumor
Ccot
Calcifying cystic od. Tumor
Solid more than cystic

31
Q

COC site

A

Ant to 6
Central 75% max than mand in canine and incisors
Peripheral 25% in ging.

32
Q

Gorlin cyst age and sex

A

Age less than 40

Female

33
Q

Gorlin signs

A

-slowly growing
Painless
Facial asymmetry could be found
Teeth displacement

34
Q

Xray of COC

A

-well defined
-multi or uni locular
-displacemnt of roots and resorption
- salt and pepper radioopacities
Scattered

35
Q

Median mandibular cyst origin

A
Not fissural
May be
OKC
Lateral pdl cyst
Periapical cyst
36
Q

Origin of globulin max

A

Lateral pdl

37
Q

Clinical of globulo max cyst

A

-bet roots of upper 3 and 2
-rare between 2 and 1
-cortical exp.
-teeth displacement
-

38
Q

Median mand cyst clinical

A
  • between lower central incisors
  • or apical
  • slowluly growing painless
39
Q

Most common non od cyst

A

Is nasopalatine duct cyst

40
Q

Cause of nasopalatine duct cyst

A

-trauma infection or spontaneous

Affecting epi remenant of nasopalatine duct

41
Q

Clinical of nasopalatine

A

Age 5th to 6th decade
Female
Any point along NP canal
Fluctuant swelling at bu alv mucosa and ant palate
May be painful
If occurred in incisive papilla is called papilla palatina cyst
Salty discharge and is bluish
-between or apical to roots of central upper I
-

42
Q

Nasopalatine cyst does it affect roots of upper central

A

Yes

Divergence may occur

43
Q

Origin of median palatine cyst

A

May be fissural

Or posteriorly positioned nasoplalatine duct cyst

44
Q

Is there pain in med palatine cyst

A

It starts asymptomatic but pain and expansion may occur