Sol Rad Flashcards

1
Q

what are the solitary and interradicular radiolucencies

A
  • incisive canal cyst
  • median mandibular cyst
  • mid palatine cyst
  • lateral periodontal cyst
  • solitary bone cyst
  • posterior lingual mandibular salivary gland depression (Stafne cyst)
  • focal osteoporotic bone marrow defect
  • residual cyst
  • fibrous healing defect
  • neuroma, neurofibroma
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2
Q

do solitary and interraddicular radiolucencies form around apex

A

not typically

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3
Q

what is the most common interradicular and solitary radiolucencies

A

incisive canal (nasopalatine) cyst

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4
Q

what are the lines of embryonic fusion and sites of development cysts

A
  • naso-labial
  • naso-palatine duct
  • median palatal
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5
Q

what are the clinical features of incisive canal cysts

A
  • painless swelling
  • sinus tract may be present
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6
Q

what are the radiographic features of the incisive canal cyst

A
  • unilocular radiolucency in vicinity of maxillary midline
  • cause of alterations to walls of incisive canals
  • root divergence in cases of large cysts
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7
Q

what is another way an incisive canal cyst is described and why

A

heart shaped because of the anterior nasal spine superimposing over the round radiolucency

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8
Q

do incisive canal cysts displace teeth

A

no

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9
Q

do incisive canal cysts usually get larger

A

not usually but it can

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10
Q

what is the age, site and gender predilection of the incisive canal cyst

A
  • 4th and 6th decades
  • site: anterior maxilla; close to midline
  • gender: male:female 3:1
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11
Q

what is the management of incisive canal cysts and is there recurrence

A
  • simple enucleated; degree of surgery is dependent on size of lesion
  • recurrence is unusual
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12
Q

what are the clinical features of median mandibular cysts

A

asymptomatic

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13
Q

what are the radiographic features of the median mandibular cysts

A

unilocular radiolucency in the symphyseal region

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14
Q

what are the clinical features of the mid palatine cyst

A

asymptomatic

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15
Q

what are the radiographic features of the mid palatine cyst

A
  • unilocular radiolucency
  • palatal midline, posterior to papilla
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16
Q

what is the age, site and gender predilection for the mid palatine cyst

A
  • any age
  • site: midpalate posterior to papila
  • no gender predilection
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17
Q

what is the management of mid- palatine cyst

A
  • simple enulcelated; degree of surgery is dependent on size of lesion
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18
Q

what is the clinical presentation of the lateral periodontal cyst

A
  • asymptomatic, dome-shaped swellings of the interdental papilla, attached gingiva, or alveolar mucosa
  • occurs in the mandible cuspid-PM region
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19
Q

does the lateral periodontal cyst push teeth away

A

no

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20
Q

what is the radiographic presentation of the lateral periodontal cyst

A
  • well defined radiolucency
  • round to ovoid
  • normally in inter radicular areas between alveolar crest and apices
  • may or may not come in contact with the tooth surface
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21
Q

what is the age, site and gender predilection for the lateral periodontal cyst

A
  • age: adult
  • site mandible- canine-premolar region
  • gender: male
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22
Q

what is the management of lateral periodontal cysts and do they recur

A
  • surgical enucleated
  • does not recur
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23
Q

what must lateral periodontal cysts be differentiated from

A

early stage OKCs and ameloblastomas

24
Q

what is the clinical presentation of solitary (traumatic) bone cysts

A
  • normally asymptomatic
  • may have swelling or pain
25
Q

what are the other names for the solitary bone cyst

A
  • unicameral bone cyst
  • solitary bone cyst
  • hemorrhagic bone cyst
  • intravasational bone cyst
  • traumatic bone cyst
  • extravasational bone cyst
26
Q

what is the radiographic appearance of the solitary bone cyst

A
  • unilocular radiolucency with interradicular scalloped superior margins
  • usually greater than 10mm and associated with more than 1 root apex
  • well demarcated but does not have corticated border
  • aggressive lesions can be expansive but most cases arent
27
Q

what is the age, site and gender predilection for solitary bone cyst

A
  • age: second decade, usually less than 25 years but also seen in menopausal age women and same age in men
  • site: body and ramus of mandible
  • gender: no predilection
28
Q

what is the management of solitary bone cysts and is there recurrence

A
  • initiate bleeding
  • recurrence is rare
29
Q

what is the clinical presentation of the posterior lingual mandibular salivary gland depression

A
  • developmental lesion
  • asymptomatic
  • usually found in routine radiographic examinations
  • considered pathognomonic
30
Q

what is another name for the posterior lingual mandibular salivary gland depression

A

Stafne cyst

31
Q

what is the radiographic presentation of PLMSGD

A

-well circumscribed posterior radiolucency in molar region between mandibular canal and inferior border
- can be found in antegonial notch
- may or may not be corticated

32
Q

does the PLMSGD grow

A

yes

33
Q

what is the age, site and gender predilection of the PLMSGD

A
  • age: adults; prominent over 50 years
  • site: between the mandibular canal and inferior border
  • gender: almost exclusively in men
34
Q

what is the management for PLMSGD

A
  • positive diagnosis based on clinical and radiologic history negates the need for biopsy and histologic examination
35
Q

what is the clinical presentation of focal osteoporotic bone marrow defect of the jaws

A

asymptomatic

36
Q

what is the radiographic presentation of the focal osteoporotic bon marrow defect of the jaws

A
  • unilocular, faint radiolucency
  • not ragged but difficult to discern as a separate entity
  • well demarcated, can be trabeculations, no expansion
37
Q

what is the age, site and gender predilection for focal osteoporotic bone marrow defect of the jaws

A
  • age: all
  • site: mandible
  • gender: slightly higher in females but no predominant gender
38
Q

what is the management for focal osteoporotic bone marrow defect of the jaws

A

no treatment

39
Q

what is the pathophysiology of the residual/recurrent cyst

A
  • results from incomplete removal or residual viable epithelial cystic lining following treatment of a cyst
  • previous history of periapical disease
40
Q

what is the clinical presentation of the residual cyst

A
  • asymptomatic, normally found on radiographic examinations of edentulous areas
  • tooth or root may or may not be present
41
Q

what is the radiographic presentation of the residual cyst

A
  • well defined radiolucency with smooth round corticated borderd
  • usually 5mm or less in diameter
  • may not be any root present if tooth was previously extracted
42
Q

what is the age, site and gender predilection for the residual cyst

A
  • age: middle age or older
  • site: more common in maxilla
  • gender: more common in males
43
Q

what is the management of the residual/recurrent cyst

A
  • same as PA cyst
  • requires removal of the cyst lining
  • enucleation if a large cyst
44
Q

what is the pathophysiology of the fibrous healing defect

A
  • develops after inflammation that affects the integrity of the periosteum
  • once disease is eradicated the bone heals without a mineralized bony matrix
  • due to the loss of the periosteum only fibrous connective tissue fills the site of the previous disease
45
Q

what is another name for the fibrous healing defect

A

apical scar

46
Q

what is the clinical presentation of the fibrous healing defect

A
  • asymptomatic
  • noted in areas with a history of disease or trauma
47
Q

what is the radiographic presentation of the fibrous healing defect

A
  • well circumscribed radiolucent lesion at site of previous surgery
  • punched out or see through appearance
  • may resemble residual cysts in edentulous areas but lack of cortication
48
Q

fibrous healing defects are seen where:

A

there was trauma such as endo or mandibular fx

49
Q

what is the management for the fibrous healing defect

A
  • no treatment indicated
  • a previous history of disease is critical in establishing the diagnosis
50
Q

what is the clinical presentation of the neuroma, neurofibroma

A
  • expansion, pain or paresthesia
  • symptoms include complaints of burning, tingling and aching sensations
51
Q

what is the radiographic presentation of neuroma, neurofibroma

A
  • well circumscribed radiolucency of various shapes
  • in the mandible it usually forms in the mandibular canal
  • benign
52
Q

what is the management of the neuroma, neurofibroma

A
  • excision
  • recurrence is rare
53
Q

what are the other odontogenic cyst like radiolucencies

A
  • ameloblastoma
  • central giant cell granuloma
  • cementoossifying fibroma
54
Q

what are the other non-odontogenic cyst like radiolucencies

A

-chronic localized langerhans cell disease
- myeloma

55
Q
A