BENIGN TUMORS OF THE JAWS

Q1. CLASSIFY BENIGN TUMORS OF THE JAWS. DESCRIBE VARIOUS

RADIOGRAPHIC APPEARANCES OF AMELOBLASTOMA.
Q2. TENNIS RACKET APPEARANCE OF THE BONE
Q3. ODONTOMA
Q1. CLASSIFY BENIGN TUMORS OF THE JAWS. DESCRIBE VARIOUS
RADIOGRAPHIC APPEARANCES OF AMELOBLASTOMA.
 Classification of benign tumors
 Odontogenic epithelium without odontogenic Mesenchyme
Ameloblastoma
Squamous odontogenic tumor
Pindborgs tumor
Clear cell odontogenic tumor
 Odontogenic epithelium with odontogenic Mesenchyme with or
without dental hard tissue formation
Ameloblastic fibroma
Ameloblastic fidro odontoma
Ameloblastic fibro dentinoma
Odontoameloblastoma
Adenomatoid odontogenic tumor
Complex and compound odontoma
 Odontogenic ectomesenchyme with or without odontogenic
epithelium
Odontogenic fibroma
Odontogenic myxoma
Benign cementoblastoma
Ameloblastoma;
 These are benign, locally aggressive Polymorphic neoplasms that
consist of proliferating odontogenic epithelium.
 Histologically, they may be follicular, granular, basal cell,
Desmoplastic, acanthomatous, plexiform.
 Clinical featuresinclude slow growing tumor which is initially
asymptomatic and is an incidental finding in radiographs.
  They mostly occur in ascending ramus or the molar region of the
mandible.
 It causes gradually increasing facial deformity and expansion of
jaw bone.
 Egg shell cracking maybe elicited due to thinning od overlying
bone.
Radiographic features
 It most commonly appears as multilocular radiolucencies.
 Roots of various teeth involved show signs of resorption.
 Tumor maybe associated with unerupted tooth, particularly
impacted third molar, and may mimic dentigerous cyst.
 Honey comb or soap bubble appearance maybe seen.
 It may also present as single unilocular radiolucency
indistinguishable from odontogenic cyst.

Q2. TENNIS RACKET APPEARANCE OF THE BONE

 It is seen in odontogenic myxoma.
 They arise from odontogenic mesenchymal tissue and is a lically
invasive neoplasm.
 It consists of rounded, angular cells lying in abundant myxoid
stroma.
 It often presents with internal osseous trabeculae arranged in
tennis racket pattern.
 Excision or partial resection of bone is the preferred treatment.

Q3. ODONTOMA
 It is the tumour formed by the overgrowth of complex dental
tissues.
WHO classification:
 Germinated composite odontome
 Compound composite odontome
 Complex composite odontome
 Dilated odontome
 Cystic odontome

Complex odontome :
 Malformation in which all the dental tissues are represented,
individual tissues mainly well formed but occuring in a more or
less disorderly pattern.
Compound odontome:
 Malformation in which all the dental tissues are represented, in a
more orderly pattern, consists of tooth like structures called the
tooth lets.
Clinical features:
 Most common maxillary tumours.
 They are mostly found in areas of upper incisors and canines,
followed by antero and postero inferior regions.
 Complex odontomas are more often found in the area of second
and third lower molars.
Radiographic features
 First stage is characterized by radiotransparency due to absence
of dental tissue calcification.
 Second or intermediate stage presents partial calcification.
 Third or classically radiopaque stage exhibits predominant tissue
calcification with a surrounding radiotransparent halo.
 A disorganised, irregular single or multiple mass is identified.
 Compound odontomas show an irregular radiopaque image with
variations in contour and size.