Jaw Cysts

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Lab

Dr. Rima Safadi

Dermoid cyst

Sebaceous glands and hair follicles

Epidermoid cyst

orthokerat in

Lateral periodontal cyst

Botryoid type

Gingival cyst of the adult

Your diagnosis? Eruption cyst

Glandular odontogenic cyst

Aneurysmal bone cyst

Granulation tissue and multinucleated giant cells Pools of blood

Idiopathic bone cavity

Scant fibrous tissue

Lymphoepithelial cyst

Thyroglossal duct cyst

29 year old
A

29 year old male presents for endodontic evaluation. The patient had become aware of an enlargement of his palate.

Differential Diagnosis

Diagnosis?? Nasopalatine duct cyst

47 year old female

Patient

presents with this incidental radiographic finding. Teeth test vital

Diagnosis??

Lateral Periodontal Cyst

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Gingival cyst of the adult

Gingival Cyst of the newborn

X X

Patient:17-year-old female Chief Complaint: tenderness first noticed one week previously in the left posterior aspect of the mandible. Radiographs: a wellcircumscribed radiolucency of the right mandibular body involving unerupted third molar

Case 2

S-971600

(keratinizing cystic odontogenic tumor)

Daughter cyst formation in OKC

OKC biologic quality of epithelium

 Radiographi

c presentatio ns of OKC

OKC

OKC

OKC: Can be multiple

Notice Parakeratin Production

Inflammation changes the typical features of OKC

Orthokeratinized odontogenic cysts different from OKC

What condition(s) should you consider now?

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BASAL CELL NEVUS SYNDROME.

Basal Cell Carcinomas Odontogenic Keratocysts
Autosomal Dominant with high penetrance and variable expressivity

Systems Affected

DURA CALCIFICATIONS

Bifid Ribs

OKC

Case 4
Patient:22-year-old male X Chief Complaint: Patient with incidental radiographic finding when patient reported for 3rd molar extractions X Radiographs: a coronal radiolucency is seen.
X

What is your diagnosis now?

Dentigerous cyst

Eruption cyst

Case 5: Patient: 5 year old male

Chief Complaint: Enlargement of the ventral tongue of one week duration. The enlargement appeared abruptly and is asymptomatic.

Clinical Differential Diagnosis: Extravasation mucocele: (salivary extravasation phenomenon) Retention mucocele: Salivary duct cyst (dilated salivary duct)

Pools of mucous

Granulation tissue

Minor salivaery glands

Extravasation mucocele

Ranula/plunging ranula

Extraosseous Developmental Cysts

Nasolabial

Cyst:

Nasolacrimal duct origin Strong female predilection Trt: surgical excision

42 Year old female

Patient

presents for routine dental exam. A periradicular abnormality is noted

Differential Diagnosis
List

1 2 3 4 5

Rushton bodies

Hyperplastic lining epithelium

Inflammatory infiltrates

Diagnosis?? Radicular/periapical cyst

Rests of Malassez

Residual Cyst

Oral Pathology, 4th edition, Soams and Southam

Simple bone cyst

Dermoid cyst

Ranula

Aneurysmal bone cyst

Multinucleated giant cell

Blood

Dentigerous cyst

Paradental cyst

Thyroglossal duct cyst

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

Case 6: 47 year old female

Patient

presents with episodic pain and occasional bad taste in mouth. Multiple endodontic therapies.

Diagnosis
Nasopalatine

duct cyst

Questions