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Index
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ONCOLD1
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Chapter 1
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MESENCHYMAL
level: MESENCHYMAL
Questions and Answers List
level questions: MESENCHYMAL
Question
Answer
ODONTOGENIC MYXOMA: LOCATION
Anywhere in the mandible and maxilla
ODONTOGENIC MYXOMA: age range
10-50 years
ODONTOGENIC MYXOMA: mean age
30 years
Honeycombed, well circumscribed or diffused, multilocular radiolucency; Produces cortical expansion rather than perforation; Root displacement rather than resorption
ODONTOGENIC MYXOMA
Scattered bony islands (residual trabeculae) and capillaries; Acellular myxomatous connective tissue
ODONTOGENIC MYXOMA
Benign fibroblasts and myofibroblasts with variable amounts of collagen in a mucopolysaccharide matrix
ODONTOGENIC MYXOMA
may look like Central hemangioma (honeycombed) or Normal dental pulp and follicular connective tissue surrounding impacted developing or mature tooth
ODONTOGENIC MYXOMA
ODONTOGENIC MYXOMA: treatment
Surgical excision
ODONTOGENIC MYXOMA: recurrence
moderate
ODONTOGENIC MYXOMA: prognosis
good
CENTRAL ODONTOGENIC FIBROMA: location
mandible and maxilla
Multilocular; Often causes cortical expansion
CENTRAL ODONTOGENIC FIBROMA
Mass of mature fibrous tissue containing few epithelial rests
CENTRAL ODONTOGENIC FIBROMA
CENTRAL ODONTOGENIC FIBROMA: differential diagnosis
ameloblastoma
CENTRAL ODONTOGENIC FIBROMA: treatment
Enucleation or excision
CENTRAL ODONTOGENIC FIBROMA: recurrence
uncommon
CEMENTIFYING FIBROMA: sex predilection
female
CEMENTIFYING FIBROMA: interarch predilection
mandible
CEMENTIFYING FIBROMA: age predilection
40 years old
CEMENTIFYING FIBROMA: clinical features
Tooth movement or cortical expansion
Lucent with opaque foci or diffusely opaque; Well-circumscribed, surrounded by sclerotic margin
CEMENTIFYING FIBROMA
Benign fibroblastic stroma; Cementum: globules of oval islands of calcified material frequently surrounded by eosinophilic cementoid and cementoblasts
CEMENTIFYING FIBROMA
CEMENTIFYING FIBROMA: treatment
Enucleation or excision
CEMENTOBLASTOMA: also known as
TRUE CEMENTOMA
CEMENTOBLASTOMA: originates form
cementoblast
CEMENTOBLASTOMA: age predilection
before 25 years
Intimately associated with root of the tooth; Vital tooth; Cortical expansion that causes low grade intermittent pain
CEMENTOBLASTOMA
Opaque lesion replacing tooth root; Surrounded by radiolucent ring
CEMENTOBLASTOMA
Conglumeration of cementum-like material with numerous reversal lines; Intervening well vascularized soft tissue with cementoblasts (numerous, large, and hyperchromatic); cementoclasts
CEMENTOBLASTOMA
CEMENTOBLASTOMA: treatment
Removal of mass and associated tooth
CEMENTOBLASTOMA: recurrence
none
Unusual response of periapical bone and cementum to some local factor like trauma and infection
PERIAPICAL CEMENTAL DYSPLASIA
Apex of vital teeth, Apices of two or more teeth, Asymptomatic
PERIAPICAL CEMENTAL DYSPLASIA
PERIAPICAL CEMENTAL DYSPLASIA: interarch predilection
mandible
PERIAPICAL CEMENTAL DYSPLASIA: intraarch predilection
anterior periapical region
PERIAPICAL CEMENTAL DYSPLASIA:periapical lucency continuous with periodontal ligament space
early
PERIAPICAL CEMENTAL DYSPLASIA:mixed or mottled pattern due to bone repair
mature
PERIAPICAL CEMENTAL DYSPLASIA:solid opaque mass surrounded by thin lucent ring
final
Biopsy not necessary, diagnostic by clinical and radiographic features
PERIAPICAL CEMENTAL DYSPLASIA
Exuberant form of periapical cemental dysplasia
FLORID OSSEOUS DYSPLASIA
Asymptomatic, except when osteomyelitis Occurs; Concomitant appearance of traumatic (simple) bone cyst
FLORID OSSEOUS DYSPLASIA
FLORID OSSEOUS DYSPLASIA: treatment
none