Академический Документы
Профессиональный Документы
Культура Документы
Pindborg tumor. Mandibular bicuspid region, often associated with unerupted / impacted tooth Non encapsulated and locally invasive Enucleation with margin of bone
Radiography
Trabecular pattern of bone lost Circumscribed unilocular radiolucency with honeycomb pattern along with scattered flecks of calcifications, Driven snow appearance
Histology
Islands of eosinophilic epithelial cells Cells infiltrate bony trabeculae
CEOT- histopathology
Clear cells
Low power
High power
Stratified squamous epithelial lining Polarized basal layer, lumen contains ghost cells
Pathognomic histo picture of duct like structure of epithelium: nests, whorls, strands, cords, sworls and has distinct capsule Often in maxillary canine region in association with impacted canine. F:M 2:1 Radiologic: destructive lesion, unilocular radiolucency. Enucleation
Thick fibrous capsule, clusters of spindle cells, columnar cells (rosettes, ductal) throughout
Ameloblastic Fibroma
Uncommon odontogenic neoplasm producing considerable inductive change in connective tissue. Except for pathologic / Histologic features, clinical and radiological picture mimics Ameloblastoma.
Enucleation
Ameloblastic fibroma
Low power
High power
Fibrous c/t along with enamel and dentin matrix Altered occlusion, delayed eruption of teeth. Swelling and mild pain. Aggressive and invades adjacent tissues
Odontomas
Composite: Enamel, dentin, cementum, pulp. Compound: Calcified structures bear some degree of resemblance to teeth. Complex: disorderly, disoriented fashion of alignment of tissues.
Complex odontoma one of the most commonest odontogenic lesion/malformation It is commonly found in the posterior mandible
OSTEODENTIN
Compound odontoma
Anterior maxilla.
Mesenchymal tumors
Odontogenic Myxoma
Spindle shaped cells and scattered collagen fibers distributed through a loose, mucoid material. Painless, slowly enlarging expansion of the jaw with possible tooth loosening or displacement Mandible>maxilla, posterior>anterior "soap bubble" or "honeycomb" appearance Because of the gelatinous nature of the tumor, it is crucial for the surgeon to remove the lesion intact so as to further reduce the risk of recurrence.
The odontogenic Myxoma is made up of loosely arranged spindle and stellate cells with a mucoid intercellular substance. Nests of odontogenic epithelium are found infrequency
Cementoma
an intraosseous lesion composed of fibrous connective tissue enclosing foci of calcified material resembling cementum.
Cementoma
Low power
High power
The radiographic picture varies from a radiolucent (fibrous) to a radiopaque (calcified) lesion.
Cementoblastoma in the third stage consisting of a radiopaque mass with a radiolucent border and attached to the apices of the mandibular second premolar and first molar. The teeth are vital.
Periapical Cemental Dysplasia Etiology: mild trauma from occlusion. Asymptomatic Radiolucencies at root apices of lower anteriors often mature to calcify. When pulp tested, the teeth were found to be vital
Central Cementifying Fibroma Mimics central ossifying fibroma of bone. Displacement of teeth common. Impingement on structures- nerve paraesthesia.
Taking into account the fact that the demographics, radiographic appearances and location are identical. Cemento-ossifying fibroma should not be confused with peripheral ossifying fibroma which is a reactive non- neoplastic lesion.
sub-classification warranted???
of
cemental
tumors
The management in case of the Cementoblastoma and the Cementifying fibroma is the same, surgical excision, which is in contrast to the Periapical Cemental dysplasia where no treatment should be done
Learning objectives
Definition, clinical features, Radiographic features and histopathological features of CEOT. Know the cystic variant. Clinical features, Radiographic features and histopathological features of ameloblastic fibroma Clinical features, Radiographic features and histopathological features of ameloblastic fibroodontoma
Definition, clinical features, Radiographic features and histopathological features of AOT, SOT, Odontoma Definition, clinical features, Radiographic features and histopathological features of Cementoma and its sub types. Be familiar with the histological terms used for description