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Developmental Cysts
Developmental Cysts
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04/04/2013

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Term
Where do odontogenic cysts originate?
Definition
cysts from tooth origin
Term
Where do nonodontogenic cysts originate?
Definition
not from tooth origin, originates from lines of function
Term
What is a cyst?
Definition
a sac or cavity lined with epithelium an enclosed in connective tissue
Term
What are cysts filled with?
Definition
fluid or semisolid material
Term
How do cysts appear in bone?
Definition
well circumcised radiolucency
Term
How are cysts classified?
Definition
odontogenic (tooth development) or nonodontogenic
Term
Where can the epithelium that forms odontigenic cysts come from? (4)
Definition
1.enamel organ
2.reduced enamel epilthelium
3.epithelial rests of malassez
4.residual lamina dura
Term
How are odontogenic cysts classified?
Definition
According to one of the following...
1.location
2.cause
3.origin of epithelium
Term
What are some intraosseous cysts? (4)
Definition
1.dentigerous or follicular cysts
2.primordial cysts
3.odontogenic keratocyst
4.lateral periodontal cysts
Term
What are some examples of extraosseous cysts? (2)
Definition
1.eruption cysts
2.gingival cysts
Term
Where does a dentigerous or follicular cyst form? What is the lumen filled with?
Definition
-forms around the crown of an unerupted tooth
-lumen filled with fluid
Term
Where does the epithelium from a dentigerous or follicular cyst come from? How does it appear radiographically?
Definition
-REE
-well-defined, unilocular radiolucency
Term
What does a Dentigerous or Follicular Cyst cause?
Definition
-facial asymmetry
-displacement of teeth
-root resorption of adjacent teeth
Term
What are some potential complications of Dentigerous or Follicular Cyst?
Definition
development of an ameloblastoma, epidermoid carcinoma, or mucoepidermoid carcinoma
Term
What is the treatment of Dentigerous or Follicular Cyst?
Definition
complete removal of the cyst and usually tooth too
Term
What is an eruption cyst?
Definition
Type of dentigerouscyst associated with an erupting tooth
Term
What happens with an eruptive cyst? How does it look radiographically?
Definition
-tooth erupts through the cyst
-does not show up radiographically because it is in the soft tissue
Term
What is the treatment of an eruption cyst?
Definition
no treatment necessary, tooth will erupt through it
Term
Where does a primordial cyst erupt?
Definition
where a tooth is supposed to be
Term
What does a primordial cyst arise from?
Definition
degeneration of the enamel organ
Term
How does a primordial cyst appear radiographically?
Definition
well-defined, unilocularor multilocular radiolucency
Term
Wat is the treatment of a primordial cyst?
Definition
treatment involves complete removal
Term
How thick is the epithelial lining of the lumen with a Odontogenic Keratocyst?
Definition
8-10 cells thick
Term
What are some symptoms of Odontogenic Keratocyst?
Definition
Expansive lesion causing swelling, tooth resorptionand movement, pain
Term
What are some neurological manifestations of Odontogenic Keratocyst?
Definition
tingling or numb lips
Term
How do Odontogenic Keratocyst appear radiographically?
Definition
can appear as a well-defined unilocularor multilocularradiolucency
Term
What is the treatment for Odontogenic Keratocyst? Why is careful followup needed?
Definition
-wide surgical removal
-recurrence common because it expands through the trabeculaeand easily fragments because it is so thin
Term
What do periodontal cysts arise from?
Definition
remnants of epithelial rests of Malassezin the PDL
Term
Where can periodontal cysts arise?
Definition
-lateral aspect of the root (Lateral Periodontal Cyst)
-apex (Periapicalor RadicularCyst)
Term
How do periodontal cysts appear radiographycally?
Definition
well-defined radiolucency
Term
Why do periapical or periodontal cysts develop?
Definition
as a result of infection from the pulp chamber –chronic condition, tooth non-vital
Term
What causes lateral periodontal cysts?
Definition
unknown cause, tooth tests vital
Term
What is the treatment for all periodontal cysts?
Definition
surgical removal
Term
What is the most common cyst?
Definition
residual cyst
Term
When do residual cysts form?
Definition
Forms when part of a periapical cyst is left behind
Term
How do residual cysts look radiographically?
Definition
well-circumscribed radiolucency at the site of the extraction
Term
How are residual cysts treated?
Definition
surgical removal
Term
What are three types of gingival cysts?
Definition
1.gingival cysts of newborns
2.palatal cysts of newborns
3.gingival cysts of adults
Term
Where do gingival cysts of nerborns form?
Definition
Remnants of the dental lamina degenerate and form cysts, on alveolar ridge where teeth would be
Term
What are gingival cysts of newborns filled with? What do they look like?
Definition
Filled with keratin so appear as multiple white nodules
Term
What are two types of palatal cysts of newborns?
Definition
1.Epstein's pearls
2.Bohn's nodules
Term
What are epsteins pearls?
Definition
epithelium entrapped during fusion of the palate, appear along the palatine raphe
Term
What are Bohn's nodules?
Definition
minor salivary glands appear as firm, small, white nodules in groups anywhere in the hard palate
Term
Do gingival cysts need treatment?
Definition
no, they usually resolve without treatment
Term
What is a gingival cysts of adults?
Definition
-arise from dental lamina
-similar to periodontal cyst in site and behavior
-appears aw swelling attached to gingiva of interdental papillae
-no radiographic manefestation
-surgical removal
Term
When do Nonodontogenic Cysts occur?
Definition
Occur when epithelium becomes entrapped during fusion of embryonic processes
Term
What is another name for nonodontogenic cysts? Why?
Definition
fissural cysts because they occur along the lines of fusion
Term
Where do nonodontogenic cysts form?
Definition
in bone or soft tissue
Term
WHat are 4 intraosseous cysts?
Definition
1.nasopalatine duct cyst
2.median palatal cyst
3.globulomaxillary cyst
4.median mandibular cyst
Term
What are some examples of extraosseous cysts? (5)
Definition
–NasolabialCyst
–Lymphoepithelial(BranchialCleft) Cyst
–Epidermal Cyst
–DermoidCyst
–ThyroglossalDuct Cyst
Term
Nasopalatine/incisive canal cyst- why does it form? Where are they located? how are they found? What do the look like radiographically? Treatment?
Definition
-Forms from remnants of the nasopalatineduct
•Located within the incisive canal or incisive papilla
•Most are asymptomatic, found on routine radiographs
•Radiographically appears as a well-defined, heart shaped radiolucency in the midline
•Treatment –surgical removal
Term
Median palatine cyst- why does it form? Where is it found? Radiographically? Treatment?
Definition
•Forms from epithelium trapped during fusion of the palatine processes
•Found in the midline of the palate, more posterior than the NasopalatineCyst
•Radiographicallyappears as a well-defined, unilocularradiolucency
•Treatment –surgical removal
Term
What is the debate with Globulomaxillary Cysts?
Definition
Debate is this a fissuralcyst? Epithelium trapped during fusion or is it of odontogenicorigin?
Term
Globulomaxillary Cysts- where are they found? How do they appear radiographically? Treatment?
Definition
•Found between the maxillary lateral and canine
•Radiographicallyappears as a well-defined upside down pear-shaped radiolucency
•Treatment-surgical removal
Term
Median Mandibular Cyst- Location? Treatment? Radiographically?
Definition
•Found in the midline of the mandible
•Radiographically appears as a well-defined radiolucency below the apices of the incisors
•Treatment –surgical removal
Term
Nasolabial Cyst- Origin? Location? appearance? Radiographic evidence? Treatment?
Definition
•Epithelium believed to come from remnants of the nasolacrimal duct
•Found at the junction of the globular, lateral nasal, and maxillary processes
•Clinically appears as a swelling in the mucolabial fold in the area of the canine fossa
•No radiographic evidence since is in soft tissue
•Treatment –surgical removal
Term
Lymphoepithelial (Branchial Cleft) Cyst- Cause? Location? Appearance? Treatment?
Definition
•Arises from epithelium (from branchial arches)trapped in a lymph node during development
•Commonly found in the major salivary glands
•Intraorally, floor of the mouth and lateral borders of the tongue most common
•Extraorally, lateral aspect of the neck most common
•Clinically appears as a pinkish-yellow nodule (intraoral) or a moveable mass on the neck (extraoral)
•Treatment –surgical removal, carcinoma can develop if only drained
Term
Where do Epidermoid cysts arise from? Where are the commonly found? Appearance?
Definition
-Arise from epithelium of the hair follicle and resemble the epidermis
–Occur on the skin of the face, neck, and scalp
–Present as normal-colored nodules
–Intraoral appear as yellow or normal-colored nodules
–Lumen filled with keratin
Term
Where do Dermoid cysts arise? Where are they found?
Definition
-in the cyst wall hair follicles, sebaceous glands, and sweat glands
–Lumen filled with keratin
–Found in oral cavity in the floor of the mouth and may protrude into the floor or present as a submental swelling
–If also include teeth, bone, muscle
Term
What is another name for dermoid cysts?
Definition
teratoma
Term
How are epidermoid and dermoid cysts treated?
Definition
with surgical removal
Term
Thyroglossal Tract Cyst- Origin? Symptomatic? Location? Treatment? Recurrence?
Definition
•Develops from remnants of the duct that served as the path for the thyroid gland to migrate from the oral cavity to the neck
•Present as asymptomatic midline swelling
•Most occur below the hyoid bone
•Treatment –surgical removal of the cyst, the tract connecting the cyst to the foramen cecum, and the central portion of the hyoid bone
•Even then, 5% recurrence rate and some cases have carcinoma arise
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