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PATHOLOGY
PATHOLOGY CHAPTER 5
108
Dentistry
Undergraduate 1
03/20/2014

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Term
ANKYLOGLOSSIA
Definition
•EXTENSIVE ADHESION OF TONGUE TO THE FLOOR OF THE MOUTH
•SHORT LINGUAL FRENUM
Term
ANKYLOSED TEETH
Definition
•TEETH THAT ARE FUSED TO THE ALVEOLAR BONE
•A CONDITION ESPECIALLY COMMON WITH RETAINED DECIDUOUS TEETH
Term
ANODONTIA
Definition
•CONGENITAL LACK OF TEETH (ALL)
Term
ANOMALY
Definition
•MARKED DEVIATION FROM NORMAL, ESPECIALLY AS A RESULT OF CONGENITAL OR HEREDITARY DEFECTS
Term
COMMISSURE
Definition
•THE SITE OF UNION OF CORRESPONDING PARTS (EX: CORNERS OF LIPS)
Term
CONCRESCENCE
Definition
•CONDITION IN WHICH 2 ADJACENT TEETH BECOME UNITED BY CEMENTUM
Term
CONGENITAL DISORDER
Definition
•DISORDER THAT IS PRESENT AT AND EXISTING FROM THE TIME OF BIRTH
Term
CYST
Definition
•ABNORMAL SAC OR CAVITY LINED BY EPITHELIUM AND SURROUNDED BY FIBROUS CONNECTIVE TISSUE
Term
DENS IN DENTE
Definition
•TOOTH WITHIN A TOOTH
•DEVELOPMENTAL ANOMALY THAT RESULTS WHEN THE ENAMEL ORGAN INVAGINATES INTO THE CROWN OF A TOOTH BEFORE MINERALIZATION
Term
DENTINOGENESIS
Definition
•FORMATION OF DENTIN
Term
DIFFERENTIATION
Definition
•DISTINGUISHING OF ONE TISSUE FROM ANOTHER
Term
DILACERATION
Definition
•AN ABNORMAL BEND OR CURVE IN THE ROOT OF A TOOTH
Term
FUSION
Definition
•THE UNION OF 2 ADJACENT TOOTH GERMS
Term
GEMINATION
Definition
•"TWINNING"
•WHEN A SINGLE TOOTH GERM ATTEMPTS TO DIVIDE, RESULTING IN THE INCOMPLETE FORMATION OF 2 TEETH
•TOOTH USUALLY HAS A SINGLE ROOT AND ROOT CANAL
Term
HYPODONTIA
Definition
•PARTIAL ANODONTIA
•LACK OF ONE OR MORE TEETH
Term
IMPACTED TEETH
Definition
•TEETH THAT CANNOT ERUPT INTO THE ORAL CAVITY BECAUSE OF A PHYSICAL OBSTRUCTION
Term
MACRODONTIA
Definition
•ABNORMALLY LARGE TEETH
Term
MICRODONTIA
Definition
•ABNORMALLY SMALL TEETH
Term
MULTILOCULAR
Definition
•A RADIOGRAPHIC APPEARANCE IN WHICH MANY CIRCULAR RADIOLUCENCIES EXIST
•MAY LOOK LIKE SOAP BUBBLES OR HONEYCOMBS
Term
NODULE
Definition
•SMALL SOLID MASS THAT CAN BE DETECTED THROUGH TOUCH
Term
OLIGODONTIA
Definition
•A SUBCATEGORY OF HYPODONTIA IN WHICH SIX OR MORE TEETH ARE MISSING
Term
PREDILECTION
Definition
•A DISPOSITION IN FAVOR OF SOMETHING
•PREFERENCE
Term
PROLIFERATION
Definition
•MULTIPLICATION OF CELLS
Term
STOMODEUM
Definition
•EMBRYONIC INVAGINATION THAT BECOMES THE ORAL CAVITY
Term
SUPERNUMARY
Definition
•IN EXCESS OF THE NORMAL OR REGULAR NUMBER
Term
INHERITED DISORDERS
Definition
•CAUSED BY AN ABNORMALITY IN THE GENETIC MAKE-UP (GENES AND CHROMOSOMES) OF AN INDIVIDUAL AND TRANSMITTED FROM PARENT TO OFFSPRING THROUGH THE EGG OR SPERM
Term
COMMISSURE LIP PIT
Definition
•DEEP DEPRESSION SEEN AT THE LABIAL COMMISSURE
Term
CONGENITAL LIP PIT
Definition
•AKA PARAMEDIAN LIP PIT
•OCCURS NEAR THE MIDLINE OF THE VERMILION BORDER OF THE LOWER LIP AND MAY APPEAR AS EITHER A UNILATERAL OR BILATERAL DEPRESSION
•NO TREATMENT
Term
LINGUAL THYROID
Definition
•AKA ECTOPIC LINGUAL THYROID NODULE
•MASS OF THYROID TISSUE LOCATED ON THE TONGUE AWAY FROM THE NORMAL ANATOMIC LOCATION OF THE THYROID GLAND
•RESULTS FROM THE FAILURE OF THE PRIMITIVE THYROID TISSUE TO MIGRATE FROM ITS DEVELOPMENTAL LOCATION TO ITS NORMAL POSITION IN THE NECK
Term
RADICULAR CYST
Definition
•AKA PERIAPICAL CYST
•MOST COMMON CYST IN THE ORAL CAVITY
•DEVELOPS FROM AN EXISTING PERIAPICAL GRANULOMA FOUND AT THE APEX OF A NONVITAL TOOTH
•ALWAYS ASSOCIATED WITH A NONVITAL TOOTH
•CAN ONLY BE DIAGNOSED MICROSCOPICALLY BECAUSE THE RADIOGRAPHIC APPEARANCE CAN BE SIMILAR TO OTHER LESIONS
Term
RESIDUAL CYST
Definition
•IS A RADICULAR CYST THAT REMAINS AFTER EXTRACTION OF THE OFFENDING TOOTH
Term
ODONTOGENIC
Definition
•RELATED TO TOOTH DEVELOPMENT
Term
NONODONTOGENIC
Definition
•NOT RELATED TO TOOTH DEVELOPMENT
Term
INTRAOSSEOUS CYSTS
Definition
•ORAL CYSTS THAT OCCUR WITHIN BONE
Term
EXTRAOSSEOUS CYSTS
Definition
•CYSTS THAT OCCUR IN SOFT TISSUES
Term
RADIOGRAPHICALLY, CYSTS WITHIN BONE GENERALLY APPEAR AS _________________
Definition
•WELL CIRCUMSCRIBED RADIOLUCENCIES
Term
RADIOGRAPHICALLY, CYSTS WITHING SOFT TISSUE APPEAR AS ______________
Definition
•THEY HAVE NO APPEARANCE BECAUSE YOU CAN'T SEE SOFT TISSUE IN RADIOGRAPHS
Term
DENTIGEROUS CYST
Definition
•AKA FOLLICULAR CYST
•FORMS AROUND THE CROWN OF AN UNERUPTED OR DEVELOPING TOOTH
•2ND MOST COMMON ODONTOGENIC CYST
•MOST COMMON LOCATION IS AROUND TH CROWN OF AN UNERUPTED OR IMPACTED MANDIBULAR 3RD MOLAR
•MAY DEVELOP IN BOTH MALES AND FEMALES, BUT IS MORE COMMON IN YOUNG ADULT MALES
•WHEN LARGE, CAN CAUSE DISPLACEMENT OF TEETH OR A FRACTURE OF THE MANDIBLE
Term
RADIOGRAPHICALLY, DENTIGEROUS CYSTS APPEAR AS ______________________
Definition
•A WELL DEFINED, UNILOCULAR RADIOLUCENCY AROUND THE CROWN OF AN UNERUPTED TOOTH
Term
WHAT DOES TREATMENT OF A DENTIGEROUS CYST CONSIST OF?
Definition
•COMPLETE REMOVAL OF THE CYSTIC LESION AND USUALLY THE TOOTH INVOLVED
•IF NOT REMOVED, THE CYST WALLS CONTINUE TO ENLARGE AND NEOPLASM MAY DEVELOP
Term
ERUPTION CYST
Definition
•SIMILAR TO A DENTIGEROUS CYST
•FOUND IN THE SOFT TISSUES AROUND THE CROWN OF AN ERUPTING TOOTH
•SEEN CLINICALLY AND SOMETIMES RADIOGRAPHICALLY
•CAN BE SEEN IN DECIDUOUS AND PERMANENT TEETH, BUT IS MOST COMMON IN PERMANENT FIRST MOLARS AND INCISORS
•USUALLY DOES NOT REQUIRE TREAMENT
Term
PRIMORDIAL CYST
Definition
•DEVELOPS IN THE PLACE OF A TOOTH
•MOST COMMON IN THE PLACE OF THE 3RD MOLAR
•MOST COMMON IN YOUNG ADULTS AND FOUND IN RADIOGRAPHS
Term
RADIOGRAPHICALLY, A PRIMORDIAL CYST APPEARS AS ____________________
Definition
•A WELL DEFINED, RADIOLUCENT LESION THAT CAN BE EITHER UNILOCULAR OR MULTILOCULAR
Term
WHAT DOES TREATMENT OF A PRIMORDIAL CYST CONSIST OF?
Definition
•SURGICAL REMOVAL OF THE ENTIRE LESION
Term
ODONTOGENIC KERATOCYST
Definition
•DEVELOPMENTAL CYST CHARACTERIZED BY ITS UNIQUE MICROSCOPIC APPEARANCE AND FREQUENT RECCURENCE
•MOST OFTEN SEEN IN THE MANDIBULAR 3RD MOLAR REGION USUALLY IN MALES
•LUMEN IS LINED WITH EPITHELIUM THAT IS 8-10 BASAL CELL LAYERS THICK
Term
RADIOGRAPHICALLY, THE ODONTOGENIC KERATOCYST APPEARS AS ______________
Definition
•A WELL-DEFINED, MULTILOCULAR, RADIOLUCENT LESION
•UNILOCULAR LESIONS CAN OCCUR
•RADIOGRAPHIC APPEARANCE CAN BE IDENTICAL TO THAT OF AN ODONTOGENIC TUMOR
Term
WHAT EFFECT DOES AN ODONTOGENIC KERATOCYST HAVE ON TEETH?
Definition
•IT CAN MOVE TEETH AND RESORB TOOTH STRUCTURE BUT DOES NOT USUALLY CAUSE EXPANSION OF BONE
Term
WHAT DOES TREATMENT OF AN ODONTOGENIC KERATOCYST CONSIST OF?
Definition
•IT IS RATHER AGGRESSIVE BECAUSE OF THE HIGH RECURRENCE RATE
•THOROUGH SURGICAL EXCISION AND OSSEOUS CURETTAGE ARE RECOMMENDED
•CAREFUL FOLLOW-UP AND EVALUATION ARE ESSENTIAL
Term
CALCIFYING ODONTOGENIC CYST
Definition
•DEVELOPMENTAL NON-AGGRESSIVE CYSTIC LESION
Term
MICROSCOPICALLY, WHICH CYST HAS A CHARACTERISTIC FEATURE CALLED 'GHOST CELLS'?
Definition
•CALCIFYING ODONTOGENIC CYST
Term
LATERAL PERIODONTAL CYST
Definition
•NAMED FOR ITS LOCATION
•SEEN MOST OFTEN IN THE MANDIBULAR CUSPID AND PREMOLAR AREA ON THE LATERAL ASPECT OF A TOOTH ROOT
Term
WHEN MULTILOCULAR, THE LATERAL PERIODONTAL CYST IS KNOWN AS _____________
Definition
•A BOTRYOID CYST
Term
GINGIVAL CYST
Definition
•LOCATED IN THE SOFT TISSUE OF THE SAME AREA AS THE LATERAL PERIODONTAL CYST
•APPEARS AS A SMALL BULGE OR SWELLING OF THE ATTACHED GINGIVA OR INTERDENTAL PAPILLA
Term
THE LATERAL PERIODONTAL CYST IS FOUND MORE OFTEN IN ________
Definition
•MALES
Term
THE GINGIVAL CYST IS FOUND MORE OFTEN IN ______
Definition
•MALES AND FEMALES
Term
BOTRYOID ODONTOGENIC CYST IS CLOSELY RELATED TO THE _____________
Definition
•LATERAL ODONTOGENIC CYST
Term
THE BOTRYOID ODONTOGENIC CYST IS MOST COMMON IN WHAT AREA OF THE MANDIBLE?
Definition
•CUSPID AND PREMOLAR AREA
Term
WHICH CYST TENDS TO HAVE A HIGHER RECCURENCE POTENTIAL, LATERAL PERIODONTAL CYST, OR BOTRYOID ODONTOGENIC CYST?
Definition
•BOTRYOID ODONTOGENIC CYST
Term
GLANDULAR ODONTOGENIC CYST WAS ORIGINALLY CALLED ________
Definition
•A SIALO-ODONTOGENIC CYST
Term
GLANDULAR ODONTOGENIC CYST
Definition
•EXHIBITS A DISTINCTIVE MICROSCOPIC APPEARANCE
•USUALLY MULTICYSTIC LESIONS
•OFTEN PRESENTS AS AN ENLARGEMENT OF BONE
•IF NOT COMPLETELY REMOVED, HAVE A HIGH RECURRNCE RATE
Term
THE MOST COMMONLY REPORTED LOCATIONS OF THE GLANDULAR ODONTOGENIC CYST ARE _____________
Definition
•POSTERIOR MANDIBLE AND ANTERIOR MAXILLA
Term
NASOPALATINE CANAL CYST
Definition
•AKA: INCISIVE CANAL CYST
•DEVELOPMENTAL CYST LOCATED IN THE NASOPALATINE CANAL OR THE INCISIVE PAPILLA
•USUALLY ASYMPTOMATIC (MAY BE A SMALL PINK BULGE BETWEEN MAXILLARY CENTRAL INCISOR ROOTS ON THE LINGUAL SURFACE)
Term
WHEN FOUND IN THE PAPILLA, THE NASOPALATINE CANAL CYST IS REFERRED TO AS A ____________________
Definition
•CYST OF THE PALATINE PAPILLA
Term
THE NASOPALATINE CANAL CYST IS MOST COMMONLY SEEN IN ________________
Definition
•ADULT MALES BETWEEN 40 AND 60 YEARS OF AGE
Term
RADIOGRAPHICALLY, THE NASOPALATINE CANAL CYST APPEARS AS _________________
Definition
•A HEART-SHAPED, RADIOLUCENCY, EVENLY DISTRIBUTED TO THE RIGHT AND LEFT OF THE MIDLINE
Term
IN WHAT WEEK DOES ODONTOGENESIS BEGIN?
Definition
•5TH WEEK
Term
ANKYLOGLOSSIA, COMMISURE LIP PITS, AND LINGUAL THYROID MASS ARE ALL CONSIDERED __________________
Definition
•DEVELOPMENTAL SOFT TISSUE ABNORMALITIES
Term
DEVELOPMENTAL CYSTS
Definition
•ABNORMAL CAVITIES LINED BY EPITHELIUM
Term
EPIDERMAL CYST
Definition
•ABNORMAL, FLUID-FILLED EPITHELIUM LINED SAC OR CAVITY
•RAISED NODULE ON SKIN
•LUMEN IS USUALLY FILLED WITH KERATIN CELLS
Term
ODONTOGENIC VS NONODONTOGENIC
Definition
•ODONTOGENIC IS RELATED TO TOOTH DEVELOPMENT
•NONODONTOGENIC IS NOT RELATED TO TOOTH DEVELOPMENT
Term
DENTIGEROUS CYST
Definition
•CYST FORMS AROUND THE CROWN OF AN UNERUPTED CROWN
•WELL DEFINED, UNILOCULAR RADIOLUCENCY AROUND CROWN
•AKA: FOLLICULAR CYST
Term
ERUPTION CYST
Definition
•FOUND IN THE SOFT TISSUE AROUND THE CROWN OF AN ERUPTING TOOTH
•THERE IS NO TREATMENT
Term
PRIMORDIAL CYST
Definition
•DEVELOPS IN THE PLACE OF A TOOTH
•MOST COMMON IN PLACE OF THE 3RD MOLARS
•MOST OFTEN IN YOUNG ADULTS AND CAN ONLY BE FOUND ON A RADIOGRAPH
Term
ODONTOGENIC KERATOCYST
Definition
•BAD BOY OF CYSTS
•CHARACTERIZED BY HISTOLOGICAL APPEARANCE AND FREQUENT RECCURENCE
•CONTAINS PARAKERATINE
•MOST COMMON IN THE MANDIBULAR 3RD MOLAR REGION
•CAN MOVE TEETH AND CAUSE RESORPTION
•LUMEN LINED BY EPITHELIUM 8-10 LAYERS THICK
Term
CALCIFYING ODONTOGENIC CYST
Definition
•NONAGGRESSIVE CYSTIC LESION LINED BY ODONTOGENIC EPITHELIUM
Term
LATERAL PERIODONTAL CYST
Definition
•INSIDE BONE
•MOST OFTEN IN MANDIBULAR CUSPID/PREMOLAR AREA
Term
GINGIVAL CYST
Definition
•OUTSIDE BONE
•MOST OFTEN IN MANDIBULAR CUSPID/PREMOLAR AREA
Term
NASOPALATINE CANAL CYST
Definition
•AKA: INCISIVE CANAL CYST
•LOCATED WITHIN THE NASOPALATINE CANAL OR INCISIVE PAPILLA
•MOST COMMON IN MEN AGES 40-60
•ASYMPTOMATIC
•RADIOGRAPHIC - HEART SHAPED
Term
MEDIAN PALATINE CYST
Definition
•WELL DEFINED UNILOCULAR RADIOLUCENCY ON THE MIDLINE OF THE PALATE
Term
GLOBULOMAXILLARY CYST
Definition
•WELL DEFINED, PEAR-SHAPED RADIOLUCENCY BETWEEN THE ROOTS OF THE MAXILLARY LATERAL INCISOR AND CUSPID
•NEEDS SURGICAL REMOVAL
Term
NASOLABIAL CYST
Definition
•SOFT TISSUE, FLUID-FILLED
•MORE COMMON IN WOMEN
Term
DERMOID CYST AND BENIGN CYSTIC TERATOMA
Definition
•DEVELOPMENTAL CYSTS OFTEN PRESENT AT BIRTH
Term
DERMOID
Definition
•LUMEN FILLED WITH KERATIN
•HAIR FOLLICLES, SABACEOUS GLANDS, AND SWEAT GLANDS MAY BE FOUND IN THE CYST WALL
Term
THYROGLOSSAL TRACT CYST
Definition
•AT THE MIDLINE
•HARD TO SWALLOW
Term
PSUEDOCYST
Definition
•INTRAOSSEOUS LESIONS THAT APPEAR AS RADIOLUCENCIES
•THEY ARE CALLED CYSTS BUT THEY AREN'T TRUE CYSTS BECAUSE THEY ARE NOT LINED BY EPITHELIUM
Term
STATIC BONE CYST
Definition
•AKA: STAFNE BONE DEFECT
Term
WHAT ARE THE 3 PSUEDOCYSTS?
Definition
•STATIC (STAFNE) BONE CYST
•SIMPLE BONE CYST (TRAUMATIC)
•ANEURYSMAL BONE CYST (CONTAINS BLOOD-FILLED SPACES)
Term
ANODONTIA
Definition
•MISSING ALL TEETH
•RARE, GENETIC
•MAY BE ASSOCIATED WITH ECTODERMAL DYSPLASIA
Term
HYPODONTIA
Definition
•MISSING SOME TEETH
•MOST COMMON: 3RD MOLARS, MAX. LATERAL INCISORS, MANDIBULAR PREMOLARS
•GENETIC
•MAY BE A COMPONENT OF A SYNDROME
Term
SUPERNUMARY TEETH
Definition
•EXTRA TEETH
•FORMATION OF EXTRA TOOTH BUDS
•CAN OCCUR IN DECIDUOUS OR PERMANENT
•MOST OFTEN IN MAXILLA
•MOST ARE UNERUPTED AND FOUND ON XRAYS
Term
WHAT IS THE MOST COMMON SUPERNUMERARY TOOTH?
Definition
•MESIODENS
Term
WHAT IS THE 2ND MOST COMMON SUPERNUMERARY TOOTH?
Definition
•DISTOMOLAR (DISTAL TO THE 3RD MOLAR)
Term
MULTIPLE SUPERNUMERARY TEETH MAY BE ASSOCIATED WITH:
Definition
•CLEIDOCRANIAL DYSPLASIA OR GARDNER SYNDROME
Term
MICRODONTIA
Definition
•SMALL TEETH
Term
MACRODONTIA
Definition
•LARGE TEETH
Term
GEMINATION
Definition
•ONE TOOTH DIVIDING INTO TWO
•LOOKS LIKE ONE TOOTH, WITH A NOTCH AT THE TOP
•PATIENT HAS FULL COMPLEMENT OF TEETH
•HAS ONLY 1 ROOT
Term
FUSION
Definition
•UNION OF TWO ADJACENT TEETH
•PATIENT IS USUALLY SHORT ONE TOOTH
•HAS TWO ROOTS
Term
TALON CUSP
Definition
•ACCESSORY CUSP NORMALLY ON PALATAL SIDE IN THE CINGULUM AREA
Term
DENS EVAGINALIS
Definition
•ACCESSORY ENAMEL CUSP FOUND ON THE OCCLUSAL TOOTH SURFACE
•MOST OFTEN ON MAND. PREMOLARS
Term
CONCRESCENCE
Definition
•TWO ADJACENT TEETH UNITED BY CEMENTUM
Term
DILACERATION
Definition
•CURVATURE OF THE ROOT
•CAN CAUSE PROBLEMS IN A ROOT CANAL
Term
ENAMEL PEARL
Definition
•AKA: ENAMELOMA
•SMALL, SPHERICAL PROJECTION LOCATED ON THE ROOT SURFACE
Term
TAURODONTIA
Definition
•ELONGATED PULP CHAMBER WITH SHORT ROOTS
•"SAGGING PANTS"
Term
DENS IN DENTE
Definition
•AKA DENS INVAGINATUS
•ENAMEL ORGAN INVAGINATES INTO THE CROWN BEFORE MINERALIZATION
•VULNERABLE TO CARIES, PULPAL INFECTION, AND NECROSIS
Term
SUPERNUMERARY ROOTS
Definition
•MOST COMMON ON 3RD MOLARS OF BOTH ARCHES
Term
ENAMEL HYPOPLASIA
Definition
•INCOMPLETE OR DEFECTIVE FORMATION OF ENAMEL
•CAUSED BY FEBRILE ILLNESS OR VITAMIN DEFICIENCY
•CAUSED BY LOCAL INFECTION (TURNER TOOTH)
Term
IMPACTED VS. EMBEDDED
Definition
•IMPACTED: CANNOT ERUPT BECAUSE OF A PHYSICAL OBSTRUCTION
•EMBEDDED: DO NOT ERUPT DUE TO LACK OF ERUPTIVE FORCE
Term
ANKYLOSED TEETH
Definition
•AKA: SUBMERGED TEETH
•DECIDUOUS TEETH IN WHICH BONE HAS FUSED TO CEMENTUM AND DENTIN, PREVENTING EXFOLIATION OF THAT TOOTH AND ERUPTION OF THE UNDERLYING PERMANENT TOOTH
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