Cysts
Terms
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- What are the three structural parts of a cyst?
- 1 Central cavity (containing fluid, etc) 2 Lining (usually strat squa) 3 CT Capsule
- How are cysts usually discovered?
- Routine exam/xrays
- Name the cyst characterized by a non-vital tooth, inflammation, radiolucent, derived from rest of Malassez, either asympomatic or acute pain.
- Dental Granuloma
- Name the cyst characterized by a non-vital tooth, cholesterol clefts, radiolucent, either asympomatic or acute pain.
- Radicular/Periradicular/Periapical Cyst
- Name the cyst that develops from fragments of an apical cyst after removal of a tooth.
- Residual cyst
- Name the cyst that is associated with the crown of a normal/supernumerary impacted tooth.
- Dentigerous cyst
- What is the origin of a dentigerous cyst?
- Reduced enamel epithelium, after the crown has formed
- Name the 2 most common sites for a dentigerous cyst.
- 1 3rd molars 2 Maxillary cuspids
- Dentigerous cysts usually occur from age ____ to ____, and is lined by ______ _________ epithelium.
- 10-30, stratified squamous epi
- Name 3 possible progressions of a dentigerous cyst.
- 1 Ameloblastoma 2 Squamous cell carcinoma 3 Mucoepidermoid carcinoma (salivary gland tumor)
- If a radiolucency is less than 2.5 mm, it is probably not a dentigerous cyst, but is probably⬦
- Perifollicular fibrosis
- Can you see an eruption cyst on an xray?
- NO
- Name the cyst that is a soft-tissue counterpart of a dentigerous cyst.
- Eruption cyst
- Name the cyst that develops in place of a tooth (no history of extraction or existing tooth).
- Primordial cyst
- What is the origin of a primordial cyst?
- Remnants/degeneration of the enamel organ
- Where is the most common location to find a primordial cyst?
- 3rd molar area
- T/F: Primordial cysts can be multilocular.
- TRUE
- Name the cyst that shows keratinization.
- Odontogenic keratocyst
- What is the origin of an Odontogenic keratocyst?
- Dental lamina/cell rests
- Odontogenic keratocysts are (rare/common) make up ___-____% of all odontogenic cysts. OKC affects ____-____ year olds. They are lined by (thin/thick) epithelium.
- Common, 3-11% of all odontogenic cysts, 10-40 year olds. Thin
- What is the most common location to find an Odontogenic keratocyst?
- Mandibular molar area
- T/F: Odontogenic keratocysts can be aggressive.
- True, can cause tooth movement and resorption
- Name the syndrome which features multiple Odontogenic keratocysts.
- Jaw cyst-basal cell nevus-Bifid rib syndrome
- T/F: Odontogenic keratocysts can be multilocular.
- TRUE
- On an xray, name two things that Odontogenic keratocysts may resemble (and cannot be differentiated from).
- 1 Dentigerous cyst 2 Lateral periodontal cyst
- Name a unique histologic feature of Odontogenic keratocysts.
- Satellite cysts
- T/F: Recurrence rate is high for Odontogenic keratocysts.
- True, due to satellite cysts and wavy epi lining
- Name a variant of Odontogenic keratocysts. Is its recurrence rate higher or lower than Odontogenic keratocysts?
- Orthokeratinized odontogenic cyst. Recurrence is much lower (2% instead of 30%)
- T/F: Gingival cyst of the newborn is rare.
- False, it is found in 50% of all newborns!
- What is the origin of Gingival cyst of the newborn and adult?
- Remnants of the dental lamina
- T/F: Gingival cyst of the adult is rare.
- TRUE
- Where is the most common area to find a Gingival cyst of the adult?
- Mandibular bicuspid/anterior area
- Name the cyst that is the bony counterpart to a gingival cyst of the adult.
- Lateral periodontal cyst
- T/F: Lateral periodontal cysts can be multilocular.
- True, it would be called a Botryoid odontogenic cyst
- Where is the most common area to find a Lateral periodontal cyst?
- Mandibular premolar/cuspid area
- Name the multilocular variant of a Lateral periodontal cyst.
- Botryoid odontogenic cyst (grape-like cluster)
- T/F: Recurrence rate is high for Lateral periodontal cysts.
- False, it is low
- Name the cyst that is more like a neoplasm than a cyst.
- Calcifying Odontogenic Cyst (Gorlin cyst)
- Where is the most common area to find a Calcifying Odontogenic Cyst (Gorlin cyst)?
- Trick question - it's found equally in maxilla and mandible, but tends to be in the anterior area
- Name a unique histologic feature of a Calcifying Odontogenic Cyst (Gorlin cyst).
- Ghost cells, usually with calcifications (diffuse or clumpy)
- Name the cyst that has glandular differentiation.
- Glandular Odontogenic Cyst
- Where is the most common area to find a Glandular Odontogenic Cyst?
- Mandibular anteriors
- What is a (better) synonym for a paradental cyst?
- Buccal bifurcation cyst
- Name the cyst that usually occurs on mandibular molars that have a history of pericoronitis.
- Paradental/Buccal bifurcation cyst
- What is the cause of Paradental/Buccal bifurcation cysts?
- Infection stimulates Inflammation, which stimulates rests of Malassez to make enamel
- What is the age predilection for Paradental/Buccal bifurcation cysts?
- 20-30 years old
- Name the most common site to find a Paradental/Buccal bifurcation cyst.
- Mandibular second/third molars
- Name the cyst that is small, white, and found on the palate of newborns. Name 2 synonyms.
- Palatal cyst of the newborn. 1 Epstein Pearls 2 Bohn's Nodules
- Name the cyst that is caused by ectoderm entrapped in median palatal fusion line and/or epithelial remnants of developing palatal salivary glands.
- Palatal cyst of the newborn/ Epstein Pearls/Bohn's Nodules
- What is one differential diagnosis for Palatal cyst of the newborn?
- Gingival cyst of the newborn
- Name the rare soft tissue cyst affecting the lower portion of the nasolacrimal duct.
- Nasolabial or Nasoalveolar cysts
- Nasolabial or Nasoalveolar cysts affect more (males/females).
- Females
- Name the characteristic histological feature of Nasolabial or Nasoalveolar cyst.
- Psuedostratified columnar epithelium
- Name the cyst that occurs between the roots of the maxillary lateral and canines.
- Globulomaxillary cyst
- What shape is a Globulomaxillary cyst, usually?
- Pear-shaped
- Name 3 differential diagnoses for Globulomaxillary cysts.
- 1 Periapical cysts 2 Odontogenic cysts 3 Lateral periodontal cysts
- Name the cyst that occurs in the incisive canal.
- Nasopalatine Duct/Incisive Canal cyst
- What is the soft-tissue counterpart of the Nasopalatine Duct/Incisive Canal cyst?
- Palatine papilla cyst
- Does the Nasopalatine Duct/Incisive Canal cyst affect (non/vital) teeth?
- Vital
- Nasopalatine Duct/Incisive Canal cysts usually occur in (males/females) age ____-_____.
- Males, 40-60
- What is the rule of thumb for Nasopalatine Duct/Incisive Canal cysts?
- If it is less than .6 mm, it is probably just an enlarged incisive canal
- Where is the most common location for Nasopalatine Duct/Incisive Canal cysts?
- Between the maxillary centrals
- What shape is a Nasopalatine Duct/Incisive Canal cyst, usually?
- Heart-shaped
- Name the cyst that is located posterior to the incisive papilla in the midline of the hard palate.
- Median palatal cyst
- Name the cyst that is lined by keratinized stratified squamous epithelium and is often filled with keratin.
- Epidermoid cyst
- Name the cyst that is lined by keratinized stratified squamous epithelium and is often filled with sebaceous glands, hair follicles, bone, muscle, etc.
- Dermoid cyst
- What other neoplasm does a dermoid cyst resemble?
- Teratoma
- Where is the most common location for an epi/dermoid cyst?
- Floor of the mouth
- If the patient has a bulge in the floor of the mouth/has no neck, the epi/dermoid cyst is (above/below) the mylohyoid.
- Above
- If the patient has a double chin, the epi/dermoid cyst is (above/below) the mylohyoid.
- Below
- Name the cyst that occurs on the midline, between the foramen cecum of the tongue and the suprasternal notch.
- Thyroglossal duct cysts
- What causes a thyroglossal duct cyst?
- Epithelial remnants of the thyroid migration turn into cysts
- What is the treatment for a thyroglossal duct cyst, and why?
- Remove, because it may turn malignant
- What % of thyroglossal duct cysts occur below the hyoid?
- 70%
- Name the cyst that comes from epithelium trapped in lymph nodes.
- Cervical Lymphoepithelial cyst (Branchial Cleft Cyst)
- Name the cyst that occurs in the lateral neck as an asymptomatic, slow-growing fluctuant mass.
- Cervical Lymphoepithelial cyst (Branchial Cleft Cyst)
- Name the cyst that occurs in oral lymphoid tissue, is yellow, and has no rete pegs.
- Oral lymphoepithelial cyst
- Where do 50% of oral lymphoepithelial cysts occur?
- Floor of the mouth
- Name the cyst that occurs in the maxilla, after a maxillary sinus surgery/extraction.
- Surgical Ciliated Cyst of the maxilla
- What type of lining does a Surgical Ciliated Cyst of the maxilla have?
- Respiratory epi
- What causes a surgical ciliated cyst of the maxilla?
- Epi becomes implanted/trapped at the site of surgery and starts to proliferate and cavitate
- Name the cyst that is similar to dermoid but has gastric/intestinal mucosa lining.
- Heterotropic Oral Gastrointestinal Cyst/Anterior Median Lingual Cyst/Gastric Cystic Choristoma
- What is the age and gender predilection for Heterotropic Oral Gastrointestinal Cysts?
- Infants/young children, males
- Where is the most common location for a Heterotropic Oral Gastrointestinal Cyst (2)?
- 1 Tongue 2 Floor of the mouth
- Name the pseudocyst that should be completely obvious on a radiograph.
- Simple bone cyst/Traumatic Bone cyst
- Why is a Simple bone cyst not a cyst?
- It has no epithelium, and the cavity is empty
- What is a key characteristic on the radiographs for a Simple bone cyst?
- Scalloped border
- What is the age group for Simple bone cysts?
- Young adults
- Are simple bone cysts associated with (non/vital) teeth?
- Vital
- What is the treatment for a Simple bone cyst?
- Curette to start bleeding, then it heals on its own
- Name the pseudocyst that has salivary gland tissue in it.
- Lingual Mandibular Salivary Gland Depression (Static bone cyst/Stafne bone cyst)
- Name the pseudocyst that radiographically occurs as an ovoid lucency between the mandibular canal and inferior border, with a sclerotic border.
- Lingual Mandibular Salivary Gland Depression (Static bone cyst/Stafne bone cyst)
- Name the uncommon vascular lesion of jaws/bones that resembles a "blood-soaked sponge".
- Aneurysmal Bone Cyst
- Do Aneurysmal bone cysts occur mainly in the maxilla or mandible?
- Mandible
- What is a differential diagnosis for an Aneurysmal Bone Cyst?
- OKC
- Name three other lesions that may be associated with an Aneurysmal Bone Cyst.
- 1 Fibrous dysplasia 2 Hemangioma 3 Traumatic bone cyst
- The mesial root of this tooth is the strongest and widest tooth
- Mandibular 1st molar or #19 & #30
- Ethylene Oxide is used for:
- Heat sensitive instruments
- Allergy to lidocaine use
- Procaine (Novacaine)
- This impression material must avoid moisture:
- Polysulfide
- What antidepressant is used for smoking cessation
- Zyban (antidepressant)
-
Nitrous oxide smooths vascular smooth muscle:
True or False - True
-
With syncope a patient will have constricted pupils
True or False - False
-
Fibroblast has NO root attachment
True or False - True
-
Quantity is a factor in absorption of xrays
True or False - False
- Where is the primary location for a tumor
- Parotid gland
- What is the major buffer in toothpaste
- Bicarbonate
- The maxillary 1st premolar has 2 roots, where are the roots located? mesial & distal or buccal & lingual?
- Buccal & Lingual roots
-
Cerebral anoxia can be caused by severe shock?
True or False - True
- What is the most striking characteristic of a mandibular 1st premolar?
- ML groove
- The crown:root ratio of primary teeth is conger compared to crown:root of permanent teeth
- True
-
Roots of primary teeth are bulky & thick at their cervical junction.
True or False - False
- Two root canals are commonly found in which tooth
- Mesial root of mandibular 1st molars
- Which tooth has a small afunctional cusp
- Mandibular 1st bucuspid
- The root of this tooth sometimes bifurcates into a facial and lingual root at the apical third
- Mandibular canine
- The only teeth with a cingulum are:
- Anterior maxillary teeth
- The most dominant groove seen on a mandibular 2nd premolar is
- "Y" groove
- The cervical cross section of mandibular incisor root is
- Elliptical
- Roots on primary teeth are _______ than permanent teeth
- thinner
- Cold sensitivity from a new amalgam restoration is caused by
- Pulpal hyperemia
- Alginate should be seperated from stone after
- 1 hour
- What is the conductor for galvanic shock
- Saliva
- Mercury ______set time & _____strength
- increases set time and decreases strength
- What prevents corrosion of amalgam
- Silver
- What keeps amalgam fillings from leaky margins
- corrosion