Non-odontogenic cysts
-it's origin not related to the origin of tooth
-Types : (Fissural cyst – cyst arising from Embryonic tracts – Salivary Glands cyst )
Non-odontogenic cysts
(1- Fissural cyst )
1-origin : proliferation of Epith. remnants & interruption between the fissure during development of
maxilla or mandible , it is true Cyst
2- clinically : asymptomatic mostly , but if swelling occurs → could be : 1-painless (if no Bactria )
or 2- painful (if there is Bactria)
3- X-ray : well circumscribed R.L area surrounded by thin rim of R.O line
4-Histology of all types of Fissural cyst :
-(1- cystic cavity → could contain fluid , semi-fluid –gas )
-(2- Very thin Sqq Epith. → if near to mouth or Respiratory pseudo Sqq Epith. without Rate pegs → if
near to nose )
-(3- C.T)
5-Types of Fissural cyst Acc. to location : ( 1- Globulomaxillary cyst , 2- Median palatal Cyst , 3- Median
mandibular Cyst, 4- naso labial or naso alveolar cyst , 5- Dermoid & Epidermoid Cyst )
1- Globulomaxillary cyst
1- at the line of fusion between Maxilla & Globular portion of median nasal process
2-if Epith. us interrupted at this line → will form →Globulomaxillary cyst
3-present between (Lat. incisor & canine )
4- X-ray : inverted pear shape + well circumscribed R.L area with thin lining R.O
2- Median palatal Cyst
1-Def. : interruption of Epith. in line of fusion between the 2 palatine process
2- present in midline of maxilla
3- X-ray : well circumscribed R.L area with surrounding thin R.O line
3- Median mandibular Cyst
1-Def. : interruption of Epith. in line of fusion between the 2 mandibular process
2- present in midline of mandible
3- X-ray : well circumscribed R.L area with surrounding thin R.O line
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4- naso labial or naso alveolar cyst
1- origin : at fusion of ( the globular , lat. nasal , maxillary ) processes
2-It is soft tissue swelling, seen under → (ala of nose)
3- X-ray : Not visible because it is soft tissue cyst
5- Dermoid & Epidermoid Cyst
1-developmental cyst result from ectodermal entrapment between 1st and 2nd bronchial arch
2-Located at : midline between mylohyoid and Geniohyoid muscles
3-if located above ↑ mylohyoid → it is → sublingual Cyst
4-if located under ↓ mylohyoid → it is → submental swelling Cyst
5-Histology : Epidermoid cyst → filled with keratin , Dermoid cyst → filled with Dermoid structure
(hair , sweat glands , sebaceous gland )
6-TTT: surgical removal
Non-odontogenic cysts
(2- cyst arising from Embryonic tracts)
Types of cyst arising from embryonic tracts : ( nasal palatine duct cyst , incisive cyst , Thyroglossal tract
or midline cyst , Palatine papilla cyst )
1-nasal palatine duct cyst
1-Drived and originated From : embryonic epith. Reminantce of nasal Palatine duct
2-(naso Palatine duct was a duct that connects between nasal cavity and oral cavity )
3-it should be static after developing .. but if proliferated → nasal palatine duct cyst will form
4- clinically : present in incisive foramen .. causing → pain , selling behind Central incisors
5- X-ray : Heart shape appearance
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2-incisive cyst
1- if a cyst formed outside of naso palatine duct called → incisive cyst
3-Thyroglossal tract or midline cyst
1-drived from : remnants of thyroglossal tract .. may present at any site from ( foramen cecum to →
Hyoid bone )
2-Clinically : if present in Neck → it will be in midline of Neck
3-when patient moves his tongue → the soft tissue Cyst moves R.t & L.t
4- considered as → midline cyst
5-Histology : 1-cyst cavity , 2- thin Sqq epith. or Respiratory Epith , 3- C.T → contains thyroid tissue
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4-Palatine papilla cyst
- it is soft tissue cyst
Non-odontogenic cysts
(3- Salivary Glands cyst)
1-Types of Salivary Glands cyst: (Mucous retention Cyst, Mucocele or Mucous extravasation, Ranula )
2-MUCOCELES could be → Mucous retention Cyst or extravasation Mucocele cyst
3- MUCOCELES means → Cyst of minor salivary Gland in (lip, palate , check)
1-Mucous retention Cyst
1-occured due to : obstruction of S.G (by Plug) → this result in retention of fluid in Duct
2-it is true cyst → bc: it is surrounded by Epith.
3-Non-odontogenic ,obstruction also may occurs due to calculus
4-clinically : soft tissue swelling , may be (bluish in color)
high biting force العيان بيجي ب هيستوري انه اتخبط فيها او عض عليها جامد ب-
5-Histology : 1-Cystic cavity → contains saliva , 2-Epith , 3- C.T ….. IT IS TRUE CYST
5-TTT: Removal of Cystic cavity + minor S.G →then اخيط
2-Mucocele or Mucous extravasation cyst
1-occured by → Rupture of Duct → this result in presence of →Saliva surrounded by C.T (Saliva in C.T)
2-it is pseudo cyst , Bc: surrounded by C.T
3-clinically : soft tissue swelling , may be (bluish in color)
high biting force العيان بيجي ب هيستوري انه اتخبط فيها او عض عليها جامد ب-
5-Histology : 1-Cystic cavity → contains saliva , 2- C.T→ surrounding saliva
(No Epith. so → IT IS PSEUDO CYST)
5-TTT: Removal of Cystic cavity + minor S.G →then اخيط
3- Ranula
1-it is a Clinical Term .. ( swelling that elevates tongue )
2-Caused by : ( Occluding or Extravasation ) of Submandibular S.G or Sublingual S.G
3-Same mechanism of Mucocele , But it occurs with →( Submandibular S.G or Sublingual S.G ) →
making tongue elevates
4-Blusih in color under tongue
Cyst like lesion (pseudo cyst )
-they are lined by C.T not Epith.
-Types of Cyst like lesions :
1-TRAUMATIC BONE CYST (Simple bone cyst, Hemorrhagic cyst)
2-STAFNE BONE CAVITY (Lingual cortical defect of the mandible, Static bone cyst, Latent bone cyst
,Developmental defect cyst)
3- ANURESMAL BONE CYST
1-TRAUMATIC BONE CYST (Simple bone cyst, Hemorrhagic cyst)
1- it is caused by trauma .
2- NORMALLY the trauma produces → Hemorrhage → blood clotting →then Removal of Clotting by
Organization → then formation of → Granulation tissue → that Replace by bone → then healing occurs
3-BUT in TRAUMATIC BONE CYST →Trauma occurs → clot forms → Removal of clot → NO Granulation
tissue → so. Empty cavity (CYST) forms
4-Cyst contains → Blood Clot without Fibrous tissue (Mainly presents above inferior alv. Canal )
5-Clinically : Swelling
6- X-ray : Scalloped & lobulated R.L area Above inferior alv. Canal & present between Roots
7-Histology : Osteolyitc activity on surface of adjacent bone
8-TTT : Open in Bone → curettage of Cyst → to give chance for Organization & Bone formation naturally
2-STAFNE BONE CAVITY (Lingual cortical defect of the mandible, Static bone cyst, Latent bone cyst
,Developmental defect cyst)
1-it is Developmental defect cyst & it is Ectopic Lesion → occurred due to part of Submandibular S.G at
Development → depressed in mandible and connected with main Lobe of Submandibular S.G .
2-it is Ectopic Lesion → normal Salivary Gland in abnormal place in Bone
3-Clinically : asymptomatic , no change in size so → it is called STATIC BONE CYST
4- X-ray : well defined R.L area .. characterized by it's position (near Angle of Mandible ) + Below ↓
mandibular Canal
5- TTT : No ttt Required , Bc it is Ectopic Lesion (normal tissue in abnormal place in bone )
6-it is pseudo cyst
3- ANURESMAL BONE CYST
1-it is pseudo cyst
2- Cause : unknown OR may be due to ( Trauma , abnormality in connection between Artery & vein
without capillary )
3-bone aneurysm → means Dilatation in B.V of Bone leading to → Bone resorption due to B.V pressure
4-it is Cystic cavity → filled by (fresh blood )
5- X-ray : multi-locular R.L area (honey comb appearance )
6-Clincally :
-bone swelling & blood present if I Aspirated lesion by syringe
-by aspiration technique : blood will appear so, I should take precautions Before TTT begins خطر فشخ
7-Histology : 1-Fibrous C.T , 2-Cavity filled with RBCs , 3-Multinucleated Giant cells , 4-Hemorrahge &
hemosiderin pigment
8-(D.D)→ Odontogenic keratocyst
8- TTT: Requires aspiration → if Aspirated done by syringe and ( Air present → its Traumatic Bone cyst)
, ( pus present → its inflammatory cyst) , (blood present → its aneurysmal bone cyst)
-after making sure that its aneurysmal bone cy st→stop bleeding then do curettage and apply bone
graft
