Parasthesia :

 Chronic osteomyelitis
 Nasopalatine duct cyst → numbness in mucosa
 Glandular cyst
 Ameloblastoma → + numbness
 Odontogenic Myxoma
 Neuroma
 Neurilemmoma
 Neurofibroma
 central haemangioma
 SCC
 Malignant Ameloblastoma
 Ameloblastic carcinoma

Famale :

 diffuse sclerosing osteomyelitis

 Glandular cyst
 Odontogenic Myxoma
 Odontogenic fibroma
 central haemangioma
 multiple myeloma
 Hyperparathyroidism

Lesions of first decade :

 garre's osteomyelitis
 buccul bifurcation cyst
 Ameloblastic fibroma
 Multiple neurofibromatosis
 central haemangioma
 Ewing sarcoma → also may be in second decade
 burkitt lymphoma
 acute leukemia
 scalloped border lesions :

 OKC
 Odontogenic Myxoma
 orthokeratinized odontogenic cyst
 traumatic bone cyst

Aspiration :

Most of cycts have clear yellowish aspiration ECEPT :

 OKC → cheasy white

 orthokeratinized odontogenic cyst → cheasy white
 calcifying odontogenic cyst → viscous granular yellow
 glandular cyst → viscous clear

Multilocular cyst :

 botryoid cyst
 OKC
 Dentigerous cyst
 glandular cyst
 orthokeratinized odontogenic cyst

Recurrent cyst :

 botryoid cyst ( Aggressive )

 OKC

Mixed RO RL cyst :

 Long standing residual cyst → ( dystrophic calcification )

 calcifying odontogenic cyst

Aggressive cyst :

 Erosion of cortex → COC

 Pain + rabid grow → glandular cyst
Cotton wool Appearance:

 diffuse sclerosing osteomyelitis

All lesions displace inferior alveolar canal inferiorly EXCEPT : fibrous dysplasia

Ill defined benign : Ameloblastoma → blnding

JOCKER RL → OKC

JOCKER MIXED → Cemento-ossifying fibroma

Benign wz radiographic features of malignancies :

 odontogenic myxoma → sunray appearance

 central haemangioma → sunray appearance + mobility
 cemento-ossifying fibroma → sinus OR cortical perforation

4 lesions mixed mandibular posterior area :

 COC
 CEOT
 Ameloblastic fibro-odontome
 Complex odontoma

Reflex neuralgia → neuroma

malignancies has well defined border :

 Chondrosarcoma
 Ameloblastic carcinoma
 Malignant Ameloblastoma
 mucoepidermoid carcinoma
 multiple myeloma → well defined punched out
 metastatic carcinoma → cyst like
Bilateral lesion :

 buccul bifurcation cyst

 metastatic carcinoma
 acute leukemia

Root resorption :

 incisive canal cyst

 dentigerous cyst
 cementoblastoma → + obsecure root surface
 cement-ossifying fibroma
 ameloblastoma
 unicystic ameloblastoma
 CEOT
 Neurilemmoma
 Neurofibroma
 central haemangioma
 chondroma
 Enostosis
 Chondrosarcoma
 Ameloblastic carcinoma
 Malignant ameloblastoma

Lesions cross midline :

 OKC
 Glandular cyst
 Ameloblastoma

Multilocular RL :

 Ameloblastoma
 OKC
 dentigerous cyst
 glandular cyst
 botryoid cyst
 orthokeratinized odontogenic cyst
 Ameloblastic fibroma
 Odontogenic Myxoma
 Mixed lesions :

 CEOT
 Long standing residual cyst → ( dystrophic calcification )
 COC
 AOT
 Ameloblastic fibro-odontome → flocculent
 Complex odontome → donuts
 Cementoblastoma → intermediate stage
 Odontoma → intermediate stage

Uni-locular lesions :

 Ameloblastic fibroma → cap , hat shape

Facial asymmetry:

 Ameloblastoma
 Odontogenic myxoma

cafe au lait pigmentations :

 Multiple neurofibromatosis

Gingival bleeding :

 central haemangioma

Ill defined maxillary lesions :

 Ameloblastoma
 Myxoma
 COC
 central haemangioma
lesions less common in jaw bone :

 central haemangioma
 osteoma
 Ewing sarcoma

Hammartomas :

 Enostosis
 Exotosis
 torus palatinus
 torus mandibularis

Multilocular malignancies :

 malignant ameloblastoma
 ameloblastic carcinoma
 mucoepidermoid carcinoma

destruction of teeth crypt in young age :

 osteogenic osteosarcoma
 Ewing sarcoma
 burkitt lymphoma
 acute leukemia

skull radiographs :

 multiple myeloma
 basal cell nevus syndrome

lesions more common in maxilla

 burkitt lymphoma
Most common cyst :

 radicular cyst → inflammatory

 inflammatory granuloma

Most common benign :

 odontoma
 ameloblastoma

Most common carcinoma :

 SCC

Most common sarcoma :

 Osteosarcoma

Lab findings :

Multiple myeloma :

 CBC → ANEMIA
 HYPERCALCEMIA
 Bence jones protein present in urine → foamy urine
 Reversed albumin / globulin ratio

SYNDROMES :

i. Multiple neurofibromatoisis :
 Skin lesion ( café au lait pigments )
 Nodules intra + extra Oral
 First decade EVEN ‫لو اكتشفته متاخر‬
 Radiographic Findings :
1- Enlargement of coronoid notch
2- Expansion at angle of mandible
3- Enlarged mandibular canal
4- Narrowing of condyles
5- Teeth displacement OR missing
ii. Gardener's
 Multiple radio-opaceties ( steomas + enostosis )
 Multiple impacted teeth
 Multiple supernumerary teeth
 Multiple cysts + fibromas
 Multiple polyps of small &large intestine → premalignant