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Jaw Cysts Lab

LAB 1

Dr. Tahani Abualteen
BDS, MFD
1) Epithelial cysts of the jaws:
 Odontogenic cysts (90%)
 Developmental
•Dentigerous (follicular) cyst (10-15%)
•Eruption cyst
•Odontogenic keratocyst (3-11%)
•Lateral periodontal cyst (<2%)
•Gingival cyst
•Glandular odontogenic cyst
•Calcifying odontogenic cyst

 Inflammatory
•Radicular cyst (dental cyst) (60-75%)
•Apical
•Lateral
•Residual
•Paradental cyst
Classification of cysts of the jaws and oral soft tissues:
 Non-odontogenic cysts (10%)
 Developmental
•Nasopalatine duct (incisive canal) cyst (5-10%)
•Nasolabial (nasoalveolar) cyst
•Median cyst

 Pseudocysts (non-epithelialized primary bone cysts)
•Solitary bone cyst (simple, traumatic, hemorrhagic bone cyst)
•Aneurysmal bone cyst
•Stafne’s idiopathic bone cavity

2) Cysts of the soft tissues
•Salivary mucoceles
•Mucous Extravasation cyst
•Mucous retention cyst
•Dermoid and epidermoid cysts
•Lymphoepithelial cyst
•Thyroglossal cyst

** Cysts of the oral soft tissues are uncommon except the salivary mucoceles
** Although gingival and Nasolabial cysts are soft tissue lesions, they are traditionally
grouped with cysts of the jaws
Classification of cysts of the jaws and oral soft tissues:
A 28 years old male presents for
routine dental examination.
Incidentally, this radiographic
abnormality was noticed and
upon surgical investigation of the
lesion blood stained fluid came
out

1- What is the most likely diagnosis?!
2- Describe the radiographic
appearance?! Give me other differential
diagnoses radiographically?!
3- What are the clinical features of such
lesion?!

4- What might this lesion contain?!
5- What are the histopathological
characteristics?!
6- How to establish diagnosis?!
7- What’s your management?!







30 years old male presents for
routine dental examination.
Incidentally, this radiographic
abnormality was noticed
This is the result of the biopsy
done!

1- What is the most likely diagnosis?!

2- Describe the radiographic appearance?!
Give me other differential diagnoses
radiographically?!

3- What are the clinical features of such
lesion?!

4- What might this lesion contain?!

5- Describe the pathogenesis of this lesion
and the previous one?!








Granulation tissue
and multinucleated
giant cells
Pools of blood
Aneurysmal bone cyst
presents for routine male years old 50
dental examination. Incidentally, this
radiographic abnormality was noticed
This is the result of the biopsy done!

1- What is the most likely diagnosis?!

2- Describe the radiographic
appearance?!

3- What are the clinical features of such
lesion?!

4- What might this lesion contain?!

5- What’s your managament?!
30 years old male presents for the clinic
swelling translucent to consult about a
on the mucosal surface of his lower lip
, fluctuant in size , soft This swelling is
rupture, collapse and there’s a history of
which is repeated and refill again
This is the result of the biopsy done!

1- What are the clinical differential
diagnoses?!

2- According to the histological appearance,
what’s the most likely diagnosis?!

2- Name other sites this lesion occur in?!

3- What is the cause behind such lesion?!

4- What in the history should confirm the
diagnosis?!

4- What might this cyst contain?!








Pools of
mucus
Granulation
tissue
Minor
salivary
glands
Extravasation mucocele
Retention Mucoceles Vs. Extravasation Mucoceles
Clinical features:
Retention mucoceles are rare in the lower
lip

Retention mucoceles are derived from cystic
dilatation of an obstructed duct and are
lined by epithelium of ductal type

Because the mucous is still contained within the duct
there’s no surrounding chronic inflammatory reaction
Retention Mucoceles
12 years old child presents for the
soft clinic to consult about a
translucent enlargement of the
of one week ventral tongue
duration. The enlargement
appeared abruptly and is
asymptomatic
This is the result of the biopsy
done!

1- What are the clinical differential
diagnoses?!

2- According to the histological
appearance, what’s the most likely
diagnosis?!








Pools of
mucus
Granulation
tissue
Minor
salivary
glands
Extravasation mucoceles
30 years old female presents for the
soft bluish clinic to consult about a
enlargement of the flour of the
of one week duration. The mouth
enlargement appeared abruptly
asymptomatic and is
This is the result of the biopsy
done!

1- What is the clinical term used to
describe such swelling of the flour of the
mouth?!

2- What are the clinical differential
diagnoses?!

3- According to the histological
appearance, what’s the most likely
diagnosis?!








Pools of
mucus
Granulation
tissue
Minor
salivary
glands
Extravasation mucoceles
45 years old female presents for
soft the clinic to consult about a
translucent enlargement of the
of one week flour of the mouth
duration. The enlargement
appeared abruptly and is
asymptomatic
This is the result of the biopsy
done!

1- What is the clinical term used to
describe such swelling of the flour of the
mouth?!

2- According to the histological
appearance, what’s the most likely
diagnosis?!

3- Describe the clinical features of the
diagnosed lesion?!

4- Describe the histopathological
appearance?!








Sebaceous
glands
and hair
follicles
Dermoid cyst
Orthokeratinization
Stratified
Sequamous
Epithelium
45 years old male presents for
the clinic to consult about an
enlargement of the lower lip on
. The the skin surface
enlargement appeared abruptly
asymptomatic and is
This is the result of the biopsy
done!

1- What are the differential
diagnoses?!

2- According to the histological
appearance, what’s the most likely
diagnosis?!








Epidermoid cyst
Orthokeratinization
Stratified Sequamous
Epithelium
NO skin
appendages