Tumors of the jaw and oral

mucosa
REALIZAT :
LEONTE DANIELA S1904
 Tumors
or neoplasms, are new growth
of abnormal tissue arising
around the oral cavity as in
other parts of the body.
Diagnosis
 •History and Examination
 • Biopsy
 • Imaging
 History of the lesion
• Duration
• Mode of Onset and progress
• Exact size and shape
• Change in character of the lesion
• Associated symptoms
• Similar swellings
• Loss of body weight
• Recurrence
• Habit
 Examination of the lesion:

Inspection  • Overlying skin

 • Number
 • Shape and Size
 • Site or Anatomical location
 • Color
 • Surface texture
 • Pedunculated/Sessile
Palpation
 • Consistency of the lesion
 • Presence of pulsation
 • Fixidity
 • Lymph node examination
 Types of Jow Tomors

Types of Jow Tomors Fibro- Osseous Lesions Other Lesions

• Odontoma • Central ossifying Fibroma • Hemangioma
•Ameloblastoma • Central giant cell granuloma • Eosinophilic granuloma
• Ameloblastic fibroma • Osteoma • Neurilemmoma

• Ameloblastic Fibro- odontoma • Osteoid osteoma • Neurofibroma

• Adenomatoid odontogenic Tumor • Osteoblastoma • Neuroectodermal tumor

• Ameloblastic fibrosarcoma • Chondroblastoma • Lymphoma

• Ameloblastic odontoma • Fibrosarcoma • Intraosseous salivary gland

malignancies
• Myxoma • Osteosarcoma
• Neurofibrosarcoma
•Chondrosarcoma
• Cementoblastoma
• Ewing sarcoma
• Squamous odontogenic tumor
Odontoma
 benign tumor consisting of ce mentum, dentin,
enamel, and pulp tissue that may or may not be
arranged in the form of teeth.
TYPES:
 • Ameloblastic odontoma
 • Composite odontoma
 • Compound odontoma
 • Radicular odontoma
Ameloblastoma
 an epithelial neoplasm with a basic str ucture resembling the enamel
organ and suggesting derivation from ameloblastic cells. It is usually
benign but aggressive.

TYPES:
 • Solid/Mucocystic Ameloblastoma
 • Unicystic Ameloblastoma
 • Peripheral
Fibroma
 an epithelial neoplasm with a basic str ucture resembling the
enamel organ and suggesting derivation from ameloblastic cells.
It is usually benign but aggressive.
TYPES:
 • Solid/Multicystic Ameloblastoma
 • Unicystic Ameloblastoma
 • Peripheral
 Types of Surgical Operations used for
Removal of Jaw
 A. Enucleation and/or curettage
 B. Resection
1. Marginal (Segmental Resection)
2. Partial Resection
3. Total Resection
4. Composite Resection
 Enucleation
 Local removal of tumor by
instrumentation in direct contact with the
lesion; used for very benign types of
lesions
 TECHNIQUE:
The technique for enucleation or curettage of
jaw tumors is not unlike that described for
cysts. However, additional procedures, such
as sectioning large calcified masses with
burs in odontomas and
 Marginal Resection

 Resection of a tumor without disruption of the continuity

of the bone
 GENERAL PRINCIPLE:
the resected specimen should include the lesion and 1-cm
bony margins around the radiographic boundaries of the
lesion.
 TECHNIQUE:

 A full-thickness mucoperiosteal flap is developed and stripped from the bone

to be removed.
 Air-driven surgical saws or burs are then used to section the bone in the
planned locations, and the segment is removed.
 Soft tissue closure
 Partial Resection

 Resection of a tumor by removing a full-thickness

portion of the jaw (In the mandible, this can vary from a
small continuity defect to a hemimandibulectomy. Jaw
continuity is disrupted.)
TECHNIQUE:
 A full-thickness mucoperiosteal flap is developed and stripped from the bone to
be removed.
 Air-driven surgical saws or burs are then used to section the bone in the planned
locations, and the segment is removed.
 Reconstruction of mandible with a large bone plate
 Treatment Modalities for Malignancies

 • Radiotherapy
 • Chemotherapy
 • Surgery
 Radiotherapy

 Radiation prevents the cells from multiplying by interfering with their

nuclear material.

 Fractionation of the delivery of radiation means that smaller increments of

radiation (i.e., fractions) are given over several weeks, which allows the
healthier normal tissues time to recover between doses.
 Chemotherapy

 Chemicals that act by interfering with rapidly growing tumor cells are used
for treating many types of malignancies.

 As with radiation the chemicals are not totally selective but affect normal
cells to some extent. Most of these agents are given intravenously.