Traumatic bone cyst

• False cyst as it doesn’t • Features

have a epithelial lining  History of trauma
• Under the age of 25  Asymptomatic until it
causes expansion
• Apex of vital tooth, oval
 Mandible> maxillary
in shape, scalloping
 Premolar, molar region
appearance
• > 1cm
• DD- peripheral cement
osseous dysplagia,
median mandibular cyst
 treatment

Tissue debris
Surgically open, removal ,curette Close soft tissue
confirm diagnosis the wall –induce flap
bleeding

Pt protected with
antibiotics, its
followup
intrabony
hematoma
 Malignant tumors
• Non responsive to endodontic treatment –biopsy
• Primary-radiolucent
• Secondary- variable radiographic appearance,
excape early diagnosis
• Chondrosarcoma • Osteosarcoma
• soap bubble • Symmetrical widening
appearance, sun ray of periapical space
appearance, speckled • Moth eaten
appearance appearance, perforation
• Round, ovoid , poorly and expansion of
defined lesions cortical plates
• Sclerotic/mixed, if there
is any calcification
Metastatic carcinoma
Ill defined radiolucency,
varying in size
Highly suggestive of
metastatic in combination
of bone
Margins well demarcated
but without cortication or
encapsulation
Management- poor, death
occurs within a short span