Beruflich Dokumente
Kultur Dokumente
cyst
INTRO
CLASSIFICATION :
A)Histogenic Classification of Odontoge-
nic Cyst:-
1.Cyst derived from rest cell of
malassez
*periapical cyst
*residual cyst
2. Cyst derived from reduced enamel
epithelium
*dentigerous cyst
*erruption cyst
3. Cyst derived from dental lamina
(Rest of serrae)
*dental lamina cyst of new born
*odontogenic keratocyst
*lateral periodontal
*glandular cyst
4. Unclassified
*paradental cyst
B) Classification of cyst and cyst like
lesions by kramer pindborg and
shears (1992)
ODONTOGENIC NONODONTOGENIC
1> Developmental 1> Developmental
*Primodial *nasopalatine
*dentigerous .incisive canal cyst
*lateral periodontal .cyst of palatine
*botryoid papillae
*glandular *median palatal
*nasolabial
*odontogenic *dermoid & epidermoid
keratocyst
*gingival cyst 2>Non develop-
*dental lamina cyst -mental
of infants *traumatic
(bohns nodules, bone cyst
epstein pearls,) *rannula
*aneurysmal
2>Inflammatory bone cyst
*radicular *mucous rete-
.apical -ntion cyst
.residual *mucocele
*paradental
2> Others
*globulomaxillary
*median mandibular
PERIAPICAL/APICAL/RADICULAR/
*Epithelium of origion
epithelial rests of malassez
*Initiation of epithelial proliferation & cyst formation
*Cyst growth & enlargement
^ mural growth
^ hydrostatic growth
^ bone resorption
C / F:
* non vital tooth (apex)
* involves carious tooth
* males > females
* maxilla > mandible
* 3 – 4 decade of life
* small cyst- asymptomatic
* large cyst- “ swelling & mild sensitivity
“ mobility of adjacent tooth
Radiograph:
*well circumscribed
radiolucency
associated with
apex of tooth
*loss of lamina dura
Histopath:
Treatment: Prognosis :
1) extraction 13 to 60 % reoccurence
2) curretage of apical zone with in 5 years
3) RCT foiiowed by enucleation
& then apicoectomy
Reason for high reoccurence:
1) incomplete removal of cystic lining
& capsule
2) persistance of satellite cysts
3) high proliferation rate (high mitotic
activity)
4) intrinsic multilocular nature of some
cysts
5)budding of basal cell layer
RESIDUAL CYST
unknown
C / F:
* cyst attachment at C.E.J
* encloses crown of an unerrupted tooth
* mand 3 molar > max canines > max 3 molar
* males > females
* 1 & 3 decade of life
* initially bony hard consistency…………
egg shell crackling.
RADIOGRAPH:
Unilocular , well defined radiolucency with
sclerotic margins around the crown of an
unerrupted tooth.
* 3 types of cyst to crown relation:
HISTOPATH:
TREATMENT: PROGNOSIS:
1) marsupialisation *reoccurence rare unless
in children due to fragmentation of cyst
2) enucleation in adults Lining remnants allowed to
remain
ERRUPTION CYST
PRIMODIAL CYST
DEF: A cyst derived from remnants of
dental lamina ,with a biological
behaviour similar to bening neoplasm
with a distinctive lining of 6-10 cells
in thickness & that exhibits a basal
cell layer of palisaded cells & a
surface of corrugated parakeratin.
C / F:
1) 2-3 decade of life
2) males > females
3) mandible > maxilla
4) vincent’’s sign:
* large cyst with secondary infection
* paresthesia in lower lip
5) associated with :
^ MARFAN’S SYNDROME
^ GORLIN GOLTZ SYNDROME /
NEVOID BASAL CELL CARCINOMA SYN’
CLASSIFICATION:
RADIOGRAPH:
unilocular or multilocular
radiolucency with well defined
sclerotic margins.
HISTOPATH:
TREATMENT: PROGNOSIS:
1) enucleation with use
of chemical cauterisation
(carnoy’s solution)
2) peripheral ostectomy
3) recall after 5 years
LATERAL PERIODONTAL CYST
•
GINGIVAL CYST OF ADULTS