ch 5 Developmental disorders Oral Path

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Created by:

cassiedh  on October 4, 2011

Subjects:

oral pathology

Description:

Odontogenic cysts

Classes:

NTCC Dental Hygiene 13, SLCC DH

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ch 5 Developmental disorders Oral Path

a developmental disorder is a failure during the process of _____ ____ and ______ into various tissues and structures
cell division
differentiation
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Definitions

a developmental disorder is a failure during the process of _____ ____ and ______ into various tissues and structures cell division
differentiation
what type of disorder is caused by an abnormality in genetic makeup? inherited disorder (Shaking fist @ parents! Stupid genetics gotta ruin all the fun)
what type of disorder is present at birth? congenital
what are the two types of congenital disorders? inherited (genetic)
developmental
what week does face development start? third week
what branch of the face is above? below? frontal process (above)
first branchial arch (below)
what three processes does the first branchial arch divide into? TWO maxillary processes
mandibular process
Two ____ develop on the frontal process. They divide the frontal process into three parts which are??? PITS
median nasal process
right lateral nasal process
left lateral nasal process
what does the premaxilla form from? globular process
what forms from the maxillary process? lateral palatine processes
where does the BODY of the tongue develop from? FIRST branchial arch
where does the BASE of the tongue develop from? SECOND and THIRD branchial arches
t/f the right maxillary process forms the left lateral palatine process FALSE! (Right forms right and left forms left..duh)
what is odontogenesis tooth formation
what week does odontogenesis take place? fifth week
odontogenesis involves the ____ and the _____ ectoderm and ectomesenchyme
teeth formation begins with the formation of a band of ectoderm in each jaw called??? primary dental lamina
how many parts does a tooth germ have? 3
what are the three parts of the tooth germ? enamel organ
dental papilla
dental sac or follicle
what is the purpose of the enamel organ? to produce ENAMEL (amelogenesis)
what is the purpose of the dental papilla? forms DENTIN and DENTAL pulp
what is the 1st hard tissue in the mouth and when does it form? dentin
5th month
what does the dental sac provide? cells that form:
Cementum
periodontal ligament
alveolar bone
t/f cementum is formed first false (cementum is formed AFTER the crown is complete)
what is the name for cementum development? cementogenesis
what shapes the root of the tooth? Hertwig's Epithelial root sheath (HERs)
what induces the formation of root dentin? Hertwig's Epithelial root sheath (HERs)
there is little cementum produced until there is an _____ of teeth, _____ and a _______ tooth eruption
occlusion
functioning
what is the HERs responsible for? root shape
root dentin
what is it called when there is an extensive attachment of the tongue to the floor of the mouth? ankyloglossia
what are three developmental soft tissue abnormalities? ankyloglossia
commissural lip pits
lingual thyroid
what is defined as teeth that are fused to the alveolar bone; a condition especially common with retained deciduous teeth? akylosed teeth
what is defined as a disposition in favor of something; preference predilection
what is the embryonic invagination that becomes the oral cavity stomodeum
what is the tx for ankyloglossia? frenectomy
what are epithelium lined blind tracts located at the corners of the mouth? commissural lip pits
t/f congenital lip pits are at the corners of the mouth false! (midline of the vermillion border)
where is a lingual thyroid located? area of FORAMEN CECUM (posterior to circumvallate papillae)
what is a smooth nodular mass posterior to the circumvallate papillae lingual thyroid
what are the two types of classifications for developmental cysts odontogenic (tooth origin)
nonodontogenic (non tooth origin)
what are the four introsseous odontogenic cysts? dentigerous cyst
primordial cyst
odontogenic keratocyst
lateral periodontal cyst
what are the two extraosseous odontogenic cysts? eruption cyst
gingival cyst
what are the four intraosseous nonodontogenic cysts? nasopalatine duct cyst
median palatal cyst
globulomaxillary cyst
median mandibular cyst
what are the four exraosseous nonodontogenic cysts? nasolabial cyst
branchial cleft cyst
epidermal cyst
thyroglossal tract cyst
other than tooth related or non tooth related classifcation how else are developmental cysts classfied? (4 ways) location
cause
origin (of epithelial cells)
histologic appearance
where do intraosseous cysts occur? within the bone
where do extraosseous cysts occur? in soft tissue
cysts within the bone generally appear as ____-________ well circumscribed
how do cysts within the bone appear on radiographs? radiolucent
t/f cysts within the bone appear unilocular only false (unilocular and multilocular)
what are two types of brachial cleft cysts? cervical lymphoepthelial cyst
intraoral lymphoepithelial cyst
what type of cyst forms around the CROWN of an UNERUPTED or developing tooth dentigerous cyst
Dentigerous cyst aka? follicular cyst
the epithelial lining originates with a dentigerous cyst from the reduced enamel epithelium after the crown has _______ and _______ formed
calcified
where are dentigerous cyst most commonly seen? unerupted or impacted third molars
what would you call a well defined unilocular radiolucency around the crown of an unerupted or impacted tooth? follicular cycst (dentigerous cyst)
what is the lumen of a dnetigerous cyst usually lined with? cuboidal epithelium
what surrounds the lining of the lumen with a dentigerous cyst? connective tissue
what is the tx for a dentigerous cyst? removal
t/f a dentigerous cyst as the risk of cystic transformation into a neoplasm true dat
what type of cyst is found in the soft tissue around the crown of an erupting tooth eruption cyst
where does a primordial cyst take place? in the place of a tooth (there is no tooth)
where is the most common place of a peimordial cyst? THIRD MOLAR or POSTERIOR to third molar
t/f primordial cysts are most often seen in older adults who have previously extracted their third molars as young adults FALSE! (most often in YOUNG ADULTS)
t/f primordial cysts can be unilocular OR multilocular true
what is the lumen of a primordial cyst lined with? stratified squamous epithelium
histologically what can a primordial cyst be? (2things) odontogenic keratocyst
lateral periodontal cyst
what is the tx for a primordial cyst? surgical removal/biopsy
t/f primordial cysts have a high risk of recurrence false (depends on the diagnosis, OKC=high rate of recurrence)
how is a OKC characterized? histologic appearance
what cysts lumen contains perakeratin and is frequently recurrent OKC
where is an OKC seen most often? mandiubular third molar
t/f an OKC can move teeth and cause resorption true (better believe it fooo!)
how thick is the epithelium lumen lining of an OKC? 8-10 cell layers thick
t/f the surface of an OKC lumen is parakeratinized true
radiographically what frequently appears as WELL DEFINED, MULTILOCULAR and RADIOLUCENT lesion Odontogenic Keratocyst
what are the two tx for OKC? surgical excision
osseous curettage
what is a NONAGGRESSIVE cystic lesion lined by odontogenic epithelium Calcifying Odontogenic Cyst (COC)
what closely resembles an ameloblastoma COC (calcifying odontogenic cyst)
what cysts characteristic feature is called GHOST CELLS COC (so small its a ghostly COC...poor guy)
what cyst is most often seen in mandibular cuspid and premolar areas? lateral periodontal cyst (in the bone) and gingival cyst (on the gingiva)
what cyst is asymptomatic, unilocular or multilocular radiolucent lesion on the lateral surface of hte tooth root? lateral periodontal cyst
t/f lateral periodontal cyst is most often seen in asian females false (most often seen in males)
t/f a gingival cyst has the same type of lining as a lateral periodontal cyst but is located on the hard tissues false ( SOFT TISSUES)
what is the lining of a lateral periodontal cyst? stratified squamous epithelium
what is the tx for a lateral periodontal cyst surgical excision

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