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Non-Neoplasia (paget disease of bone (Chronic Metabolic Bone Disease, Men…
Non-Neoplasia
paget disease of bone
Chronic Metabolic Bone Disease
Men over 50
Max > mand
Enlargement and pain
PDL widens as enlargement happens
Cotton whool appearance
Hypercementosis
loss of Lamina Dura and PDL
Slow pregressing
Tx:
bisphosphonates
Cause:
unknown
Demineralization and remineralization occur over and over
Diagnosis:
Clinical, radiographic, histo, labratory
Central Giant Cell Granuloma
Well vascularized fibrous connective tissue
Many multinucleated giant cells
Gingival and Alveolar bone tissue within jaw bone
Children and young adults under 30. F>M
Anterior segments of Maxilla and Mandibular
Tx:
surgical removal, intralesional corticosteroid
Recurrance
Diagnosis:
radiographic
Benign Fibro-osseous Lesion
Periapical Cemento-Osseous Dysplasia
Asymptomatic
Anterioir Mand.
W>M 30+ yrs Black women
Well circumscribed and radiolucent
Fibrous tissue and calcification
Bone at the bottom of multiple vital teeth
Cause:
Unknown
Tx:
None
Diagnosis:
Radiographic, clinical, historical, microscopic
Florid Cemento-Osseous Dysplasia
Disordered cementum and bone developement
Multiple Quads
Black woman +40 yrs
Posterior mainly
radiopaque masses of irregular opacification
Diagnosis:
Radiographic, clinical, historical
Cause:
Unknown
Tx:
none if asymptomatic, edentulous needs antibiotics, surgery, and steroids
multiple quads effected
Focal Cemento-Osseous Dysplasia
Asymptomatic
W>M age 30-50 white ppl
Posterior Mandibular
1 quad effected
Isolated, well delineated
-1.5cm lesion
numerous pieces of gritty hard and soft tissue
Diagnosis:
biopsy, microscopic
Tx:
none
Fibrous Dysplasia
Replacement of bone with abnormal fibrous connective tissue
painless
progressive
unilateral enlargement of max and mand
Cause:
unknown
Monostotic Fibrous Dysplasia
Most common
Single bone involvement
Mand and posterior Max
Children and young adults
Polyostotic Fibrous Dysplasia
More than 1 bone involvement
Children under 10, Girls
Asymptomatic
Brown skin lesions
Diagnostic:
Clinical, microscopic, radiographic
Tx:
none
Osteomalacia
Cause:
Calcium and Vitamin D deficiency
May cause delayed tooth eruption
Tx:
supplements of vit D and Ca