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Radiopaque Lesions, Dawn Gillespie, DEN 222 Oral Pathology, All of the…
Radiopaque Lesions
Neoplasms and Tumors
Cementoblastoma
ETIOLOGY
benign odontogenic tumor
METHOD OF TRANSMISSION
N/A
CHARACTERISTICS
calcified mass has a radiolucent halo around the outer perimeter, mass engulfs the root of the tooth. may be with or without pain, and there is usually swelling.
DENTAL IMPLICATIONS
may present to the dental practitioner with only symptoms of pain. Therefore, the clinician will be required to categorize the characteristics of the lesion involved
TREATMENT/PROGNOSIS
removal of the tooth because of the unlimited growth potential related to the attached calcified mass
Odontoma
ETIOLOGY
hereditary component
METHOD OF TRANSMISSION
N/A
CHARACTERISTICS
amorphous (without definite form or shape) and as solitary forms of indistinct radiopacities, complex -found in the posterior mandibular region, compound odontoma is most often seen in the anterior maxilla
DENTAL IMPLICATIONS
The odontoma may impinge on teeth, causing a failure to erupt, and may also grow in size, causing facial asymmetry.
TREATMENT/PROGNOSIS
Excision
Osteoma
ETIOLOGY
Unknown
METHOD OF TRANSMISSION
N/A
CHARACTERISTICS
sharply defined radiopaque structure with clumped calcifications that resemble tooth-like structures. A radiolucent rim is sometimes seen on the periphery of the lesion.
DENTAL IMPLICATIONS
The dental implications make differentiation of an osteoma especially important in the early diagnosis of Gardner syndrome
TREATMENT/PROGNOSIS
careful monitoring in some cases and surgery for the larger
Gardner Syndrome
ETIOLOGY
nherited as an autosomal dominant disorder. mutations of the APC gene
METHOD OF TRANSMISSION
N/A
CHARACTERISTICS
multiple hard and soft tissue tumors.few or no symptoms.extraoral facial swelling
DENTAL IMPLICATIONS
the clinician can play a crucial role in the recognition of the disorder in association with the osteomas and odontomas that may be found during a routine dental visit.
TREATMENT/PROGNOSIS
N/A
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All of the following information was gathered from pages 450-458 of the Delong & Burkart's General and oral Pathology for the Dental Hygienist