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Radiopaque Lesions (Ch 18) - Coggle Diagram
Radiopaque Lesions (Ch 18)
Traumatic or Inflammatory Lesions
Focal Sclerosing Osteomyelitis (Condensing Osteitis)
Characteristics
Radiograph sometimes shows radio pick area at the apex of the tooth and the surrounding area; sclerotic bone without information is usually characteristic; these lesions produce a combination of dense bone and radiolucent patches that may be die fuse and do not exhibitI completely focal opaque appearance
Dental implications
Tooth must be treated, and carries removed; endodontic treatment may be indicated
Method of transmission
Not applicable
Treatment and prognosis
Tooth involved is treated by endodontics, extraction, or restoration; possible that no treatment may be necessary; prognosis depends on involvement of necrosis or infection, but osteomyelitis me reserve one stimulus is removed
Etiology
Inflammatory reaction to a stimulus; usually involves purple information in the necrosis; when tooth is vital idiopathic osteosclerosis; osteomyelitis is Inflammation within the building
Osteomyelitis with diffuse lesions
Neoplasms and Tumors
Odontoma
Characteristics
Complex type is usually found in the posterior mandibular region; compound, in the anterior maxilla; usually asymptomatic and discovered on radiographs; complex odontoma usually appears as calcified mass and sometimes may exhibit some radiolucent properties; complex appears more amorphous; usually a radiolucent rim
Dental implications
Maybe seen in Gardner syndrome along with the osteoma; may impinge on teeth, causing failure to irrupt; we also grow in size so as to cause facial asymmetry
Method of transmission
Not applicable
Treatment and prognosis
Excision is the treatment of choice; prognosis is excellent
Etiology
Mixed odontogenic tumors comprised of both epithelial and mesenchymal tissues; most commonly occurring odontogenic tumor; well done Thomas are developmental anomalies and our harm Atomas; tissue is mixture of enamel, dentin, cementum, and pulp; thought to be a disturbance in to the development
Osteoma
Characteristics
Some swelling may occur outside the mouth; appears as a dense opaque growth on the bone; may be in the condo, mandible, and maxilla or in the sinus region; patient may be asymptomatic or may experience headaches, sinusitis, or vague-related symptoms; exhibit a sharply defined radiopaque structure with clumped calcifications that resemble to like structures; radio Lucent room is sometimes seen on the periphery
Dental implications
Differentiation of an osteoma especially is important in early diagnosis of Gardner syndrome; presents of osteomas and odontoma's may indicate gardener syndrome
Method of transmission
Not applicable
Treatment and prognosis
Observation and careful monitoring are the usual indications; prognosis is excellent when removed; osteomas remain benign; if suspect Gardner syndrome, referralIs necessary and might involve intestinal polyps
Etiology
Cause is unknown, but trauma, infections, and develop mental defects have been suggested
Cementoblastoma
Characteristics
Possible to have normal poop that is vital, but disruption of normal neural impulse means tooth will not test vital with electric pump tester; Radio graphically, the calcified mass has a radio Lucent halo around the outer perimeter which is the periodontal ligament space; patient maybe with or without pain; usually swelling
Dental implications
Important to categorize the lesion characteristics; stage of development, vitality of the tooth, and factors that indicate cementoblastoma
Method of transmission
Not applicable
Treatment and Prognosis
Usual protocol is removal of the tooth; Prognosis is excellent
Etiology
A true cementoma; true tumor of cementum, a benign odontogenic tumor; a hamartomatous proliferation of cementoblasts
Gardner Syndrome (Familial Colorectal Polyposis)
Congenital or Genetic Disorders
Osteopetrosis
Characteristics
Pruner fake profiles are often present; radio graphically skeletal density due to diffuse sclerosing of all the bones; bones appear dense, but I poor quality and fragile;appear distinguishing by increased bone density with an amorphous aspect, marrow space encroachment, and malformed teeth
Dental implications
Approximately 10% of patients report osteomyelitis in conjunction with osteopetrosis; delayed tooth irruption is often seen in children
Method of transmission
Hereditary component expressed as autosomal recessive an autosomal dominant disorder
Treatment and prognosis
Antibiotics are prescribed with osteomyelitis; hyperbaric oxygen is often recommended; prophylaxis with fluoride and restorative dental procedures; infantile form has poor prognosis; adult has better prognosis;hematopoietic stem cell treatment
Etiology
A congenital sclerosing disease of bone characterized by osteoclastic dysfunction
Other Radiopaque Entities