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Radiolucent Lesions - Coggle Diagram

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        odontoma, cementossifying fibroma
        
        proper diagnosis must be made to avoid improper treatment
        
        usually asymptomatic, the lesions are discovered on routine radiographs. occurs at the Apex of vital teeth, most often anterior mandibular teeth
        
        some researchers suggest that COD conditions are Developmental and related to a defect in the bone or cementum remodeling
        
        over 40 year old age group occurs with middle-aged women and particularly middle-aged black women
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        radicular cyst
        
        test for vitality, if the tooth is non-vital endodontic treatment is needed
        
        round or oval translucent lesion. ranging from several millimeters to larger, well demarcated lesion at the Apex on radiograph
        
        diseased tissue causes granulation, the defense mechanisms destroy a normal tissue components while killing the invading microorganisms
        
        equal distribution
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      - epidemiology
        
        individuals less than 30, rare and account for about 1 to 2% of primary biopsies on bone tumors, slight female prevalence, mandible involved more than maxilla, commonly in the posterior
        
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        excision and curettage are treatments of choice. When the lesion is removed completely the prognosis is good
        
        characteristics
        
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        odontogenic keratocyst, Central giant cell granuloma, ameloblastic fibroma, ameloblastoma
        
        may cause the teeth to become displaced or loose because of bone expansion
        
        pathogenesis is unclear
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        COD
        
        may increase in size if not noticed right away the legion must be drained to begin healing
        
        increased swelling in the mouth, usually no pain. discovered on radiograph with an appearance of a scalloping cyst margins may be sharp in some areas and ill-defined it others
        
        pseudocyst thought to be caused by hematoma induced by trauma
        
        most commonly found in the 10 to 20 year old age group, no gender preference, the most common site for a TBC is in the mandible
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        address to cause, correct antibiotic is needed to treat the infection
        
        lymphadenopathy, fever, and pain. in chronic form more evident patches of necrotic bone and diffuse radiolucent lesions are seen
        
        staph and strep or bacterial most commonly involved in osteomyelitis. the difference between acute and chronic osteomyelitis is often the virulence of bacteria involved.acute osteomyelitis is always destructive and painful
        
        equal distribution
      - the acute form may have several infectious organisms involved in the disease process
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        odontogenic keratocyst, ameloblastoma, adenomatoid odontogenic tumor
        
        delayed tooth eruption is a common theme, can become quite large and has potential to displace teeth and resorb roots
        
        usually only evident on radiograph with no symptoms of pain or discomfort on radiographs it is well circumscribed unilocular and sometimes multilocular
        
        Cyst arise from the cell rest of the dental lamina
        
        usually found in young age group is specially those with unerupted third molars. male gender preference
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        possible failure of the tooth to erupt, cyst may need to be opened
        
        the tissue may have a darker appearance, appear elevated, the radiographic finding of an eruption cyst is an enlarged follicular space
        
        usually painless and is found around the crown of an unerupted tooth. The cyst probably unreported in most cases
        
        not gender-specific most occur in deciduous teeth and permanent molars of children
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        radicular cyst, dentigerous cyst, ameloblastoma, adenomatoid odontogenic tumor, lateral periodontal cyst, traumatic bone cyst.
        
        unique microscopic features, prompt treatment required, have very aggressive behavior
        
        can be multilocular, can be unilocular, well circumscribed and radiolucent with a scalloped appearance
        
        cell rest of the dental lamina
        
        three times more common in the mandible, any age group
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        ameloblastoma, adenomatoid odontogenic tumor, odontomas, ghost cell odontogenic carcinoma
        
        definitive diagnosis is important to rule out more aggressive lesions
        
        may be seen as masses within the gingiva. present as a Spanish style intraosseous Lesion or Tender gingival swelling
        
        the COC assist as reported by gorlan in 1962 is seen radiographically with varying amounts of radiodensity
        
        may occur at any age but is usually found in individuals under the age of 40, occurs equally in the mandible and the maxilla
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        surgical removal, prognosis is good
        
        differential diagnosis
        
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        vitality of teeth involve must be evaluated endodontic therapy should be administered when necessary
        
        inverted pear-shaped lesion because of the location
        
        vague term for a lesion in the globulomaxillary region between the maxillary lateral incisor and canine
        
        n/a
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        low grade mucoepidermoid carcinoma, dentigerous cyst, radicular cyst, residual cyst, lateral periodontal cyst, botryoid odontogenic cyst
        
        follow up is important since the recurrence rate is very high radiographic examinations are important in early diagnosis of recurrence
        
        swelling and expansion may be noticed, some cases are asymptomatic, some reports of pain and discomfort infection and paresthesia have also been reported
        
        develops from odontogenic structures
        
        rare, no gender preference, 80% occurred in the mandible, 60% occurring in the anterior region, but the canine region was noted for occurrence when in the maxillary location
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        radicular cyst,. Focal granulomas, median Palatine cyst
        
        not radiographically Diagnostic and must be removed and biopsied for definitive microscopic evaluation
        
        pain, tenderness, and swelling, and drainage may be noted in the maxillary incisor region radiographically the fist of seam between the maxillary Central incisors deletion is well circumscribed radiolucent and may have sclerotic border
        
        Developmental and are located within the nasal palentine Canal proximity or the incisive papilla
        
        occurs in about 1% of the population the sis is most commonly seen in 4th to six decades there's a male predilection
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        usually diagnosed clinically by using radiographs, however when the location is superior to the mandibular Canal a biopsy may be needed to rule out pathology
        
        asymptomatic, discovered on a panorex, the bone cyst is seen as radiolucency in the posterior mandibular below the mandibular canal
        
        results from lingual mandibular cortical bone erosion from hyperplastic salivary gland tissue or entrapment of salivary gland issues during development of the mandible
        
        seen in adults, unilateral, believed to be present from birth
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        dentigerous cyst, calcifying epithelial odontogenic tumor, Ameloblastoma, odontogenic keratocyst
        
        facial asymmetry is on the first sign to be noticed by the patient as a tumor increases in size
        
        maybe root displacement and bony hard expansion with an egg shell cracking appearance over the protrusion. the timer appears radiolucent on radiographic May exhibit small opaque Foci within the tumor
        
        benign epithelial tumor with a dense fibrous connective tissue capsule which usually does not recur once adequately removed
        
        usually seen between the ages of 5 and 30 most patients are under 20,occur more often in females,anterior maxilla is favored,usually seen as a unilocular radiolucency around the crown of an unerupted tooth
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        periapical granuloma, Central giant cell granuloma, newly developing periapical cemento-osseous dysplasia, traumatic bone cyst
        
        failure to remove the cyst completely will result in reoccurrence
        
        generally favors the maxillary anterior region at the Apex of a non-vital tooth. may be painless and the patient is usually not aware of the cyst. radiographs mayl show obvious signs of root resorption
        
        derived from the rest of malassez, found in the developing tooth structure of the periodontal ligament. a granuloma is produced which then stimulates the cells of otogenic epithelial resiudes within the PDL.
        
        most reported in the maxillary region, most often discovered during routine exam, more often found in adults, equal gender distribution.
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        pathogenesis
        
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        radicular cyst, photogenic keratosis, granular otogenic cyst
        
        correct diagnosis should be made
        
        vital teeth.grape like appearance.well circumscribed radiolucent area located laterally to the roots of vital teeth
        
        found mostly in the mandibular cuspid and premolar region on the lateral surface of the tooth
        
        usually found in 30 years and older there is a male prevalence the mandibular premolar and cuspid area is favored followed by the maxillary premolar and cuspid region
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