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CYSTS

1. Radicular cysts originate from the epithelial cell rests of Malassez and are usually found associated with non-vital teeth. Dentigerous cysts originate from reduced enamel epithelium and are attached to the crown of unerupted teeth. Odontogenic keratocysts originate from dental lamina and have an aggressive growth pattern with a tendency to recur. 2. Radicular cysts are commonly found in males between 20-40 years old and are usually asymptomatic unless secondary infection occurs. Dentigerous cysts often involve impacted third molars in adults and may cause painless swelling. Odontogenic keratocysts have a higher prevalence in males in their third to

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124 views3 pages

CYSTS

1. Radicular cysts originate from the epithelial cell rests of Malassez and are usually found associated with non-vital teeth. Dentigerous cysts originate from reduced enamel epithelium and are attached to the crown of unerupted teeth. Odontogenic keratocysts originate from dental lamina and have an aggressive growth pattern with a tendency to recur. 2. Radicular cysts are commonly found in males between 20-40 years old and are usually asymptomatic unless secondary infection occurs. Dentigerous cysts often involve impacted third molars in adults and may cause painless swelling. Odontogenic keratocysts have a higher prevalence in males in their third to

Uploaded by

fr.faisal8265
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© © All Rights Reserved
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RADICULAR CYST DENTEIGEROUS CYST ODONTOGENIC KERATOCY

riginate from rest cell of  Originate from reduced enamel  Also called primordial cyst
alassez epithelium  Originate from dental lami
urther divide into apical,  Enclose part or all of the crown of  Relatively less common
teral & residual unerupted teeth  It is important b/c of
pical is the most common  Attached to amelocemental growth pattern & tende
junction recur

L FEATURES CLINICAL FEATURES CLINICAL FEATURES


Male is common  Common in adults & prevalence is  Common in male
th
ommon b/w 20-40 years increased up to 5 decade  High in 3rd to 5th decade
on vital tooth  Common in male  Common in mandible ( 3
ymptomless  Common in mandible region & ascending ra
nlargement produce  Frequently involve impacted teeth mandible
rd
xpansion of alveolar bone i-e 3 molar  It enlarge predominantly
ate of expansion is 5mm per  Painless unless there is secondary anterioposterior direction
ear inflammation reach large size without
rise after tooth eruption but  Present as fluctuant swelling of gross bony resorption
re in deciduous teeth bluish in colour  Pain mobility & displacem
 Haemorrhage is common as a teeth
result of trauma  May associated with
sysndrome (naevoid ba
carcinoma syndrome)
 It has tendency to recu
surgrical treatment
ATHOLOGICAL FEATURES HISTOPATHOLOGICAL FEATURES HISTOPATHOLOGICAL FEATURES
adicular cyst arise from  Dentigerous cyst from follicular  Cyst wall is often folded
roliferation of rests of tissue by regular continuous l
alassez within chronic  Cyst develop b/w the crown of stratified squamous ep
eriapical granuloma but not all unerupted teeth & reduced (5-10 cells thick)
anuloma progress to cysts enamel epithelium  Parakeratosis predomina
ned wholly or partly by  Cyst attach to amelocemental area of orthokeratinizati
ratified squamous epithelium junction or completely surrounds occasionally seen.
supported by chronically crown of associated teeth  Mitotic activity is higher &
flamed fibrous tissue capsule.  Lining is typically thin , regular figures are found
ewly formed cysts epi. Lining layer, some 2-5 cells thick, of non  Thin fibrous capsule &
irregular stratified squamous or low free from inflammato
yperplasia is prominent cuboidal epithelium infiltration
atterly epithelial  Mucous cell metaplasia is common  Can have independent
scontinuation occur  Lining is supported by fibrous cysts
Metaplasia of lining may give connective tissue capsule free
se to mucous cell from inflammatory cell infiltration
ushton bodies of varying size  Cholesterol clefts may be present
shape  It contain proteinaceous, yellowish
With time capsule become fluid & cholesterol crystals are
ore fibrous & less vascular common
holesterol crystal are
rominent

RAPHIC FEATURES RADIOGRAPHIC FEATURES RADIOGRAPHIC FEATURES


pical radicular cyst present as  It presents as a well defined  Well defined radio lucenc
round or ovoid well unilocular , radiolucency may be unilocular or multi
emarcated radiolucency surrounding the crown of
urrounds by peripheral unerupted or impacted tooth.
diopaque margins
yst develop within apical
anuloma
0% radiolucencies are cystic
MENT TREATMENT TREATMENT
nucleation • Enucleation  Enucleation
ONTENTS  Only dentigerous cyst not produce GROWTH OF OKC:unicentric ba
reakdown product of bone resorbing factors pattern
egenerating epithelial,
flammatory cells & CT 1. ACTIVE EPITHELIAL GROW
omponents High rate of mitotic activity
erum protein
2. CELLULAR ACTIVITY
Water & electrolytes
CAPSULE
holesterol crystals
High proliferation rate
PANSION
ate of expansion is governed 3. PRODUCTION OF
y local bone resorption RESORBING FACTORS

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