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    Jaw Tumors: DR - Sudipta Bera PDT 1 Year Plastic and Reconstructive Surgery SSKM & Ipgmer

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    devinchi09
    This document summarizes different types of jaw tumors and cysts. It discusses odontogenic cysts such as periapical, dentigerous, and primordial cysts. It also discusses nonodontogenic cysts and tumors of various origins, including odontogenic, nonodontogenic, and metastatic tumors. For each type of cyst or tumor, it provides details on location, symptoms, radiographic appearance, diagnosis, and treatment options.

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    Jaw Tumors: DR - Sudipta Bera PDT 1 Year Plastic and Reconstructive Surgery SSKM & Ipgmer

    Uploaded by

    devinchi09
    116 views28 pages
    This document summarizes different types of jaw tumors and cysts. It discusses odontogenic cysts such as periapical, dentigerous, and primordial cysts. It also discusses nonodontogenic cysts and tumors of various origins, including odontogenic, nonodontogenic, and metastatic tumors. For each type of cyst or tumor, it provides details on location, symptoms, radiographic appearance, diagnosis, and treatment options.

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    Jaw Tumors

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    This document summarizes different types of jaw tumors and cysts. It discusses odontogenic cysts such as periapical, dentigerous, and primordial cysts. It also discusses nonodontogenic cysts and tumors of various origins, including odontogenic, nonodontogenic, and metastatic tumors. For each type of cyst or tumor, it provides details on location, symptoms, radiographic appearance, diagnosis, and treatment options.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    116 views28 pages

    Jaw Tumors: DR - Sudipta Bera PDT 1 Year Plastic and Reconstructive Surgery SSKM & Ipgmer

    Uploaded by

    devinchi09
    This document summarizes different types of jaw tumors and cysts. It discusses odontogenic cysts such as periapical, dentigerous, and primordial cysts. It also discusses nonodontogenic cysts and tumors of various origins, including odontogenic, nonodontogenic, and metastatic tumors. For each type of cyst or tumor, it provides details on location, symptoms, radiographic appearance, diagnosis, and treatment options.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 28

    JAW TUMORS

    Dr.Sudipta Bera
    PDT 1st Year
    Plastic and Reconstructive Surgery
    SSKM & IPGMER
    Tumors include cystic,
    inflammatory,developmental, and
    posttraumatic masses.
    Radiologic evaluation: radiopaque,
    radiolucent or combinations of varying
    densities.
    The final diagnosis usually requires
    histologic interpretation.
    Jaw masses
    Cysts Tumors
    A.TUMORS OF ODONTOGENIC
    A.ODONTOGENIC CYSTS(ARISE FROM EPITHELIUM
    AN ALTERATION OF THE ENAMEL 1. Ameloblastoma
    ORGAN) B.TUMORS OF ODONTOGENIC
    1. Periapical (radicular) cysts EPITHELIUM AND MESENCHYME
    2. Dentigerous cysts 1. Complex, compound, and mix Odontomas
    2. Cementoma
    3. Primordial (follicular) cysts
    C. TUMORS OF NONODONTOGENIC
    B.NONODONTOGENIC ORIGIN
    DEVELOPMENTAL CYSTS(DERIVED 1. Bony exostoses (TORI)
    FROM EPITHELIUM ENTRAPPED IN THE
    2. Osteomas
    LINES OF FUSION OF THE BODY PROCESS)
    3. Giant cell reparative granuloma
    1. Nasopalatine (incisive canal) cysts
    4. Hemangioma
    2. Globulomaxillary cysts
    5. Osteogenic sarcoma
    C.NONODONTOGENIC AND 6. Multiple myeloma
    NONDEVELOPMENTAL CYSTS 7. Metastatic tumors
    1. Aneurysmal bone cysts 8. Fibrous dysplasia
    2. Traumatic bone cysts 9. Paget disease (Osteitis deformans)
    10. Familial fibrous dysplasia (Cherubism)
    PERIAPICAL (RADICULAR) CYSTS

    M/C cyst of jawbone


    Occurs at the apex of non vital tooth as a result
    of chronic inflammation, a/w degeneration of pulp
    tissue
    Well circumscribed peri apical radiolucency,
    Cholesterol crystal
    Rx: small cyst->conservative, non surgical RCT.
    >2cm->apical curretage,extensive root resection.
    If restoration of dentition not possible,tooth
    extraction
    DENTIGEROUS CYSTS

    Arise as a result of reduction in enamel forming


    epithelium after crown is formed
    Seen surrounding crown of an unerupted tooth
    Posterior mandible M/c site,3rd Molar most
    friquent
    Sign/Symptoms:delayederuption,swelling,asymmet
    ry
    Rx:smaller cyst->enucleation+primary closure,
    Large cyst->decompression,mersupialisation
    PRIMORDIAL (FOLLICULAR) CYSTS

    Develops before calcified enamel or


    dentition formed, d/t abnormal formation
    of enamel organ
    Found in place of a tooth, c/b absence of
    dentition with in cyst, epithelial lining
    Well circumscribed,
    radiolucent,multiloculer
    Rx: enucleation, curretage
    High recurrence-post surgical X-Ray
    follow up
    NASOPALATINE (INCISIVE CANAL)
    CYSTS
    Trapping tissue during fusion of palatine
    process with pre maxilla
    Anterior:Sratified squmous epithelium,
    Posterior:cuboidal
    S/S:painless buldging in the roof of mouth
    Rx:Surgical excision with mucoperiosteal
    flap elevation
    GLOBULOMAXILLARY CYSTS

    Fissural cyst at junction of globular


    portion of median nasal process and
    maxillary process
    Usually at between maxillary lateral
    incisor and canine
    Radiolucency between roots,inverted tear
    appearance
    Rx; Surgical excision
    ANEURYSMAL BONE CYSTS

    Numerous capillaries intermixed with


    with prominent vasculer space
    Multineucleated giant cell, no epithelial
    lining
    Irreguler destruction of cortical
    plate,scalloping
    Rx:Aspiration f/b surgical curratage
    TRAUMATIC BONE CYST

    Devoid of lining
    Mandible seldom involved,uncommon
    over 25yrs age
    Rx: Surgical exploration, enucleation and
    curratage
    AMELOBLASTOMA

    Ectodermal epithelium origin differentiation


    into enamel forming cell
    Closely resembles dentigerous cyst, or
    multiloculer, Honey comb appearance
    Onset 20-40 yrs, posterior mandible M/c site
    Histological type:Acanthometous(aggressive,
    metastatic), folliculer, flexiform
    Destruction of cortex and tooth apex
    usually, high recurrence
    Rx: Radical approach (wide block resection
    and bone grafting) most effective
    ODONTOMAS

    Composed of aberrant tissue of dental


    element
    Complex: aberrant all dental element,
    Compound:normal composition of tooth
    like element independent of tooth follicle,
    mixed
    Radio opeque
    M/c in maxilla(incisor-canine region)
    Cementoma
    Originates from peri odontal ligament of
    unerupted tooth
    Benign fibrosseus lesion replacing the
    bone
    M/c mandibuler premolar and molar
    Rx: excision curratage
    BONY EXOSTOSES (TORI)

    M/c benign bone tumor,slow growing


    bony protrusion
    Palate,mandible,buccal surface of
    mandibular or maxillary dentition
    Hereditary
    Cause mechanical and oral problem
    Rx:surgical removal
    OSTEOMA

    Derived from osteoblastic activity


    Single or multiple(Gardner syndrome)
    Very opaque ireguler masses
    GIANT CELL REPARATIVE GRANULOMA

    Slowly expanding mass usually anterior to


    2nd mandibular molar
    Irreguler osteolytic lesion with migration
    of tooth
    D/D obscured d/t similarity between
    benign cyst and ameloblastoma
    HEMANGIOMA

    Congenital or traumatic
    Thin wall vessel scattered with in bony
    trabeculae
    C/f:Firm painless mass increasing in size,
    loosening of dentition,gingival bleeding
    Dx.angiography,Rx:Sclerotherapy,Surgery
    or both
    OSTEOGENIC SARCOMA

    Highly malignant mass of bone or osteoid


    originating from connective tissue
    Young age(10-40yrs)
    Sunray appearance
    Rx: Resection and Radiation
    MULTIPLE MYELOMA

    Often involve jaw with plasmalike cells in


    the marrow
    Multiple osteolytic lucent area
    Hyperglobulinemia, Bence Jones protein
    ,altered A:G ratio
    Rx: Alkylating agent, systemic steroid
    METASTATIC TUMORS

    M/c from Squmous cell Ca. from


    surrounding oral tissue, Others: primary
    tumor of breast, uterus, lung and thyroid
    Mandible m/c site
    FIBROUS DYSPLASIA

    Membrenous facial bone of young


    individual
    Commonly single Fibroosseous mass, M/c
    in maxilla
    Surge of growth during hormonal changes
    CT Scan evaluation necessary to r/o
    orbital or base of skull involvement
    Rx: conservative surgical curratage
    through intra oral route
    PAGET DISEASE (OSTEITIS
    DEFORMANS)
    Resembles ossifying fibroma
    Older age group
    Maxilla M/c site,commonly multiple
    serum PO4
    FAMILIAL FIBROUS DYSPLASIA
    (CHERUBISM)
    Multiple areas of fibrous dysplasia in
    mandible and maxilla
    Occurs as early as 1 year
    Inherited genetic disorder
    Rx:multiple curratage spaced over a
    number of years
    THANK YOU

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