Cyst and Tumors

RADIOGRAPHIC
DIFFERENCES OF
CYSTS AND
TUMORS
PRESENTED BY : VAIBHAVI MINOTRA(S18-57)
VARISHA MANSOORI(S18-59)
VIBHA KUMARI (S18-60)

CYSTS
 Cyst is a pathological cavity in bone, that is
lined by epithelium and may contain some fluid
from adjacent cells and tissues.
DENTIGEROUS CYST
 Cyst which enclose the crown of an
unerupted tooth by expansion of its follicle,
and attached to its neck .
 Site: Mandibular 3rd molar > Maxilary
canine > Maxilary 3rd molar
 Completely radiolucent cyst except crown
of the involved tooth.
DENTIGEROUS CYST
Odontogenic Keratocyst
 Unilocular or multilocular radiolucency In
early stages ,unilocular radiolucency with
well defined sclerotic margin It can arise in
any part of jaw .
 Soap bubble appearance
 Site : Mandible > Maxila
ODONTOGENIC KERATOCYST
Lateral Periodontal Cyst
 Well defined radiolucency round or
ovoid with sclerotic margin
 Smaller than 1cm in size and present
between the cervical margin and apex of
the tooth.
 In case of 3rd molar seen to be present
in the bifurcation, buccal or lingual
surface of roots
Lateral Periodontal Cyst
Nasopalatine Cyst
 The nasopalatine cyst is the most
common epithelial and
nonodontogenic cyst of the maxilla.
 Nasopalatine duct cyst occurs in the
median of the palate within the
incisive canal, posterior to the alveolar
process of the upper maxillary central
incisors.
 Heart shape radiolucency seen
Nasopalatine Cyst
CALCIFYING ODONTOGENIC
CYST
 SITE: mostly seen centrally in bone.
 The lesion may be completely
radiolucent or may show evidence of
small foci of calcified material .
 Appearence: Foci appear as white
flecks or small smooth pebbles.
Calcifying Odontogenic Cyst
Radicular Cyst
 AKA Apical Periodontal Cyst .
 Round or pear shaped or oval
radiolucency outlined by narrow
radiopaque margins.
 Site : Anterior Maxilla
Radicular Cyst
Globulomaxilary Cyst
 Type of developmental cyst that actually
arises in the bone suture between
maxilla and premaxilla.
 Site: Between lateral incisor and
canine .
 Inverted pear shaped radiolucency
with divergent roots.
Simple Bone Cyst
 Simple bone cysts (SBC) are pseudocysts
occurring less commonly in the maxillofacial
region.
 Age: first 2 decades with mean age 18 years.
 Site: Mandible mostly (very rare in maxilla).
Posterior mandible is most common site.
 Well defined borders are seen radiographically
 SBC’s have a general propensity to scallop
endosteal bone surface.
Simple Bone Cyst
Residual cyst
 Site : seen in both jaws but Mand>Max.
 Well defines borders unless secendarily
infected.
 Dystrophic calcifications may be seen
through radiolucency
Residual cyst
Stafne Defect (Stafne Bone Cyst)
 Stafne defect is a depression of the
mandible, most commonly located on
the lingual surface.
 It is a pseudo cyst because it is not a
cavity in bone and is not lined by
epithelium.
Stafne Defect
TUMORS
 A benign neoplasm is an abnormal mass
of tissue that develops as a result of
uncontrolled cell perforation.
Ameloblastoma
 Site: 80% develop in molar ramus region
of mandible. And most favourite site in
maxilla is Third molar region.
 Well defines borders , fast growing
tumors exibit a less visible cortex .
 Can be Unilocular or Multilocular
 Multilocular , small locules are
seperated by radiopaque septa
 Soap bubble appearance
Ameloblastoma
Calcifying epithelial odontogenic
tumor
 Predilection to mandible with ratio of 2:1
 52% association with unerupted tooth.
 Defined borders resembling cyst.
Irregular and poorly defined boundries in
some neoplasms .
 Various radiopaque internal foci are
present of various sizes and densities .
 Can be unilocular and multilocular .
CEOT
Odontoma
 Site : Majority occurs in anterior maxilla in
association with crown of an unerupted
canine tooth.
 Well defined borders with a smooth but
irregular periphery .
 Contents are heterogeneously radiopaque
 Presence of variably sized tooth like
structures or denticles that have
appearance of deformed teeth .
Odontoma
Adenomatoid Odontogenic Tumor
 Site: 75% in anterior maxilla and mandible
especially the cuspid region(sometimes
enclosing whole canine).
 Well defined borders, although cortex may
show some variation in thickness.
 Internal structure is mostly lucent or maybe
mixed lucent and opaque (2/3rd ) .
 Occasionally ,the calcifications may have
well defined borders , similar to cluster of
small pebbles.
AOT
Cementoblastoma
 Site: root surfaces of the mandibular
dentition ,notably on premolar or first
molar (90%)
 well defined borders
 Mixed lucent and opaque lesion with
internal structure mostly opaque
resulting in wheel spoke pattern . (from
centre to periphery)
Cementoblastoma
Schwannoma
 Site; most often involve the mandible,
with less than 1 in 10 cases in maxilla.
 The tumor is located within the expanded
inferior alveolar nerve canal between the
mandibular foramen .
 Well defined borders with walls of inferior
alv. nerve canal encompass the lesion.
 When these lesions have scalloping
outline,it may appear multilocular.
Schwannoma
Osteoma
 Site: Mandible> Maxilla found in
mandibular ramus or inferior border of
mandible .
 May either be pedunculated or sessile.
 Well defined borders .
 Osteomas solely of cortical bones:
opaque
 Osteomas of cancellous bone show
evidence of internal trabecular structure.
Osteoma
Osteoblastoma
 Site: Tooth bearing regions and TMJ.
 Periphery may be diffuse or may show
evidence of a cortex .
 Early lesions are completely lucent ,or
there may be areas of varying central
mineralisation.
Osteoblastoma

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RADIOGRAPHIC

VIBHA KUMARI (S18-60)

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