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30 Cards in this Set

  • Front
  • Back
What are two benign fibro-osseous lesions
Peri-apical cemental dysplasia
Fibrous dysplasia
What is the most common bone disorder seen in practice?
Peri-apical cemental dysplasia
Peri-apical cemental dysplasia usually occurs in what part of the jaws and affects which demographic?
anterior mandible

Middle aged women and African Americans
What are the 3 stages of formation of the peri-apical cemental dysplasia
Osteolytic stage

Cementoblastic Stage

Mature stage
A radiographic feature of fibrous dysplasia is?
ground glass appearance

Radiopacity

obscured 'lamina dura'
Define Fibrous Dysplasia
normal bone architecture is replaced by fibrous tissue and non-functional trabeculae-like osseous structures.
List 4 metabolic conditions affecting the jaw
Paget disease
Osteopetrosis
Osteoporosis
Osteogensesis Imperfecta
Uncoordinated increase in osteoblastic and osteoclastic active is a key feature of which metabolic disease
Paget Disease
WHich condition displays the microscopic mosaic pattern off bone?
Paget Disease
List 4 histopathology features of Osteopetrosis
Possible avascularity of bone
Sclerotic bone replaces cancellous bone
Increased Functionless osteoclasts
Marrow space replace by fibrous tissue
List 6 Aetiopathogensis features of Osteoporosis
Sex hormones, nutrition, lack of calcium, lack of physical stress, decreased blood supply, drug induced
list 3 histopathology features of osteoporosis
Reduction in trabecular bone volume
Excessive resorption by osteoclasts
Failure of bone formation by osteoblasts
What are the 5 clinical features of osteogenesis imperfecta?
Fragility of bones
Blue sclera
Deafness
Tooth abnormalities
Increased capillary bleeding
List the 7 oral manifestations of osteogenesis imperfecta
Short narrow roots
Primary more affected than permanent
Blue-brown or amber opalescent discolouration of teeth
Increase enamel wear and fracture
Class 3 malocclusions
Partial or complete obliteration of pulp chamber
Bell shaped tooth crown with cervical constriction
List 5 Benign tumours of the jaw
Tori exostosis
Osteoma
Central and peripheral giant cell granuloma
Aneurysmal bone cyst
Traumatic bone cyst
Tori exostosis are more common in which race of people?
Asians
Where is Tori exostosis commonly found
midline of palate
lingual surfaces of mandible
Elsewhere = exostosis
Where are Peripheral Giant cell granulomas usually located?
Extra-osseously on the gingiva and alveolar ridges
What areas of the oral region do Central Giant Cell Granulomas affect
Intra-ossous

Affecting the anterior mandible and maxilla
List a clinical, radiological and histopathology feature of Central Giant Cell Granulomas:
Clinical: Loosening of teeth
Radio: root resorption
Histo: Multiple giant cells and RBCs
Where are Aneurysmal bone cysts usually formed
Posterior mandible and maxilla
What is the peak age of incidence of the Aneurysmal bone cysts?
First three decades of life with peak occuring 10-19yrs
Oral consequences of Aneurysmal bone cysts include:
Can cause malocclusion and facial deformity
Root resoption
Movement of adjacent teeth
What is the condition in which an asymptomatic intraosseous cavity is formed, usually in the mandibular molar or premolar regions of young people?
Traumatic Bone Cyst (simple bone cyst)
Name two Malignant tumours of the jaw?
Osteogenic Sarcoma

Chondrosarcoma
What is the most common neoplasm derived from bone cells
Osteogenic sarcoma
What type of bone do osteogenic sarcomas commonly affect and what percentage affect the head and neck region?
Long Bones

7% in head and neck
What is the age of incidence of osteogenic Sarcoma
2nd -3rd decade of life
List 2 radiographic and Histological features of osteogenic Sarcoma
Histo: Pleomorphic osteoblasts and Tumour cells (giant cells)

Radio: Mottling of bone and widening of periodontal space
WHat area and what age do chondrosarcoma affect?
anterior maxilla

30-40 yrs of age