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30 Cards in this Set
- Front
- Back
What are two benign fibro-osseous lesions
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Peri-apical cemental dysplasia
Fibrous dysplasia |
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What is the most common bone disorder seen in practice?
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Peri-apical cemental dysplasia
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Peri-apical cemental dysplasia usually occurs in what part of the jaws and affects which demographic?
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anterior mandible
Middle aged women and African Americans |
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What are the 3 stages of formation of the peri-apical cemental dysplasia
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Osteolytic stage
Cementoblastic Stage Mature stage |
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A radiographic feature of fibrous dysplasia is?
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ground glass appearance
Radiopacity obscured 'lamina dura' |
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Define Fibrous Dysplasia
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normal bone architecture is replaced by fibrous tissue and non-functional trabeculae-like osseous structures.
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List 4 metabolic conditions affecting the jaw
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Paget disease
Osteopetrosis Osteoporosis Osteogensesis Imperfecta |
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Uncoordinated increase in osteoblastic and osteoclastic active is a key feature of which metabolic disease
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Paget Disease
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WHich condition displays the microscopic mosaic pattern off bone?
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Paget Disease
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List 4 histopathology features of Osteopetrosis
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Possible avascularity of bone
Sclerotic bone replaces cancellous bone Increased Functionless osteoclasts Marrow space replace by fibrous tissue |
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List 6 Aetiopathogensis features of Osteoporosis
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Sex hormones, nutrition, lack of calcium, lack of physical stress, decreased blood supply, drug induced
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list 3 histopathology features of osteoporosis
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Reduction in trabecular bone volume
Excessive resorption by osteoclasts Failure of bone formation by osteoblasts |
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What are the 5 clinical features of osteogenesis imperfecta?
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Fragility of bones
Blue sclera Deafness Tooth abnormalities Increased capillary bleeding |
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List the 7 oral manifestations of osteogenesis imperfecta
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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 |
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List 5 Benign tumours of the jaw
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Tori exostosis
Osteoma Central and peripheral giant cell granuloma Aneurysmal bone cyst Traumatic bone cyst |
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Tori exostosis are more common in which race of people?
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Asians
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Where is Tori exostosis commonly found
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midline of palate
lingual surfaces of mandible Elsewhere = exostosis |
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Where are Peripheral Giant cell granulomas usually located?
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Extra-osseously on the gingiva and alveolar ridges
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What areas of the oral region do Central Giant Cell Granulomas affect
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Intra-ossous
Affecting the anterior mandible and maxilla |
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List a clinical, radiological and histopathology feature of Central Giant Cell Granulomas:
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Clinical: Loosening of teeth
Radio: root resorption Histo: Multiple giant cells and RBCs |
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Where are Aneurysmal bone cysts usually formed
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Posterior mandible and maxilla
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What is the peak age of incidence of the Aneurysmal bone cysts?
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First three decades of life with peak occuring 10-19yrs
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Oral consequences of Aneurysmal bone cysts include:
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Can cause malocclusion and facial deformity
Root resoption Movement of adjacent teeth |
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What is the condition in which an asymptomatic intraosseous cavity is formed, usually in the mandibular molar or premolar regions of young people?
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Traumatic Bone Cyst (simple bone cyst)
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Name two Malignant tumours of the jaw?
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Osteogenic Sarcoma
Chondrosarcoma |
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What is the most common neoplasm derived from bone cells
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Osteogenic sarcoma
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What type of bone do osteogenic sarcomas commonly affect and what percentage affect the head and neck region?
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Long Bones
7% in head and neck |
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What is the age of incidence of osteogenic Sarcoma
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2nd -3rd decade of life
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List 2 radiographic and Histological features of osteogenic Sarcoma
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Histo: Pleomorphic osteoblasts and Tumour cells (giant cells)
Radio: Mottling of bone and widening of periodontal space |
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WHat area and what age do chondrosarcoma affect?
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anterior maxilla
30-40 yrs of age |