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96 Cards in this Set
- Front
- Back
What are the three structural parts of a cyst?
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1 Central cavity (containing fluid, etc) 2 Lining (usually strat squa) 3 CT Capsule
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How are cysts usually discovered?
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Routine exam/xrays
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Name the cyst characterized by a non-vital tooth, inflammation, radiolucent, derived from rest of Malassez, either asympomatic or acute pain.
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Dental Granuloma
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Name the cyst characterized by a non-vital tooth, cholesterol clefts, radiolucent, either asympomatic or acute pain.
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Radicular/Periradicular/Periapical Cyst
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Name the cyst that develops from fragments of an apical cyst after removal of a tooth.
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Residual cyst
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Name the cyst that is associated with the crown of a normal/supernumerary impacted tooth.
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Dentigerous cyst
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What is the origin of a dentigerous cyst?
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Reduced enamel epithelium, after the crown has formed
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Name the 2 most common sites for a dentigerous cyst.
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1 3rd molars 2 Maxillary cuspids
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Dentigerous cysts usually occur from age ____ to ____, and is lined by ______ _________ epithelium.
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10-30, stratified squamous epi
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Name 3 possible progressions of a dentigerous cyst.
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1 Ameloblastoma 2 Squamous cell carcinoma 3 Mucoepidermoid carcinoma (salivary gland tumor)
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If a radiolucency is less than 2.5 mm, it is probably not a dentigerous cyst, but is probably…
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Perifollicular fibrosis
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Can you see an eruption cyst on an xray?
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NO
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Name the cyst that is a soft-tissue counterpart of a dentigerous cyst.
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Eruption cyst
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Name the cyst that develops in place of a tooth (no history of extraction or existing tooth).
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Primordial cyst
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What is the origin of a primordial cyst?
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Remnants/degeneration of the enamel organ
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Where is the most common location to find a primordial cyst?
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3rd molar area
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T/F: Primordial cysts can be multilocular.
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TRUE
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Name the cyst that shows keratinization.
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Odontogenic keratocyst
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What is the origin of an Odontogenic keratocyst?
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Dental lamina/cell rests
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Odontogenic keratocysts are (rare/common) make up ___-____% of all odontogenic cysts. OKC affects ____-____ year olds. They are lined by (thin/thick) epithelium.
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Common, 3-11% of all odontogenic cysts, 10-40 year olds. Thin
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What is the most common location to find an Odontogenic keratocyst?
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Mandibular molar area
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T/F: Odontogenic keratocysts can be aggressive.
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True, can cause tooth movement and resorption
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Name the syndrome which features multiple Odontogenic keratocysts.
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Jaw cyst-basal cell nevus-Bifid rib syndrome
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T/F: Odontogenic keratocysts can be multilocular.
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TRUE
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On an xray, name two things that Odontogenic keratocysts may resemble (and cannot be differentiated from).
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1 Dentigerous cyst 2 Lateral periodontal cyst
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Name a unique histologic feature of Odontogenic keratocysts.
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Satellite cysts
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T/F: Recurrence rate is high for Odontogenic keratocysts.
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True, due to satellite cysts and wavy epi lining
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Name a variant of Odontogenic keratocysts. Is its recurrence rate higher or lower than Odontogenic keratocysts?
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Orthokeratinized odontogenic cyst. Recurrence is much lower (2% instead of 30%)
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T/F: Gingival cyst of the newborn is rare.
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False, it is found in 50% of all newborns!
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What is the origin of Gingival cyst of the newborn and adult?
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Remnants of the dental lamina
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T/F: Gingival cyst of the adult is rare.
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TRUE
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Where is the most common area to find a Gingival cyst of the adult?
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Mandibular bicuspid/anterior area
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Name the cyst that is the bony counterpart to a gingival cyst of the adult.
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Lateral periodontal cyst
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T/F: Lateral periodontal cysts can be multilocular.
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True, it would be called a Botryoid odontogenic cyst
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Where is the most common area to find a Lateral periodontal cyst?
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Mandibular premolar/cuspid area
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Name the multilocular variant of a Lateral periodontal cyst.
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Botryoid odontogenic cyst (grape-like cluster)
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T/F: Recurrence rate is high for Lateral periodontal cysts.
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False, it is low
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Name the cyst that is more like a neoplasm than a cyst.
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Calcifying Odontogenic Cyst (Gorlin cyst)
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Where is the most common area to find a Calcifying Odontogenic Cyst (Gorlin cyst)?
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Trick question - it's found equally in maxilla and mandible, but tends to be in the anterior area
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Name a unique histologic feature of a Calcifying Odontogenic Cyst (Gorlin cyst).
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Ghost cells, usually with calcifications (diffuse or clumpy)
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Name the cyst that has glandular differentiation.
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Glandular Odontogenic Cyst
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Where is the most common area to find a Glandular Odontogenic Cyst?
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Mandibular anteriors
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What is a (better) synonym for a paradental cyst?
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Buccal bifurcation cyst
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Name the cyst that usually occurs on mandibular molars that have a history of pericoronitis.
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Paradental/Buccal bifurcation cyst
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What is the cause of Paradental/Buccal bifurcation cysts?
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Infection stimulates Inflammation, which stimulates rests of Malassez to make enamel
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What is the age predilection for Paradental/Buccal bifurcation cysts?
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20-30 years old
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Name the most common site to find a Paradental/Buccal bifurcation cyst.
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Mandibular second/third molars
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Name the cyst that is small, white, and found on the palate of newborns. Name 2 synonyms.
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Palatal cyst of the newborn. 1 Epstein Pearls 2 Bohn's Nodules
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Name the cyst that is caused by ectoderm entrapped in median palatal fusion line and/or epithelial remnants of developing palatal salivary glands.
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Palatal cyst of the newborn/ Epstein Pearls/Bohn's Nodules
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What is one differential diagnosis for Palatal cyst of the newborn?
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Gingival cyst of the newborn
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Name the rare soft tissue cyst affecting the lower portion of the nasolacrimal duct.
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Nasolabial or Nasoalveolar cysts
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Nasolabial or Nasoalveolar cysts affect more (males/females).
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Females
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Name the characteristic histological feature of Nasolabial or Nasoalveolar cyst.
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Psuedostratified columnar epithelium
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Name the cyst that occurs between the roots of the maxillary lateral and canines.
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Globulomaxillary cyst
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What shape is a Globulomaxillary cyst, usually?
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Pear-shaped
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Name 3 differential diagnoses for Globulomaxillary cysts.
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1 Periapical cysts 2 Odontogenic cysts 3 Lateral periodontal cysts
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Name the cyst that occurs in the incisive canal.
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Nasopalatine Duct/Incisive Canal cyst
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What is the soft-tissue counterpart of the Nasopalatine Duct/Incisive Canal cyst?
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Palatine papilla cyst
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Does the Nasopalatine Duct/Incisive Canal cyst affect (non/vital) teeth?
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Vital
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Nasopalatine Duct/Incisive Canal cysts usually occur in (males/females) age ____-_____.
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Males, 40-60
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What is the rule of thumb for Nasopalatine Duct/Incisive Canal cysts?
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If it is less than .6 mm, it is probably just an enlarged incisive canal
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Where is the most common location for Nasopalatine Duct/Incisive Canal cysts?
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Between the maxillary centrals
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What shape is a Nasopalatine Duct/Incisive Canal cyst, usually?
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Heart-shaped
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Name the cyst that is located posterior to the incisive papilla in the midline of the hard palate.
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Median palatal cyst
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Name the cyst that is lined by keratinized stratified squamous epithelium and is often filled with keratin.
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Epidermoid cyst
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Name the cyst that is lined by keratinized stratified squamous epithelium and is often filled with sebaceous glands, hair follicles, bone, muscle, etc.
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Dermoid cyst
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What other neoplasm does a dermoid cyst resemble?
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Teratoma
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Where is the most common location for an epi/dermoid cyst?
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Floor of the mouth
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If the patient has a bulge in the floor of the mouth/has no neck, the epi/dermoid cyst is (above/below) the mylohyoid.
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Above
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If the patient has a double chin, the epi/dermoid cyst is (above/below) the mylohyoid.
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Below
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Name the cyst that occurs on the midline, between the foramen cecum of the tongue and the suprasternal notch.
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Thyroglossal duct cysts
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What causes a thyroglossal duct cyst?
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Epithelial remnants of the thyroid migration turn into cysts
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What is the treatment for a thyroglossal duct cyst, and why?
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Remove, because it may turn malignant
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What % of thyroglossal duct cysts occur below the hyoid?
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70%
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Name the cyst that comes from epithelium trapped in lymph nodes.
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Cervical Lymphoepithelial cyst (Branchial Cleft Cyst)
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Name the cyst that occurs in the lateral neck as an asymptomatic, slow-growing fluctuant mass.
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Cervical Lymphoepithelial cyst (Branchial Cleft Cyst)
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Name the cyst that occurs in oral lymphoid tissue, is yellow, and has no rete pegs.
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Oral lymphoepithelial cyst
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Where do 50% of oral lymphoepithelial cysts occur?
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Floor of the mouth
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Name the cyst that occurs in the maxilla, after a maxillary sinus surgery/extraction.
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Surgical Ciliated Cyst of the maxilla
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What type of lining does a Surgical Ciliated Cyst of the maxilla have?
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Respiratory epi
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What causes a surgical ciliated cyst of the maxilla?
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Epi becomes implanted/trapped at the site of surgery and starts to proliferate and cavitate
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Name the cyst that is similar to dermoid but has gastric/intestinal mucosa lining.
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Heterotropic Oral Gastrointestinal Cyst/Anterior Median Lingual Cyst/Gastric Cystic Choristoma
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What is the age and gender predilection for Heterotropic Oral Gastrointestinal Cysts?
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Infants/young children, males
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Where is the most common location for a Heterotropic Oral Gastrointestinal Cyst (2)?
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1 Tongue 2 Floor of the mouth
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Name the pseudocyst that should be completely obvious on a radiograph.
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Simple bone cyst/Traumatic Bone cyst
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Why is a Simple bone cyst not a cyst?
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It has no epithelium, and the cavity is empty
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What is a key characteristic on the radiographs for a Simple bone cyst?
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Scalloped border
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What is the age group for Simple bone cysts?
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Young adults
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Are simple bone cysts associated with (non/vital) teeth?
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Vital
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What is the treatment for a Simple bone cyst?
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Curette to start bleeding, then it heals on its own
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Name the pseudocyst that has salivary gland tissue in it.
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Lingual Mandibular Salivary Gland Depression (Static bone cyst/Stafne bone cyst)
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Name the pseudocyst that radiographically occurs as an ovoid lucency between the mandibular canal and inferior border, with a sclerotic border.
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Lingual Mandibular Salivary Gland Depression (Static bone cyst/Stafne bone cyst)
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Name the uncommon vascular lesion of jaws/bones that resembles a "blood-soaked sponge".
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Aneurysmal Bone Cyst
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Do Aneurysmal bone cysts occur mainly in the maxilla or mandible?
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Mandible
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What is a differential diagnosis for an Aneurysmal Bone Cyst?
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OKC
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Name three other lesions that may be associated with an Aneurysmal Bone Cyst.
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1 Fibrous dysplasia 2 Hemangioma 3 Traumatic bone cyst
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