Edwards Oral Path Test 4

Front 1

completely radiolucent

Back 1

Ameloblastoma

Front 2

commonly associated w/ impacted tooth (max canine)

Back 2

Adenomatoid Odontogenic Tumor (AOT

Front 3

loosening of teeth, uncommon, perio membrane origin

Back 3

Squamous Odontogenic Tumor

Front 4

Liesegang (lamellar) rings

Back 4

Calcifying Epithelial Odontogenic Tumor (CEOT)

Front 5

multilocular/honeycomb RL

Back 5

Odontogenic Myxoma

Front 6

rare, Max = ant to 1st molars, Mand = posterior to 1st molars. Non-specific RL.

Back 6

Central Odontogenic Fibroma

Front 7

Bump on gums

Back 7

Peripheral Odontogenic Fibroma

Front 8

teens – early 20’s à RADIOPAQUE mass of a VITAL tooth surrounded by a RADIOLUCENCENT ring

Back 8

Cementoblastoma

Front 9

RADIOPACITY +/- impacted tooth w/ RADIOLUCENCENT capsule

Back 9

Odontoma

Front 10

NON-aggressive odontogenic tumor affecting the mandibular molar-ramus area of children and young adults

Back 10

Ameloblastic Fibroma

Front 11

odontoma like radiopacities

Back 11

Ameloblstic Fibro-odontoma

Front 12

Malignant odontogenic tumors

Back 12

Primary intraosseous carcinoma (rare, high metastases)

Front 13

Malignant odontogenic tumors

Back 13

Ameloblastic carcinoma/malignant ameloblastoma (benign looking histo, but metastacises)

Front 14

Malignant odontogenic tumors

Back 14

Ameloblastic fibrosarcoma (mixed epithelial-mesenchymal w/ malignant mesenchymal)

Front 15

Malignant odontogenic tumors

Back 15

Clear cell odontogenic carcinoma (rare, clear cytoplasm, epithelial islands)

Front 16

Pericoronal unilocular

Back 16

name all

Front 17

Periapical unilocular

Back 17

name all

Front 18

Unilocular other locations

Back 18

name all

Front 19

Multilocular

Back 19

name all

Front 20

Mixed Radiolucent/opaque

Back 20

name all

Front 21

exaggerated lingual pit à early decay, tx: prophylactic fill. Permanent max laterals most common

Back 21

Dens in Dente (dens invaginatus):

Front 22

tubercle in center of occ table w/ pulp horn, relatively common. Bilateral PM's (Leung's) Asians, Inuits, Native Americans.

Back 22

Dens Evaginatus

Front 23

physologic(diet, occlusion

Back 23

Attrition

Front 24

pathologic(aggressive brushing, smoking/chewing tobacco),

Back 24

Abrasion

Front 25

chemical dissolution

Back 25

Erosion

Front 26

caused by environment + genetics

Back 26

Anodontia, polygenic

Front 27

abscessed primary tooth à pit formation

Back 27

Turner’s Tooth

Front 28

Fluorosis

Back 28

enamel hypoplasia

Front 29

Amelogenesis imperfecta 3 types

Back 29

hypocalcified, hypoplastic, hypomaturated

Front 30

bell shaped crowns

Back 30

Dentinogenesis Imperfecta

Front 31

chevron look

Back 31

Dentin dysplasia

Front 32

Ghost teeth

Back 32

Regional) Odontodysplasia

Front 33

No relation to inflammation trauma or systemic disease

Back 33

Pulpal Calcification

Front 34

pink tooth

Back 34

Internal Resorption

Front 35

may be caused by chronic inflammation, cysts, benign/malignant tumors, trauma, reimplantation, impaction, ortho, coronal resorption

Back 35

External Resorption

Front 36

green/brown primary teeth

Back 36

Erythroblastosis fetalis

Front 37

red/brown teeth

Back 37

Congenital porphyria

Front 38

apices of mandibular incisors, more common in Black females 20-30’s causing multiple radiolucent lesions of CITAL teeth

Back 38

Periapical cementoosseous dysplasia

Front 39

NOT in mandibular incisors, 90% women, RADIOLUCENT/mixed

Back 39

Focal cementoosseous dysplasia

Front 40

black women, multiquadrant +/- RADIOLUCENCIES, prone to osteomyelitis

Back 40

Florid cementoosseous dysplasia

Front 41

Slow expansion of jaws and craniofacial bones à well circumscribed defined border, mixed RL

Back 41

Ossifying fibroma

Front 42

mutation of GNAS1 Gene

Back 42

Fibrous dysplasia

Front 43

Ground Glass appearance

Back 43

Fibrous dysplasia

Front 44

Nocturnal pain (most others cause no pain) relieved by NSAIDs

Back 44

Osteoblastoma

Front 45

Multiple osteomas

Back 45

Gardner’s syndrome

Front 46

Benign proliferation of bone common in paranasal sinuses

Back 46

Osteoma

Front 47

area of increased bone density of unknown etiology = increased/well defined RP usually< 1cm, NOT associated with inflamed tooth.

Back 47

Ideopathic osteosclerosis aka dense bone island

Front 48

reaction due to chronic pulpal inflammation

Back 48

Condensing Osteitis aka focal sclerosing osteomyelitis

Front 49

Benign proliferation of multineuclated giant cells of jaws, most multilocular / some unilocular

Back 49

Central Giant Cell Granuloma

Front 50

soap bubble” +/- sun-ray-like appearance

Back 50

Hemangioma of Bone

Front 51

Can Mimic other intraosseous lesions

Back 51

Hemangioma of Bone

Front 52

Knees – teens, Jaws – 30’s

Back 52

Osteosarcoma

Front 53

elev serum alkaline phospatase, Histo: mosaic pattern, “reversal lines”, Radio: “cotton wool”

Back 53

Paget’s

Front 54

irreg wide PDL, “sun-ray”

Back 54

Osteosarcoma

Front 55

cartilage producing cells, rare, ant max

Back 55

Chondrosarcoma

Front 56

Young patients (children/teens), malignancy of bone

Back 56

Ewing’s Sarcoma/Primative Neuroectodermal Tumor:

Front 57

soft tissue variant of ewings sarcoma

Back 57

Primative Neuroectodermal Tumor

Front 58

Mult “punched out” RL – non-corticated

Back 58

Multiple Myeloma

Front 59

Malig plasma cell neoplasm

Back 59

Multiple Myeloma

Front 60

Single sight of bone destruction

Back 60

Solitary Plasmacytoma of Bone

Front 61

Jaw bones - ill-defined/subtle RL, alveolar bones lass, vague pain, parasthesia

Back 61

Non-Hodgkin Lymphomas

Front 62

Histo: “starry sky”

Back 62

Burkitt Lymphoma

Front 63

loose teeth, paresthesia

Back 63

Metastatic Dx

Front 64

Metastatic Dx to bones (primarily carcinoma) vs osteosarcoma in adults

Back 64

Metastatic Dx to bones (primarily carcinoma) > osteosarcoma in adults

Front 65

Young children, multiple osteolytic lesions of skull/jaw

Back 65

Langerhans Cell Histocytosis

Front 66

< one month duration, usually infectious, pain is primary Sx, NOT evident radiographically until 60% bone demineralized; purulent;

Back 66

Acute Osteomyeliti

Front 67

mild-moderate pain; NOTPurulent; moth-eaten radiographic appearance, mandibular molar MOST COMMON site, Swelling common

Back 67

Chronic Osteomyeliti

Front 68

Garre’s osteomyelitis

Back 68

Chronic osteomyelitis w/ proliferative periostiti

Front 69

associated w/ infected mandibular molar *ESP. in CHILDREN or as a post extraction complication; asymptomatic-mildly tender bony hard swelling w/ normal appearing overlying mucosa.

Back 69

Chronic osteomyelitis w/ proliferative periostiti

Front 70

onion skinning

Back 70

Chronic osteomyelitis w/ proliferative periostiti

Front 71

(looks like florid cementoosseus dysplasia

Back 71

Diffuse Sclerosing osteomyeliti

Front 72

condensing osteitis

Back 72

Focal Sclerosing osteomyeliti

Front 73

dry socket

Back 73

Alveolar Osteitis

Front 74

Radiation injury to bone 3 h's

Back 74

1. Hypovascular; 2. Hypocellular; 3. hypoxic

Front 75

delayed eruption/ supernumerary

Back 75

Cleidocranial dysplasia/Gardner/Crouzon

Front 76

delayed eruption/ missing teeth

Back 76

downs / osteopetrosis

Front 77

too few/too many teeth

Back 77

Ehlers-Danlos, Sturge Weber

Front 78

too few teeth

Back 78

Ectodermal dysplasia / Hurler

Front 79

premature exfoliation

Back 79

Papillon LeFevre, Hyphosphatasia, Dentinal dysplasia type 1, Regional odontodysplasia

Front 80

prolonged retention of primary teeth and eruption failure of permanent teeth and often exhibits supernumary teeth

Back 80

Cleidocranial dysplasia

Front 81

bilateral asymptomatic swelling of the jaws, upturned gaze, multilocular RL’s = giant cell lesions. Permanent teeth may be malformed or missing

Back 81

Cherubism

Front 82

Frog-like" facies

Back 82

Crouzon's Syndrome

Front 83

most common craniosynostosis syndromes

Back 83

Crouzon's and Apert’s

Front 84

Autosomal dominant, MULTIPLE - OKC's, basal cell carcinomas and epidermoid cysts. Palmar-plantar pitting. Large calvaria, Calcification of falx cerebri, bifid ribs, ovarian fibromas.

Back 84

Basal Cell Nevus Syndrome

Front 85

hypotrichosis (less than normal amount of hair on head), hypohydrosis, cone-shaped teeth. Heat intolerance

Back 85

Ectodermal Dysplasia

Front 86

deficiency of lysosomal enzymes

Back 86

Mucopolysaccharidoses

Front 87

Clinically evident by age two--patient usually dies by age 25 due to cardiopulmonary disease, short stature; hepatosplenomegaly; hernias normal mental capacity; sleep apnea-airway obstruction; corneal clouding Dysostosis multiplex; thickened skin; hearing loss (12%)

Back 87

Hurler-Scheie Syndrome

Front 88

CT disorder-defect [fibrillin (FBN1) gene]

Back 88

Marfan's Syndrome

Front 89

Fragile bones inborn error of collagen

Back 89

Osteogenesis Imperfecta

Front 90

Severe micrognathia, high palate, feeding problems

Back 90

Pierre Robin Syndrome

Front 91

bird-like or fish-like facies

Back 91

Treacher-Collins Syndrome

Front 92

mandibular hypoplasia; midface deficiency, colobomas (notches

Back 92

Treacher-Collins Syndrome

Front 93

rubber man

Back 93

Ehlers-Danlos Syndrome

Front 94

Joint hypermobility; skin hyperextensibility. Cardiovascular anomalies; possible bleeding problems, need antibiotic prophylaxis

Back 94

Ehlers-Danlos Syndrome

Front 95

Tall forehead with flattened occipital; premature suture closure, ocular proptosis with downward slant to corners of eye, mid-face hypoplasia; mouth breather (Class III with anterior open bite, syndactyly of fingers and toes, mental retardation; acne-like eruption on forearm, 75% soft palate cleft, bifid uvula, V-shaped arch; shovel shaped incisors; mucosal swellings.

Back 95

Apert's Syndrome

Front 96

Unilateral localized overgrowth of facial soft tissue, bones, and teeth

Back 96

Hemifacial Hypertrophy

Front 97

Opposite of Hemifacial Hypertrophy with localized scleroderma (hardening and thickening of skin

Back 97

Parry-Romberg Syndrome

Front 98

midface hypoplasia; delayed eruption, hypodontia and microdontia more common; fissured enlarged tongue; greater incidence of periodontal disease and infections; crossbite common; mouth-breathers, thyroid dysfunction in 50%, increased risk of ALL (leukemia), cardiac abnormalities

Back 98

Down syndrome

Front 99

Hyperkeratotic palms and soles, lack of resistance to periodontal disease; defective neutrophil chemotaxis à tooth loss within 2-3 years post-eruption No Tx

Back 99

Papillon-Lefevre Syndrome

Front 100

auriculo-temporal syndrome, following parotid surgery, trauma, mandibular surgery, parasympathetic nerve fibers may be severed à sweating, flushing, warmth, and occasional mild pain during enhanced salivary stimulation when eating food

Back 100

Frey syndrome

Front 101

PFAPA:

Back 101

Periodic fever, Aphthous ulcers, Pharyngitis, Cervical Adenitis in children

Front 102

Elevated serum alkaline phosphatase My hat doesn’t fit anymore

Back 102

Paget's Disease of Bone

Front 103

pituitary adenoma after puberty

Back 103

Acromegaly

Front 104

enlargment of the hands and feet

Back 104

Acromegaly

Front 105

deficiency of tissue and serum alkaline phosphatase, increases serum phosphoethanolamine, beaten copper skull appearance,premature loss of primary teeth (lack cementum),enlarged pulp chamber in primary teeth with alveolar bone loss, short stature, bowed legs, waddling gait

Back 105

Hypophosphatasia

Front 106

stones, moans, bones and groans

Back 106

Hyperparathyroidism

Front 107

parathyroid adenoma; secondary form due to renal failure

Back 107

Hyperparathyroidism

Front 108

Premature exfoliation of primary teeth or rapid eruption of permanent teeth dental erosion 3x as likely, osteoporosis, females 5:1; Grave's disease, heat intolerance, weight loss, hyperhydrosis, diarrhea, thin hair, exophthalmos

Back 108

Hyperthyroidism

Front 109

Grave's disease

Back 109

Hyperthyroidism

Front 110

Delayed dental development. Put on weight

Back 110

Hypothyroidism