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29 Cards in this Set
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idiopathic protuberances of bone, midline palate and Lingual of anterior mandible. Esp. Asian, native American, Inuit populations
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Tori
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BFOL’s stands for:
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Benign Fibrooseous Lesions (of the jaws)
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bone mass on buccal alveolar bone
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Exostoses
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Asian and Native American
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Tori
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normal bone is replaced by benign fibrous CT + immature and/or cementum like material. A benign abnormal change in the bone quality (not really a true dysplasia).
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Cementoosseous dysplasia
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affects apices of mandibular incisors, more common in Black females 20-30’s causing multiple RL (à opaque w/t)lesions of VITAL teeth. Tx: none
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Periapical cementoosseous dysplasia (periapicocemmento dysplasia)
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Black females age 20-30's
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Periapical cementoosseous dysplasia (periapicocemmento dysplasia):
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Slow expansion of jaws and craniofacial bones à well circumscribed defined border, mixed RL (variable presentation). Tx: complete surgical excision.
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Ossifying fibroma
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Developmental disorder caused by the mutation of GNAS1 Gene à abnormal fibrous CT = not well circumscribed immature woven bone with dysplasia (will not mature). 3 types: monostatic (single part of body), polystatic (multiple), McCune-Albright syndrome (polyostotic fibrous dysplasia, café-au-lait, endocrine abnormalities). Can involve jaws and other bone, 10-20 years old – normally stabilizes after puberty, classic “Ground Glass” appearance. Tx: recontour after growth stops.
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Fibrous dysplasia
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same as PA Cementoosseous Dysplasia but NOT in mandibular incisors, 90% women, RL/mixed, may need to be biopsied.
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Focal cementoosseous dysplasia
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jaw and craniofacial bone expansion
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Ossifying fibroma
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90% women
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Focal cementoosseous dysplasia
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exuberant form, esp black women, multiquadrant +/- RL, prone to osteomyelitis
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Florid cementoosseous dysplasia
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GNAS1 Gene mutation; histo: 'ground glass' look
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Fibrous dysplasia
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cementoosseous dysplasia that is found EVERYWHERE
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Florid cementoosseous dysplasia:
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Nocturnal pain (most others cause no pain) relieved by NSAIDs. Resembles other BFOLs esp mixed radiolucent/radiopaque. Tx: excision.
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Osteoblastoma(>1.5-2 cm)/Osteoid Osteoma(<1.5-2 cm)
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Benign proliferation of bone common in paranasal sinuses. No Tx necessary. Multiple osteomas à think Gardner’s syndrome (numerous impacted teeth, intestinal premalignant polyps).
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Osteoma
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Osteoblastoma or Osteoid Osteoma is <1.5-2cm?
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Osteoid Osteoma
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multiple Osteoma's, numerous impacted teeth, intestinal premalignant polyps
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Gardner’s syndrome
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Night pain
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Osteoblastoma/Osteoid Osteoma
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Bone proliferation in PARANASAL SINUSES
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Osteoma
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area of increased bone density of unknown etiology = increased/well defined RP usually< 1cm, NOT associated with inflamed tooth.
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Ideopathic osteosclerosis aka dense bone island
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reaction due to chronic pulpal inflammation. Does not require aggressive Tx like true osteomyelitis.
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Condensing Osteitis aka focal sclerosing osteomyelitis
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"dense bone island"
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Ideopathic osteosclerosis
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"focal sclerosing osteomyelitis"
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Condensing Osteitis
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Benign proliferation of multineuclated giant cells of jaws, most multilocular / some unilocular. Histo: multinucleated giant cells (identical to cherubism = multiple CGCG’s of the jaw, peripheral giant cell granuloma and “brown tumor.”
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Central Giant Cell Granuloma
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Central (intraosseous) vascular malformation à teeth my extrude +/- spontaneous bleeding/bruit. Radio: most multilocular, “soap bubble” +/- sun-ray-like appearance.
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Hemangioma of Bone
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histo: multinucleated giant cells
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Central Giant Cell Granuloma
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'soap bubble' x-ray
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Hemangioma of Bone
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