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299 Cards in this Set

  • Front
  • Back

Bone Scar left by tooth extracted with Condensing Osteitis

Asymptomatic

Chronic Apical Periodontitis

Asymptomatic

Chronic Apical Periodontitis

Chronic Apical Periodontitis



Look for fibroblasts, lymphocytes, and plasma cells.

Chronic Hyperplastic Pulpitis

Condensing Osteitis



Fused with Lamina Dura. Entire root outline is visible.

Condensing Osteitis



Fused with Lamina Dura. Entire root outline is visible.

Dental Abscess

Dental Abscess

Dental Abscess

Dental Abscess

Dental Abscess

Ludwig's Angina (Cellulitis)

Ludwig's Angina (Cellulitis)

Parulis

Parulis

Parulis

Parulis

Periapical Abscess

Periapical Abscess

Periapical Abscess



Notice the widened PDL to large alveolar radiolucency.

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

Radicular Cyst



Lined by stratified squamous epithelium. May have cholesterin clefts.

Chronic Apical Periodontitis

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Well defined lucency, unilocular, on crown, corticated, expands

10-30 years old

10-30 years old

Dentigerous Cyst



Notice mandibular 3rd molar site predilection, well defined lucency, unilocular, on crown, corticated, expands

Dentigerous Cyst



Non-keratinized epithelium


Eruption Cyst

Eruption Cyst

Eruption Cyst

Nevoid Basal Cell Carcinoma Syndrome



Multiple Odontogenic Keratocysts

Nevoid Basal Cell Carcinoma Syndrome



Rib anomalies

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger. Also notice posterior jaw predilection.

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger. Also notice posterior jaw predilection.

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger. Also notice posterior jaw predilection.

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger. Also notice posterior jaw predilection.

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger. Also notice posterior jaw predilection.

Adolescent and young adults. No pain or pain, swelling

Adolescent and young adults. No pain or pain, swelling

Odontogenic Keratocyst



Well defined, partially corticated border, unilocular when small->multilocular when bigger

Odontogenic Keratocyst

Odontogenic Keratocyst

Odontogenic Keratocyst

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

Residual Cyst

Residual Cyst

Residual Cyst

Children + Young adults under 30, swelling

Children + Young adults under 30, swelling

Aneurysmal bone cyst



Expansile, multilocular, destruction, and high predilection in the mandible

Children + Young adults under 30, swelling

Children + Young adults under 30, swelling

Aneurysmal bone cyst



Expansile, multilocular, destruction, and high predilection in the mandible

Children + Young adults under 30, swelling

Children + Young adults under 30, swelling

Aneurysmal bone cyst



Expansile, multilocular, destruction, and high predilection in the mandible

Aneurysmal bone cyst



Scattered multinucleated giant cells

Aneurysmal bone cyst



Scattered multinucleated giant cells

5-13 years old

5-13 years old

Buccal bifurcation cyst



Corticated, unilocular

5-13 years old

5-13 years old

Buccal bifurcation cyst



Corticated, unilocular

~33 (10-30 years old), asymptomatic, swelling

~33 (10-30 years old), asymptomatic, swelling

Calcifying odontogenic cyst



Well defined lesion, corticated, often pure lucency but sometimes has opaque areas

~33 (10-30 years old), asymptomatic, swelling

~33 (10-30 years old), asymptomatic, swelling

Calcifying odontogenic cyst



Well defined lesion, corticated, often pure lucency but sometimes has opaque areas

~33 (10-30 years old), asymptomatic, swelling

~33 (10-30 years old), asymptomatic, swelling

Calcifying odontogenic cyst



Well defined lesion, corticated, often pure lucency but sometimes has opaque areas

~33 (10-30 years old), asymptomatic, swelling

~33 (10-30 years old), asymptomatic, swelling

Calcifying odontogenic cyst



Well defined lesion, corticated, often pure lucency but sometimes has opaque areas

~33 (10-30 years old), asymptomatic, swelling

~33 (10-30 years old), asymptomatic, swelling

Calcifying odontogenic cyst



Well defined lesion, corticated, often pure lucency but sometimes has opaque areas

Calcifying odontogenic cyst

Calcifying odontogenic cyst

Carcinoma arising in a cyst



Islands of invasive epithelial cells with epithelial dysplasia

Carcinoma arising in a cyst



Islands of invasive epithelial cells with epithelial dysplasia

Adult, no expansion

Adult, no expansion

Focal osteoporotic bone marrow defect

Adult, no expansion

Adult, no expansion

Focal osteoporotic bone marrow defect

Gingival cyst of the adult

Gingival cyst of the adult

Gingival cyst of the adult

40-60 years old, Male, asymptomatic

40-60 years old, Male, asymptomatic

Lateral Periodontal Cyst



Notice the mandibular bicuspid/cuspid area. Corticated, unilocular, contiguous with the PDL space

40-60 years old, Male, asymptomatic

40-60 years old, Male, asymptomatic

Lateral Periodontal Cyst



Notice the mandibular bicuspid/cuspid area. Corticated, unilocular, contiguous with the PDL space

40-60 years old, Male, asymptomatic

40-60 years old, Male, asymptomatic

Lateral Periodontal Cyst



Notice the mandibular bicuspid/cuspid area. Corticated, unilocular, contiguous with the PDL space

Lateral Periodontal Cyst



Focal nodular thickenings with swirling cells

Lateral Periodontal Cyst



Focal nodular thickenings with swirling cells

Lateral Periodontal Cyst



Focal nodular thickenings with swirling cells

Male

Male

Lingual Mandibular Salivary Gland Depression

Male

Male

Lingual Mandibular Salivary Gland Depression

Male

Male

Lingual Mandibular Salivary Gland Depression

Male

Male

Lingual Mandibular Salivary Gland Depression

30-50 years old, Male, asymptomatic

30-50 years old, Male, asymptomatic

Nasopalatine Duct Cyst

30-50 years old, Male, asymptomatic

30-50 years old, Male, asymptomatic

Nasopalatine Duct Cyst

30-50 years old, Male, asymptomatic

30-50 years old, Male, asymptomatic

Nasopalatine Duct Cyst

30-50 years old, Male, asymptomatic

30-50 years old, Male, asymptomatic

Nasopalatine Duct Cyst

30-50 years old, Male, asymptomatic

30-50 years old, Male, asymptomatic

Nasopalatine Duct Cyst

Nevoid Basal Cell Carcinoma Syndrome



Calcified Falx Cerebri

Nevoid Basal Cell Carcinoma Syndrome



Multiple Odontogenic Keratocysts

Nevoid Basal Cell Carcinoma Syndrome



Multiple Odontogenic Keratocysts

Nevoid Basal Cell Carcinoma Syndrome



Odontogenic epithelial rests in cyst wall

Radicular Cyst



Loss of Lamina Dura. Usually at apex, but can be lateral to root.

10-25 years old, asymptomatic, vital teeth, no expansion

10-25 years old, asymptomatic, vital teeth, no expansion

Simple bone cyst



Notice predilection of body of mandible to posterior mandible, unilocular, scalloping between roots, no border reaction

10-25 years old, asymptomatic, vital teeth, no expansion

10-25 years old, asymptomatic, vital teeth, no expansion

Simple bone cyst



Notice predilection of body of mandible to posterior mandible, unilocular, scalloping between roots, no border reaction

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible

>30

>30

Infiltrating Ameloblastoma

>30

>30

Infiltrating Ameloblastoma

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible, well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible, well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Well defined, multilocular

>30

>30

Infiltrating Ameloblastoma

>30

>30

Infiltrating Ameloblastoma



Well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Well defined, multilocular. Notice the honeycomb appearance

Infiltrating Ameloblastoma

Infiltrating Ameloblastoma

Infiltrating Ameloblastoma

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible, well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible, well defined, multilocular

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible

>30

>30

Infiltrating Ameloblastoma



Notice how it is in the posterior mandible

Unicystic Ameloblastoma



Palisading of basal cell layer with reverse polarization

Adenomatoid Odontogenic Tumor



Pseudoducts and rosettes, calcified materials

Adenomatoid Odontogenic Tumor



Pseudoducts and rosettes, calcified materials

Adenomatoid Odontogenic Tumor



Pseudoducts and rosettes, calcified materials

2nd decade, female

2nd decade, female

Adenomatoid Odontogenic Tumor



Unilocular, notice extension to apex of tooth

2nd decade, female

2nd decade, female

Adenomatoid Odontogenic Tumor



Unilocular, notice extension to apex of tooth, anterior maxilla

2nd decade, female

2nd decade, female

Adenomatoid Odontogenic Tumor



Unilocular, notice extension to apex of tooth, anterior maxilla

2nd decade, female

2nd decade, female

Adenomatoid Odontogenic Tumor



Unilocular, notice extension to apex of tooth

50s

50s

Ameloblastic carcinoma



Looks like infiltrating ameloblastoma, cortical destruction

50s

50s

Ameloblastic carcinoma



Looks like infiltrating ameloblastoma, cortical destruction

Ameloblastic fibroma



scattered epithelium in stroma

6-14

6-14

Ameloblastic Fibroma



posterior mandible, well-defined, uni or multilocular

Ameloblastic fibroma



scattered epithelium in stroma

6-14

6-14

Ameloblastic Fibroma



posterior mandible, well-defined, uni or multilocular

Ameloblastic Fibro-odontoma



Can be mixed with odontoma

~10, asymptomatic, swelling

~10, asymptomatic, swelling

Ameloblastic Fibro-odontoma

~10, asymptomatic, swelling

~10, asymptomatic, swelling

Ameloblastic Fibro-odontoma

~10, asymptomatic, swelling

~10, asymptomatic, swelling

Ameloblastic Fibro-odontoma

Ameloblastic fibrosarcoma



numerous mitotic figures

27.5, males

27.5, males

Ameloblastic fibrosarcoma



mandible, poorly defined, destructive borders

27.5, males

27.5, males

Ameloblastic fibrosarcoma



mandible, poorly defined, destructive borders

27.5, males

27.5, males

Ameloblastic fibrosarcoma



mandible, poorly defined, destructive borders

30-50

30-50

Calcifying epithelial odontogenic tumor



Posterior mandible, uni or multiocular, honeycombed

30-50

30-50

Calcifying epithelial odontogenic tumor



Posterior mandible, uni or multiocular, honeycombed

30-50

30-50

Calcifying epithelial odontogenic tumor



Posterior mandible, uni or multiocular, honeycombed

Calcifying epithelial odontogenic tumor



amyloid deposits

Calcifying epithelial odontogenic tumor



amyloid deposits

Cementoblastoma

Cementoblastoma

Cementoblastoma

<25, painless, expansile, vital

<25, painless, expansile, vital

Cementoblastoma



mand molar/bicuspid region (mand 1st molar highest), well defined, lucent rim, periapical

<25, painless, expansile, vital

<25, painless, expansile, vital

Cementoblastoma



mand molar/bicuspid region (mand 1st molar highest), well defined, lucent rim, periapical

~40 (4-80), female, asymptomatic, expansion, loose teeth

~40 (4-80), female, asymptomatic, expansion, loose teeth

Central Odontogenic Fibroma

~40 (4-80), female, asymptomatic, expansion, loose teeth

~40 (4-80), female, asymptomatic, expansion, loose teeth

Central Odontogenic Fibroma

Central Odontogenic Fibroma



WHO: Has odontogenic epithelial rests

Central Odontogenic Fibroma



Simple: No odontogenic epithelial rests

>50

>50

Clear cell odontogenic carcinoma



uni or multiocular, ill defined margines

Clear cell odontogenic carcinoma



glycogen rich, palisading

Clear cell odontogenic carcinoma



glycogen rich, palisading

Clear cell odontogenic carcinoma



glycogen rich, palisading

Complex Odontoma

Complex Odontoma

<20

<20

Complex Odontoma



Radiolucent rim

<20

<20

Complex Odontoma



Radiolucent rim, posterior mandible

<20

<20

Complex Odontoma



Radiolucent rim, posterior mandible

Compound Odontoma

<20

<20

Compound Odontoma



anterior maxilla

<20

<20

Compound Odontoma



anterior maxilla

<20

<20

Compound Odontoma



anterior maxilla

25-30, asymptomatic, expansion

25-30, asymptomatic, expansion

Odontogenic Myxoma



uni or multilocular, honeycomb, wispy (right angles), scalloped margins

25-30, asymptomatic, expansion

25-30, asymptomatic, expansion

Odontogenic Myxoma



uni or multilocular, honeycomb, wispy (right angles), scalloped margins

25-30, asymptomatic, expansion

25-30, asymptomatic, expansion

Odontogenic Myxoma



uni or multilocular, honeycomb, wispy (right angles), scalloped margins

25-30, asymptomatic, expansion

25-30, asymptomatic, expansion

Odontogenic Myxoma



uni or multilocular, honeycomb, wispy (right angles), scalloped margins

25-30, asymptomatic, expansion

25-30, asymptomatic, expansion

Odontogenic Myxoma



uni or multilocular, honeycomb, wispy (right angles), scalloped margins

Odontogenic myxoma



myxoid appearance

Odontogenic myxoma



myxoid appearance

Middle aged adult

Middle aged adult

Peripheral Ameloblastoma



Usually in mandibular gingiva in posterior areas

Peripheral Ameloblastoma



Interconnecting cords of epithelium

Peripheral odontogenic Fibroma

~37 (11-67)

~37 (11-67)

Squamous odontogenic tumor



Lateral to a root surface, notice how it destroys up to and past the alveolar crest, (can be on multiple sites)

~37 (11-67)

~37 (11-67)

Squamous odontogenic tumor



Lateral to a root surface, notice how it destroys up to and past the alveolar crest

~23 (<30)

~23 (<30)

Unicystic ameloblastoma



Posterior mandible, always unilocular

~23 (<30)

~23 (<30)

Unicystic ameloblastoma



Posterior mandible, always unilocular

~23 (<30)

~23 (<30)

Unicystic ameloblastoma



Posterior mandible, always unilocular

~23 (<30)

~23 (<30)

Unicystic ameloblastoma



Posterior mandible, always unilocular

Unicystic ameloblastoma



Palisading of basal cell layer and reverse polarization

Unicystic ameloblastoma



Palisading of basal cell layer and reverse polarization

Pain, swelling of soft tissue

Pain, swelling of soft tissue

Acute Osteomyelitis



irregular areas of lucency, ill defined margins, moth-eaten appearance

Pain, swelling of soft tissue

Pain, swelling of soft tissue

Acute Osteomyelitis



irregular areas of lucency, ill defined margins, moth-eaten appearance

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Adolescents and young adults <30, jaw swelling, teeth displacement, may or may not have pain

Central Giant Cell Granuloma



well defined, multilocular, soap bubble appearance, unilocular in smaller stages, common in mandible

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma



Common in mandible, well circumscribed, smooth borders, early stages purely lucent, opacities with maturation

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma



Common in mandible, well circumscribed, smooth borders, early stages purely lucent, opacities with maturation

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma



Common in mandible, well circumscribed, smooth borders, early stages purely lucent, opacities with maturation

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma



Common in mandible, well circumscribed, smooth borders, early stages purely lucent, opacities with maturation

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Adolescents to middle-aged adults, expansible jaw lesion, displacement of teeth, facial deformities

Central Ossifying Fibroma



Common in mandible, well circumscribed, smooth borders, early stages purely lucent, opacities with maturation

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Cherubism



Bilateral posterior mandible, symmetrical moderate to large multilocular, may be diffuse

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Cherubism



Bilateral posterior mandible, symmetrical moderate to large multilocular, may be diffuse

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Cherubism



Bilateral posterior mandible, symmetrical moderate to large multilocular, may be diffuse

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Cherubism



Bilateral posterior mandible, symmetrical moderate to large multilocular, may be diffuse

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Early childhood, males, pigmented skin lesions, missing/displaced/delayed eruption of teeth

Cherubism



Bilateral posterior mandible, symmetrical moderate to large multilocular, may be diffuse

Adults, slow growing expansile mass, may or may not have pain or loose teeth

Adults, slow growing expansile mass, may or may not have pain or loose teeth

Chondrosarcoma



Ill-defined mixed, resembles snowstorm

Adults, slow growing expansile mass, may or may not have pain or loose teeth

Adults, slow growing expansile mass, may or may not have pain or loose teeth

Chondrosarcoma



Ill-defined mixed, resembles snowstorm

Chronic Osteomyelitis



irregular areas of lucency, ill-defined margins, moth-eaten appearance, may be extensive

Chronic Osteomyelitis



irregular areas of lucency, ill-defined margins, moth-eaten appearance, may be extensive

Chronic Osteomyelitis



irregular areas of lucency, ill-defined margins, moth-eaten appearance, may be extensive

Chronic Osteomyelitis



irregular areas of lucency, ill-defined margins, moth-eaten appearance, may be extensive

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Childhood to young adulthood, asymptomatic jaw enlargement

Childhood to young adulthood, asymptomatic jaw enlargement

Fibrous dysplasia



Will not cross midline, ground glass appearance

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Florid Cemento-osseous Dysplasia



Lesions in all four quadrants, multiple round lesions of various sizes

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Florid Cemento-osseous Dysplasia



Lesions in all four quadrants, multiple round lesions of various sizes

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Florid Cemento-osseous Dysplasia



Lesions in all four quadrants, multiple round lesions of various sizes

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Middle-aged and older black females, asymptomatic, pain when secondarily infected

Florid Cemento-osseous Dysplasia



Lesions in all four quadrants, multiple round lesions of various sizes

Middle-aged and older females, asymptomatic, usually vital teeth

Middle-aged and older females, asymptomatic, usually vital teeth

Focal Cemento-osseous Dysplasia



Common in mandibular teeth, solitary well-defined periapical lesion, retain a thin radiolucent rim

Middle-aged and older females, asymptomatic, usually vital teeth

Middle-aged and older females, asymptomatic, usually vital teeth

Focal Cemento-osseous Dysplasia



Common in mandibular teeth, solitary well-defined periapical lesion, retain a thin radiolucent rim

Middle-aged and older females, asymptomatic, usually vital teeth

Middle-aged and older females, asymptomatic, usually vital teeth

Focal Cemento-osseous Dysplasia



Common in mandibular teeth, solitary well-defined periapical lesion, retain a thin radiolucent rim

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Primary type in middle aged females, secondary in older adult male, asymptomatic

Primary type in middle aged females, secondary in older adult male, asymptomatic

Hyperparathyroidism of Bone



Diffusely involves all four quadrants, ground glass bone, loss of lamina dura

Adolescents and young adults, asymptomatic, vital

Adolescents and young adults, asymptomatic, vital

Idiopathic Osteosclerosis



Mandibular first molar periapical region, confluent with lamina dura, does not obscure PDL

Adolescents and young adults, asymptomatic, vital

Adolescents and young adults, asymptomatic, vital

Idiopathic Osteosclerosis



Mandibular first molar periapical region, confluent with lamina dura, does not obscure PDL

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Metastatic bone tumor



Common in mandible, diffuse radiolucencies, moth-eaten, well circumscribed

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Metastatic bone tumor



Common in mandible, diffuse radiolucencies, moth-eaten, well circumscribed

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Metastatic bone tumor



Common in mandible, diffuse radiolucencies, moth-eaten, well circumscribed

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Usually adults, often older adults, pain, swelling, or pathologic fracture, may be asymptomatic

Metastatic bone tumor



Common in mandible, diffuse radiolucencies, moth-eaten, well circumscribed

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Middle aged and older adults, rare before 40, bony enlargement, pathologic fracture

Osteitis deformans



Cotton wool opacities in bones, in jaws you have more mixed lesions, loss of lamina dura, hypercementosis

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Young adult, pain and swelling, may have loose teeth, may have tooth ache, may have paresthesia

Osteosarcoma



More common in mandible, diffuse borders, 25% show sunburst, widened periodontal ligament, spiky resorption, moth eaten appearance

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Periapical Cemento-osseous Dysplasia



Periapical areas of mandibular anterior teeth, corticated border in early stages, surrounding radiolucent zone in intermediate and mature

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Periapical Cemento-osseous Dysplasia



Periapical areas of mandibular anterior teeth, corticated border in early stages, surrounding radiolucent zone in intermediate and mature

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Periapical Cemento-osseous Dysplasia



Periapical areas of mandibular anterior teeth, corticated border in early stages, surrounding radiolucent zone in intermediate and mature

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Periapical Cemento-osseous Dysplasia



Periapical areas of mandibular anterior teeth, corticated border in early stages, surrounding radiolucent zone in intermediate and mature

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Middle aged black females, also Hispanics and Asians. Asymptomatic, vital teeth

Periapical Cemento-osseous Dysplasia



Periapical areas of mandibular anterior teeth, corticated border in early stages, surrounding radiolucent zone in intermediate and mature

Child or young adult below 25 who presents with bony hard swellings in the mandible. There are onion-skin layerings of bone over cortex there is a source of infection.

Garre's osteomyelitis



Pure radiolucency (Diffuse and/or Mottled)

Child or young adult below 25 who presents with bony hard swellings in the mandible. There are onion-skin layerings of bone over cortex there is a source of infection.

Garre's osteomyelitis



Pure radiolucency (Diffuse and/or Mottled)

Child or young adult below 25 who presents with bony hard swellings in the mandible. There are onion-skin layerings of bone over cortex there is a source of infection.

Garre's osteomyelitis



Pure radiolucency (Diffuse and/or Mottled)

Child or young adult below 25 who presents with bony hard swellings in the mandible. There are onion-skin layerings of bone over cortex there is a source of infection.

Garre's osteomyelitis



Pure radiolucency (Diffuse and/or Mottled)

Older adult with pain, fistulation, and pathologic fracture in the mandible. There are ill-defined radiolucencies with foci of opacities. It looks moth-eaten.

Osteoradionecrosis



Pure radiolucency (Diffuse and/or Mottled)

Older adult with pain, fistulation, and pathologic fracture in the mandible. There are ill-defined radiolucencies with foci of opacities. It looks moth-eaten.

Osteoradionecrosis



Pure radiolucency (Diffuse and/or Mottled)

Older adult with pain, fistulation, and pathologic fracture in the mandible. There are ill-defined radiolucencies with foci of opacities. It looks moth-eaten.

Osteoradionecrosis



Pure radiolucency (Diffuse and/or Mottled)

Older adult with pain, fistulation, and pathologic fracture in the mandible. There are ill-defined radiolucencies with foci of opacities. It looks moth-eaten.

Osteoradionecrosis



Pure radiolucency (Diffuse and/or Mottled)

Older adult with sequestration of dead bone through mucosa in the mandible. Ill-defined or moth-eaten radiolucency.

BRONJ



Pure radiolucency (Diffuse and/or Mottled)

Older adult with sequestration of dead bone through mucosa in the mandible. Ill-defined or moth-eaten radiolucency.

BRONJ



Pure radiolucency (Diffuse and/or Mottled)

Older adult with sequestration of dead bone through mucosa in the mandible. Ill-defined or moth-eaten radiolucency.

BRONJ



Pure radiolucency (Diffuse and/or Mottled)

Older adult with sequestration of dead bone through mucosa in the mandible. Ill-defined or moth-eaten radiolucency.

BRONJ



Pure radiolucency (Diffuse and/or Mottled)

Patient comes in with cutaneous and facial epidermal cysts. The radiograph shows many osteomas, multiple odontomas, supernumerary teeth, and impactions.

Gardner syndrome



(She may also tell you polyps, but I didn't because that's a giveaway)

Patient comes in with cutaneous and facial epidermal cysts. The radiograph shows many osteomas, multiple odontomas, supernumerary teeth, and impactions.

Gardner syndrome



(She may also tell you polyps, but I didn't because that's a giveaway)

Patient comes in with cutaneous and facial epidermal cysts. The radiograph shows many osteomas, multiple odontomas, supernumerary teeth, and impactions.

Gardner syndrome



(She may also tell you polyps, but I didn't because that's a giveaway)

Patient comes in with cutaneous and facial epidermal cysts. The radiograph shows many osteomas, multiple odontomas, supernumerary teeth, and impactions.

Gardner syndrome



(She may also tell you polyps, but I didn't because that's a giveaway)

An adolescent/young adult less than 30 comes in with jaw pain and swelling. The radiograph shows mixed and well defined. Also there could be some obscure root outlines.

Osteoblastoma if larger than 2 cm


Osteoid Osteoma if less than 2 cm

An adolescent/young adult less than 30 comes in with jaw pain and swelling. The radiograph shows mixed and well defined. Also there could be some obscure root outlines.

Osteoblastoma if larger than 2 cm


Osteoid Osteoma if less than 2 cm

An adolescent/young adult less than 30 comes in with jaw pain and swelling. The radiograph shows mixed and well defined. Also there could be some obscure root outlines.

Osteoblastoma if larger than 2 cm


Osteoid Osteoma if less than 2 cm

An adolescent/young adult less than 30 comes in with jaw pain and swelling. The radiograph shows mixed and well defined. Also there could be some obscure root outlines.

Osteoblastoma if larger than 2 cm


Osteoid Osteoma if less than 2 cm

Female adolescent comes in with discolored gingiva. Radiograph presents with honey-comb or soap bubble appearance and patient is asymptomatic.

Central Hemangioma



Pure Radiolucency, multilocular

Female adolescent comes in with discolored gingiva. Radiograph presents with honey-comb or soap bubble appearance and patient is asymptomatic.

Central Hemangioma



Pure Radiolucency, multilocular

Female adolescent comes in with discolored gingiva. Radiograph presents with honey-comb or soap bubble appearance and patient is asymptomatic.

Central Hemangioma



Pure Radiolucency, multilocular

Female adolescent comes in with discolored gingiva. Radiograph presents with honey-comb or soap bubble appearance and patient is asymptomatic.

Central Hemangioma



Pure Radiolucency, multilocular

Your patient who is between 10-19 comes in with pain and swelling. They also have some loose teeth in the mandible. The radiograph shows expansile destructive radiolucent lesions with ill-defined margins.

Ewing Sarcoma



Onion skin layering is uncommon in jaws.



Pure radiolucencies (Diffuse and/or mottled)

Your patient who is between 10-19 comes in with pain and swelling. They also have some loose teeth in the mandible. The radiograph shows expansile destructive radiolucent lesions with ill-defined margins.

Ewing Sarcoma



Onion skin layering is uncommon in jaws.



Pure radiolucencies (Diffuse and/or mottled)

Your patient who is between 10-19 comes in with pain and swelling. They also have some loose teeth in the mandible. The radiograph shows expansile destructive radiolucent lesions with ill-defined margins.

Ewing Sarcoma



Onion skin layering is uncommon in jaws.



Pure radiolucencies (Diffuse and/or mottled)

Your patient who is between 10-19 comes in with pain and swelling. They also have some loose teeth in the mandible. The radiograph shows expansile destructive radiolucent lesions with ill-defined margins.

Ewing Sarcoma



Onion skin layering is uncommon in jaws.



Pure radiolucencies (Diffuse and/or mottled)

Middle-aged/older adult comes in with pain and pathologic bone fracture. Oral symptoms include numbness, loose teeth, and gingival enlargement in the mandible. Radiograph shows multiple small round sharply-demarcated lucencies (punched out)

Multiple Myeloma



Pure radiolucency (Unilocular, well-defined)

Middle-aged/older adult comes in with pain and pathologic bone fracture. Oral symptoms include numbness, loose teeth, and gingival enlargement in the mandible. Radiograph shows multiple small round sharply-demarcated lucencies (punched out)

Multiple Myeloma



Pure radiolucency (Unilocular, well-defined)

Middle-aged/older adult comes in with pain and pathologic bone fracture. Oral symptoms include numbness, loose teeth, and gingival enlargement in the mandible. Radiograph shows multiple small round sharply-demarcated lucencies (punched out)

Multiple Myeloma



Pure radiolucency (Unilocular, well-defined)

Middle-aged/older adult comes in with pain and pathologic bone fracture. Oral symptoms include numbness, loose teeth, and gingival enlargement in the mandible. Radiograph shows multiple small round sharply-demarcated lucencies (punched out)

Multiple Myeloma



Pure radiolucency (Unilocular, well-defined)

A boy less than 10 years old comes into your office with periapical pathosis and radiograph shows teeth just floating.

Langerhans Cell Disease

A boy less than 10 years old comes into your office with periapical pathosis and radiograph shows teeth just floating.

Langerhans Cell Disease

A boy less than 10 years old comes into your office with periapical pathosis and radiograph shows teeth just floating.

Langerhans Cell Disease

A boy less than 10 years old comes into your office with periapical pathosis and radiograph shows teeth just floating.

Langerhans Cell Disease