NAME OF CYST PATHOGENESIS CLINICAL

FEATURES
RADIOGRAPHIC
FEATURES
HISTOLOGIC
FEATURES
ASPIRATORY
CONTENT/
TREATMENT
DIFFERENTIAL
DIAGNOSIS
ODONTOGENIC
KERATOCYST
(OKC)
/PRIMORDIAL CYST
#arise from dental
lamina which still
posses the growth
potential or arise
from proliferation of
basal cells as a
residue/remnant oral
epithelium
#10-40 yrs of age
#male>female
#common site-
mandible(posterior)
#growth in
anteroposterior
direction within the
medullary cavity
#aggressive form is
now referred as a
keratocystic
odontogenic tumour
(KCOT)
#well-dened
radiolucenct area
with corticated
margins
#resorption of
adjacent root
#involved with
unerupted tooth
#multilocular
appearance
particularly (in the
posterior bandy and
ascending ramu-s
#thin brous wall
#epithelial lining
composed of
stratied squamous
epithelium
#luminal surface
shows attened
parakeratotic
epithelial cells
#basal epithelial
layer TOMBSTONE
APPEARENCE
#small satellite cyst,
cords or islands may
be seen
#ASPIRATION-
CLEAR FLUID WITH
SHIMMERING
KERATIN
CRYSTALS
#enucleation and
curettage
#peripheral
osteotomy to reduce
the frequency of
recurrence
#chemical
cauterisation with
CARNOYS solution
ameloblastoma ,
dentigerous cyst
DENTIGEROUS
CYST
(FOLLICULAR
CYST)
#originates by the
separation of the
follicle from/around
the crown of an
unerupted tooth
#most common
developmental
odontogenic cyst
(20%)
#dentigerous is
attached to tooth at
the CEJ
#always with
unerupted or
impacted tooth
#common-third molar
#common sites-
max canines,max 3rd
molars ,man 2nd
premolars
#1-30 yrs of age
#males>females
#painless expansion
of the bone in the
involved area
#radiolucent area
should be at least 3-4
mm
#in central variety
(most common)-the
cyst surrounds the
crown of the tooth
and the crown
projects into the cyst
#lateral variety-
usually with
mesioangular
impacted man 3rd
molars
#circumferential
variety
#depends whether
cyst is inamed or
not inamed
#non-inamed-thin
attened epithelial
lining (2-4 cell layer
thick)
#inamed -epithelial
lining may show
varying amounts of
hyperplasia with rete
ridges
#ASPIRATION-THIN
WATERY, YELLOW
STRAW-COLOURED
FLUID
#enucleation with
removal of the
unerupted tooth
#later can be excised
unicystic
ameloblastoma
NAME OF CYST
ERUPTION CYST #soft analogue of
dentigerous cyst
#develops as a result
of separation of the
dental follicle around
the crown of an
erupting tooth
#soft ,translucent
swelling in the
gingival muscosa
#common in children
below 10 years
#associated with 1st
permanent molars
and max incisors
#masticatory trauma
leads to
accumulation of
blood in cyst giving a
blue to purplish-
brown colour-
eruption haematoma
#variable
inammatory cell
inltrate
#deep portion-roof
shows a thin layer of
nonkeratinising
squamous epithelium
#treatment may not
be required ,
because the cyst
usually ruptures
spontaneously
ginigval cyst
LATERAL
PERIODONTAL
CYST
#uncommon type
#along with lateral
surface of a tooth
#could arise from -
*reduced enamel epi
*remnants dental
lamina
*cell rests malasse-z
#asymptomatic
#2.5th-7th decades
#common sites-man
premolar , canine ,
lat incisor
#well-circumscribed
#usually less than 1
cm in diameter
#when polycystic
appearance , termed
as
botryoid odontogenic
cysts
#thin and
noninamed brous
wall
#attened squamous
cells
#foci of glycogen-rich
clear cells
#conservative
enucleation
odontogenic
keratocyst, traumatic
cyst
GINGIVAL CYST OF
THE ADULT
#cystic
transformation of
dental lamina or
restsofserres
#traumatic
implantation of
surface epithelium
#common sites-man
canine and premolar
#5th-6th decades
#painless dome like
swelling (.5cm)
#extraosseous only
faint shadow
indicative of
supercial erosion of
bone
#glycogen rich clear
cells
#local surgical
excision
PATHOGENESIS CLINICAL
FEATURES
RADIOGRAPHIC
FEATURES
HISTOLOGIC
FEATURES
ASPIRATORY
CONTENT/
TREATMENT
DIFFERENTIAL
DIAGNOSIS
NAME OF CYST
PATHOGENESIS CLINICAL
FEATURES
RADIOGRAPHIC
FEATURES
HISTOLOGIC
FEATURES
ASPIRATORY
CONTENT/
TREATMENT
DIFFERENTIAL
DIAGNOSIS
NAME OF CYST