Jaw Cysts Lab

This is a gross appearance for a cyst:

1- What are the components of any cyst?! 2- What are the two types of cysts?! 3- Would cyst lumen be filled with pus?! 4- How cysts are classified?! 5- How odontogenic cysts are classified?! 6- What are the different kinds of residues that give rise to different odontogenic cysts?!?!

This is a representation for the location of different types of cysts:

The ramus and body of the mandible OKC (Odontogenic Keratocyst) In association with unerupted tooth D (Dentigerous cyst) Periapical location and associated with heavily carious tooth P (Periapical Radicular Cyst) In the area of extracted tooth R (Residual Radicular Cyst)

This is a representation for the location of different types of cysts:

Between the roots of vital mandibular premolars L (Lateral Periodontal Cyst)

Surrounding the crown of the tooth which is about to erupt and still in the alveolar mucosa as a swelling E (eruption cyst) In the gingiva of an adult person G (Gingival Cyst)

A 42 years old patient presents for routine dental examination and periradicular abnormality is noted 1- Describe this radiographic appearance?! 2- Give me a list of differential diagnoses for this radiographic appearance?!

These histological pictures represent the results of the biopsy done!

1- What is the most likely diagnosis?! 2- What is the origin of epithelium in this lesion?! 3- What are the clinical features of such lesion?! 4- What is the etiology of such lesion?! 5- Will all periapical granulomas progress into this lesion?! 6- What are the two mechanisms discussed for the

These histological pictures represent the results of the biopsy done!

1- What is the type of the epithelial lining present in such lesions?! 2- What characterizes the fibrous capsule of such lesions?! 3- Does Metaplasia affect the epithelial lining of this lesion?! 4- What do we call these structures marked by black, blue and red arrow heads respectively?! 5- What might these lesions

A 35 years old patient presents for routine dental examination and a radiographic abnormality is noted The patient has a history of tooth extraction in the same site This is the result of the biopsy done!
1- Describe this radiographic appearance?! 2- Give me a list of differential diagnoses?!

A 32 years old patient presents for routine dental examination and a radiographic abnormality is noted This is the result of the biopsy done!
1- Describe this radiographic appearance?! 2- Give me list of differential diagnoses for this radiographic appearance?! 3- If the tooth is tested non-vital, then what is the most likely

A 25 years old patient presents with incidental radiographic finding when he was reported for 3rd molar extraction
1- Describe this radiographic appearance?! 2- Give me a list of differential diagnoses for this radiographic appearance?!

These histological pictures represent the results of the biopsy done!

1- What is the most likely diagnosis?! 2- What is the origin of epithelium in this lesion?! 3- What are the clinical features of such lesion?! 4- Of the jaws, which is more commonly involved?! 5- What are the three mechanisms discussed for the development of such lesion?

These histological pictures represent the results of the biopsy done!

1- What is the type of the epithelial lining present in such lesions?! 2- What characterizes the fibrous capsule of such lesions?! 3- Does Metaplasia affect the epithelial lining of this lesion?! 4- What might these lesions contain?! 5- Describe method of this lesion expansion?! 6- What is the management of

2 children are presented to you with these unique clinical appearances with their parents complaining from delayed eruption of associated teeth
1- Describe this clinical appearance?! 2- What is the most likely diagnosis?!
3- What is the origin of epithelium in this lesion?! 4- What are the clinical features of such lesion?! 5- Histologically, how can we

17 years old patient is presented to you with tenderness first noticed one week previously in the right posterior aspect of the mandible
1- Describe this radiographic appearance?!
2- Give me a list of differential diagnoses for this radiographic appearance?!

These histological pictures represent the results of the biopsy done! 1- What is the most likely diagnosis?! 2- What is the origin of epithelium in this lesion?! 3- What are the clinical features of such lesion?! 4- Of the jaws, which is more commonly involved?! 5- What is the type of the epithelial lining present in such lesions?! 6- What type of keratinization predominate?! 7- What characterizes the

These histological pictures represent the results of the biopsy done!

1- What might these lesions contain?! 2- Describe method of this lesion expansion?! 3- What is the other name used to better describe this lesion?! 4- Why are these lesions associated with high recurrence rate?! 5- What is the management of such lesion?! 6- If these lesions are multiple, then what should we suspect?!

These structures are found in the biopsy done for the same patient around the fibrous capsule
1- What do we call these structures?! 2- What is their significance?! 3- Where can we find more of these structures: in solitary OKC or nevoid basal carcinoma syndrome?!

OKC biologic quality of epithelium

This patient is presented to you with this clinical and radiographic appearances
1- What is the most likely diagnosis?! 2- What is specific about skin lesions in here?! 3- What is specific about OKC lesions in here?!

Knowing that this histological appearance was sent to you to reach final diagnosis
1- Describe the epithelial lining of this histological appearance?! 2- What is the most likely diagnosis?! 3- What differentiate this lesion from OKC?!

A 35 years old patient presents for routine dental examination and this radiographic abnormality is noted 1- Describe this radiographic appearance?! 2- Give me a list of differential diagnoses for this radiographic appearance?!

This histological picture represent the result of the biopsy done!

1- What is the most likely diagnosis knowing that the associated teeth are vital?! 2- What is the origin of epithelium in this lesion?! 3- What are the clinical features of such lesion?! 4- Of the jaws, which is more commonly involved?! 5- What is the type of the epithelial lining present in such lesions?! 5- What characterizes the

This histological picture represent the result of the biopsy done! 1- Describe this histological appearance! 2- When this lesion is multilocular, then what is it called?!

This newborn is presented to you with whitish nodule on his palatal gingiva This is the result of the biopsy done! 1- What is the most likely diagnosis?!! 2- What is the type of the epithelial lining present in such lesions?! 3- Whats your management?!

24 years old patient is presented to you with this radiographic appearance Knowing that the tooth is partially erupted This is the result of the biopsy done!
1- What is the most likely diagnosis?!! 2- Describe this radiographic appearance?! 3- What is the origin of epithelium in this lesion?! 4- What are the clinical features of such lesion?! 5- What is the type of the epithelial lining present in such lesions?!

Paradental cyst

This patient is presented to you with this radiographic appearance This is the result of the biopsy done!
1- What is the most likely diagnosis?!! 2- Describe this radiographic appearance?! And give me another differential diagnosis radiographically?! 3- What are the clinical features of such lesion?! 4- What is the type of the epithelial lining present in

Gingival cyst of the adult

Lateral periodontal cyst

OKC

Dentigerous cyst

A 29 year old male presents for endodontic evaluation. The patient had become aware of an enlargement of his palate. This is the result of the radiograph taken
1- What is the most likely diagnosis?! 2- Describe the radiographic appearance?! Give me other differential diagnoses radiographically?!

These histological pictures represent the results of the biopsy done!

1- What is the type of the epithelial lining present in such lesions?! 2- What characterizes the fibrous capsule of such lesions?! 3- What is the origin of epithelium in this lesion?! 4- What are the clinical features of such lesion?! 5- Whats your management?!

A 34 years old female presents for endodontic evaluation. The patient had become aware of an enlargement of her Nasolabial fold
1- What is the most likely diagnosis knowing that her upper teeth are vital?! 2- Give me other differential diagnoses knowing that pulp vitality test isnt done yet?! 3- What is the origin of epithelium in this lesion?!

A 28 years old male presents for routine dental examination. Incidentally, this radiographic abnormality was noticed and upon surgical investigation of the lesion blood came out
1- What is the most likely diagnosis?! 2- Describe the radiographic appearance?! Give me other differential diagnoses radiographically?! 3- What are the clinical

30 years old male presents for routine dental examination. Incidentally, this radiographic abnormality was noticed This is the result of the biopsy done!
1- What is the most likely diagnosis?! 2- Describe the radiographic appearance?! Give me other differential diagnoses radiographically?! 3- What are the clinical features of such lesion?! 4- What might this cyst contain?!

Granulation tissue and multinucleate d giant cells Pools of blood Aneurysmal bone cyst

30 years old male presents for the clinic to consult about a swelling on the mucosal surface of his lower lip This swelling is soft, fluctuant in size, and theres a history of rupture, collapse and refill again between now and then This is the result of the biopsy done!
1- What is the most likely diagnosis?! 2- Name other sites this lesion occur in?!

12 years old child presents for the clinic to consult about an enlargement of the ventral tongue of one week duration. The enlargement appeared abruptly and is asymptomatic This is the result of the biopsy done!
1- What are the clinical differential diagnoses?! 2- According to the histological appearance, whats the most likely diagnosis?!

Pools of mucus

Granulat ion tissue

Extravasation mucoceles

Minor salivar y glands

30 years old female presents for the clinic to consult about an enlargement of the flour of the mouth of one week duration. The enlargement appeared abruptly and is asymptomatic This is the result of the biopsy done!
1- What is the clinical term used to describe such swelling of the flour of the mouth?! 2- What are the clinical differential diagnoses?! 3- According to the histological

45 years old female presents for the clinic to consult about an enlargement of the flour of the mouth of one week duration. The enlargement appeared abruptly and is asymptomatic This is the result of the biopsy done!
1- What is the clinical term used to describe such swelling of the flour of the mouth?! 2- According to the histological appearance, whats the most likely

Sebace ous glands and hair

Dermoid cyst

45 years old male presents for the clinic to consult about an enlargement of the lower lip on the skin surface. The enlargement appeared abruptly and is asymptomatic This is the result of the biopsy done!
1- What are the differential diagnoses?! 2- According to the histological appearance, whats the most likely diagnosis?!

Orthoker atin

Epidermoid cyst