Jaw Cyst

true cyst pseudocyst

True cyst epithelium
Pseudocyst epithelium
True cyst 2
1. Odontogenic cyst cell
2. Non-Odontogenic cyst cell
Odontogenic cyst 2
1. Developmental
2. Inflammatory
Developmental 7

1.Dentigerous cyst 2
well demarcated, unilocular radiolucent scallop
Differential diagnosis
- Unicystic ameloblastoma
- Odontogenic keratocyst scallop border

- Enucleation
- Marsupialization with artificial eruption
recurrent Ameloblastoma, Mucoepidermoid carcinoma

2.Odontogenic keratocyst (OKC) aggressive recurrent

well define unilocular/multilocular radilucent/ scallop border
Nevoid basal cell carcinoma syndrome (Gorlin syndrome) multiple OKC
Orthokeratinized Odontogenic cyst (OOC) OKC Orthokeratinized epithelium recurrent

- Enucleation &Curettage recurrent

- Carnoys solution
- Marsupialization
- Resection

3.Eruption cyst (Eruption Hematoma) trauma bloody c

treat

4.Lateral periodontal cyst x-ray

5.Gingival cyst of newborn dental lamina

6.Calcifying Odontogenic cyst (COC) 1/3
well define uniloccular radiolucent with or without calcify
Diff Dx Adenomatoid Odontogenic Tumor (AOT)

7.Glandular Odontogenic cyst tumor bone expansion, perforation

Multilocular radiolucentcy
Inflammatocy cyst 3

1.Radicular cyst cyst cystic content

well define unilocular radiolucent sclerotic border

-RCT
- Marsupilization
-Enucleation
2.Residual cyst radicular cyst

3.Paradental cyst (Buccal bifurcation cyst) 3rd molar pericoronitis

Benign non-odontogenic tumor and tumor-like lesion

Jaw bone pathology
Differential diagnosis approach to jaw lesion
1. Inflammatory jaw lesions
2. Cyst and benign tumor
3. Malignant of jaw lesion
4. Metabolic and genetic disease
5. Developmental and congenital
Benign non-odontogenic tumor 7
1. Osteogenic : Osteoma, Osteoid-osteoma, Osteoblastoma
2. Chrondogenic : Chrondroma, Osteochrondroma
3. Fibro-osseous : Fibrous dysplasia, Cemento-osseous dysplasia, Ossifying fibr
oma
4. Ginat cell : Central giant cell granuloma, Giant cell tumor, Cherubism, Aneu
rysmal bone cyst,
5. Fibrogenic : Desmoplatic fibroma
6. Hematologic :
7. Vascular lesion :

1. odontogenic
1.1 Osteoma benign osteogenic lesion, cancellous compact bone
Well define round r
Gardners syndrome autosomal dominant intestinal polyposis, multiple osteoma, fibrom
f skin, epidermal and trichilemmal cyst, impacted permanent and supernumerary te
eth, odentoma
1.2 Osteoid osteoma < 2 . < 30 ASA
1.3 Osteoblastoma > 2 . < 30 well/ill-define mixed lesion,

2. Fibro-osseous lesion of the jaws :

2.1 Fibrous dysplasia remodeling
1st 2nd decade, Max>Mand,
-Monostotic FD body of mandible, premolar-molar of maxilla
-Polyostotic FD multiple bone+Caf? au lait (Jaffe Lichtenstein syndrome)
multiple bone+Caf? au lait+multiple endocrinopathy (MaCune-Albright syndrome)
-Craniofacial FD skull facial bone

2.2 Ossifying fibroma : 3rd 4th decade Mand>Max, premolar-molar area, pain
well defined unilocular radiolucent radiopaque
2.3 Cemento-osseous dysplasia (COD)
COD Location Sex Age
Periapical COD Ant mand < 1cm. Female black 30-50 yrs
Focal COD Post mand< 1.5cm. Female white Mean 38 yrs
Florid COD Bilateral of 4 qudrant Female black Middle age to older
3. Giant cell lesion
3.1 Central giant cell granuloma (CGCG) :
non aggressive lesion
aggressive lesion
< 30 , Mand >Max, anterior mandible cross midline

3.2 Cherubism 2-5

bilateral symmetrical bony expansion, tooth displacement, eruption failure, Eruptio
n failure, impaired function and speech

3.3Aneurysmal bone cyst hemodynamics