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Oral Radiology for midterm 2
radiology
121
Medical
Graduate
01/14/2012

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Term
what are sialoliths?
Definition
calcification within the duct or body of salivary glands
Term
most common location for sialoliths
Definition
submandibular duct
Term
ddx for sialolith
Definition
lymphatic calcification
Term
lymph node calcifications are usually not as...
Definition
smooth
Term
a tonsilolith is...
Definition
a calcification within the tonsils
Term
ethnicity that puts small pieces of gold in maxilla for cosmetic purposes
Definition
brazilian
Term
definition of an antrolith
Definition
calcified mass in the maxillary sinus
Term
definition of a phlebolith
Definition
calcification in a vein
Term
definition of osteoma cutis
Definition
calcification in the skin
*it is not bone
Term
definition of rhinolith
Definition
calcification in the nasal cavity
Term
BENIGN TUMORS-- EPITHELIAL TUMORS (DEC. 1)
Definition
1) ameloblastoma
2) calcifying epithelial odontogenic tumor
Term
ameloblastoma is a ____ tumor but is ____ and _____
Definition
ameloblastoma is a *benign tumor but is *aggressive and *locally invasive
Term
do ameloblastomas recur?
Definition
yes, they recur frequently
Term
where do ameloblastomas usually occur?
Definition
molar-ramus region of mandible
Term
characteristic feature of benign tumors (and ameloblastoma)
Definition
massive displacement of teeth
Term
does ameloblastoma cause expansion?
Definition
yes, a lot
Term
tx for ameloblastoma?
Definition
surgical resection
Term
ameloblastoma can have a ___ or ___ appearance on xray
Definition
soap bubble or honeycomb
Term
where do calcifying epithelial odontogenic tumors occur?
Definition
posterior mandible
Term
calcifying epithelial odontogenic tumors are ____ lesions
Definition
mixed lesions (opacities within radiolucency)
Term
another name for calcifying epithelial odontogenic tumor
Definition
Pindborg tumor
Term
another name for calcifying epithelial odontogenic tumor
Definition
Pindborg tumor
Term
BENIGN TUMORS -- MIXED TUMORS: EPITHELIAL & MESENCHYMAL (DEC. 1)
Definition
1) adenomatoid odontogenic tumor
2) ameloblastic fibroma
3) ameloblastic fibro-odontoma
4) odontoma
Term
adenomatoid odontogenic tumors occur most commonly in M or F?
Definition
female
Term
adenomatoid odontogenic tumors occur most in what age group?
Definition
teenagers (avg age is 16)
Term
where do adenomatoid odontogenic tumors occur in the jaws?
Definition
anterior maxilla
Term
effect of adenomatoid odontogenic tumor on surroundings
Definition
displaces teeth
Term
adenomatoid odontogenic have a ____ relationship to teeth
Definition
dentigerous relationship
Term
radiograph appearance of adenomatoid odontogenic tumor
Definition
well-defined corticated border
Term
where are ameloblastic fibromas located in the jaws?
Definition
premolar area of mandible
Term
ameloblastic fibromas usually have a ____ relationship
Definition
dentigerous relationship (around crown of tooth)
--> they extend from CEJ to CEJ
Term
adenomatoid odontogenic tumors can be differentiated from ameloblastic fibromas because the former have...
Definition
adenomatoid odontogenic tumors can both have dentigerous relationships, but only adenomatoid odontogenic tumors have opacities
Term
what age group do ameloblastic fibromas usually occur in?
Definition
teenagers (10-15 yrs)
Term
do ameloblastic fibromas have radiopaque parts?
Definition
no, they are completely radiolucent
Term
ddx for an ameloblastic fibroma (radiolucency around an unerupted tooth)
Definition
1) ameloblastic fibroma
2) dentigerous cyst
3) hyperplastic follicle
Term
ameloblastic fibro-odontoma are located where in the jaws?
Definition
posterior mandible
Term
at what age does ameloblastic fibro-odontoma usually occur?
Definition
teenagers
Term
2 types of odontomas
Definition
1) complex
2) compound
Term
how does a complex odontoma look on xray?
Definition
mass of dental tissue (large opacity)
Term
how does a compound odontoma look on xray?
Definition
multiple well-formed teeth
Term
____ are the most common odontogenic tumor
Definition
odontoma
Term
which type of odontoma is more common?
Definition
compound odontoma
Term
odontomas are surrounded by a _____ space
Definition
PDL like space
Term
where are complex odontomas commonly found?
Definition
mandibular 1st and 2nd molar area
Term
where are compound odontomas commonly found?
Definition
anterior maxilla in association with the crown of an unerupted canine
Term
BENIGN TUMORS -- MESENCHYMAL TUMORS
Definition
1) odontogenic myxoma
Term
odontogenic myxomas have a high recurrence rate because...
Definition
they are squishy and hard to get all of the tissue out when being treated
Term
where are odontogenic myxomas commonly found?
Definition
mandible
Term
characteristic finding on x-ray of odontogenic myxoma
Definition
straight, thin-etched septa (can form a tennis racquet like appearance)
Term
ddx for odontogenic myxoma
Definition
other multilocular lesions:
1) ameloblastoma
2) central giant cell granulomas
3) central hemangiomas
Term
where do benign cementoblastomas usually occur?
Definition
around roots of mandibular molars
Term
benign cementoblastomas usually occur in what age range?
Definition
10-20 y/o
Term
ddx for benign cementoblastoma
Definition
1) periapical cemental dysplasia
2) condensing osteitis
3) hypercementosis
4) dense bone island
Term
there is a _____ surrounding a benign cementoblastoma
Definition
radiolucent band (PDL like space)
Term
BENIGN TUMORS -- NON-ODONTOGENIC TUMORS
Definition
1) osteoma
2) osteoblastoma
3) osteoid osteoma
4) Giant cell
5) Hemangioma
6) Neurofibroma
7) Osteochondroma
Term
osteomas can be formed from..
Definition
1) trabecular bone
2) cortical bone
Term
appearance of osteoid osteomas on xray
Definition
opaque around periphery then a radiolucent core
Term
giant cell tumors usually have a lot of...
Definition
expansion
Term
what is a hemangioma?
Definition
proliferation of blood vessels creating a mass
Term
the internal radiolucent locules in hemangiomas can look like..
Definition
enlarged marrow spaces
Term
oteochondromas are tumors of...
Definition
cartilage
Term
osteochondromas can affect the...
Definition
TMJ
Term
MALIGNANCIES (DEC. 2)
Definition
Term
____ is the most common oral malignancy
Definition
squamous cell carcinoma
Term
squamous cell carcinomas are usually ___ corticated and ____ defined
Definition
not corticated and not well defined
Term
with squamous cell carcinoma there is usually ___ bone destruction
Definition
complete bone destruction
Term
in osteomyelitis there is usually ____ left in the area of destruction
Definition
sequestra (islands of bone)
Term
ddx for osteomyelitis
Definition
1) osteomyelitis
2) malignancy
Term
what is osteomyelitis?
Definition
inflammation of the bone
Term
you can see bone loss in periodontal disease and squamous cell carcinoma, but how can you distinguish?
Definition
boen loss in squamous cell carcinoma extends beyond the root of the tooth...perio disease wouldn't go that far down
Term
squamous cell carcinoma has a ____ margin
Definition
irregular margin
Term
benign lesions tend to cause ___, malignancies ____
Definition
benign lesions cause resorption, malignancies grow around teeth
Term
malignancies usually have a ____ border, benign lesions have a ___ border
Definition
malignancies have an *uneven border, benign lesions have a *smooth border
Term
names for 2 parts of irregular border of squamous cell carcinoma
Definition
1) bay: where bone dips down
2) promontory: where bone curves up after bay
Term
missing ___ (part of tooth structure) is a sign of malignancy
Definition
lamina dura
Term
if the patient feels ____ you should think malignancy
Definition
numbness
Term
a mucoepidermoid carcinoma is the most common ____
Definition
malignant salivary gland tumor
Term
mucoepidermoid carcinoma is usually found in what part of the mandible?
Definition
posterior mandible
Term
ddx for mucoepidermoid carcinoma
Definition
1) mucoepidermoid carcinoma
2) ameloblastoma
Term
osteosarcomas are rare in ___ and common in ____
Definition
rare in the jaws and common in long bones
Term
____ is produced by the tumor in osteosarcoma
Definition
bone
Term
what is a periosteal reaction?
Definition
formation of new bone by the periosteum in response to injury/inflammation
Term
what can you see in osteosarcoma because of the bone production?
Definition
sunray appearance
Term
diagnosis of osteosarcoma is based on ____
Definition
osteoma cell
Term
is the recurrence rate of osteosarcoma high or low?
Definition
high
Term
osteosarcomas can cause widened ____
Definition
PDL spaces
Term
chondrosarcomas usually ____ boundaries instead of ____ them
Definition
expand boundaries instead of destroying them (because it's very slow growing)
Term
ddx for chondrosarcoma
Definition
1) chondrosarcoma
2) fibrous dysplasia
Term
on x-ray chondrosarcomas look...(radiolucent, radiopaque...)
Definition
mixed radiolucent-radiopaque (b/c of some calcification)
Term
____ to the jaws can also be malignant lesions
Definition
metastasis (breast, prostate, lymphoma, leukemia, multiple myeloma)
Term
what type of metastasis do you get multiple punched out radiolucencies in the skull in older people?
Definition
multiple myeloma
Term
Langerhan cell histiocytosis usually involves what part of the jaw?
Definition
posterior mandible
Term
what type of metastasis do you get multiple punched out radiolucencies in the skull in younger people?
Definition
Langerhan cell histiocytosis
Term
hemangiosarcoma is a proliferation arising from...
Definition
lining of blood vessels
Term
Sinus Radiology (Jan. 26)
Definition
Term
name the sinuses
Definition
1) ethmoid
2) maxillary
3) sphenoid
4) frontal
Term
what is the primary view for the maxillary sinus?
Definition
Waters view (occipitomental view)
Term
what is the primary view for the frontal sinuses?
Definition
Caldwell view (inclined posteroanterior view)
Term
primary view for the sphenoid sinus?
Definition
lateral view
Term
the central ray is through what part of the head in a waters view?
Definition
occiput
Term
where does the tragocanthal line run in the waters view?
Definition
line connecting the ear and eye
Term
the lateral view is similar to what other view that has very precise measurements?
Definition
cephalometric view
Term
in the caldwell view, what part of the head does the central ray go through?
Definition
frontal sinus (at a 23 degree angle from the floor)
-tragocanthal line is perpendicular to the floor)
Term
what does pneumatization mean?
Definition
sinuses expand into the bone
"sinus pneumatized the bone"
Term
what is frontal sinus aplasia?
Definition
frontal sinus is missing on one side
Term
2 reasons why sinus can be opaque
Definition
1) mucosal thickening
2) fluid in the sinus
Term
how can you distinguish between mucosal thickening and fluid in the sinus?
Definition
mucosal thickening will parallel the outside walls of the sinus
Term
chronic sinus infection can cause what?
Definition
sclerosis (thickening of cortical boundaries)
Term
what is mucous retention phenomenon?
Definition
a gland duct that opens into the sinus becomes blocked which causes mucus buildup in the soft tissue
Term
in which sinus is mucous retention phenomenon very common?
Definition
maxillary sinus
Term
how does the mucous retention phenomenon look on radiograph?
Definition
dome-shaped radiopacity
Term
do mucous retention phenomenon require treatment?
Definition
no
Term
how is a mucocele caused?
Definition
mucus can't get out of a sinus because the ostium is blocked
Term
does mucocele cause a problem?
Definition
yes, it can mimic a malignancy; can destroy cortical boundaries
Term
does the maxillary sinus get smaller or larger as you age?
Definition
larger w/ age
Term
are the 2 maxillary sinuses symmetrical on a lateral radiograph?
Definition
no
Term
what is maxillary sinus hypoplasia?
Definition
sinus is very small
Term
what can cause sinus hypoplasia?
Definition
1) mucous buildup because ostium is blocked
2) fluid
3) soft tissue
Term
how can you tell if there is fluid in the sinus?
Definition
very straight border of air/fluid level
Term
what is an excrescence
Definition
piece of bone sticking out of superior alveolar bone into sinus
Term
opacity in the soft tissue between the maxillary teeth and sinus can be what 4 things?
Definition
1) calcification
2) bone
3) tooth
4) foreign body
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