Pathology

Necrotizing Sialometaplasia

Necrotizing Sialometaplasia

Pathology Salivary Gland Pathology

Cause Locally destructive inflammatory condition of the salivary glands Result of ischemia of the salivary tissue that leads to local infarction Predisposing factors that may compromise blood supply to the involved gland include: traumatic injuries, dental infections, ill-fitting dentures, upper respiratory infections, adjacent tumors, previous surgery Incidence More common in adults, mean age 46 Male

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Mucocele

Mucocele

Pathology Salivary Gland Pathology

AKA Mucus Extravasion Phenomenon, Mucus Escape Reaction Incidence Children and young adults Cause Spillage of mucin from ruptured salivary gland duct into surrounding tissue, often due to trauma Clinical Presentation not a true cyst because it lacks epithelial lining mucin below the mucosal surface imparts a bluish translucent hue Often fluctuant, but can feel firmer

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Ameloblastic Fibro Odontoma

Ameloblastic Fibro-Odontoma

Mixed Odontogenic Tumors Odontogenic Tumors Pathology

Incidence children, mean age 10, rarely encountered in adults Location posterior jaws, majority involve the mandible; male>female (3:2) Radiographic Features well-circumscribed unilocular radiolucent lesion containing variable amounts of calcified material with the radiodensity of tooth structure. The calcified material may appear as multiple, small radiopacities or as a conglomerate mass. Only 5% of ameloblastic fibro-odontomas

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Calcifying Epithelial Odontogenic Tumor

Calcifying Epithelial Odontogenic Tumor

Odontogenic Tumors Pathology Tumors of Odontogenic Epithelium

AKA Pinborg Tumor Incidence Accounts for less than 1% of odontogenic tumors. Most common from 30 to 50 years of age. No sex predilection. Location 2/3 of cases in mandible, most often in posterior area Origin The tumor bears close morphologic resemblance to the cells of the stratum intermedium of the enamel organ. Others suggest

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Ameloblastoma

Ameloblastoma

Odontogenic Tumors Pathology Tumors of Odontogenic Epithelium

Overview Slow growing, locally invasive tumors Relative frequency equals the combined frequency of all other odontogenic tumors, excluding odontomas Tumors arising from rests of dental lamina, from a developing enamel organ, from the epithelial lining of odontogenic cyst, or from the basal cells of the oral mucosa Not neurotrpic (do not invade nerve) but are

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Peripheral Giant Cell Granuloma

Peripheral Giant Cell Granuloma

Gingival Growths Pathology

AKA: Giant Cell Epulis Reactive lesion caused by local irritation or trauma Found exclusively on the gingiva or edentulous alveolar ridge, presenting as a red or red-blue nodular mass Although a soft tissue lesion, can cause “cupping” resorption of underlying alveolar bone overlying mucosa is ulcerated in 50% of cases Firmer and not as red as pyogenic granuloma

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Peripheral Ossifying Fibroma

Peripheral Ossifying Fibroma

Gingival Growths Pathology

AKA: Ossifying Fibroid Epulis; Peripheral Fibroma with Calcification; Calcifying Fibroblastic Granuloma Reactive lesion caused by local irritation The mineralized product probably has its originates from periosteum or periodontal ligament Occurs exclusively on the gingiva Color ranges from red to pink Surface is ulcerated Predominantly a lesion of teenagers and young adults, with peak prevalence between the ages

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