7. lesi periapikal mix
TRANSCRIPT
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Interpretasi Radiografik
Mixed lesions
Purbo Seputro drg.
Skills Lab Blok 6
RADIOLOGI KEDOKTERAN GIGI 3
( RKG 3 )
PROGRAM STUDI PENDIDIKAN DOKTER GIGI
FAKULTAS KEDOKTERAN
UNIVERSITAS BRAWIJAYA
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Periapical / Pericoronal mixed lesions
Mixed lesions
http://195.134.123.100/dentalexpertbi/main/ShowMainCategory.asp?CAT_ID=19 -
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Periapical / Pericoronal mixed lesions
Cementoma(periapical cemento-osseous dysplasia) 2nd stage
Odontoma (mixed lesion)
Adenomatoid Odontogenic Tumor (AOT) (mixed)
Calcifying Epithelial Odontogenic Tumor (CEOT)
Calcifying odontogenic cyst (Gorlin cyst)
Cementoblastoma
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Cementoma(periapical cemento-osseous dysplasia) 2nd stage
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Apices of several lower incisors
Middle aged adults (typically black women).
Round, monolocular, often multiple.
Adjacent teeth: typically vital, not displaced, notresorbed. The periapical ligament space is intact.
Small, up to 1 cm in diameter.
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Radiodensity
Early stage: Radiolucent, not corticated
Intermediate stage: Radiopacity withinthe apical radiolucencies
Late stage: Densely radiopaque butsurrounded by a thin radiolucent line.
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Differential Diagnosis
Odontoma (mixed lesion)Cementoblastoma
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Odontoma (mixed lesion)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Relatively common lesion.Two types: complex and compound odontoma.Complex odontoma is composed of haphazardly arrangeddental hard and soft tissues.
Compound odontoma is composed of many small
"denticles" .It usually occurs in young patients.Usually asymptomatic.Failure of eruption of a permanent tooth may be the firstpresenting symptom.It is commonly found occlusal to the
involved tooth.Well defined. The internal aspect is very radiopaque incomparison to bone
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Differential Diagnosis
Cementoblastoma
Adenomatoid Odontogenic Tumor (AOT) (mixed) Cementoma
(periapical cemento-osseous dysplasia) 2nd stage
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25 -
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Adenomatoid Odontogenic Tumor
(AOT) (mixed)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Benign. Relatively rare.
It occurs in young patients (70% of cases in patientsyounger than 20 years).
Most common site: anterior maxilla. Often surrounds an entire unerupted tooth (most
commonly the canine).
Usually well defined, well corticated. Some tumors are
totally radiolucent; others show evidence of internalclassification (mixed radiolucency).
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Differential Diagnosis
Odontoma (mixed lesion)
Calcifying odontogenic cyst (Gorlin cyst)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25 -
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Calcifying Epithelial Odontogenic Tumor(CEOT)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Rare benign neoplasm.
It occurs more often in middle-aged patients.
Usually in mandible.
Small lesions may be radiolucent. In advancedstages irregularly sized calcifications may bescattered in the radiolucency.
It can cause displacement and impaction of teeth.
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Differential Diagnosis
Calcifying odontogenic cyst (Gorlin cyst)
Adenomatoid Odontogenic Tumor (AOT) (mixed)
Cemento-Ossifying fibroma (2nd stage)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25 -
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Calcifying odontogenic cyst(Gorlin cyst)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Rare.
Usually in young patients under 40 years old.More often in maxilla.
Initially as well-defined radiolucency. Inadvanced stages irregularly sized calcificationsmay be scattered in the radiolucency.
It can cause displacement of teeth and rootresorption
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Differential Diagnosis
Calcifying Epithelial Odontogenic Tumor (CEOT)
Adenomatoid Odontogenic Tumor (AOT) (mixed)
Cemento-Ossifying fibroma (2nd stage)
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25 -
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Cementoblastoma
http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25 -
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Features
Benign neoplasm. Most commonly in the second andthird decade.
Site: usually mandibular premolar and molar regions.
Attached to the root of the affected tooth. Toothdisplacement, resorption are common.
Pain in 50% of the cases, swelling.
Three stages of development: radiolucent mixed
radiopaque.
When radiopaque is usually surrounded by a thinradiolucent halo.
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Differential Diagnosis
Cementoma (periapical cemento-osseous dysplasia) 2nd stage
Odontoma (mixed lesion)
Cemento-Ossifying fibroma (2nd stage)
Calcifying odontogenic cyst (Gorlin cyst)Calcifying Epithelial Odontogenic Tumor (CEOT)
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