RADICULAR CYST DENTEIGEROUS CYST ODONTOGENIC KERATOCY

riginate from rest cell of
alassez
urther divide into apical,
teral & residual
pical is the most common
 Originate from reduced enamel  Also called primordial cyst
epithelium  Originate from dental lami
 Enclose part or all of the crown of  Relatively less common
unerupted teeth  It is important b/c of
 Attached to amelocemental growth pattern & tende
junction recur

L FEATURES CLINICAL FEATURES CLINICAL FEATURES

Male is common  Common in adults & prevalence is  Common in male
th
ommon b/w 20-40 years increased up to 5 decade  High in 3rd to 5th decade
on vital tooth  Common in male  Common in mandible ( 3
ymptomless  Common in mandible region & ascending ra
nlargement produce  Frequently involve impacted teeth mandible
rd
xpansion of alveolar bone i-e 3 molar  It enlarge predominantly
ate of expansion is 5mm per  Painless unless there is secondary anterioposterior direction
ear inflammation reach large size without
rise after tooth eruption but  Present as fluctuant swelling of gross bony resorption
re in deciduous teeth bluish in colour  Pain mobility & displacem
 Haemorrhage is common as a teeth
result of trauma  May associated with
sysndrome (naevoid ba
carcinoma syndrome)
 It has tendency to recu
surgrical treatment
 ATHOLOGICAL FEATURES
adicular cyst arise from
roliferation of rests of
alassez within chronic
eriapical granuloma but not all
anuloma progress to cysts
ned wholly or partly by
ratified squamous epithelium
supported by chronically
flamed fibrous tissue capsule.
ewly formed cysts epi. Lining
irregular
yperplasia is prominent
atterly epithelial
scontinuation occur
Metaplasia of lining may give
se to mucous cell
ushton bodies of varying size
shape
With time capsule become
ore fibrous & less vascular
holesterol crystal are
rominent
HISTOPATHOLOGICAL FEATURES
 Dentigerous cyst from follicular
tissue
 Cyst develop b/w the crown of
unerupted teeth & reduced
enamel epithelium
 Cyst attach to amelocemental
junction or completely surrounds
crown of associated teeth
 Lining is typically thin , regular
layer, some 2-5 cells thick, of non
stratified squamous or low
cuboidal epithelium
 Mucous cell metaplasia is common
 Lining is supported by fibrous
connective tissue capsule free
from inflammatory cell infiltration
 Cholesterol clefts may be present
 It contain proteinaceous, yellowish
fluid & cholesterol crystals are
common
HISTOPATHOLOGICAL FEATURES
 Cyst wall is often folded
by regular continuous l
stratified squamous ep
(5-10 cells thick)
 Parakeratosis predomina
area of orthokeratinizati
occasionally seen.
 Mitotic activity is higher &
figures are found
 Thin fibrous capsule &
free from inflammato
infiltration
 Can have independent
cysts

RAPHIC FEATURES RADIOGRAPHIC FEATURES RADIOGRAPHIC FEATURES

pical radicular cyst present as  It presents as a well defined  Well defined radio lucenc
round or ovoid well unilocular , radiolucency may be unilocular or multi
emarcated radiolucency surrounding the crown of
urrounds by peripheral unerupted or impacted tooth.
diopaque margins
yst develop within apical
anuloma
0% radiolucencies are cystic
MENT TREATMENT TREATMENT
nucleation • Enucleation  Enucleation
ONTENTS  Only dentigerous cyst not produce GROWTH OF OKC:unicentric ba
reakdown product of bone resorbing factors pattern
egenerating epithelial,
flammatory cells & CT 1. ACTIVE EPITHELIAL GROW
omponents High rate of mitotic activity
erum protein
2. CELLULAR ACTIVITY
Water & electrolytes
CAPSULE
holesterol crystals
High proliferation rate
PANSION
ate of expansion is governed 3. PRODUCTION OF
y local bone resorption RESORBING FACTORS