NEET MDS Lessons
Oral Pathology
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Radicular Cysts: Derived from Rests of Malassez.
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Impacted Canine Associations:
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Most common odontogenic cyst: Dentigerous cyst.
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Most common odontogenic tumor: Adenomatoid Odontogenic Tumor (AOT).
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Eruption Cyst: Considered an extra-alveolar dentigerous cyst (soft tissue counterpart).
- Class III (Underdeveloped Maxilla) → Cleidocranial dysplasia, Craniofacial dysostosis, Achondroplasia, Down syndrome, Osteogenesis imperfecta
- Class II (Underdeveloped Mandible) → Treacher Collins syndrome, Pierre Robin syndrome
- Both Jaw Underdevelopment → Hypopituitarism
- Maxillary Enlargement → Metastatic fibrous dysplasia
- Mandibular Enlargement → Acromegaly
- Bimaxillary Enlargement → Paget’s Disease
- Mandibular Asymmetry → Caffey’s Disease
- Prominent Premaxilla → Thalassemia
- Underdeveloped Premaxilla → Congenital Syphilis
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Most Common Benign Odontogenic Tumor: Odontoma (Ameloblastoma is second).
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Adenoid Cystic Carcinoma vs. Adenomatoid Odontogenic Tumor (AOT):
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Adenoid Cystic Carcinoma: Salivary gland malignancy.
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Adenomatoid Odontogenic Tumor (AOT): Benign odontogenic tumor. Do not confuse them.
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Liesegang Rings: Can be seen in CEOT/Pindborg's Tumor (primarily) and AOT (rarely).
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Amyloid-like Deposits: Characteristic feature of CEOT (Calcifying Epithelial Odontogenic Tumor).
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Duct-like Structures: Seen in AOT (Adenomatoid Odontogenic Tumor).
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Granular Cell Ameloblastoma: Granules are lysosomal aggregates.
Leukoplakia
- Type: Clinical term
- Histology: Hyperkeratosis ± Dysplasia
Verrucous Carcinoma
- Type: Variant of SCC
- Features:
- Intact basement membrane
- Parakeratin plugging
- Broad "elephant-foot" rete ridges
Adenosquamous Carcinoma
- Features: Mixed adenocarcinoma + SCC
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Chemotherapy Acute Changes: The two common acute changes are hemorrhage and mucositis.
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Radiosensitivity of Glands: Serous type of glands exhibit more radiosensitivity compared to mucous and mixed glands.
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Lichen Planus:
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Reticular form: Most common type, characterized by Wickham's striae.
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Malignant potential: Atrophic and erosive forms are associated with significant malignant transformation risk.
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Histology: Saw-tooth shaped rete pegs.
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Solar Elastosis: Characterized clinically by "sailor's skin" or "farmer's skin" (due to chronic sun exposure).
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Psoriasis & Hereditary Gingival Fibromatosis: Both show test tube-shaped rete pegs histologically.
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LE Cell Test: LE cells represent rosettes of neutrophils that have phagocytosed other leukocytes (seen in Systemic Lupus Erythematosus).
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Tzanck Cells: Seen in vesiculobullous conditions like Pemphigus, Herpes Simplex, Varicella, Herpes Zoster, and CMV infection.
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Ectodermal Dysplasia: Characterized by truncated, conical teeth and missing teeth (hypodontia).
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Widened Periodontal Ligament Space: Extreme widening seen in Scleroderma and Osteosarcoma.
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Geographic Tongue & Psoriasis: Share a common histological feature: Munro's abscesses (neutrophilic microabscesses).
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Epithelial Plaques (localized thickenings): Found in:
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Lateral Periodontal Cyst
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Botryoid Odontogenic Cyst
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Gingival Cyst of Adults
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Glandular Odontogenic Cyst
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