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- NEETMDS- courses
NEET MDS Lessons
Oral Pathology

  • Radicular Cysts: Derived from Rests of Malassez.

  • Impacted Canine Associations:

    • Most common odontogenic cyst: Dentigerous cyst.

    • Most common odontogenic tumor: Adenomatoid Odontogenic Tumor (AOT).

  • 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

  • Most Common Benign Odontogenic Tumor: Odontoma (Ameloblastoma is second).

  • Adenoid Cystic Carcinoma vs. Adenomatoid Odontogenic Tumor (AOT):

    • Adenoid Cystic Carcinoma: Salivary gland malignancy.

    • Adenomatoid Odontogenic Tumor (AOT): Benign odontogenic tumor. Do not confuse them.

  • Liesegang Rings: Can be seen in CEOT/Pindborg's Tumor (primarily) and AOT (rarely).

  • Amyloid-like Deposits: Characteristic feature of CEOT (Calcifying Epithelial Odontogenic Tumor).

  • Duct-like Structures: Seen in AOT (Adenomatoid Odontogenic Tumor).

  • 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

  • Chemotherapy Acute Changes: The two common acute changes are hemorrhage and mucositis.

  • Radiosensitivity of Glands: Serous type of glands exhibit more radiosensitivity compared to mucous and mixed glands.

  • Lichen Planus:

    • Reticular form: Most common type, characterized by Wickham's striae.

    • Malignant potential: Atrophic and erosive forms are associated with significant malignant transformation risk.

    • Histology: Saw-tooth shaped rete pegs.

  • Solar Elastosis: Characterized clinically by "sailor's skin" or "farmer's skin" (due to chronic sun exposure).

  • Psoriasis & Hereditary Gingival Fibromatosis: Both show test tube-shaped rete pegs histologically.

  • LE Cell Test: LE cells represent rosettes of neutrophils that have phagocytosed other leukocytes (seen in Systemic Lupus Erythematosus).

  • Tzanck Cells: Seen in vesiculobullous conditions like Pemphigus, Herpes Simplex, Varicella, Herpes Zoster, and CMV infection.

  • Ectodermal Dysplasia: Characterized by truncated, conical teeth and missing teeth (hypodontia).

  • Widened Periodontal Ligament Space: Extreme widening seen in Scleroderma and Osteosarcoma.

  • Geographic Tongue & Psoriasis: Share a common histological feature: Munro's abscesses (neutrophilic microabscesses).

  • Epithelial Plaques (localized thickenings): Found in:

    • Lateral Periodontal Cyst

    • Botryoid Odontogenic Cyst

    • Gingival Cyst of Adults

    • Glandular Odontogenic Cyst

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