Dentaltown September 2016 - 38
pathology
message board
Continued from p. 36
jreznick
Member Since: 08/17/03
Post: 8 of 37
Yes, ameloblastoma is classified as benign, but is locally aggressive and recurs if it is treated
conservatively. So, generally resection, if feasible, is performed. There is a variant, called unicystic
ameloblastoma, that tends to be less aggressive, and can be treated more like an OKC.
OKC requires enucleation of the cyst. This lesion frequently deeply invades into the bone,
so aggressive curettage is necessary to minimize the risk of recurrence. Many experts also
recommend treatment of the cyst cavity with cryosurgery or a solution that will prevent growth
of the cells in the periphery of the lesion.
An idiopathic bone cavity is treated with curettage to stimulate bleeding, and will eventually
fill in over time. ■
2/3/2015
keratocyst
Member Since: 04/08/08
Post: 9 of 37
I agree this is most likely an odontogenic cyst or tumor. My sense is that there are small radiopaque speckles within the radiolucency, but it's hard to tell. If that's the case, less common mixed
radiopaque-radiolucent lesions (e.g., Gorlin cyst) would have to be included in the differential diagnosis as well. In any case, a biopsy is needed to obtain a diagnosis and determine the optimal treatment.
2/4/2015
oacibsen
Member Since: 05/31/14
Post: 10 of 37
Ameloblastoma, although benign is a very aggressive lesion.
OKC will not have simple enucleation. It can be a rather aggressive lesion and the recurrence
rate is 25 percent.
Traumatic bone cyst heals and bone fills in after surgical intervention and curettage. Any
chance of getting any previous radiographs to determine how long it had been there and how it
had grown or changed?
2/6/2015
toofache32
Member Since: 08/10/04
Post: 11 of 37
I'm seeing this patient on Tuesday and doing a biopsy same day. It will be the fourth patient
in a month I've seen with the same radiographic appearance. I'll take photos and let you guys
follow along. ■
2/25/2015
danamc
Member Since: 02/15/04
Post: 12 of 37
This reminds me of the GAAMOTC acronym for remembering mandibular radiolucent
lesions for the boards:
*
*
*
*
*
*
*
Giant cell granuloma
Aneurysmal bone cyst
Ameloblastoma
Myxoma
OKC
Traumatic bone cyst
Cherubism ■
2/25/2015
312inchmagnum
Member Since: 09/17/13
Post: 14 of 37
I'm so glad the patient is willing to drive six hours to go see toof! I gave her some local
options and she said she wanted the best, I said OK and she scheduled with him! ■
2/27/2015
toofache32
Member Since: 08/10/04
Post: 15 of 37
I did the biopsy today and it looked like an OKC so I placed a marsupialization drain at the
same time. I'll post photos of the biopsy site and drain when I'm back in that office in a couple
of days. Really sweet lady.
Continued on p. 40
38
SEPTEMBER 2016 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown September 2016
On Dentaltown.com
Howard Speaks: Customer Returns—The Good Kind
Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Continuing Education Update
New Products
Monthly Poll: Equipment
Implant into Root Tip?
Mandible Radiolucency Routine Pano
Handoffs
Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Understanding Fracture Toughness
The Right Stuff: Your checklist for adopting new software technology
Electronic Health Records: Is it time to make the transition?
Permanent Help for Temporary Employees: The right practice management software can make all the difference
A Complex Restorative Case
Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Scoring the Perfect Patient Handoff
The Road to Greatness
Industry News
Product Profile: ClearCorrect
The Five Risk Factors of Improper Ergonomics
CE: Laser Mucocele Removal in Pediatric Patients
Dentally Incorrect
Dentaltown September 2016 - Intro
Dentaltown September 2016 - Cover1
Dentaltown September 2016 - Cover2
Dentaltown September 2016 - 1
Dentaltown September 2016 - 2
Dentaltown September 2016 - 3
Dentaltown September 2016 - 4
Dentaltown September 2016 - 5
Dentaltown September 2016 - 6
Dentaltown September 2016 - 7
Dentaltown September 2016 - On Dentaltown.com
Dentaltown September 2016 - 9
Dentaltown September 2016 - Howard Speaks: Customer Returns—The Good Kind
Dentaltown September 2016 - 11
Dentaltown September 2016 - 12
Dentaltown September 2016 - 13
Dentaltown September 2016 - Professional Courtesy: A Ton of Trouble for a Free Toothbrush
Dentaltown September 2016 - 15
Dentaltown September 2016 - 16
Dentaltown September 2016 - 17
Dentaltown September 2016 - Continuing Education Update
Dentaltown September 2016 - 19
Dentaltown September 2016 - 20
Dentaltown September 2016 - 21
Dentaltown September 2016 - New Products
Dentaltown September 2016 - 23
Dentaltown September 2016 - Monthly Poll: Equipment
Dentaltown September 2016 - 25
Dentaltown September 2016 - 26
Dentaltown September 2016 - 27
Dentaltown September 2016 - Implant into Root Tip?
Dentaltown September 2016 - 29
Dentaltown September 2016 - 30
Dentaltown September 2016 - 31
Dentaltown September 2016 - 32
Dentaltown September 2016 - 33
Dentaltown September 2016 - 34
Dentaltown September 2016 - 35
Dentaltown September 2016 - Mandible Radiolucency Routine Pano
Dentaltown September 2016 - 37
Dentaltown September 2016 - 38
Dentaltown September 2016 - 39
Dentaltown September 2016 - 40
Dentaltown September 2016 - 41
Dentaltown September 2016 - Handoffs
Dentaltown September 2016 - 43
Dentaltown September 2016 - 44
Dentaltown September 2016 - 45
Dentaltown September 2016 - 46
Dentaltown September 2016 - 47
Dentaltown September 2016 - Second Opinion: To Floss or Not to Floss? That Isn’t the Question
Dentaltown September 2016 - 49
Dentaltown September 2016 - Test Your Reading Comprehension: How well can you interpret what’s visible in dental radiographs?
Dentaltown September 2016 - 51
Dentaltown September 2016 - 52
Dentaltown September 2016 - 53
Dentaltown September 2016 - Understanding Fracture Toughness
Dentaltown September 2016 - 55
Dentaltown September 2016 - The Right Stuff: Your checklist for adopting new software technology
Dentaltown September 2016 - 57
Dentaltown September 2016 - 58
Dentaltown September 2016 - 59
Dentaltown September 2016 - 60
Dentaltown September 2016 - 61
Dentaltown September 2016 - Electronic Health Records: Is it time to make the transition?
Dentaltown September 2016 - 63
Dentaltown September 2016 - 64
Dentaltown September 2016 - 65
Dentaltown September 2016 - Permanent Help for Temporary Employees: The right practice management software can make all the difference
Dentaltown September 2016 - 67
Dentaltown September 2016 - A Complex Restorative Case
Dentaltown September 2016 - 69
Dentaltown September 2016 - 70
Dentaltown September 2016 - 71
Dentaltown September 2016 - 72
Dentaltown September 2016 - 73
Dentaltown September 2016 - 74
Dentaltown September 2016 - 75
Dentaltown September 2016 - Making Friends with Benefits: How to understand what employee perks are really worth—and which ones
Dentaltown September 2016 - 77
Dentaltown September 2016 - 78
Dentaltown September 2016 - 79
Dentaltown September 2016 - 80
Dentaltown September 2016 - 81
Dentaltown September 2016 - 82
Dentaltown September 2016 - 83
Dentaltown September 2016 - Scoring the Perfect Patient Handoff
Dentaltown September 2016 - 85
Dentaltown September 2016 - 86
Dentaltown September 2016 - 87
Dentaltown September 2016 - 88
Dentaltown September 2016 - 89
Dentaltown September 2016 - The Road to Greatness
Dentaltown September 2016 - 91
Dentaltown September 2016 - 92
Dentaltown September 2016 - Industry News
Dentaltown September 2016 - Product Profile: ClearCorrect
Dentaltown September 2016 - 95
Dentaltown September 2016 - 96
Dentaltown September 2016 - 97
Dentaltown September 2016 - The Five Risk Factors of Improper Ergonomics
Dentaltown September 2016 - 99
Dentaltown September 2016 - 100
Dentaltown September 2016 - 101
Dentaltown September 2016 - 102
Dentaltown September 2016 - 103
Dentaltown September 2016 - CE: Laser Mucocele Removal in Pediatric Patients
Dentaltown September 2016 - 105
Dentaltown September 2016 - 106
Dentaltown September 2016 - 107
Dentaltown September 2016 - 108
Dentaltown September 2016 - 109
Dentaltown September 2016 - 110
Dentaltown September 2016 - 111
Dentaltown September 2016 - Dentally Incorrect
Dentaltown September 2016 - Cover3
Dentaltown September 2016 - Cover4
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