revision oral pathology dr.tahani!!

8/3/2019 Revision Oral Pathology Dr.tahani!!

1/33

This patient is presented to you withbluish sclera, hyper mobile ligaments

and repetitive fractures of the same

bone

1- What is the most possible

diagnosis?!

2- Name other 2 features ofthis condition?!


2/33

These are clinical and radiographic

pictures taken for the same patient


diagnosis?!

3- Is this condition and

osteogenesis imperfecta

carried on the same gene?!


3/33

This patient is presented to you with

repetitive fractures of bones, anemia andalso increased susceptibility to infections


diagnosis?!

2- Name two dental

complications of this condition

when any of the jaws is

involved


4/33

This patient is presented to you with this

unique clinical presentation


diagnosis?!

2- What are the bones most

commonly involved?!

3- What happens to the skull?!


5/33

This radiograph is taken for the

same patient

1- Name 3 dental

manifestations of this

condition?!


6/33


gradually increasing painless diffuse bony

swelling in the maxillary jaw bone that is

associated with facial asymmetry. This bone

is the only one affected


diagnosis?!

2- Of the jaws, which is more

commonly involved?!

3- When the maxilla and

anatomically adjacent bones

get involved, what do we call

this?!


7/33

This is a radiograph taken for a patient

with the same condition

1- What is the affected site?!

How did you know?!

2- When the condition is

usually diagnosed?! Childhood

or adulthood?!


8/33

3- When is it the most suitabletime to treat this patient?!

4- What is the most suitable

treatment: radiotherapy or

Surgery?! And WHY?!


9/33

This radiograph is taken for another patient with

the same condition

1- Is the lesion well defined?!

2- Abnormal bone is referred to by 1

or 2?!

3- At what stage this patient is?!

Radiolucent, Mixed or Radiopaque?!

4- What do we call this unique

radiographic appearance on

intraoral radiographs?! 1 2


10/33

This child is presented to you with multiple

fractures and bony deformities arising in only

one side of his body mainly over long bones of

limbs and this unique skin pigmentation

1- What is the most possible cause

of segmental bony fractures?!

2- What do we call these skin

pigmentations?!

3- What is the Syndrome?! Can

you name other 2 manifestations?!


11/33

This is a histological appearance

resembling Chinese characters

1- 1 and 2 refer to?!

2- Give 3 differential

diagnoses?!

3- How can we differentiate

these conditions from one

another?!

1 2


12/33

This patient is presented to you

with this radiographic

appearance. The lesions aretotally asymptomatic and Pulp

vitality test was done and

revealed that all involved teeth

are vital. No other bones or

quadrants are involved

1- What is the most

likely diagnosis?!

2- What complicationmight extraction

carry?!


13/33


this unique clinical presentation

1- What do we call this

appearance?! WHY?!

2- Describe growth pattern

this condition has:

A- When does it begin?!

B- Period of rapid growth?!

C- Period of regression?!


14/33

Describe this unique radiographic appearance for the same patient?!


15/33

This histological appearancetaken for the same patient


2- give me 4 differential

diagnoses?!

1 2


16/33

This patient is presented to you with this well-definedradiographic appearance in the mandible and in the

long bone of the arm


17/33

This is the histological appearance forthe same patient

1- What is the most likely

diagnosis?!

2- What biochemical findings

we might find?!


18/33

This child is presented to you with this clinical

appearance. He has deformed limbs, severely

curved sternum, enlarged costal cartilages, and

flat skull


diagnosis?!


cause?!


19/33

This old patient is presented to you with this

clinical appearance. He has enlarged jaws,

hands and feet


diagnosis


cause?!

3- What are the dental

manifestations?!


20/33

This patient is presented to you with this

clinical appearance. She has painful

swelling and extraoral sinus draining pus

and this is her radiographic appearance


diagnosis?!


radiographic appearance?!


21/33

A young child is presented to you with this

unique radiographic appearance in the

mandible

1- What do we call this unique

radiographic appearance?!


diagnosis?!


22/33

Patients are presented to you with this unique

clinical appearance in the palate

It is a bony swelling that is slowly growing insize and painless


diagnosis?!

2- Do we have to remove it?!

3- When it is necessary to

surgically remove it?!


23/33

A patient is presented to you with this

INCIDENTAL well defined radiopaque

mass that is not surrounded withradiolucent band and found in the

mandibular premolar region


diagnosis?!

2- Give 2 differential

diagnoses?!


24/33

A patient is presented to you

with multiple painless slowly

growing bony outgrowths on

the buccal surface of the maxilla

1- What is the most

likely diagnosis?!

2- If solitary, then

differential diagnosis

is?!


25/33

This 45 years old patient is presented to

you with a chief complain: My hat

doesnt fit my head anymore and my

denture is smaller than my ridges size


diagnosis?!

2- * refers to?! At what stage of the

disease is seen?! And what do we

call this histological appearance?!

3- What are the complications of:A- First phase?!

B- Second active phase?!

C- Third phase?!

*


26/33

This is a skull radiograph for the same patient

1- What do we call this unique radiographic

appearance?!

2- What type of malignancy is common in

these patients?!

3- Other methods to confirm diagnosis other

than radiographic and clinical appearances?!

4- Describe:A- Serum calcium levels

B- Serum phosphate levels

C- Alkaline phostphatase levels


27/33

A patient is presented to you with

this unique radiographic

appearance. Clinically he has

swelling, pain and parasthesia in

the lower lip and also ulceration

and blessing. His teeth are mobile


diagnosis?!


radiographic appearance?! And

is it always seen in every

patient?!

3- Give me a very important

radiographic feature seen?!


28/33


this Radiographic and histological

Appearance. In the radiograph you

can see well defined corticated

radiolucency and in the histology we

could find well-encapsulated lesion

too

1- What is the most likelydiagnosis?!

2- Give me 2 another

differential diagnosis?!


29/33


these Radiographic and clinical

pictures

This solitary bony swelling is graduallyincreasing in size and it is painless and

well circumscribed


diagnosis?!

2- Give me One clinical

differential diagnosis?!

3- If multiple then suspect what

Syndrome?! What are its

manifestations?!


30/33

A patient is presented to you with this

Radiographic appearance where teeth are

floating in the air

And also this histological appearance

Clinically he is presented with gingival

ulceration and bleeding

1- What is the most likely diagnosis?!


1

2


31/33

This is an electron microscope

appearance for the same patient

1- What do we call these

granules?!


32/33

This 75 years old patient is

presented to you with this unique

radiographic appearance and lowback pain


unique radiographic

appearance?!

2- Monoclonal or

polyclonal?!


33/33

This is the histological

appearance for the same

patientAnd also the

immunochemistry

representation

1- * refers to?!

2- What do we call

thisimmunochemistry

representation?!

*

revision oral pathology dr.tahani!!

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