7. Lesi Periapikal Mix

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    Interpretasi Radiografik

    Mixed lesions

    Purbo Seputro drg.

    Skills Lab Blok 6

    RADIOLOGI KEDOKTERAN GIGI 3

    ( RKG 3 )

    PROGRAM STUDI PENDIDIKAN DOKTER GIGI

    FAKULTAS KEDOKTERAN

    UNIVERSITAS BRAWIJAYA

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    Periapical / Pericoronal mixed lesions

    Mixed lesions

    http://195.134.123.100/dentalexpertbi/main/ShowMainCategory.asp?CAT_ID=19

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    Periapical / Pericoronal mixed lesions

    Cementoma(periapical cemento-osseous dysplasia) 2nd stage

    Odontoma (mixed lesion)

    Adenomatoid Odontogenic Tumor (AOT) (mixed)

    Calcifying Epithelial Odontogenic Tumor (CEOT)

    Calcifying odontogenic cyst (Gorlin cyst)

    Cementoblastoma

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Cementoma(periapical cemento-osseous dysplasia) 2nd stage

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Apices of several lower incisors

    Middle aged adults (typically black women).

    Round, monolocular, often multiple.

    Adjacent teeth: typically vital, not displaced, notresorbed. The periapical ligament space is intact.

    Small, up to 1 cm in diameter.

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    Radiodensity

    Early stage: Radiolucent, not corticated

    Intermediate stage: Radiopacity withinthe apical radiolucencies

    Late stage: Densely radiopaque butsurrounded by a thin radiolucent line.

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    Differential Diagnosis

    Odontoma (mixed lesion)Cementoblastoma

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    Odontoma (mixed lesion)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Relatively common lesion.Two types: complex and compound odontoma.Complex odontoma is composed of haphazardly arrangeddental hard and soft tissues.

    Compound odontoma is composed of many small

    "denticles" .It usually occurs in young patients.Usually asymptomatic.Failure of eruption of a permanent tooth may be the firstpresenting symptom.It is commonly found occlusal to the

    involved tooth.Well defined. The internal aspect is very radiopaque incomparison to bone

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    Differential Diagnosis

    Cementoblastoma

    Adenomatoid Odontogenic Tumor (AOT) (mixed) Cementoma

    (periapical cemento-osseous dysplasia) 2nd stage

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25

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    Adenomatoid Odontogenic Tumor

    (AOT) (mixed)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Benign. Relatively rare.

    It occurs in young patients (70% of cases in patientsyounger than 20 years).

    Most common site: anterior maxilla. Often surrounds an entire unerupted tooth (most

    commonly the canine).

    Usually well defined, well corticated. Some tumors are

    totally radiolucent; others show evidence of internalclassification (mixed radiolucency).

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    Differential Diagnosis

    Odontoma (mixed lesion)

    Calcifying odontogenic cyst (Gorlin cyst)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25

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    Calcifying Epithelial Odontogenic Tumor(CEOT)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Rare benign neoplasm.

    It occurs more often in middle-aged patients.

    Usually in mandible.

    Small lesions may be radiolucent. In advancedstages irregularly sized calcifications may bescattered in the radiolucency.

    It can cause displacement and impaction of teeth.

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    Differential Diagnosis

    Calcifying odontogenic cyst (Gorlin cyst)

    Adenomatoid Odontogenic Tumor (AOT) (mixed)

    Cemento-Ossifying fibroma (2nd stage)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25

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    Calcifying odontogenic cyst(Gorlin cyst)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Rare.

    Usually in young patients under 40 years old.More often in maxilla.

    Initially as well-defined radiolucency. Inadvanced stages irregularly sized calcificationsmay be scattered in the radiolucency.

    It can cause displacement of teeth and rootresorption

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    Differential Diagnosis

    Calcifying Epithelial Odontogenic Tumor (CEOT)

    Adenomatoid Odontogenic Tumor (AOT) (mixed)

    Cemento-Ossifying fibroma (2nd stage)

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=34http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_Id=25

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    Cementoblastoma

    http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25http://195.134.123.100/dentalexpertbi/main/Container.asp?sMEN_CAT_ID=25

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    Features

    Benign neoplasm. Most commonly in the second andthird decade.

    Site: usually mandibular premolar and molar regions.

    Attached to the root of the affected tooth. Toothdisplacement, resorption are common.

    Pain in 50% of the cases, swelling.

    Three stages of development: radiolucent mixed

    radiopaque.

    When radiopaque is usually surrounded by a thinradiolucent halo.

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    Differential Diagnosis

    Cementoma (periapical cemento-osseous dysplasia) 2nd stage

    Odontoma (mixed lesion)

    Cemento-Ossifying fibroma (2nd stage)

    Calcifying odontogenic cyst (Gorlin cyst)Calcifying Epithelial Odontogenic Tumor (CEOT)

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