revision oral pathology dr.tahani!!
TRANSCRIPT
-
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
2/33
These are clinical and radiographic
pictures taken for the same patient
1- What is the most possible
diagnosis?!
3- Is this condition and
osteogenesis imperfecta
carried on the same gene?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
3/33
This patient is presented to you with
repetitive fractures of bones, anemia andalso increased susceptibility to infections
1- What is the most possible
diagnosis?!
2- Name two dental
complications of this condition
when any of the jaws is
involved
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
4/33
This patient is presented to you with this
unique clinical presentation
1- What is the most possible
diagnosis?!
2- What are the bones most
commonly involved?!
3- What happens to the skull?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
5/33
This radiograph is taken for the
same patient
1- Name 3 dental
manifestations of this
condition?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
6/33
This patient is presented to you with
gradually increasing painless diffuse bony
swelling in the maxillary jaw bone that is
associated with facial asymmetry. This bone
is the only one affected
1- What is the most possible
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
13/33
This patient is presented to you with
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
14/33
Describe this unique radiographic appearance for the same patient?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
15/33
This histological appearancetaken for the same patient
1- 1 and 2 refer to?!
2- give me 4 differential
diagnoses?!
1 2
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
16/33
This patient is presented to you with this well-definedradiographic appearance in the mandible and in the
long bone of the arm
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
17/33
This is the histological appearance forthe same patient
1- What is the most likely
diagnosis?!
2- What biochemical findings
we might find?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
diagnosis?!
2- What is the most possible
cause?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
19/33
This old patient is presented to you with this
clinical appearance. He has enlarged jaws,
hands and feet
1- What is the most likely
diagnosis
2- What is the most likely
cause?!
3- What are the dental
manifestations?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
diagnosis?!
2- What do we call this
radiographic appearance?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
2- What is the most likely
diagnosis?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
diagnosis?!
2- Do we have to remove it?!
3- When it is necessary to
surgically remove it?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
diagnosis?!
2- Give 2 differential
diagnoses?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
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?!
*
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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
1- What is the most likely
diagnosis?!
2- What do we call this
radiographic appearance?! And
is it always seen in every
patient?!
3- Give me a very important
radiographic feature seen?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
28/33
A patient is presented to you with
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?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
29/33
A patient is presented to you with
these Radiographic and clinical
pictures
This solitary bony swelling is graduallyincreasing in size and it is painless and
well circumscribed
1- What is the most likely
diagnosis?!
2- Give me One clinical
differential diagnosis?!
3- If multiple then suspect what
Syndrome?! What are its
manifestations?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
2- 1 and 2 refer to?!
1
2
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
31/33
This is an electron microscope
appearance for the same patient
1- What do we call these
granules?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
32/33
This 75 years old patient is
presented to you with this unique
radiographic appearance and lowback pain
1- What do we call this
unique radiographic
appearance?!
2- Monoclonal or
polyclonal?!
-
8/3/2019 Revision Oral Pathology Dr.tahani!!
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?!
*