Benign tumors

1) Odontogenic tumors:
A) Epithelial origin:
Name Age Site Effect on Radiograp Differenti Treatme Notes
surrounding hic al nt
tissue features diagnosi
s

Amelob 20-50 Posterio -Root Well defined - Surgical -Discovered

l- yrs r resorption. radiolucency Dentigerou resection incidentally
mandibl with s cyst. after due to pt CC
astoma Average -Tooth
e. radiopaque knowing for facial
40 displacement. septa -OKC,giant the extent asymmetry.
making a cell of the
Black -Extreme granuloma -High
honeycomp tumor by
Males expansion with , myxoma recurrence
or soup the CT and
the unicystic type. have rate,
bubble MRI.
appearance similar aggressive.
honeycom
b. -CT is highly
recommended.

CEOT 8-92 yrs Mandibl -Teeth Associated - Local -Pindborg is

e displacement with Dentigerou resection, another name.
Average unerupted s cyst. more
42 PM-M -Expansion tooth with conservati
area. well defined - ve than
Males -Prevent the Ameloblast
radiolucency ameloblas
eruption of the oma.
with oma.
associated tooth.
radiopacities
close to the
crown.

AOT 5-50 yrs Maxill - Inhibit eruption Well defined -Calcifying Conservati
a of an involved corticated odontogen ve surgical
Average tooth. with ic cyst. excision.
16 radiopaque
Incisor
-Teeth foci at the -OKC.
Females canine-
displacement. center (↑
-CEOT
premola with age).
-Root resorption is (more in
r
rare. mandible).
region.
-Expansion.

B) Connective tissue origin:

Name Age Site Effect on Radiograph Differenti Treatment Notes
surroundi ic features al
ng tissue diagnosis
Myxom 10-50 Mandibl -Teeth Multilocular, - -Total -Develops
a yrs e displacement well defined Ameloblastom resection with only on the
. and well a, giant cell generous bone of the
Female PM-M corticates with granuloma, amount of facial
s region. -Rarely cause mixed center bcoz they are surrounding skeleton.
resorption. and septa that also bone.
make it tennis multilocular. -High
-Scalloped -With recurrence
racket-
between -Simple bone appropriate rate due
the roots. like or cyst. treatment the to the lake
stepladder- prognosis is of the
-Expansion
like pattern. good. capsule.
may cause
fracture.

Cement 12-65 Mandibl -Externat well-defined -Periapical Self limiting, -Develops

oblasto yrs e root radiopacity with cemental rarely recurs with
resorption. dysplasia after permanent
ma Males PM-1st M a cortical (less defined enucleation. teeth.
region. -If large, border and then band, less
cause a well defined rounded).
expansion radiolucent
with intact Hypercement
outer cortex. band just inside osis (no
the cortical expansion,
border. has
periodontal
membrane,
trauma is
present).

Odonto 11-39 Mandibl -Tooth Well defined -Desmoplastic Simple Associated

genic yrs e displacement radiolucency, if fibroma (more excision (low with
. small- aggressive). recurrence unerupted
fibroma Female PM-M unilocular,if rate). vital tooth.
s region -Root large- -Myxoma.
resorption. multilocular
-Giant cell
with fine and
-Expansion granuloma.
straight septa
like myxoma.

C) Mixed origin:
Name Age Site Effect on Radiogra Differenti Treatm Notes
surroundin phic al
 g tissue features diagnosis ent
Odont 10-20 -Complex- -Interfere with Well defined -Cemento Removed Develop
oma yrs posterior normal borders with ossifying by simple and mature
mandible eruption of radiopaque fibroma (less excision.
M=F in the 1st teeth. center. radiopaque). They do while the
and 2nd Compound not recur correspondi
- -Large complex -Periapical ng teeth
molar has regular and are
Compoun odontomas cemental are forming
area. well
d may cause dysplasia not locally and cease
arranged
odontoma - expansion of (wider invasive.
center look
s are Compound the jaw. uneven developme
like teeth,
about -anterior sclerotic nt when the
complex has
twice as maxilla -Associated border). associated
irregular
common with with teeth
center
as the unerupted abnormalities complete
radiopacities
complex canine. developme
such as .
type. nt.
impaction,
malpositioning,
diastema,
aplasia,

malformation,
and
devitalization
of adjacent
teeth.

Amelobl 5-20 yrs Mandible -Expansion Well defined -Dentigerous Enucleatio -Enamel,
astic with intact and often cyst or n and dentin, and
Peak at PM-M cortical bone corticated hyperplastic mechanica cementum
fibroma 15 region. unilocular, follicle. l curettage are not
-Failure of the sometimes it formed in
-A tooth - of the
may become this tumor.
common associated with Ameloblasto surroundin
multilocular
location is the tumor to ma (defined g bone. -Most
with
near the erupt, or septa). common
indistinct
crest of maybe symptom is
septa.
the displaced -Myxoma swelling or
alveolar apically. (older age
process or with sharp occlusal
in a septa). pain.
follicular
-Low
relationshi recurrence
p with an rate.
unerupted
tooth
(located
 occlusal to
the tooth).

Amelobl Same as Posterior Well defined -Ameloblastic Conservati -Scattered

astic ameloblas mandible. and fibroma ve collections
tic sometimes enucleatio of enamel
fibro- -Odontoma
fibroma. corticated n. and
odonto with mixed (less dentine.
Unilocular
ma Multilocular center radiolucent,
ameloblasto ameloblasto younger
ma with age).
ma
external honeycomb
root or soup-
resorption.

Multilocular Axial CT
ameloblasto showing
ma causing Multilocular
lingual ameloblasto
expansion. ma in the
anterior
region.

CEOT—Pindborg

CEOT- Mixed radiolucent

radiopaque lesion
associated with an
unerupted tooth.
 A B
AOT- mixed (A) A lesion with sparse pebble-like calcifications
tumor with associated with a maxillary cuspid. (B) A lesion
displacement of related to a maxillary lateral incisor with abundant
the incisor and calcification.
the canine.
----------------------------------------------

Odontogenic
A myxoma
periapical view shows -aAn occlusal pattern. Note the
multilocular
one
viewstraight
showssharp
slightsepta (arrow). Also note the fine
buccal
straight
expansionsepta emanating from
considering the crest
the size of of the
edentulous
the lesion. alveolar ridge; these may simulate the
appearance of spiculation seen in malignant tumors.
lesion associated with a bicuspid.
large, bulbous, radiopaque mass associated with the
apical portion of the mandibular right first molar. A
radiolucent band can be seen surrounding the mass,
and root resorption of the molar roots has occurred.

----------------------------------------------

Compoundwith
Complex odontome associated odontome.
unerupted tooth.

1) Non-odontogenic tumors:
Name Age Site Effect on Radiograp Differenti Treatm Notes
surround hic al ent
An ameloblastic fibroma in the body and ramus of the right mandible.
 ing features diagnosis
tissue
Osteom Older than Posterio Large Well defined Osteomas Surgical -Form from
a 40 yrs. r lesions can borders with resection if membranous
mandibl displace multiple involving the it interfere bones of the
Cortical e appearance condylar with skull and face.
type mainly adjacent soft on the center, head can be normal
osteomas the tissues, such in the cortical difficult to function or -It is more
develop lingual as muscles, type the differentiate due to common in the
more often side of and cause center is cosmetic frontal and
in Male, from
the radiopaque, in reasons. ethmoid sinuses
dysfunction. osteochondro
ramus. the cancellous The than in the
whereas mas,
part the cortical maxillary
Females osteophytes,
center type is Sinuses.
have the or condylar
composed of more
highest hyperplasia. -Three types:
trabecular difficult to
incidence compact bone
structure. resect.
of the (ivory),
cancellou cancellous
s bone, and
combination of
type.
both.

Heman 1st decade Posterio - Sometimes -All other Central -Proliferation of

gioma (up to 10 r Enlargement well defined lesion hemangio blood vessels
yrs). mandibl of the ID and corticted, affecting the mas have creating a mass
e, canal. others are ill posterior to be that resembles
Females. ramus, defined like mandible, but treated a neoplasm.
and ID - malignant only it affects immediatel
canal. Displacemen tumor. They the ID canal. y with -Most frequently
t and often produce surgey.
resorption of honeycomb or noticed in the
adjacent tennis racket skin and
teeth. multilocular subcutaneous
appearance. tissues.

A panoramic radiograph
shows an osteoma in the
right mandibular angle
region (arrow).
 An osteoma in the frontal sinus.
(A) A Caldwell view shows a large,
amorphous
mass in the frontal sinus (arrows).
(B) A lateral view shows an
osteoma occupying

An occlusal film of a case of a

central hemangioma of the
mandible with adjacent spiculation
(arrows) which has a very similar
appearance to the spiculation
seen
A hemangioma in the anterior
maxilla shows a coarse
trabecular pattern.

Done By : Abdallah Awadi