Origin of Odontogenic

Cysts & Tumors

Odontogenic Apparatus
Remnants of dental lamina
Reduced enamel epithelium
Odontogenic rests
Basal cell layer of oral mucosa
Lining of odontogenic cysts

Epithelial Tumors
Ameloblastoma
Adenomatoid odontogenic tumor
Calcifying epithelial odontogenic
tumor (Pindborg tumor)
Squamous odontogenic tumor
Clear cell odontogenic carcinoma

Ectomesenchymal Mixed Odontogenic

Tumors Tumors
Odontoma
Odontogenic myxoma Compound
Granular cell odontogenic tumor Complex
Central odontogenic fibroma Ameloblastic fibroma
Cementoblastoma Ameloblastic fibro-odontoma
Ameloblastic fibrosarcoma
Odontoameloblastoma

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 Epithelial Tumors
Ameloblastoma
Adenomatoid odontogenic tumor
Calcifying epithelial odontogenic
tumor
Squamous odontogenic tumor
Clear cell odontogenic carcinoma

Multilocular, expansile radiolucency

Peripheral, palisaded
cells with nuclei
polarized away from the
basement membrane

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Unicystic Ameloblastoma
Generally in younger people than
the average age of 33 for
ameloblastomas
If truly unicystic (all ameloblastoma
is within the cyst lumen) can be
treated by curettage of the cyst
If ameloblastoma is in the wall of the
cyst, treatment must be standard for
ameloblastoma, resection

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 Gland-like structures in a solid
tumor of odontogenic cells

Adenomatoid
Odontogenic Tumor
A.O.T
Young patients
Anterior jaws
Usually associated with impacted
teeth
Easily removed, therefore small chance
of recurrence

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 Protein in the
amyloid
areas is a Epithelial Tumors
new, recently
discovered Ameloblastoma
protein Adenomatoid odontogenic tumor
Calcifying epithelial odontogenic
Calcifying
tumor
Epithelial Squamous odontogenic tumor
Odontogenic Tumor Clear cell odontogenic carcinoma
Pindborg Tumor

Mixed Odontogenic
Tumors
Ameloblastic fibroma
Ameloblastic fibro-odontoma
Odontoma
Compound Dental Lamima
Complex
Ameloblastic fibrosarcoma Ameloblastic Fibroma
Odontoameloblastoma

Ameloblastic Fibroma
Mixed odontogenic
tumor
Both ectodermal and
ectomesenchymal layers

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Ameloblastic Fibroma
Not generally
aggressive
Easily removed if If tooth material present, considered an
discovered & treated odontoma, therefore:

early Ameloblastic Fibro-odontoma

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 Odontoma
Mixed odontogenic tumor
Complex - no normal relation
of tooth material
Compound - abnormal shape
and size but tooth material is
in correct relation

Ectomesenchymal
Tumors
Odontogenic myxoma
Granular cell odontogenic tumor
Central odontogenic fibroma Multilocular
Cementoblastoma radiolucency
Soap Bubble

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 Odontogenic
myxoma

Dental Papilla

6 years later came

back to dental
school

Initial presentation
in admissions clinic

Cementoblastoma - questionable whether this is a true

odontogenic tumor

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 Central
Odontogenic Fibroma

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