CrackMDSNotesOral Path

Oral Pathology & Microbiology Revision Notes

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1. Ameloblastoma

💡 FUPA-D for types: Follicular, Unicystic, Plexiform, Acanthomatous, Desmoplastic. Soap bubble = Ameloblastoma. Always posterior mandible.

2. OKC / Keratocystic Odontogenic Tumor

💡 Parakeratinized (NOT ortho). Satellite cysts = high recurrence. Gorlin syndrome = multiple OKCs.

3. Dentigerous Cyst

💡 Attached at CEJ. Most common developmental cyst. Can transform to ameloblastoma or SCC.

4. Radicular Cyst

💡 Most common odontogenic cyst overall. From epithelial rests of Malassez. Rushton bodies = hyaline bodies.

5. Other Odontogenic Tumors (Odontoma, CEOT, Myxoma)

💡 Most common odontogenic tumor = Odontoma. CEOT = Pindborg tumor = Liesegang rings = amyloid. Myxoma = honeycomb/tennis racket pattern.

6. Salivary Gland Tumors

💡 Most common benign = Pleomorphic adenoma. Most common malignant = Mucoepidermoid carcinoma. Warthin = papillary cystadenoma lymphomatosum = bilateral.

7. Leukoplakia, OSMF, Erythroplakia

💡 Highest malignant potential = Erythroplakia. OSMF = areca nut. Leukoplakia = most common premalignant. Speckled leukoplakia = highest risk among leukoplakias.

8. Oral Squamous Cell Carcinoma

💡 Most common oral malignancy. Verrucous carcinoma = Ackerman tumor = broad pushing borders = good prognosis. TNM staging is HIGH YIELD.

9. Pemphigus vs Pemphigoid

💡 Pemphigus = INTRAepithelial (fishnet IgG). Pemphigoid = SUBepithelial (linear IgG at BMZ). Tzanck cells = Pemphigus. Nikolsky sign = both.

10. Other Cysts (Nasopalatine, Lateral Periodontal, Gorlin)

💡 Most common non-odontogenic cyst = Nasopalatine duct cyst. Botryoid = multilocular lateral periodontal. Gorlin cyst = Ghost cells.

11. Giant Cell Lesions & Bone Pathology

💡 CGCG vs Brown tumor of hyperparathyroidism = histologically IDENTICAL. Paget disease = Cotton wool skull, elevated alkaline phosphatase.

12. Oral Infections (Candida, TB, Syphilis, HIV)

💡 Oral hairy leukoplakia = EBV = pathognomonic for HIV. Hutchinson teeth = congenital syphilis. Pseudomembranous = most common candidiasis.

13. Dental Developmental Anomalies

💡 Dens in dente = most common in lateral incisor. Taurodontism = bull teeth. Gemination = 1 tooth tries to split. Fusion = 2 teeth join.

14. Cementum Pathology & Periapical Lesions

💡 Hypercementosis = Paget disease link. Periapical granuloma (most common) > Periapical cyst > Periapical abscess.