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1.
(1)Gemination
x (
(2)Fusion
!)
(3)Concrescence cementum
(4)Talon cusp (Eagles cusp) incisors cingulum
(5)Dens evaginatus(central cusp) IEE cusp
(6)Dens invaginatus(dens in dente)
(7)Taurodontism()Klinefelter
syndrome
(8)Turners tooth(Turners hypoplasia)
Hairly leukoplakia hairly leukoplakia EBV-induced HIV
AIDS 30% hairly leukoplakia
(5)Geographic tongue (erythema migrans) filiform papilla
fungiform papilla lesion
Vit. B2
6.
(1)Eagles syndromeStyloid process stylohyoid ligment
(4)Cleidocranial dysplasia(10%)
9.
(1)8> 2> 5> 5> 1> 2>7
(2)Ectodermal dysplasiaDowns syndromeCrouzon syndromeEhlers-Danlos
syndromeEllis-van Creveld syndromeGorlin syndromeHurler syndrome ( p.69)
(3)Cleidocranial dysplasiaGardner syndromeDowns syndromeEhlersDanlos syndromeCrouzon syndromeApert syndromeTurner syndrome( p.70)
(4)Cleidocranial dysplasia()RicketCretinismDowns
syndrome
(5)Cushings syndromehyperthyroidism
2
(6)Hypophosphatasia()hyperthyroidismHand-Schuller-Christian
diseasedentinal dysplasia
CH2
1. Abfraction() enamel cervical enamel
bruxism
2. / pulp ( pink spot) PDL
cyst
intracoronal bleachingPagets disease
tumors
3.
Tetracyclineminocycline()
4. Dentinogenesis imperfecta()()
Enamel dentin osteogenesis imperfecta Crown
cervical cervical construction bulbous()
chamber Shell teethenamel
dentin pulp
Type I osteogenesis imperfecta with opalescent teeth
Type II dentin
Type IIIX-ray finding type II
5. Dentin dysplasia()()
Type
I Radicular type(rootless tooth) canalpulp chamber
(!)
Type IICoronal typepulp chamber pulp stone( Dentinogenesis imperfecta )
6. Regional odontodysplasia() (Ghost teeth)Enameldentinpulp
(!)
CH4
1. NUG BF(Bacillus fusiform)BV(Bacillus vincentii)Treponema Selenomona
Vencent`s infection Trench() mouthPapilla punched-out
2. (phenytoin)(cyclosporine)
(nifedipine)
3. Papillon-Lefvre syndrome periodontal attachment and bone
loss 2~3 neutrophil dysfunction dipeptidyl
aminopeptidase I (Peri !)
CH567
1. Scarlet fever -hemolytic streptococcus
( soft palate) fungiform papilla white strawberry
tongue red strawberry tongue
3
Pastias line
2. Congenital Syphilis() mulberry molars Hutchinsons triadHutchinsons
incisorsocular interstitial keratiitis()CN VIII
3. Actinomycosis()G(+)(sulfur granules
) 1st molar actinomycotic osteomyelitis
Botryomycosis () (!)
4. Candidiasis
1)Pseudomembranous
palate
2)Erythematous 3)filliform papilla
4)Chronic multifocal 5)Angular cheilitis 6)Denture stomatitis
7)Hyperplastic 8)Mucocutaneous 9)Endocrine-candidiasis syndrome
AIDS(!)
5. Blastomycosis() pseudoepitheliomatous hyperplasia(
) SCC(!)
6. Cryptococcosis()AIDS 90
7. Impetigo() Streptococcus pyogenes()
Staphylococcus aureus(!)
8. Cat-scratch disease() Bartonella henselae
Ps.
1. HHV(Human Herpesviridae )
1)HHV-1(HSV-1Herpes simplex virus) 2~3
(acute herpetic gingivostomatitis)
ulcer(Herpetic labialis)(cold sore)
(fever blister) (!) Herpetic withlow()
2)HHV-2(HSV-2)(genital zone)
3)HHV-3(VZVVaricella-zoster virus)(Vericella)(Herpes zoster)
Herpes zoster
(self-limitating) Herpes zoster
Ramsay Hunt syndrome(tinnitus)(!)
4)HHV-4(EBVEpstein-Barr virus)kissing diseaseEBV
B cell B cell B cell
EBV (1)Infectious mononucleosis(kissing disease)
(2)AIDS (3)Hairy leukoplakia (4)Endemic Burkutts lymphoma (5)NPC (!)
5)HHV-5(CMVCytomegalovirus )AIDS Owl eye cell
6)HHV-8(Kaposis sarcoma associated virus)
2. Enterovirus RNA
1)Herpangina() Coxsackievirus A() Enterovirus 71 3~10
2)Hand-Foot-Mouth disease Coxsackievirus A() Enterovirus 71
3)Acute lymphonodular pharyngitis Coxsackievirus A
Herpangina Enterovirus 71
4
CH8
1. Riga-Fede disease 1 1
(!)
2. Xerostomia Serous gland() mucous gland
3.
1)Lead plumbism() marginal gingival (
)()()(
!)
2) marginal gingival
acrodynia() pink disease( pink disease)Swift
diseaseAmalgam (Pedo !)
3)Argyria() marginal gingival
4. (exfoliative cheilitis)
(!)
5. Myospherulosis()
bag of marbles ()( p.281)
CH9
1. (Erythema multiforme)
2~6 targetbulls-eye
Stevens-Johnson syndrome
2~10%
2. Pemphigus vulgaris desmosome
scar()
Nikolsky sign()
Tzanck cell()
5
3. Cicatricial () pemphigoid benign mucous membrane pemphigoid
() hemidesmosome( IgG )
symblepharon(
) Nikolsky sign Tzanck cell
10. (Sarcoidosis)()
( TB )
(epithelioid histiocytes)
Langhans giant cells(!)Kveim test(
P.292)
Heerfordts syndrome(anterior
uveitis)( P.293) (!)
11. Graft versus host disease (GVHD) GVHD 100
lichen planus exprednisolon(!)
CH10
1. Squamous papillomaHPV() 6 11 30~50
finger-like 5mm Koilocytes()
2. Verruca vulgaris()HPV 24640 lip papillary
3. Condyloma acuminatum()HPV 26115354
4. Focal epithelial hyperplasia HPV 13 32 HIV
5. Verruciform xanthoma
SLE lipid-laden() histiocytes
6
alveolar mucosa
PAS ()rete ridge SCC (!)
6. Lentigo maligna Melanoma()
7. Oral melanotic maculesmacules
Peutz-Jeghers syndromeMcCune-Albright syndromeAddison diseaseNeurofibromatosis
Neurofibromatosis
9. Nevus cell (epitheliod) type Atype B type C spindle
10. Blue nevus type C(spindle)
Melanoma
11. Leukoplakia
85%
5%
CH 11
1. Parotid g. serous( salivary gland tumor ) Submandibular g.serous
mucus Sublingual g.mucus serous
2. Myoepithelial cell(MEC) epithelial cell
3. Major salivary gland tumorMixed tumorMucoepidermoid carcinoma
Adenoid cystic carcinoma
Minor salivary gland tumorpalate(50%)lip(21%)
Adenoma ()
1. Pleomorphic adenoma() (Mixed tumor) parotid gland
2. Papillary cystadenoma lymphomatosum (Warthins tumor) parotid gland 2
Carcinoma ()
1. Acinic cell carcinoma (ACA)Parotid gland
(facial n.)
Warthins tumor() ACA()
2. Mucoepidermoid carcinoma(MEC) 1st 2nd (1st mixed tumor)
1st Degree of cytologic atypia() Amount of cyst formation Mucus,
epidermoid, intermediate cells (!)
3. Adenoid cystic carcinoma(ACC) (50%) Swiss cheese
appearance facial paralysis 12-17%
Chest PA (!)
4. Polymorphous low grade adenocarcinoma (PLGA) minor glandpalate
Non-neoplastic lesions
1. Mucocele( minor duct)(75%)
2. RanulaSublingual gland mucin swelling
CH12
1. Fibroma
2. Giant cell fibroma 1 cm
10.Neurofibromatosis 1/3000type I ( 17 )
tumors ()()(lisch
nodules)5% schwannoma
9
(!)
CH13
1. Hemophilia()Hemophilia A Hemophilia B
Hemophilia A clotting factor 8 Hemophilia B ( Christmas disease)
clotting factor 9 (Pedo !)
AB won Willebrands disease () aPTT (!)
2. Anemia
1)-globin chain (adenine thymine)
hair-on end(!)
2)Thalassemia() hair-on end()
10
CH14
1. Fibrous dysplasiaosteoblast fibrous GNAS 1
)()(hemihyperplasia)(!)
Jeffys syndrome
2. Periapical cementosseous dysplasia
X radiolucency radiopaque
denture ridge
black beard Lincons sign hydroxypoline
X-ray cotton wool (!)
6. Hypophosphatasiacementum
pulpenamel hypoplasiadentin
phosphoethanolamine(+peri!)
7. Central giant cell granuloma
lamina dura
8. Brown tumor (
central giant cell granunoma lesion)
9. Cherubism 78
Md angle
10. Osteosarcoma()30~40
X sun ray effect Codman triangle(
)
jaw bone osteosarcoma 20~40 long bone osteosarcoma
<20 >50 Chondroblastic()osteoblasticfibroblastic(!)
11. Ewing sarcoma(Primitive neuroectodermal tumorPNET)Ewing
MIC 2 X motheaten onion-skin()radioleucent75%
(glycogen granules)(!)
12. Hypercementosis
1)Local factorAbnormal occlusal traumaAdjecent inflammationUnopposed teeth()
2)Systemic factor
Acromegaly() and Gigantism()ArthritisCalcinosis()Pagets
diseaseRheumatic fever()Thyroid goiter()Vit A deficiency()
13. Osteogenesis imperfecta()(!)
type I collagen
(1) 30
12
(3)
(4) 50%
14. Aneurysmal bone cyst ()soap bubble honeycomb x-ray
CH15
1. (Tumors of odontogenic epithelium)
1)Ameloblastoma (tumor) local invasive
capsule(50~90%) 40 ascending ramus
cyst50% X
multilocular radiolucency ( radiolucency ) soap bubble honey
comb PsNo1 Odontoma
Unicystic Ameloblastoma(X radiolucency ) 10~15%
( 23 ) mural type()
Ameloblastic carcinoma
Malignant Ameloblastom
2)SOT(Squamous odontogenic tumor) PDL
3)Calcifying epithelial odontogenic tumor(Pindborg tumor)
Ameloblastoma REE amyloid()50%
X irregular multilocular radiolucency with radiopacity
Liesegang sings()
Pindborg tumorBCC
4)AOT(Adenomatoid odontogenic tumor2/3 tumor) capsule2/3
(10~20 )()X well defined radiolucency
(spot) cyst spindle shape cell
(whorled appearance)tumor(ductlike) dentinoid( dentin dentinal tubeles)
2. Mix odontogenic tumor()
1)Ameloblastic fibroma 21 75%
2)Ameloblastic fibrosarcoma Ameloblastic fibroma
3)Ameloblastic fibro-dentinoma Ameloblastic fibroma
13
dentinoid
4)Ameloblastic fibro-odontoma 11.5 dentin enamel
5)OdontomaWell-encapsuled hamartomas(
neoplasmsNeoplasma odontoma )
Compound odontoma
Complex odontoma tooth substance
3.
1)Odontogenic myxoma Ameloblastoma30~40
local invasionpoor encapsuledX multilocular radiolucency
tennis racket septum(Ameloblastoma soap bubble honey
comb)
2)Odontogenic fibroma inactive
Ameloblastic fibroma active
3)Cementomas
Benign cementoblastoma(true Cementoma) cementoblast cementum
20 Well-encapsule
vitalX sunburst appearance
Periapical cemental dysplasia tumorX
radiolucent radiopcity
radiolucency
Frorid cemento-osseous dysplasia tumor
4. Crohns disease
(!)
Heerfordts syndrome (p.6)
Hunters glossitis (Moellers glossitis)
Herlers syndrome()
Klinefelter syndrome (p.1)
Kasabach-Merritt syndrome(p.10)
Jaffe-Lichtenstein syndrome()+polystotic fibrous dysplasia
(p.11)
Melkersson-Rosenthal syndrome(!)(p.1)
Maffucci syndrome chondroma
McCune-Albright syndrome= Albrights syndrome()
(hemihyperplasia)(p.11)
Peutz- Jeghers syndrome(hereditary intestinal polyposis syndrome)
(labial and buccal mucosaand the
tongue)
keratinocyte melanocyte LKB1 (serine/threonine kinase)
intussusception()(!)
Pierre-Robin syndrome cleft syndrome(p.1)
Plummer-Vinson syndrome
Sjgren syndrome()
15% RA 30% SLE Sjgren syndrome
40
Sipple syndrome(p.9)
Treacher Collins syndrome(p.2)
Von Recklinghausens diseaseNeurofibroma ()
()()() lesion x
10Crowes sign
Lisch spots
Van der Woude syndrome( p.5)Paramedian lip pits()
CP/CL
Strawberry
1. Strawberry tongue -
2. Strawberry gingivitis - Wegeners granulomatosis
3. Strawberry hemangioma infant, superficial hemangioma
4. Strawberry nevus congenital hemangioma
17