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Swelling seen in the posterior mandible
Radiopaque areas surrounded
by a radiolucent rim
Complex odontome
1- well defined radiolucency with impacted
canine.
2- composed of spindle epithelial cells that form
whorled masses, and duct like structure.
3- AOT ( adenomatoid odontogenic tumor)
Multilocular radiopacity due to large number
of denticles ( looks like a bag of teeth )
Multiple teeth structure
c. Diagnosis.
Compound odontome
1- multilocular radiolucency with well-defined
radiopaque margin.
2- loose C.T with strands or nests of odontogenic
epithelium.
3- Ameloblastic fibroma
a. Composed of loose C.T containing little
collagen and large amounts of an
intercellular substance, so it looks like
dental pulp.
b. Odontogenic myxoma
Benign cementoblastoma
Active cementoblasts
surrounding cement trabeculae
Clinical : unilateral swelling of the jaw
X-ray : radiopacity in lower anterior of
the jaw showing giantly form
cementoma
Lined by pseudostratified squamous epithelium ,the wall contains
lymphoid tissue
Dilaceration
Enamel pearl
Shell teeth

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Mandible Swelling and Radiopaque Areas Diagnosis