Swellings Of The Jaw

Swellings Of The Jaw

Discuss the differential diagnosis of jaw swellings.

Describe the investigation, clinical features, and treatment of adamantinoma.

Answer.

Differential Diagnosis of Jaw Swellings

Swelling arising from the mucoperiosteum, i.e. epulis. It has 5 varieties:

• Fibrous
• Granulomatous
• Myeloid
• Sarcomatous
• Carcinomatous.

“Symptoms Of Jaw Swelling”

Swellings arising from tooth germs, i.e. odontomes. The diffrent varieties are:

Epithelial odontomes

• Dental cyst
• Dentigerous cyst
• Adamantioma.

The following are the rare varieties:

Connective tissue odontomes

• Fibrous
• Cementous
• Sarcomatous.

Composite odontomes (i.e. arising from both epithelial and connective tissue elements):

• Radicular
• Compound follicular
• Composite complex.

“Is Jaw Swelling Dangerous”

Osseous tumors: Any bone tumor can affect jaw

Benign:

• Fibro-osseous group
• Paget’s disease
• Osteoclastoma.

Malignant tumors:

• Osteosarcoma
• Squamous cell carcinoma
• Burkitts tumor
• Columnar cell carcinoma of maxillary antrum.

“Risk Factors For Developing Jaw Swelling”

Inflammatory group:

• Alveolar abscess
• Osteomyelitis
• Actinomycosis.