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Contents

4.1 Introduction 104

4.1.1 Embryology 104

4.1.2 Tooth Development 104

4.2 Inflammatory Diseases of the Maxillofacial Bones 104

4.3 Cysts of the Jaws 105

4.3.1 Odontogenic Cysts - Inflammatory 105

4.3.1.1 Radicular Cyst 105

4.3.1.2 Paradental Cyst 106

4.3.2 Odontogenic Cysts - Developmental 106

4.3.2.1 Dentigerous Cyst 106

4.3.2.2 Lateral Periodontal Cyst 107

4.3.2.3 Glandular Odontogenic Cyst 107

4.3.2.4 Odontogenic Keratocyst 107

4.3.2.5 Gingival Cyst 108

4.3.3 Non-Odontogenic Cysts 109

4.3.3.1 Nasopalatine Duct Cyst 109

4.3.3.2 Nasolabial Cyst 109

4.3.3.3 Surgical Ciliated Cyst 109

4.3.4 Pseudocysts 109

4.3.4.1 Solitary Bone Cyst 109

4.3.4.2 Focal Bone Marrow Defect 109

4.4 Odontogenic Tumours 109

4.4.1 Odontogenic Tumours - Epithelial 110

4.4.1.1 Ameloblastoma 110

4.4.1.2 Calcifying Epithelial Odontogenic Tumour 112

4.4.1.3 Adenomatoid Odontogenic Tumour 112

4.4.1.4 Squamous Odontogenic Tumour 113

4.4.2 Odontogenic Tumours - Mesenchymal 114

4.4.2.1 Odontogenic Myxoma 114

4.4.2.2 Odontogenic Fibroma 115

4.4.2.3 Cementoblastoma 116

4.4.3 Odontogenic Tumours -

Mixed Epithelial and Mesenchymal 117

4.4.3.1 Ameloblastic Fibroma 117

4.4.3.2 Ameloblastic Fibro-Odontoma 117

4.4.3.3 Odontoma - Complex Type 118

4.4.3.4 Odontoma - Compound Type 118

4.4.3.5 Odonto-Ameloblastoma 118

4.4.3.6 Calcifying Odontogenic Cyst 119

4.4.4 Odontogenic Tumours - Malignant 119

4.4.4.1 Malignant Ameloblastoma 119

4.4.4.2 Ameloblastic Carcinoma 119

4.4.4.3 Primary Intraosseous Carcinoma 119

4.4.4.4 Clear Cell Odontogenic Carcinoma 120

4.4.4.5 Malignant Epithelial Odontogenic

Ghost Cell Tumour 120

4.4.4.6 Odontogenic Sarcoma 120

4.5 Fibro-Osseous Lesions 121

4.5.1 Fibrous Dysplasia 121

4.5.2 Ossifying Fibroma 121

4.5.3 Osseous Dysplasia 123

4.6 Giant Cell Lesions 124

4.6.1 Central Giant Cell Granuloma 124

4.6.2 Cherubism 124

4.7 Neoplastic Lesions of the Maxillofacial Bones, Non-Odontogenic 125

4.7.1 Osteoma 125

4.7.2 Chordoma 125

4.7.3 Melanotic Neuroectodermal Tumour of Infancy 126

References 126

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