Tabela interativa patologia bucal

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Tabela interativa
Lesões do NP1, NP2 e NP3
Lesões do NP1
	
Lesão
	Diagnóstico Diferencial
	
Clínico· Teste de vitalidade: NEGATIVO. 
· Massa de tecido de granulação cronicamente inflamado, no ápice de um dente desvitalizado.
· Área: Periapice.
· Reage defensivamente diante de infecção 
	
Radiográfico· Radiograficamente variável.
· Perda da lâmina dura.
· Em alguns casos, pode haver uma reabsorção radicular 
· Lesões pequenas.
· Radiolucidez periapical.
· Lesão circunscrita 
· Não possui halo radiopaco.
	
Histopatológico· Tecido de granulação inflamado circundando por tecido conjuntivo fibroso.
· Corpúsculos de Russel.
· Sem revestimento epitelial.
· Cristais de colesterol.
· Cél. gigantes multinucleadas.
· Lesão maciça.
· Neutrófilos e plasmócitos 
	
Granuloma Periapical
	 · Cisto periapical
	
	
	
	
Cisto
Periapical
	· Granuloma periapical 
	· Dente NÃO vital.
· Crescimento lento por pressao osmotica.
· Assintomatico.
· Lesoes extensas – tumefaçao e sensibilidade leve.
· Lesao periapical em diversas áreas do periapice.
	· Radiolucidez periapical.
· Reabsorção óssea/radicular.
· Perda da lâmina dura apical.
· Lesão circunscrita.
· Possui halo radiopaco 
· Cisto radicular lateral; cisto periapical; cisto residual.
	· Revestimento - epitélio escamoso estratificado.
· Corpúsculo de russel 
· Cospusculo de Rushton.
· Lúmen preenchido por liquido e células inflamatórias.
· Possui de infiltrado inflamatório 
	
Abscesso Periapical
	· Abcesso Periodontal
	· Dente NÃO vital.
· Vermelhidão.
· Consistência flutuante 
· Acréscimode volume.
· Tabua óssea influencia na drenagem desses abcessos. 
	· Radiolucidez pouco definida 
· Espessamento do ligamento periodontal.
	· Possui células inflamatórias polimorfonucleares.
· Exsudato inflamatório, resíduo celular, material necrótico.
· Histiocitos. 
	
Lesão
	Diagnóstico Diferencial
	
Clínico· Superfície lisa ou lobulada 
· Base séssil ou pediculada e tamanho variável.
· Geralmente - superfície ulcerada.
· Gengiva, língua e mucosa jugal.
· Crescimento sem dor e sangramento a palpação.
· Pode possuir um crescimento rápido.
· Rosa, vermelho e roxo
	
Radiográfico
	
Histopatológico· Proliferação vascular/angiogênese.
· Processo inflamatório crônico.
· Regiões ulceradas.
· Regiões de fibtas colagenas.
	
Granuloma Piogênico
	· Granuloma piogênico 
· Fibroma ossificante periférico 
· Lesão periférica de células gigantes
· Fibroma ossificante periférico
	
· Crescimento lento ou rápido.
· Reabsorção em forma de taça do osso alveolar subjacente.
· Hemorragia abundante.
· Regiões de formação de osso reacional.
· Apenas na gengiva ou mucosa alveolar.
· Somente séssil 
· Vermelho - azulado
· Causas:trauma/falta de higiene.
	· SEM APARÊNCIA RADIOGRÁFICA
	
	
Lesão
Periférica de
C. Gigantes
	
	
	· REABSORÇÃO ÓSSEA EM FORMA DE TAÇA 
	· Proliferação vascular.
· Fibras colágenas.
· Céllulas gigantes multinucleadas.
· Pigmento de hemossiderina.
· Processo inflamatório crônico.
	
Fibroma Ossificante Periférico
	· Granuloma Piogênico 
· Lesão periférica de Células Gigantes
	· Origem: papila interdental.
· Vermelho ao rosa.
· Em gengiva.
· Superfície ulcerada.
· Massa nodular, séssil ou pediculada.
· Lesão reativa por causa da má higiene/biofilme
	
	· Proliferação de fibroblastos em conjunto com à formação de material mineralizado.
· Possui calcificações distróficas.
· Visualizaçãod do material calcificado dentro da lesão
	
Lesão
	Diagnóstico Diferencial
	
Clínico· Em mucosa jugal, mucosa labial, língua e gengiva.
· Nódulo de superfície lisa 
· Coloração rosada.
· Pendiculada ou séssil.
· Relação com trauma de mordida.
	
Radiográfico· SEM APARÊNCIA RADIOGRÁFICA
	
Histopatológico· Hiperplasia de tecido conjuntivo.
· Possui infiltrado inflamatório em caso de ulceração na superfície.
· Epitélio de superfície usualmente possui atrofia.
· Fibrose.
· Pode possuir hiperceratose.
	
Fibroma Traumático
	· Hiperplasia fibrosa Inflamatória
· Mucocele.
	
	
	
	
Hiperplasia Fibrosa Inflamatória
	· Fibroma traumático
	· Nódulo de superfície lisa e coloração rosada semelhante a mucosa.
· Lesão pediculada ou séssil.
· Crescimento lento.
· Consistência firme à palpação.
	· SEM APARÊNCIA RADIOGRÁFICA
	· Hiperplasia de tecido conjuntivo e epitelial.
· Frequente ceratinizaçao 
· Infiltrado inflamatório crônico.
· Papilomatose, acantose.
· Fibrose.
	
Mucocele
	· Fibroma traumático
	· Acréscimo de volume em forma de vesícula/bolha/nódulo.
· Tamanho limitado.
· Arroxeada, azulada, rósea.
· Lesão de base séssil.
· Consistência flutuante.
· Lábio inferior, assoalho de boca, palato, língua.
· Tauma rompendo o ducto da glândula salivar menor.
	· SEM APARÊNCIA RADIOGRÁFICA
	· Tecido epitelial com revestimento.
· Tecido de grabulaçao.
· Fibras colágenas.
· Infiltrado inflamatório agudo 
· Vasos sanguíneos.
· Mucina.
· Macrófagos espumosos.
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	Diagnóstico Diferencial
	
ClínicoTIPO DE MUCOCELE
· Acréscimo de volume em forma de vesícula/bolha/nódulo.
· Tamanho limitado.
· Arroxeada, azulada, rósea.
· Lesão de base séssil.
· Consistência flutuante.
· Lábio inferior, assoalho de boca, palato, língua.
· Tauma rompendo o ducto da glândula salivar menor.
	
Radiográfico
	
Histopatológico· Tecido epitelial com revestimento.
· Tecido de grabulaçao.
· Fibras colágenas.
· Infiltrado inflamatório agudo 
· Vasos sanguíneos.
· Mucina.
· Macrófagos espumosos.
	
Rânula
	· Mucocele.
	
	· SEM APARÊNCIA RADIOGRÁFICA
	
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Lesões do NP2
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Queilite Actínica
	
	
	
	
	
CEC
	
	
	
	
	
Carcinoma Mucoep.
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Carcinoma Adenóide Cístico
	
	
	
	
	
Adenoma
Pleomórfico
	
	
	
	
	
Tumor de Warthin
	
	
	
	
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Lesões do NP3
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Sarcoma de Kaposi
	
	
	
	
	
Cisto
Dentígero
	
	
	
	
	
Cisto de Erupção
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Cisto Residual
	
	
	
	
	
Cisto Periodontal Lateral
	
	
	
	
	
Cisto Ortocerat.
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Cisto Paracerat.
	
	
	
	
	
Cisto
Nasopalatino
	
	
	
	
	
Ameloblast. Unicístico
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Ameloblast. Multicístico
	
	
	
	
	
Tumor
Adenomatóide
	
	
	
	
	
Odontoma
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Mixoma
	
	
	
	
	
Displasia
Fibrosa
	
	
	
	
	
Fibroma Ossificante Central
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Displasia Cemento- óssea
	
	
	
	
	
Lesão
Central de
C. Gigantes
	
	
	
	
	
Tumor Marrom
	
	
	
	
	
Lesão
	Diagnóstico Diferencial
	
Clínico
	
Radiográfico
	
Histopatológico
	
Querubismo
	
	
	
	
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Obrigada!
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