Special Cases

Odontogenic Cysts

  • Central benign lesions of the arches, that could show a probable metaplastic change or show complications with ameloblastomatous / SCC transformation in the lining tissue.

  • Careful treatment planning necessary to avoid recurrences and untoward morbidity.

Odontogenic Tumors

  • Commonly seen as central entities in the mandibular posterior region followed by the maxillary arch, with rare peripheral variants.

  • With frequent recurrences and possibility of dedifferentiation in pre-existing benign variety, a careful detailing and follow up is mandatory.

Potentially Malignant Disorders

  • Previously popular as premalignant lesions and conditions, only a fractional percentage of these show malignant changes.

  • Variable host factors ( genetics, habits, nutritional status, immunity, trauma etc. ) as well as environmental factors govern the course of these disorders.

Oral Cancer

  • Being at the third position in the list of cancers as per WHO screening data, it is the top most concern in the South-east Asian population.

  • Interplay of numerous factors puts this as an entity with variable outcome in terms of survival rate, recurrence and metastasis .

Immunohistochemical (IHC) marker

  • In a field where we see overlap of numerous histopathological features between lesions, histomorphic variations and subtypes within the same lesion and many grey areas, IHC plays a critical role in giving accurate diagnosis.

  • A well scripted IHC panel marking provides useful information that helps with judging the future course of disease and also aids prognostication.