02: Top 30 Lecture (2-10) Flashcards
What are the two types of Tori?
Torus Palatinus
Torus Mandibularis
Which type of tori is more common?
Palatine
What is true about tori 90% of the time?
They are bilateral
What percent of the population get mandibular tori
7-10%: Men more likely
What percent of the population get palatine tori
20-35%: Women 2:1 over Men
Which racial population has a higher liklihood of developing tori? African Americans or Caucasians?
Neither ….50/50
Is there a high cancer risk with Tori?
There is NO cancer risk at all
Why is the growth of tori often insidious?
Because they grow over a period of decades
When are the only times that tori removal is indicated
At the request of the patient (esthitic, or pain due to ulceration)
Pre-prosthetic surgery before the fabrication of dentures
What is the number 3 most common oral lesion?
Inflammation/Irritation
What are some common manifestations of oral inflammation lesions
Traumatic ulcers Parulis Pericornitis Perio abcess ANUG
What form of inflammation lesion is known as a gum boil?
Parulis
The #4 most common lesion is also the most common benign neoplasm of the oral cavity…
Fibroma
List in order, the most likely places in the oral cavity for a fibroma to develop?
Buccal Mucosa
Labial Mucosa
Tongue
Gingiva
What is the treatment for a fibroma?
Surgical excision
If you took a sagittal section of a fibroma what would its shape be?
It would look like a tree (as a 3 year old would draw one) with a narrow trunk at the base (peduncalated) and a larger circular globed structure on top
What are a few names for an Irritation fibroma?
Traumatic fibroma
Fibrous nodule
Focal Fibrous Hyperplasia
What does an irritation fibroma look like?
Smooth Surface
0.1-2.0 mm tall
Pink, White, or Grey
What is the male to female ratio for irritation fibromas
1:2
What causes the leaf shaped “flat” variant of the irritation fibroma?
It is flat because it develops underneath a denture….tissue goes back to normal after excision
What are the “Fibroma Look A Likes” that are found on the gingiva? (3 P’s + FIFH)
Pyogenic Granuloma
Peripheral Giant Cell Granuloma
Peripheral Ossifying Granuloma
Focal Inflammatory Fibrous Hyperplasia
Where are the places most likely to develop a Pyogenic granuloma
Gingiva (75%)
Lips/Tongue/Buccal Mucosa (25%)
What lesion is associated with the term Pregnancy Tumor?
Pyogenic granuloma
Histologically, what type of tissue is a pyogenic granuloma made up of?
Granulation tissue
What is the treatment for a pyogenic granuloma
Conservative excision + Scaling and RP
What is the most likely demo to develop a Giant Cell Granuloma?
Women ages 31-41
How does the color of a Giant Cell Granuloma compare to a Pyogenic Granuloma?
Giant cell = Bluish Purple
Pyogenic = Red