02: Top 30 Lecture (2-10)

Question 1

What are the two types of Tori?

Answer 1

Torus Palatinus

Torus Mandibularis

Question 2

Which type of tori is more common?

Answer 2

Palatine

Question 3

What is true about tori 90% of the time?

Answer 3

They are bilateral

Question 4

What percent of the population get mandibular tori

Answer 4

7-10%: Men more likely

Question 5

What percent of the population get palatine tori

Answer 5

20-35%: Women 2:1 over Men

Question 6

Which racial population has a higher liklihood of developing tori? African Americans or Caucasians?

Answer 6

Neither ….50/50

Question 7

Is there a high cancer risk with Tori?

Answer 7

There is NO cancer risk at all

Question 8

Why is the growth of tori often insidious?

Answer 8

Because they grow over a period of decades

Question 9

When are the only times that tori removal is indicated

Answer 9

At the request of the patient (esthitic, or pain due to ulceration)

Pre-prosthetic surgery before the fabrication of dentures

Question 10

What is the number 3 most common oral lesion?

Answer 10

Inflammation/Irritation

Question 11

What are some common manifestations of oral inflammation lesions

Answer 11

Traumatic ulcers
Parulis
Pericornitis
Perio abcess
ANUG

Question 12

What form of inflammation lesion is known as a gum boil?

Answer 12

Parulis

Question 13

The #4 most common lesion is also the most common benign neoplasm of the oral cavity…

Answer 13

Fibroma

Question 14

List in order, the most likely places in the oral cavity for a fibroma to develop?

Answer 14

Buccal Mucosa
Labial Mucosa
Tongue
Gingiva

Question 15

What is the treatment for a fibroma?

Answer 15

Surgical excision

Question 16

If you took a sagittal section of a fibroma what would its shape be?

Answer 16

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

Question 17

What are a few names for an Irritation fibroma?

Answer 17

Traumatic fibroma
Fibrous nodule
Focal Fibrous Hyperplasia

Question 18

What does an irritation fibroma look like?

Answer 18

Smooth Surface
0.1-2.0 mm tall
Pink, White, or Grey

Question 19

What is the male to female ratio for irritation fibromas

Answer 19

1:2

Question 20

What causes the leaf shaped “flat” variant of the irritation fibroma?

Answer 20

It is flat because it develops underneath a denture….tissue goes back to normal after excision

Question 21

What are the “Fibroma Look A Likes” that are found on the gingiva? (3 P’s + FIFH)

Answer 21

Pyogenic Granuloma
Peripheral Giant Cell Granuloma
Peripheral Ossifying Granuloma
Focal Inflammatory Fibrous Hyperplasia

Question 22

Where are the places most likely to develop a Pyogenic granuloma

Answer 22

Gingiva (75%)

Lips/Tongue/Buccal Mucosa (25%)

Question 23

What lesion is associated with the term Pregnancy Tumor?

Answer 23

Pyogenic granuloma

Question 24

Histologically, what type of tissue is a pyogenic granuloma made up of?

Answer 24

Granulation tissue

Question 25

What is the treatment for a pyogenic granuloma

Answer 25

Conservative excision + Scaling and RP

Question 26

What is the most likely demo to develop a Giant Cell Granuloma?

Answer 26

Women ages 31-41

Question 27

How does the color of a Giant Cell Granuloma compare to a Pyogenic Granuloma?

Answer 27

Giant cell = Bluish Purple | Pyogenic = Red

Question 28

What causes a Giant Cell Granuloma?

Answer 28

Trauma to the alveolus

Question 29

What is the histology of the Giant Cell Carcinoma

Answer 29

Multinucleated cells with a vascular background

Question 30

What is the treatment of for a Giant Cell Carcinoma

Answer 30

Excision down to bone + Scale and RP

Question 31

In some cases, this lesion can be describes as a maturing pyogenic or giant cell granuloma with dystrophic calcifications

Answer 31

Peripheral Ossifying Fibroma

Question 32

What is the most likely age of a patient with a Peripheral Ossifying Fibroma

Answer 32

10-19 (67% Girls) --> (this is a stretch) periphera-1 0-ssifying F(emale)ibroma- ie. 10 y.o. Females.

Question 33

What is the histology of a Peripheral Ossifying Fibroma?

Answer 33

Bone within fibrous CT

Question 34

What is the cellular cause of a Focal Inflammatory Fibrous Hyperplasia

Answer 34

An increase of fibrocytes and collagen production in response to irritation

Question 35

What are Fordyce's Granules

Answer 35

Ectopic sebaceous glands

Question 36

What % of the population has Fordyce's Granules

Answer 36

80%

Question 37

What is the visual description of Fordyce's Granules?

Answer 37

Yellowish White Papules

Question 38

Where are the two most likely locations to develop Fordyce's Granules?

Answer 38

Buccal Mucose > Lips

Question 39

What is the treatment for Fordyce's Granules?

Answer 39

There is no treatment

Question 40

When do Fordyce's Granules start?

Answer 40

In childhood and they stick around through adulthood

Question 41

How could you describe the number 6 most common lesion....Hemangioma?

Answer 41

A benign proliferation of blood vessels

Question 42

What percent of kids have a hemangioma?

Answer 42

10-12%

Question 43

How can palpating the lesion help diagnose a hemangioma?

Answer 43

It blanches

Question 44

What is the treatment for a hemangioma?

Answer 44

Laser Embolization Surgery

Question 45

What percent of Hemangiomas are in the head and neck region?

Answer 45

60%

Question 46

What causes the color of the hemangiomas (Red v. Blue)

Answer 46

Arterial vs Venule

Question 47

What is the male to female ration for hemangiomas?

Answer 47

3:1

Question 48

What are common variations of hemangiomas?

Answer 48

AV Shunts Sturge Weber Angiomatosis Intrabony

Question 49

What is the number 7 lesion?

Answer 49

Recurrent Aphthous Ulcerations

Question 50

What percent of the population is affected by Recurrent Aphthous Ulcerations?

Answer 50

20-25%

Question 51

How are the lesions grouped (apthous ulcers)?

Answer 51

1-2 lesion | 0.5-1.0 cm in diameter

Question 52

What is the treatment for Recurrent Aphthous Ulcerations

Answer 52

Steroids + Antibiotics

Question 53

How would you describe the tissue of a recurrent aphthous ulceration?

Answer 53

Non-keratinized | Non-bound Mucosa

Question 54

What causes recurrent aphthous ulcerations?

Answer 54

Unknown???

Question 55

What is the key to diagnosing Recurring Aphthous Ulcerations

Answer 55

Location + Size + Number of Lesions

Question 56

What are 3 complications of RAU?

Answer 56

Major (scarring) Herpetiform (look like herpes) Bechet's (in crotch, eye, and mouth).

Question 57

What are some of the theories behind the etiology of RAU?

Answer 57

Autoimmune Stress Hypersensitivity

Question 58

What is a good description of the Number 8 Lesion, papillomas?

Answer 58

A benign proliferation of squamos epithelium that is solitary, pedunculated, and wart like

Question 59

What is the treatment for a papilloma

Answer 59

surgical excision

Question 60

What vegetable does a papilloma resemble

Answer 60

cauliflower

Question 61

Are papillomas painful?

Answer 61

No

Question 62

How big across are papillomas?

Answer 62

0.1-1.0 cm

Question 63

What are some variations of papillomas?

Answer 63

Warts Venereal Warts Focal Epithelial Hyperplasia (Heck's Disease) Sinonasal Papillomas

Question 64

What is the number 9 Lesion

Answer 64

Epulis fissuratum

Question 65

Where is an epularis fissuratum going to be found?

Answer 65

At the flange of an ill fitting denture

Question 66

What is the demographic that typically develops epularis fissuratum?

Answer 66

Middle aged or older adults, women more often than men

Question 67

Is there a cancer risk associated with epularis fissuratum?

Answer 67

No

Question 68

These abnormally dilated and tortuous veins are the the number 10 lesion on the top 30 list

Answer 68

Varicosities

Question 69

What disease is associated with varicosities?

Answer 69

None, strictly age related