30 Most common Flashcards
What is leukoplakia
An intraoral white plaque that does not rub off, and can not be identified as any other well known entity
White lesions that can be scrapped off
Materia alba White coated tongue Burns Pseudomembranous candidiasis Toothpaste/mouthwash overdose
Candidiasis Tx
Antifungals
Antifungal Rx
Nystatin Clotrimazole Ketoconazole Fluconazole Itraconazole Amphoterizin B
What are readily identifiable white plaques
Linea alba Leukoedema Nicotine stomatitis Oral hairy leukoplakia Tobacco pouch keratosis Lichen planus (reticular and erosive) Desquamative gingivitis
Desquamative gingivitis Dx
Lichen planus
Lichenoid drug reactions
Pemphigous vulgaris
Pemphigoid
What are possible results for leukoplakia
Hyperkeratosis
Epithelial dysplasia
Carcinoma (Squamous cell)
What distinguishes carcinoma in situ from carcinoma
Invasion of the basement membrane
What is the most common benign neoplasm of the oral cavity
Fibroma
What are the most common sites for a fibroma
Buccal mucosa
Labial mucosa
Tongue
Gingiva
What are Fordyce granules
Ectopic sebaceous glands
Yellowish white papules
Buccal mucosa> lips
What is hemangioma
Benign proliferation of blood vessels.
clinically blanches under pressure
What is the tx for hemangima
Surgery
Laser
Embolization
What syndrome is associated with hemangioma
Sturge-Weber angiomatosis
What is the common location for recurrent aphthous ulcers
Non-keratinized, Non-bound down mucosa
What is the Tx for RAU
Steroids and ABX
Diagnosis of RAU is based on
Location
Size
Number
What are the three classifications of RAU
Herpetiform
Minor
Major
What are the Rx for RAU
Aphthasole Betamethasone Temovate Decadron Kenalog
What is the ideology of RAU
THEORY:
Autoimmune
Hypersensitivity
Stress
What is the most common appearance of a papilloma
Cauliflower
What is a papilloma
Solitary pedunculated wart like benign proliferation of epithelial tissue. (HPV)
tongue>soft palate
What is the tx for a papilloma
Surgical excision.
What disease is associated with papillomas in children
Heck’s disease
What is a clinical description of papilloma
Soft, painless, pedunculated, exophytic with finger-like projections.
.1-1.0 cm
What are four variations of papilloma
Verruca vulgaris (wart)
Condyloma acuminatum (venereal wart) (STD)
Focal epithelial hyperplasia (Hecks disease)
Sinonasal papillomas
What is the tx for epulis fissuratum
Surgical excision with relining or remaking of denture
What is the tx for fissured tongue
brush it
Two other names for geographic tongue
Erythema migrans
benign migratory glossitis
Another name for papillary hyperplasia
denture papillomatosis
What is the tx for papillary hyperplasia
Surgical excision, then reline or remake denture
Herpes viral infection initial in children
Acute herpetic gingivostomatitis
Recurrent herpetic infections
Herpes labialis
Intraoral recurrent lesions
Herpectic willow
Herpetic keratoconjunctivitis
Herpes diagnosis is based on
Serology
Virus isolation
Biopsy
Cytology
Five prescriptions for Herpes
Acyclovir 5% ointment Acyclovir 200mg capsules Famcyclovir 125 mg tablets Pencyclovir 1% cream Lysine 500 mg tablets
What is a clinical description of a mucocele
Clear fluid filled papule
What is the most common location for a mucocele
lower lip
A mucocele at the FOM is called a
Ranula
What is the tx for a mucocele
Surgical excision along with the feeder gland
Scar tissue might appear at
Post trauma locations
Post Surgical locations
Angular cheilitis is caused by
Loss of vertical dimension
Saliva pooling
Candidiasis
What is the tx for angular cheilitis
Increase vertical dimension
Antifungals with steroids to prevent bac infections
What is the name of a really inflamed lingual tonsil
Lymphoid hyperplasia
What is a hematoma
Accumulation of blood within the tissue secondary to trauma.
No tx req.
What is the clinical description for tobacco pouch keratosis
Soft, fissured gray-white lesion of the mucosa.
tobacco pouch keratosis might progress to
Dysplasia to verrucous carcinoma
What is the clinical description of morsicatio buccarum/lingurum/labiorum
Irregular raged white mucosa.
No tx needed or bite guard.
What is lichen planus
chronic mucocutaneous disease.
Skin; Purple, pruritic, poligonal papules.
Oral; Stria of Wickham or erosive
What is the Rx for Lichen planus
Steroids: Aphthasol Betamethasone Temovate Decadron Lidex Medrol
What is the tx for buccal exostoses
Surgical removal only with chronic repeated trauma or pre prosthetic surgery.
Clinical view of an amalgam tattoo might require radiograph or biopsy to rule out
Melanoma
What is the clinical description of an oral melanotic macule
Solitary, well demarcated tan to dark brown macule + size
Oral melanotic macules are more common in and req biopsy to rule out?
Lwr lip> bucal mucosa> gingiva.
Melanoma
What is median rhomboid glossitis
Central papillary atrophy of the tongue.
What is the tx for median rhomboid glossitis
Antifungals and brushing of the tongue.
What is black hairy tongue
Elongation and retention of the filiform papillae
What is the tx for black hairy tongue
tongue scraping or brushing.
What may cause smooth red tongue
Pernicious anemia
Medications
Avitaminosis
What is the tx for smooth red tongue
find the underlying cause and stop it.
What is an epidermoid cyst
skin cyst associated with the inflammation of a hair follicle
What is the tx for an epidermoid cyst
Surgical removal
What is a lipoma
A benign tumor of fat.