30 most common Flashcards
Definition of Leukoplakia
intraoral white plaque that does not rub off and can’t be described as anything other known entity
5 white lesions that CAN be wiped off
1-materia alba 2-white coated tongue 3-burn 4-Pseudomembranous candidiasis 5-toothpaste or mouthwash overdose
tx for white coated tongue
scrape and brush it
tx for candidiasis
antifungal
how common is leukoedema in blacks?
70-90%
- no tx
- bilateral
What pattern presents in Lichen Planus?
Wickham striae
*not autoimmue disease, but immune mediated
T/F leukoplakias are considered pre-malignant
True
*cut it out and biopsy
what percent of leukoplakia in the floor of mouth is dysplastic?
42.9%
what percent of leukoplakia in the tongue is dysplastic?
24.2%
what percent of leukoplakia in the lip is dysplastic?
24%
what is the best guide to potential progression of oral lesions?
degree of dysplasia
what is the transformation rate of severe dysplasia?
16%
- moderate: 3-15%
- mild: <5%
what percent of people have torus palatinus?
20-35%
*2F:1M C=B
what percent of people have mandibular tori?
7-10%
- men more than women
- 90% bilateral
tx for traumatic ulcer?
steroid injection
what is the most common benign neoplasm of the oral cavity?
Fibroma
*hyperplasia
4 most common places of fibromas
1-buccal mucosa
2-labial mucosa
3-tongue
4-gingiva
what is the tx for a fibroma?
surgical excision
what are fordyce granules?
ectopic sebaceous glands
what percent of the population have fordyce granules?
80%
- buccal mucosa>lips
- no tx
What is a hemangioma?
benign proliferation of blood vessels
*blanches under pressure
hemangioma tx
do nothing, surgery, laser, embolization
*10-12% of children
what percent of the population have recurrent aphthous ulcers
20-25%
*1-2 lesions, .5-1cm
Where are RAU?
non-keratineized, non-bound down mucosa
what is the tx for RAU?
topical steroids
what 3 things do you need to define the type of RAU?
1-location
2-size
3-how many
what are 3 possible causes of RAU?
1-autoimmune
2-stress
3-hypersensitivity
what 4 things does dr. trump rx for RAU?
1-temovate
2-decadron
3-lidex
4-kenalog
what is a papilloma?
benign proliferation of squamous epithelium
- hpv
- Tongue>soft palate
what is the tx for papilloma?
surgical excision
what is the differential (4) for squamous papilloma?
1-verruca vulgarus (wart)
2-Condyloma acuminatum (venereal wart)
3-focal epithelial hyperplasia (heck’s disease)
4-sinonasal papilloma
what is it called when you have focal inflammatory fibrous hyperplasia at the flange of an ill-fitting denture
Epulis Fissuratum
*tx excision, fix denture
what percent of the population have fissured tongue?
2-5%
*tx brush tongue
How common is geographic tongue?
1-3%
*2F>M
2 other names for geographic tongue
1-erythema areata migrans
2-benign migratory glossitis
how common is papillary hyperplasia ?
20% of those who wear dentures 24h/day
Papillary hyperplasia tx
excision then fix denture
*asymptomatic
Where does recurrent herpes simplex happen?
almost always on Keratinized, bound mucosa
when does acute herpetic gingivostomatitis occur?
6 months-5 years
*recurrent: herpes labialis, recurent, whitlow, keratoconjuctivitis
what are the different methods of delivery for antivirals
ointment, capsules, tablets, cream
what is the prophylaxis for labial herpes?
Lysine 500 mg tablets, QD
*Trump hinted for test
what is a mucocele?
rupture and spillage of saliva into tissues
most common location of mucocele?
lower lip
what is the tx for a mucocele?
surgical excision along with the feeder gland
*trump hinted for test
what 3 things cause angular cheilitis?
1-reduced vertical dimension
2-salivary pooling
3-candidiasis
Angular cheilitis tx
antifungals
Accumulation of blood within the tissues secondary to trauma
hematoma
*no tx
is tobacco pouch keratosis precancerous?
yes. If use continues, may progress from dysplasia to verrucous carcinoma
Is chronic cheek chewing more common in men or women?
2F:1M
*Tx none or biteguard
what are the 2 types of lichen planus?
Reticular and erosive
Lichen Planus tx?
steroids
what is the tx for buccal exostoses?
removal only with chronic repeated trauma or pre-prosthetic surgery
When would you take a biopsy of an amalgam tattoo?
to rule out melanoma
Common areas for oral melanotic macule?
lower lip > Buccal mucosa > gingiva
Central papillary atrophy of the tongue is called?
median rhomboid glossitis
*asymptomatic, crosses midline
tx for median rhomboid glossitis
antifungals and brushing
what are 3 causes of smooth red tongue?
1-pernicious anemia
2-medications
3-avitaminosis
*Tx: stop whatever is causing it
skin cysts associated with inflammation of hair follicle
epidermoid cyst
where do oral epidermoid cysts occur?
midline of floor of mouth
Tx of epidermoid cyst
surgical removal
benign fat tumor?
lipoma
where do lipomas occur in the mouth?
order 4
buccal mucosa > tongue > floor of mouth > lips
lipoma tx?
surgical excision
