30 most common Flashcards
what is a leukoplakia?
an intraoral white plaque that does not rub off and can not be identified as any well known entity
what are 5 white lesions that can be rubbed off?
Materia alba white coated tongue Burn Pseudomembranous candidiasis toothpaste or mouthwash overdose
what patient’s typically have materia alba?
patients with xerostomia or drug users
what is the treatment for white coated tongue?
it is asymptomatic
tx: tongue scraping or brushing
Describe leukoedema
bilaterally present in 70-90% of blacks
Diffuse, grayish, white milky opalescent appearance
no tx necessary
describe nicotine stomatitis
looks like dry mud with red dots
what virus is oral hairy leukoplakia causes by?
EBV in immunosuppressed patients
What is lichen planus and what is characteristic about it’s histology?
immune rxn resulting in whickham stria
histology: sawtooth shaped rete pegs
what are the different types of leukoplakia?
hyperkeratosis
dysplasia (mild, moderate, severe and
carinoma-in-situ)
what are the three most common sites for leukoplakia?
floor of mouth
tongue
lip
severe dysplasia results in malignant transformation what percent of the time?
16% (7-50%)
moderate dysplasia results in malignant transformation what percent of the time?
3-15%
mild dysplasia results in malignant transformation what percent of the time?
less than 5%
what percent of the population have torus palatinus?
20-35%
2:1 F:M
What percent of the population have torus mandibularis?
7-10%
M>F
90% bilateral
when do we remove tori?
for dentures
if they cause pain
if patient wants them out
what does TUGSE stand for? and what is the tx
Traumatic Ulceration with Granular stromal eosinophilia
-cut it out or steroid injection with kenalog
Kenalog-10 has how many mg per mL?
10mg/mL
Kenalog-40 has how many mg per mL?
40mg/mL
how many mg per cm of lesion?
10mg per 1cm lesion
what is a piece of gingiva that overlays a tooth?
operculum
what is pericornitis?
inflamed gingiva surrounding an erupting tooth
list four common inflammation or irritations we see in the mouth?
Traumatic ulcer
pericornitits
periodontal abscess
ANUG
what is the most common benign neoplasm of the oral cavity?
Fibroma
what are the common locations for fibromas?
buccal mucosa (most common)
labial mucosa
tongue
gingiva (least common)
what is tx for fibromas?
surgical excision
are fibromas sessile or pedunculated?
sessile
what are fordyce’s granules?
ectopic sebacous glands
what percent of the population have fordyce’s granules?
80%
what do fordyce granules look like and where do they occur and what is the treatment?
yellowish white papules
buccal mucosa more than lips
no treatment
what is a hemangioma?
benign proliferation of blood vessels
what is dioscopy and what is it used for?
pressure on an area used to dx hemangiomas
what is tx for hemangiomas?
surgery, laser, embolization, sclerotherapy
where do recurrent aphthous ulcerations occur?
non-keratinized tissue, non-bound down mucosa
tx: topical steroids
what three things are need to diagnosis RAUs
location
size
number or lesions
what do papaillomas look like?
finger like projections
solitary pedunculated wart-like on the (tongue> soft palate)
what HPV causes papillomas?
6 and 11
what are the four types of papillomas?
verruca vulgaris (wart)
condyloma acuminatum (venereal wart)
Focal Epithelial Hyperplasia (Heck’s disease)
Sinonasal papillomas
