30 most common oral diseases Flashcards
1
Q
1 Leukoplakia
A
- an intraoral white plaque that does not rub off and can not be identified as any well known entity
- if can be rubbed off, it is not leukoplakia
- if it is easily recognizable as a well known entity, it is not leukoplakia
2
Q
White Lesions that can be scrapped off:
A
- materia alba
- white coated tongue
- burn (thermal, chemical, cotton roll, aspirin)
- Pseudomembranous candidiasis
- toothpaste or mouthwash overdosse
3
Q
materia alba
A
basically it’s plaque on the gingiva
4
Q
white coated tongue
A
- asymptomatic
- treatment is tongue scraping or brushing
5
Q
Thermal or electrical burn
A
most common oral burn is secondary to microwaved food (pizza, hotpockets, etc)
6
Q
aspirin burn
A
- chemical coagulation necrosis
- treatment is discontinue use of aspirin
- similar lesions can be produced by: H2O2, silver nitrate, phenol, and certain endodontic materials
7
Q
Candidiasis
A
- fungal organism: candida albicans
- older name: moniliasis
- 2 forms: spore vs. hyphae
- endogenous in 30-50% of population
- predisposing factors: immune status including medications (steroids, antibiotics) and dentures
8
Q
Diagnosis: candidiasis
A
- clinical findings
- culture (sabouraud’s media)
- cytology (smear)
- biopsy
9
Q
other forms and presentations of candidiasis
A
- white pseudomembranous
- red erythematous
- central papillary atrophy of tongue
- angular chelitis
- denture stomatitis
- mucocutaneous
- thrush (children)
10
Q
other name for central papillary atrophy of tongue
A
median rhomboid glossitis
11
Q
treatment for Candidiasis
A
antifungal
- Nystatin (mycostatin)
- Clotrimazole (mycelex)
- Ketoconazole (Nizoral)
- Fluconazole (Diflucan)
- Itraconazole (sporanox)
- Amphotericin B (Fungizone)
- which carrier vehicle is best since it is delivered as suspensions, troches, tablets, capsules, ointments, and creams
12
Q
leukoplakia- histology
A
Histologically may show benign hyperkeratosis, epithelial dysplasia, or invasive squamous cell carcinoma
