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Oral Medicine > 30 Most Common Oral Lesions 21-30 > Flashcards

30 Most Common Oral Lesions 21-30 Flashcards

1
Q
A

morsicatio buccarum

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2
Q
A

morsicatio buccarum

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3
Q
A

morsicatio linguarum

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4
Q
A

morsicatio laborium

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5
Q

what is the gender prevalence for chronic cheek biting?

A

2:1 F:M

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6
Q

how does morsicatio buccarum/laborium/linguarum present?

A

irregular ragged white mucosa

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7
Q

what is the treatment for morsicatio buccarum/linguarum/labiorum?

A

none, or you can make a bite guard for the patient

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8
Q

bilateral

A

lichen planus

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9
Q

bilateral

A

lichen planus

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10
Q

oral lichen planus must be differentiated from ___ reactions

A

lichenoid drug reactions

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11
Q

what are the two forms of oral lichen planus?

A

reticular and erosive

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12
Q

is this reticular or erosive lichen planus?

A

reticular (notice the whickam’s striae)

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13
Q

is this reticular or erosive lichen planus?

A

erosive

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14
Q

is a biopsy standard procedure for lichen planus?

A

yes, incisional biopsy

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15
Q

of erosive vs reticular lichen planus, which one do you treat? how do you treat it?

A

erosive, typically with a steroid rinse

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16
Q

what is the average age and gender prevalence for lichen planus?

A

middle aged, F:M 3:2

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17
Q

what is another name for lichen planus?

A

chronic mucocutaneous disease

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18
Q

what are the 4 P’s of lichen planus lesions?

A
  • purple
  • pruritic
  • polygonal
  • papules
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19
Q

bilateral

A

lichen planus

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20
Q

bilateral

A

lichen planus

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21
Q

bilateral

A

erosive lichen planus

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22
Q

what are the treatment medications for oral lichen planus?

A
  • aphthasol 5%, 5gm tube, apply to ulcer
  • betamethasone (celestone) syrup, dispense 8oz, 1tsp qid, gargle and expectorate
  • temovate 0.05% ointment, 15 or 30gm tube
  • decadron elixir 0.5mg/5ml, rinse and expectorate
  • lidex 0.05% ointment or gel
  • medrol dose pack
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23
Q
A

buccal exostoses

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24
Q

___ are bony protuberances on the buccal of the mandible and/or maxilla

A

buccal exostoses

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25
Q

what is the treatment for buccal exostoses?

A

removal only with chronic repeated trauma or preprosthetic surgery (or in rare cases, esthetics)

26
Q
A

amalgam tattoo

27
Q

___ is the implantation of dental amalgam into oral soft or hard tissue

A

amalgam tattoo

28
Q

how do amalgam tattoos present clinically? radiographically?

A
  • black, blue, or grey in soft tissue tattoos
  • radiographically, the may be radiopaque
29
Q

what is the treatment for an amalgam tattoo?

A
  • none, however biopsy may be necessary to rule out melanoma
  • if you find radiographic evidence, you don’t need to proceed with the biopsy
30
Q

interproximal radiopacity between 29 and 30; clinically looks bluish grey

A

amalgam tattoo

31
Q
A

oral melanotic macule

32
Q

what is another name for an oral melanotic macule?

A

focal melanosis

33
Q

___ is a solitary, well-demarcated tan to dark brown macule, 1-7mm

A

oral melanotic macule

34
Q

what is the gender prevalence for oral melanotic macules?

35
Q

what are the common locations for oral melanotic macules?

A

lower lip > buccal mucosa > gingiva

36
Q

what is the treatment for oral melanotic macule?

A

none, however biopsy may be indicated to rule out melanoma

37
Q
A

median rhomboid glossitis

38
Q
A

median rhomboid glossitis

39
Q

what is another name for median rhomboid glossitis?

A

central papillary atrophy of the tongue

40
Q

___ is an asymptomatic erythematous zone in the midline posterior dorsal tongue

A

median rhomboid glossitis

41
Q

what is the treatment for median rhomboid glossitis?

A

antifungals and brushing of the tongue

42
Q
A

black hairy tongue

43
Q
A

black hairy tongue

44
Q

black hairy tongue is usually asymptomatic, but occasionally, patients complain of what 4 possible symptoms?

A
  • gagging sensation
  • bad taste
  • halitosis
  • esthetics
45
Q
A

atrophic glossitis

46
Q
A

atrophic glossitis

47
Q

what are 3 possible causes of atrophic glossitis?

A

pernicious anemia, medications, or avitaminosis

48
Q

what are the symptoms of atrophic glossitis?

A

burning and pain

49
Q

what is the treatment for atrophic glossitis?

A

find the unerlying cause and stop it

50
Q
A

epidermoid cyst

51
Q

epidermoid cysts are skin cysts associated with inflammation of ___

A

a hair follicle

52
Q

oral epidermoid cysts typically occur in what location?

A

midline of the floor of the mouth

53
Q

T or F:
epidermoid cysts are fast growing, painful, squishy masses

A

false

they are slow growing, painless, rubbery masses

54
Q

what is the treatment for an epidermoid cyst?

A

surgical removal

55
Q
56
Q
57
Q

___ is a benign tumor of fat

58
Q

where are skin lipomas usually located?

A

trunk and proximal portions of the extremities

59
Q

where are oral lipomas usually located?

A

buccal mucosa > tongue > floor of mouth > lips

60
Q

what is the treatment for a lipoma?

A

surgical excision

Oral Medicine (10 decks)

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