30 Most Common Oral Lesions 21-30

Question 1

Answer 1

morsicatio buccarum

Question 2

Answer 2

morsicatio buccarum

Question 3

Answer 3

morsicatio linguarum

Question 4

Answer 4

morsicatio laborium

Question 5

what is the gender prevalence for chronic cheek biting?

Answer 5

2:1 F:M

Question 6

how does morsicatio buccarum/laborium/linguarum present?

Answer 6

irregular ragged white mucosa

Question 7

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

Answer 7

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

Question 8

bilateral

Answer 8

lichen planus

Question 9

bilateral

Answer 9

lichen planus

Question 10

oral lichen planus must be differentiated from ___ reactions

Answer 10

lichenoid drug reactions

Question 11

what are the two forms of oral lichen planus?

Answer 11

reticular and erosive

Question 12

is this reticular or erosive lichen planus?

Answer 12

reticular (notice the whickam’s striae)

Question 13

is this reticular or erosive lichen planus?

Answer 13

erosive

Question 14

is a biopsy standard procedure for lichen planus?

Answer 14

yes, incisional biopsy

Question 15

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

Answer 15

erosive, typically with a steroid rinse

Question 16

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

Answer 16

middle aged, F:M 3:2

Question 17

what is another name for lichen planus?

Answer 17

chronic mucocutaneous disease

Question 18

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

Answer 18

• purple
• pruritic
• polygonal
• papules

Question 19

bilateral

Answer 19

lichen planus

Question 20

bilateral

Answer 20

lichen planus

Question 21

bilateral

Answer 21

erosive lichen planus

Question 22

what are the treatment medications for oral lichen planus?

Answer 22

• 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

Question 23

Answer 23

buccal exostoses

Question 24

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

Answer 24

buccal exostoses

Question 25

what is the treatment for buccal exostoses?

Answer 25

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

Question 26

Answer 26

amalgam tattoo

Question 27

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

Answer 27

amalgam tattoo

Question 28

how do amalgam tattoos present clinically? radiographically?

Answer 28

* black, blue, or grey in soft tissue tattoos * radiographically, the may be radiopaque

Question 29

what is the treatment for an amalgam tattoo?

Answer 29

* none, however biopsy may be necessary to rule out melanoma * if you find radiographic evidence, you don't need to proceed with the biopsy

Question 30

interproximal radiopacity between 29 and 30; clinically looks bluish grey

Answer 30

amalgam tattoo

Question 31

Answer 31

oral melanotic macule

Question 32

what is another name for an oral melanotic macule?

Answer 32

focal melanosis

Question 33

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

Answer 33

oral melanotic macule

Question 34

what is the gender prevalence for oral melanotic macules?

Answer 34

F:M 2:1

Question 35

what are the common locations for oral melanotic macules?

Answer 35

lower lip \> buccal mucosa \> gingiva

Question 36

what is the treatment for oral melanotic macule?

Answer 36

none, however biopsy may be indicated to rule out melanoma

Question 37

Answer 37

median rhomboid glossitis

Question 38

Answer 38

median rhomboid glossitis

Question 39

what is another name for median rhomboid glossitis?

Answer 39

central papillary atrophy of the tongue

Question 40

\_\_\_ is an asymptomatic erythematous zone in the midline posterior dorsal tongue

Answer 40

median rhomboid glossitis

Question 41

what is the treatment for median rhomboid glossitis?

Answer 41

antifungals and brushing of the tongue

Question 42

Answer 42

black hairy tongue

Question 43

Answer 43

black hairy tongue

Question 44

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

Answer 44

* gagging sensation * bad taste * halitosis * esthetics

Question 45

Answer 45

atrophic glossitis

Question 46

Answer 46

atrophic glossitis

Question 47

what are 3 possible causes of atrophic glossitis?

Answer 47

pernicious anemia, medications, or avitaminosis

Question 48

what are the symptoms of atrophic glossitis?

Answer 48

burning and pain

Question 49

what is the treatment for atrophic glossitis?

Answer 49

find the unerlying cause and stop it

Question 50

Answer 50

epidermoid cyst

Question 51

epidermoid cysts are skin cysts associated with inflammation of \_\_\_

Answer 51

a hair follicle

Question 52

oral epidermoid cysts typically occur in what location?

Answer 52

midline of the floor of the mouth

Question 53

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

Answer 53

false they are slow growing, painless, rubbery masses

Question 54

what is the treatment for an epidermoid cyst?

Answer 54

surgical removal

Question 55

Answer 55

lipoma

Question 56

Answer 56

lipoma

Question 57

\_\_\_ is a benign tumor of fat

Answer 57

lipoma

Question 58

where are skin lipomas usually located?

Answer 58

trunk and proximal portions of the extremities

Question 59

where are oral lipomas usually located?

Answer 59

buccal mucosa \> tongue \> floor of mouth \> lips

Question 60

what is the treatment for a lipoma?

Answer 60

surgical excision