30 Most Common Oral Lesions 9-20

Question 1

give both the clinical and histological diagnosis

Answer 1

clinical diagnosis: epulis fissuratum

histological diagnosis: focal inflammatory fibrous hyperplasia

Question 2

what is the etiology of epulis fissuratum?

Answer 2

single or multiple folds of tissue in the vestibule at the location of a flange of an ill-fitting denture

Question 3

epulis fissuratum is common in what age and gender patient?

Answer 3

middle aged or older adults, F>M

Question 4

what is the treatment for epulis fissuratum?

Answer 4

surgical excision with relining or remaking of the denture

Question 5

Answer 5

lingual varicosities

Question 6

Answer 6

fissured tongue

Question 7

Answer 7

fissured tongue

Question 8

what is the treatment for lingual varicosities?

Answer 8

none

Question 9

what is the treatment for fissured tongue?

Answer 9

brush the tongue

Question 10

fissured tongue is numerous grooves or fissures on the dorsal tongue that are how deep?

Answer 10

2-6mm

Question 11

fissured tongue affects what percent of the population?

Answer 11

2-5%, increases with age

Question 12

what are the potential symptoms of fissured tongue?

Answer 12

mild burning or soreness sometimes, halitosis

Question 13

what is commonly accompanied with fissured tongue?

Answer 13

geographic tongue

Question 14

Answer 14

geographic tongue

Question 15

Answer 15

geographic tongue

Question 16

what are the two other names for geographic tongue?

Answer 16

• erythema areata migrans
• benign migratory glossitis

Question 17

geographic tongue affects what percent of the population? gender prevalence?

Answer 17

1-3%, F:M 2:1

Question 18

what location of the tongue is geographic tongue most common?

Answer 18

dorsal tongue; rarely ventral

Question 19

what are the symptoms of geographic tongue

Answer 19

usually asymptomatic; rare cases of sensitivity to hot or spicy foods

Question 20

what is the treatment for geographic tongue?

Answer 20

none

Question 21

Answer 21

fissured tongue accompanied by geographic tongue

Question 22

Answer 22

geographic tongue

the serpentine border of the lesions on the ventral tongue indicate that this is geographic tongue

Question 23

Answer 23

erythema areata migrans

same thing has geographic tongue or benign migratory glossitis, but it is not located on the tongue

the serpentine border is indicative of this type of lesion

Question 24

Answer 24

inflammatory papillary hyperplasia

aka denture papillomatosis

Question 25

what is another name for inflammatory papillary hyperplasia?

Answer 25

denture papillomatosis

Question 26

what is inflammatory papillary hyperplasia caused by?

Answer 26

wearing a denture for 24 hours a day

Question 27

what percent of patients who wear their dentures 24 hours a day have inflammatory papillary hyperplasia?

Answer 27

20%

Question 28

where does inflammatory papillary hyperplasia occur? what does it look like?

Answer 28

hard palate, pebbly surface

Question 29

what are the symptoms of inflammatory papillary hyperplasia?

Answer 29

asymptomatic

Question 30

what is the treatment for inflammatory papillary hyperplasia?

Answer 30

surgical excision (scalpel, electro-, cryo-, laser-surgery), then reline or remake the denture

Question 31

Answer 31

recurrent intraoral herpes simplex we know this is herpes and not an ulcer because it is on keratinized, bound mucosa

Question 32

Answer 32

recurrent herpes simplex (herpes labialis)

Question 33

recurrent intraoral herpes simplex is almost always on what type of tissue?

Answer 33

keratinized, bound mucosa, like the palate and/or attached gingiva

Question 34

recurrent intraoral herpes simplex lesions because as vesicles of what size?

Answer 34

1-3mm

Question 35

recurrent intraoral herpes simplex heal in what time frame?

Answer 35

7-10 days

Question 36

the initial exposure of herpes is caused by ___ and occurs during what age range?

Answer 36

* acute herpetic gingivostomatitis * 6 months to 5 years of age

Question 37

what are 4 variations of recurrent herpetic infections?

Answer 37

* herpes labialis * intraoral recurrent lesions * herpetic whitlow * herpetic keratoconjunctivitis

Question 38

what are the 4 antiviral medications used for recurrent herpes infections?

Answer 38

* acyclovir 5% ointment (zovirax), 15g tube, apply 6 times a day * acyclovir 200mg capsules, dispense 38 caps: 3 stat, one 5 times a day * famcyclovir (famvir) 125mg tablets, bid for 5 days * pencyclovir 1% (denavir) cream, 2g tube, apply q2h

Question 39

when is the best time to start antiviral treatment for recurrent herpes infections?

Answer 39

during the prodromal stages

Question 40

what is a prophylaxis for recurrent herpes infections?

Answer 40

lysine 500mg 1 tab QD

Question 41

Answer 41

mucocele

Question 42

Answer 42

mucocele

Question 43

Answer 43

mucocele

Question 44

what is a mucocele caused by?

Answer 44

usually due to trauma, causing rupture and spillage of saliva into the soft tissues

Question 45

what patient population are mucoceles most common?

Answer 45

young adults

Question 46

what is the most common location of a mucocele?

Answer 46

lower lip

Question 47

what is the treatment for a mucocele?

Answer 47

surgical excision along with the feeder gland

Question 48

post-trauma location or post-surgical location

Answer 48

scar tissue

Question 49

post-trauma location or post-surgical location

Answer 49

scar tissue

Question 50

scar tissue most commonly occurs in what locations?

Answer 50

any post-trauma or post-sutrical locations

Question 51

what is the treatment for scar tissue?

Answer 51

none

Question 52

Answer 52

angular cheilitis

Question 53

what are 3 things caused by angular cheilitis?

Answer 53

* reduced vertical dimension * salivary pooling * candidiasis

Question 54

what are two treatment options for angular cheilitis?

Answer 54

* antifungals * increase vertical dimension

Question 55

Answer 55

lingual tonsil

Question 56

what is the definition of a lingual tonsil?

Answer 56

lymphoid hyperplasia on the posterior lateral borders oft he tongue, bilateral

Question 57

lingual tonsils are discrete masses that are usually what size? they enlarge and turn what color with infection?

Answer 57

* 1cm * red

Question 58

what is the treatment for lingual tonsils?

Answer 58

none

Question 59

\_\_\_ is the accumulation of blood within the tissues secondary to trauma

Answer 59

hematoma

Question 60

what is the treatment for a hematoma?

Answer 60

none

Question 61

Answer 61

hematoma

Question 62

Answer 62

tobacco pouch

Question 63

what is the definition of a tobacco pouch?

Answer 63

soft, fissured gray-white lesion of the mucosa located in the area of chronic snuff placement

Question 64

what is the histologic appearance of a tobacco pouch based on?

Answer 64

it varies based on duration of use

Question 65

what is the treatment for a tobacco pouch?

Answer 65

cessation of dipping

Question 66

Answer 66

tobacco pouch

Question 67

if tobacco pouch use continues, results may progress from ___ to \_\_\_

Answer 67

dysplasia to verrucous carcinoma

Question 68

Answer 68

verrucous carcinoma