5. Oral Lesions and Anomalies Flashcards
1
Q
What are the two categories of cysts of newborn
A
- Palatal
- Gingival
2
Q
What are the palatal cysts? Gingival cysts?
A
Palatal
- Epstein Pearl
- Bohn’s Nodules
Gingival
-Dental laminal cyst
3
Q
Cysts of newborn are (symptomatic/asymptomatic)
A
asymptomatic
4
Q
Do cysts of newborn increase in size
A
no
5
Q
What is the gender predilection of cysts of the newborn
A
there is none
6
Q
What is the treatment for cysts of the newborn
A
none- shed spontaneously a few weeks after birth
7
Q
Epstein pearls are located where
A
midpalatine raphe
8
Q
Epstein Pearls are remnants of what
A
epithelium
9
Q
Bohn Nodules are found where
A
Buccal and lingual aspects of the alveolar ridges and hard palate (away from midpalatine raphe)
10
Q
Bohn Nodules are remnants of what
A
mucous glands
11
Q
Dental lamina cysts are found where
A
maxillary and mandibular alveolar crests
12
Q
Dental lmaina cysts originate from remnants of
A
dental lamina
13
Q
Palatal cysts of the newborn occur in up to _% neonates? Gingival Cysts?
A
85%…. 50%
14
Q
What is the gender predilection of a congenital epulis of a newborn
A
female 90%
15
Q
What is another name for a congenital epulis of newborn
A
congenital granular cell tumor
16
Q
Congenital granular cell tumor is located where
A
anterior alveolar ridge (maxilla>mandible)
17
Q
When does the growth of the congenital epulis of the newborn stop
A
at birth
18
Q
Congenital granular cell tumor is (malignant/begnin)
A
begnin
19
Q
What is the treatment for the congenital granular cell tumor
A
- Excision
- Can spontaneously regress
- Will not recur even if incompletely removed
20
Q
What is the effect on tooth development from the congenital epulis of newborn
A
none- normal tooth development
21
Q
What conditions predispose to candidal infection
A
- Antibiotics
- Xerostomia
- Steroid use
- Pacifier/palatal coverage
22
Q
Where does candida occur in the mouth
A
- Any mucosal site but most common on
- Buccal mucosa
- Palate
- Tongue
23
Q
Symptoms of candida infection are
A
- White patch easily removed with erythematous patch
- Burning sensation
24
Q
What is neonatal candidiasis
A
contracted during passage through vagina
-First 2 weeks of life
25
Treatment for candida
- Nystatin (pastilles and suspension)
- Clotrimazole (troches and suspension )
- Systemic fluconazole
26
What other diseases are associated with candida infection
- Angular chelitis
| - Median rhomboid glossitis
27
Angular chelitis is located where
commisures of mouth
28
Aggregating factors of angular chelitis are
- Drooling
- Licking lips
- Lip incompetence
29
Angular chelitis is caused by
candida and staphylococci or contact allergy
30
Treatment for angular chelitis
- Lubricate lips
- Antifungal/steroid/antibiotic ointment
- May require systemic anti-fungal
31
Another name for median Rhomboid glossitis is
Central papillary atrophy of tongue
32
Describe the location of median rhomboid glossitis
- dorsum of tongue (posterior) at midline
| - Anterior to circumvallate papillae
33
Clinical presentation of median rhomboid glossitis
- Oval, rhomboid or diamond red patch
| - May have a palatal erythema "kissing lesion"
34
What explains the clinical presentation of central papillary atrophy of the tongue
no filiform papillae
35
Central papillary atrophy of the tongue is more common in (kids/adults)
adults- but is seen in HIV positive kids with high prevalence
36
Symptoms of median rhomboid glossitis
usually asymptomatic
37
Treatment for central papillary atrophy of the tongue
antifungal (topical)
38
What is another name for geographic tongue
Begnin migratory glossitis or erythema migrans
39
Erythema migrans is more often used to describe what kind of disease
Georgraphic tongue with other mucosal site involvement other than the tongue
40
The clincal appearance of geographic tongue is attributed to
loss of filiform papillae
41
What other health issues may be associated with begnin migratory glossitis
- GI disturbances associated with anemia
| - Psychocomatic disorder
42
What is the etiology of geographic tongue
unknown
43
T/F The pattern of begnin migratory glossitis can change
t
44
Geographic tongue is more common in what kind of kids
atopic kids (with allergies)
45
Geographic tongue is more common in (kids/adults)
kids
46
(T/F) Georgraphic tongue can involve other mucosal sites- but often doesn't
t
47
What is the tx for geographic tongue
none
- Symptomatic= topical steroids
- Avoid spicy foods (may cause burning)
48
Fordyces granules are located where
- Retromolar pad
- buccal mucosa
- upper lip vermillion
49
What is the gender predilection for fordyce's granules
males (2nd generation)
50
Fordyces granules are ectopic
sebaceous glands
51
treatment for fordyce's granules
- None necessary
| - Laser for cosmetics
52
Oral lymphoepithelial cyst is located where
- Posterior lateral tongue
- Floor of mouth
- Soft palate
53
Oral lymphoepithelial cyst mimics
abcess (fluctant and may discharge contents)
54
Usually the oral lymphoepithelial cyst is (tender/non-tender)
non-tender
55
Describe the appearance of the oral lymphoepithelial cyst
-Soft
-Pinkish white
0Vascular pattern
56
Treatment for oral lymphoepithelial cyst
excisional biopsy
57
Does the oral lymphoepithelial cyst recur
no
58
The oral lymphoepithelial cyst develops when...
epithelium is entrapped within oral lymphoid tissue undergoes cystic transformation
59
What is morsicatio mucosae oris
chronic biting of the oral mucosa
60
What is a factitial injury
self-inflicted injury (i.e cheek biting)
61
Frictional kerotosis occurs where
Buccal and labial mucosa
| lateral tongue
62
What is the prevalence of cheek biting in adolescent and young adults... these numbers are increased in those that
1-7%... increased in those that attend reform school
63
Contributing factors to cheeck biting are
Emotional, physical and psychological stressors
64
Aggressive frictional keratosis is associated with
edema and erosion
65
Most biting lesions are (uni/bilateral)
bilateral
66
In order for the Dx to be frictional keratosis the lesion must be present where
the mucosa can be contacted by the teeth
67
Tx of frictional keratosis
- stop habit
| - Lubricate area (smooths the roughness to not perpetuate the habit)
68
Diffuse adherent white plaques that mimic frictional keratosis are
- Genetic mucosal diseases (WSN, HBID, Pachonychia congenita)
- Smokeless tobacco
- Chronic allergic stomatitis (cinamon oil)
69
Contact allergic stomatitis is located where
buccal mucosa and lateral boarder or the tongue
70
Contact allergic stomatitis is (tender/non-tender)
tender
71
All the genetic mucosal disease listed have what inheritance pattern
- WSN
- HBID
- PC
autosomal dominant
72
WSN is (symptomatic/asymptomatic)
asymptomatic
73
What is the primary site of WSN involvement
buccal mucosa
74
What distinguishes WSN from frictional keratosis
it is places away from the teeth
75
Tx for WSN
none
76
What destinguishes WSN from HBID
HBID has occlular lesions
77
HBID affects what sorts of individuals
- Mixed white
- American indian
- Black
- Ancestry living in north carolina
78
T/F HBID can cause visual impairment
t
79
Smokeless tobacco lesions develop within _-_ years of use
1-5
80
Oral manifestations of smokeless tobacco include
- perio disease
- caries
- gingival recession
- staining
- tooth sensitivity
- halitosis
81
Linea alba may be associated with
- Biting irritation
- Sucking habit
- leukoedema
82
Clinical appearance of leukoedema
-white wrinkled mucosa that disappears when stretched
83
Location of leukoedema
-Buccal mucosa and soft palate
84
Leukoedema is most prevalent in what race
black
85
Lekoedema is more pronounce in what population
smokers
86
Tx for leukoedema
none
87
Primary herpetic gingivostomatitis is usually seen in what age
1st decade
88
Is primary herpetic gingivostomatitis painful
yes
89
Clinical appearance of primary herpetic gingivostomatitis
- Vessicles and ulcers and diffuse eythema
- Fever and lymphadenopathy
- PAIN
90
Primary herpetic gingivostomatitis resolves after how long
7-10 days
91
What are the complications of primary herpatic gingivostomatitis
-high fever and dehydration
92
What is the treatment for primary herpetic gingivostomatitis
- Antipyretics
- Analgesics
- Palliative oral rinses
- Hydration
- Systemic acyclovir
