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PEDO Midterm (Fall) > 5. Oral Lesions and Anomalies > Flashcards

5. Oral Lesions and Anomalies Flashcards

1
Q

What are the two categories of cysts of newborn

A
  • Palatal

- Gingival

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2
Q

What are the palatal cysts? Gingival cysts?

A

Palatal

  • Epstein Pearl
  • Bohn’s Nodules

Gingival
-Dental laminal cyst

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3
Q

Cysts of newborn are (symptomatic/asymptomatic)

A

asymptomatic

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4
Q

Do cysts of newborn increase in size

A

no

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5
Q

What is the gender predilection of cysts of the newborn

A

there is none

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6
Q

What is the treatment for cysts of the newborn

A

none- shed spontaneously a few weeks after birth

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7
Q

Epstein pearls are located where

A

midpalatine raphe

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8
Q

Epstein Pearls are remnants of what

A

epithelium

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9
Q

Bohn Nodules are found where

A

Buccal and lingual aspects of the alveolar ridges and hard palate (away from midpalatine raphe)

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10
Q

Bohn Nodules are remnants of what

A

mucous glands

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11
Q

Dental lamina cysts are found where

A

maxillary and mandibular alveolar crests

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12
Q

Dental lmaina cysts originate from remnants of

A

dental lamina

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13
Q

Palatal cysts of the newborn occur in up to _% neonates? Gingival Cysts?

A

85%…. 50%

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14
Q

What is the gender predilection of a congenital epulis of a newborn

A

female 90%

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15
Q

What is another name for a congenital epulis of newborn

A

congenital granular cell tumor

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16
Q

Congenital granular cell tumor is located where

A

anterior alveolar ridge (maxilla>mandible)

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17
Q

When does the growth of the congenital epulis of the newborn stop

A

at birth

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18
Q

Congenital granular cell tumor is (malignant/begnin)

A

begnin

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19
Q

What is the treatment for the congenital granular cell tumor

A
  • Excision
  • Can spontaneously regress
  • Will not recur even if incompletely removed
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20
Q

What is the effect on tooth development from the congenital epulis of newborn

A

none- normal tooth development

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21
Q

What conditions predispose to candidal infection

A
  • Antibiotics
  • Xerostomia
  • Steroid use
  • Pacifier/palatal coverage
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22
Q

Where does candida occur in the mouth

A
  • Any mucosal site but most common on
  • Buccal mucosa
  • Palate
  • Tongue
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23
Q

Symptoms of candida infection are

A
  • White patch easily removed with erythematous patch

- Burning sensation

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24
Q

What is neonatal candidiasis

A

contracted during passage through vagina

-First 2 weeks of life

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25
Q

Treatment for candida

A
  • Nystatin (pastilles and suspension)
  • Clotrimazole (troches and suspension )
  • Systemic fluconazole
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26
Q

What other diseases are associated with candida infection

A
  • Angular chelitis

- Median rhomboid glossitis

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27
Q

Angular chelitis is located where

A

commisures of mouth

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28
Q

Aggregating factors of angular chelitis are

A
  • Drooling
  • Licking lips
  • Lip incompetence
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29
Q

Angular chelitis is caused by

A

candida and staphylococci or contact allergy

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30
Q

Treatment for angular chelitis

A
  • Lubricate lips
  • Antifungal/steroid/antibiotic ointment
  • May require systemic anti-fungal
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31
Q

Another name for median Rhomboid glossitis is

A

Central papillary atrophy of tongue

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32
Q

Describe the location of median rhomboid glossitis

A
  • dorsum of tongue (posterior) at midline

- Anterior to circumvallate papillae

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33
Q

Clinical presentation of median rhomboid glossitis

A
  • Oval, rhomboid or diamond red patch

- May have a palatal erythema “kissing lesion”

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34
Q

What explains the clinical presentation of central papillary atrophy of the tongue

A

no filiform papillae

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35
Q

Central papillary atrophy of the tongue is more common in (kids/adults)

A

adults- but is seen in HIV positive kids with high prevalence

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36
Q

Symptoms of median rhomboid glossitis

A

usually asymptomatic

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37
Q

Treatment for central papillary atrophy of the tongue

A

antifungal (topical)

38
Q

What is another name for geographic tongue

A

Begnin migratory glossitis or erythema migrans

39
Q

Erythema migrans is more often used to describe what kind of disease

A

Georgraphic tongue with other mucosal site involvement other than the tongue

40
Q

The clincal appearance of geographic tongue is attributed to

A

loss of filiform papillae

41
Q

What other health issues may be associated with begnin migratory glossitis

A
  • GI disturbances associated with anemia

- Psychocomatic disorder

42
Q

What is the etiology of geographic tongue

A

unknown

43
Q

T/F The pattern of begnin migratory glossitis can change

A

t

44
Q

Geographic tongue is more common in what kind of kids

A

atopic kids (with allergies)

45
Q

Geographic tongue is more common in (kids/adults)

A

kids

46
Q

(T/F) Georgraphic tongue can involve other mucosal sites- but often doesn’t

A

t

47
Q

What is the tx for geographic tongue

A

none

  • Symptomatic= topical steroids
  • Avoid spicy foods (may cause burning)
48
Q

Fordyces granules are located where

A
  • Retromolar pad
  • buccal mucosa
  • upper lip vermillion
49
Q

What is the gender predilection for fordyce’s granules

A

males (2nd generation)

50
Q

Fordyces granules are ectopic

A

sebaceous glands

51
Q

treatment for fordyce’s granules

A
  • None necessary

- Laser for cosmetics

52
Q

Oral lymphoepithelial cyst is located where

A
  • Posterior lateral tongue
  • Floor of mouth
  • Soft palate
53
Q

Oral lymphoepithelial cyst mimics

A

abcess (fluctant and may discharge contents)

54
Q

Usually the oral lymphoepithelial cyst is (tender/non-tender)

A

non-tender

55
Q

Describe the appearance of the oral lymphoepithelial cyst

A

-Soft
-Pinkish white
0Vascular pattern

56
Q

Treatment for oral lymphoepithelial cyst

A

excisional biopsy

57
Q

Does the oral lymphoepithelial cyst recur

A

no

58
Q

The oral lymphoepithelial cyst develops when…

A

epithelium is entrapped within oral lymphoid tissue undergoes cystic transformation

59
Q

What is morsicatio mucosae oris

A

chronic biting of the oral mucosa

60
Q

What is a factitial injury

A

self-inflicted injury (i.e cheek biting)

61
Q

Frictional kerotosis occurs where

A

Buccal and labial mucosa

lateral tongue

62
Q

What is the prevalence of cheek biting in adolescent and young adults… these numbers are increased in those that

A

1-7%… increased in those that attend reform school

63
Q

Contributing factors to cheeck biting are

A

Emotional, physical and psychological stressors

64
Q

Aggressive frictional keratosis is associated with

A

edema and erosion

65
Q

Most biting lesions are (uni/bilateral)

A

bilateral

66
Q

In order for the Dx to be frictional keratosis the lesion must be present where

A

the mucosa can be contacted by the teeth

67
Q

Tx of frictional keratosis

A
  • stop habit

- Lubricate area (smooths the roughness to not perpetuate the habit)

68
Q

Diffuse adherent white plaques that mimic frictional keratosis are

A
  • Genetic mucosal diseases (WSN, HBID, Pachonychia congenita)
  • Smokeless tobacco
  • Chronic allergic stomatitis (cinamon oil)
69
Q

Contact allergic stomatitis is located where

A

buccal mucosa and lateral boarder or the tongue

70
Q

Contact allergic stomatitis is (tender/non-tender)

A

tender

71
Q

All the genetic mucosal disease listed have what inheritance pattern

  • WSN
  • HBID
  • PC
A

autosomal dominant

72
Q

WSN is (symptomatic/asymptomatic)

A

asymptomatic

73
Q

What is the primary site of WSN involvement

A

buccal mucosa

74
Q

What distinguishes WSN from frictional keratosis

A

it is places away from the teeth

75
Q

Tx for WSN

A

none

76
Q

What destinguishes WSN from HBID

A

HBID has occlular lesions

77
Q

HBID affects what sorts of individuals

A
  • Mixed white
  • American indian
  • Black
  • Ancestry living in north carolina
78
Q

T/F HBID can cause visual impairment

A

t

79
Q

Smokeless tobacco lesions develop within - years of use

A

1-5

80
Q

Oral manifestations of smokeless tobacco include

A
  • perio disease
  • caries
  • gingival recession
  • staining
  • tooth sensitivity
  • halitosis
81
Q

Linea alba may be associated with

A
  • Biting irritation
  • Sucking habit
  • leukoedema
82
Q

Clinical appearance of leukoedema

A

-white wrinkled mucosa that disappears when stretched

83
Q

Location of leukoedema

A

-Buccal mucosa and soft palate

84
Q

Leukoedema is most prevalent in what race

A

black

85
Q

Lekoedema is more pronounce in what population

A

smokers

86
Q

Tx for leukoedema

A

none

87
Q

Primary herpetic gingivostomatitis is usually seen in what age

A

1st decade

88
Q

Is primary herpetic gingivostomatitis painful

A

yes

89
Q

Clinical appearance of primary herpetic gingivostomatitis

A
  • Vessicles and ulcers and diffuse eythema
  • Fever and lymphadenopathy
  • PAIN
90
Q

Primary herpetic gingivostomatitis resolves after how long

A

7-10 days

91
Q

What are the complications of primary herpatic gingivostomatitis

A

-high fever and dehydration

92
Q

What is the treatment for primary herpetic gingivostomatitis

A
  • Antipyretics
  • Analgesics
  • Palliative oral rinses
  • Hydration
  • Systemic acyclovir

PEDO Midterm (Fall) (8 decks)

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