5. Paediatric Oral Medicine

Question 1

What is the cause of geographic tongue ?

Answer 1

Idiopathic.

Question 2

Describe appearance of geographic tongue.

Answer 2

Shiny red areas with loss of filiform papilla surrounded by white margins.

Question 3

What are the symptoms associated with geographic tongue ?

Answer 3

Discomfort to spicy, citrus, tomatoes.

Question 4

Describe appearance of fibroepithelial polyp.

Answer 4

Firm, pink lump (pedunculate or sessile) remaining constant size once established.

Question 5

Where are fibroepithlial polyps commonly found ?

Answer 5

Cheeks along occlusal line.
Lips.
Tongue.

Question 6

What treatment options are available for fibroepithlial polyp ?

Answer 6

Surgical excision.

Question 7

What is the cause of a fibroepithlial polyp ?

Answer 7

Trauma.

Question 8

What are the four types of epulides ?

Answer 8

Fibrous epulis.
Pyogenic granuloma.
Peripheral giant cell granuloma.
Congenital.

Question 9

Define epulides.

Answer 9

Common solid swelling of oral mucosa - benign hyper plastic lesion.

Question 10

Describe fibrous epulis.

Answer 10

Pedunculate or sessile.
Firm.
Similar colour to surrounding gingivae.

Question 11

What is the cause of fibrous epulis ?

Answer 11

Inflammatory cell infiltrate and fibrous tissue.

Question 12

Describe pyogenic granuloma.

Answer 12

Soft, deep, red/purple swelling.
Ulcerated and haemorrhage.
Recurrence after excision.

Question 13

Describe peripheral giant cell granuloma.

Answer 13

Pedunculate or sessile.
Dark red and ulcerated.
Interproximally.
Hourglass shape.

Question 14

What type of epulide is associated with superficial erosion of interdental bone seen in radiograph ?

Answer 14

Peripheral giant cell granuloma.

Question 15

Where are congenital epulis found commonly in the mouth ?

Answer 15

Anterior maxilla.

Question 16

What age to patients usually present with congenital epulis ?

Answer 16

Neonates.

Question 17

Define congenital epulis.

Answer 17

Rare benign lesion - granular cells covered with epithelium.

Question 18

What two strains of HPV cause verucca vulgaris ?

Answer 18

2 and 4.

Question 19

What symptom will a patient present with if they have verucca vulgaris ?

Answer 19

Solidary or multiple intra-oral lesions associated with skin warts.

Question 20

What two strains of HPV cause squamous cell papilloma ?

Answer 20

6 and 11.

Question 21

Describe squamous cell papilloma.

Answer 21

Solitary small benign pedunculated cauliflower like growth - pink or white.

Question 22

What are the two variations of mucoceles ?

Answer 22

Mucous extravasation cyst.
Mucous retention cyst.

Question 23

Define a mucous extravasation cyst.

Answer 23

Normal secretions rupture into adjacent tissue.

Question 24

Define a mucous retention cyst.

Answer 24

Secretions retained in expanded duct.

Question 25

Describe a mucocele’s appearance.

Answer 25

Blue.
Soft.
Transparent swelling of major or minor salivary glands.

Question 26

When should surgery be considered with regard to mucoceles ?

Answer 26

Only if fixed lesion.

Question 27

Define a ranula.

Answer 27

Mucoceles in floor of the mouth from minor salivary glands or sublingual or submandibular gland ducts.

Question 28

Why is an MRI or ultrasound required for ranula ?

Answer 28

Exclude plunging ranula extending through FoM into submental or submandibular space.

Question 29

What is a Bohn’s nodule ?

Answer 29

Gingival cyst caused by remnants of dental lamina.

Question 30

Where do Bohn’s nodules appear ?

Answer 30

Alveolar ridge.

Question 31

What are Epstein pearls ? And what are the caused by ?

Answer 31

Small cystic lesions found along palatal midline.
Trapped epithelium on palatal raphe.