5. Paediatric Oral Medicine Flashcards
What is the cause of geographic tongue ?
Idiopathic.
Describe appearance of geographic tongue.
Shiny red areas with loss of filiform papilla surrounded by white margins.
What are the symptoms associated with geographic tongue ?
Discomfort to spicy, citrus, tomatoes.
Describe appearance of fibroepithelial polyp.
Firm, pink lump (pedunculate or sessile) remaining constant size once established.
Where are fibroepithlial polyps commonly found ?
Cheeks along occlusal line.
Lips.
Tongue.
What treatment options are available for fibroepithlial polyp ?
Surgical excision.
What is the cause of a fibroepithlial polyp ?
Trauma.
What are the four types of epulides ?
Fibrous epulis.
Pyogenic granuloma.
Peripheral giant cell granuloma.
Congenital.
Define epulides.
Common solid swelling of oral mucosa - benign hyper plastic lesion.
Describe fibrous epulis.
Pedunculate or sessile.
Firm.
Similar colour to surrounding gingivae.
What is the cause of fibrous epulis ?
Inflammatory cell infiltrate and fibrous tissue.
Describe pyogenic granuloma.
Soft, deep, red/purple swelling.
Ulcerated and haemorrhage.
Recurrence after excision.
Describe peripheral giant cell granuloma.
Pedunculate or sessile.
Dark red and ulcerated.
Interproximally.
Hourglass shape.
What type of epulide is associated with superficial erosion of interdental bone seen in radiograph ?
Peripheral giant cell granuloma.
Where are congenital epulis found commonly in the mouth ?
Anterior maxilla.
What age to patients usually present with congenital epulis ?
Neonates.
Define congenital epulis.
Rare benign lesion - granular cells covered with epithelium.
What two strains of HPV cause verucca vulgaris ?
2 and 4.
What symptom will a patient present with if they have verucca vulgaris ?
Solidary or multiple intra-oral lesions associated with skin warts.
What two strains of HPV cause squamous cell papilloma ?
6 and 11.
Describe squamous cell papilloma.
Solitary small benign pedunculated cauliflower like growth - pink or white.
What are the two variations of mucoceles ?
Mucous extravasation cyst.
Mucous retention cyst.
Define a mucous extravasation cyst.
Normal secretions rupture into adjacent tissue.
Define a mucous retention cyst.
Secretions retained in expanded duct.
Describe a mucocele’s appearance.
Blue.
Soft.
Transparent swelling of major or minor salivary glands.
When should surgery be considered with regard to mucoceles ?
Only if fixed lesion.
Define a ranula.
Mucoceles in floor of the mouth from minor salivary glands or sublingual or submandibular gland ducts.
Why is an MRI or ultrasound required for ranula ?
Exclude plunging ranula extending through FoM into submental or submandibular space.
What is a Bohn’s nodule ?
Gingival cyst caused by remnants of dental lamina.
Where do Bohn’s nodules appear ?
Alveolar ridge.
What are Epstein pearls ? And what are the caused by ?
Small cystic lesions found along palatal midline.
Trapped epithelium on palatal raphe.
