Appendix 1- pictures: colors of oral path Flashcards

normal color
excessively WHITE lesions are secondary to what 3 things

- A thickening of the epithelial covering: Hyperkeratosis, Acanthosis, Dysplasia, Carcinoma.
- An decreased vascularity: Anemia
- An increased collagen content of the subepithelial tissue: Submucous Fibrosis
Excessively RED lesions are secondary to what 3 tings

- A thinning of the epithelial covering.
- An increased vascularity
- A dissolution of the collagen content of the subepithelial tissue.
excessively BLUE lesions are secondary to

Venous blood collection as opposed to the red of arterial blood collection.
excessively BLACK lesions are secondary to what 2 tings

1) melanin
2) heavy metals: amalgam, iron, bismuth
excessively BROWN lesions are secondary to

Hemosiderin: a yellowish brown granular pigment formed by breakdown of hemoglobin, found in phagocytes and in tissues especially in disturbances of iron metabolism (hemochromatosis, hemosiderosis) and composed essentially of colloidal ferric oxide
Excessively YELLOW lesions are secondary to what 3 things

Adipose tissue as noted in the soft palate with submucosal fat or in a lipoma.
Sebaceous material (skin oil) as noted in Fordyce granules.
Pus as it is a collection of necrotic material, PMNs, and lymphocytes.
most common colors found abnormally in the oral cavity
Most Common: WHITE
2nd Most Common: RED
3rd Most Common: BLACK
4th Most Common: BLUE
5th Most Common: YELLOW

- Materia Alba
- White coated tongue
- Burn (thermal, chemical, cotton roll, etc.)
- Toothpaste or mouthwash overdose
- Pseudomembranous candidiasis

leukoplakia
tx: bx
name it and treat it

materia alba (soft tissue plaque/calculus)
tx: proper oral hygiene
name it and treat it

white coated tongue
tx: tongue scraping/brushing
5 white lesions that CAN be scraped, rubbed, or pulled off
1) Materia Alba
2) White coated tongue
3) Burn (thermal, chemical, cotton roll, etc.)
4) Toothpaste or mouthwash overdose
5) Pseudomembranous candidiasis
name it and treat it

Aspirin burn
Tx: discontinuance of A.S.A. application.
name it and treat it

Aspirin burn
Tx: discontinuance of A.S.A. application.
name it

pizza burn

cotton role burn
name/treat

pseudomembranous candidiasis
tx: antifungals
name/treat

pseudomembranous candidiasis/trush
tx: antifungals
name/treat

pseudomembranous candidiasis - burning itching mouth
tx: antifungals
name/treat

pseudomembranous candidiasis on top of AML
tx: antifungals
dx histo for…

Candidiasis
hyphae @ 90 degrees
other ways to dx candidiasis: Culture- sabouraud’s media, Cytology smear, bx
8 WHITE plaques that do NOT rub off and their Tx’s
- LEUKOPLAKIA: Biopsy
- LINEA ALBA: None
- LEUKOEDEMA: None
- CHRONIC CHEEK CHEWING: Bite guard
- NICOTINE STOMATITIS: D/C 6.ORAL HAIRY LEUKOPLAKIA: Treat AIDS
- TOBACCO POUCH KERATOSIS: D/C
- LICHEN PLANUS: Steroids
name it and tx

Leukoplakia - hyperkeratosis
tx: bx
name/tx

leukoplakia- dysplasia
tx: bx
name/tx

leukoplakia- carcinoma in situ
tx: bx
name/tx

leukoplakia- SCC
tx: bx
name/tx

linea alba
tx: none
name/tx

leukoedema
tx: none
name/tx

leukoedema
tx: none
name/tx

linea alba + cheek chewing
tx: none
name/tx

CHRONIC CHEEK BITING
Morsicatio buccarum, labiorum, linguarum
Treatment: none or bite guard
name/tx

CHRONIC CHEEK BITING
Morsicatio buccarum, labiorum, linguarum
Treatment: none or bite guard
name/tx

nicotine stomatitis
tx: stop smoking
name/tx

nicotine stomatitis
tx: stop smoking
name/tx

ORAL HAIRY LEUKOPLAKIA
Tx underlying AIDS
name/tx

ORAL HAIRY LEUKOPLAKIA
Tx underlying AIDS
name/tx

tobacco pouch keratosis
tx: stop dipping
name

TOBACCO POUCH KERATOSIS can progress to VERRUCOUS CARCINOMA
name/tx

Lichen planus
tx: systemic steroids
4Ps for skin LP: pruritic, purple, polygonal, papules
name/tx

Lichen planus
tx: systemic steroids
name/tx

Lichen planus
tx: systemic steroids
left: reticular
right: erosive
name/tx

Lichen planus- oral
tx: systemic steroids
name/tx

Lichen planus
tx: systemic steroids
name 5 Red AND White Lesions
- TRAUMATIC ULCER
- PERICORNITIS
- ACUTE NECROTIZING ULCERATIVE GINGIVITIS (ANUG)
- RECURRENT APHTHOUS ULCERS
- GEOGRAPHIC TONGUE
name/tx

traumatic ulcer
tx: none
name/tx

Pericoronitis
Tx: none/remove tooth
name/tx

ANUG
tx: SRP, Abs, OHI
name/tx

RAU: inflammatory ulcer
Tx: Steroids & Antibiotics
name/tx

RAU
tx: steroids + Abs
Location + Size + Number = Diagnosis of R.A.U.
name/tx

Geographic tongue
tx: none
name/tx

Geographic tongue
tx: none
name/tx

Geographic tongue
tx: none

- ERYTHEMATOUS CANDIDIASIS
- ANGULAR CHEILITIS
- LINGUAL TONSIL
- HEMANGIOMA
- ERYTHROPLAKIA

- White Pseudomembranous
- Red Erythematous
- Central Papillary Atrophy of tongue
- Angular Cheilitis
- Denture Stomatitis
- Mucocutaneous
name/tx

Candidiasis
tx: antifungals
name/tx

ANGULAR CHEILITIS
Treatment: antifungals, increase the vertical dimension
name/tx

ANGULAR CHEILITIS
Treatment: antifungals, increase the vertical dimension

ANGULAR CHEILITIS
Treatment: antifungals, increase the vertical dimension

LINGUAL TONSIL: Lymphoid Hyperplasia: Reactive Lymphoid Aggregate
Treatment: none

HEMANGIOMA
Treatment - surgery, laser, embolization

HEMANGIOMA- Sturge Weber
Treatment - surgery, laser, embolization

hemangioma

erythroplakia
tx: excision

- RACIAL PIGMENTATION
- AMALGAM TATTOO
- ORAL MELANOTIC MACULE
- NEVUS
- MELANOMA
- BLACK HAIRY TONGUE