Appendix 2 Flashcards
Papilloma
Cause:
- HPV- types 6,11
Clinical Appearance:
- pedunculated (cauliflower stalked)
- exophytic
- white, red, mucosal colored
- enlarges to 5mm
- tongue, lips, and soft palate
Treatment:
- conservative surgical excision
Inflammatory Papillary Hyperplasia
Cause:
- ill-fitting denture
- poor denture hygiene
- wearing denture 24 hr/day
Clinical Appearance:
- Asymptomatic, erythematous tissue with a pebbly or papillary surface
- hard palate
Treatment:
- removal of denture for early lesions
- antifungal therapy may show improvement
- advanced lesions require surgical removal
traumatic ulcer
What:
- acute or chronic trauma causing surface ulcerations.
- injured from dentition
- areas of erythema surrounding a central removable, yellow fibrinopurulent membrane
- TUGSE- tramatic ulcerative granuloma with stromal eosinophilia
- Riga-Fede disease (ulcers from natal teeth)
Where:
- lips, tongue, buccal mucosa
treatment:
- remove source of injury
- topical analgesics
- biopsy warranted if not resolved in 2-4 weeks.
Brown/ Black Hairy tongue
Accuulation of keratin on the filiform papilla of dorsal tongue
unkown etiology- but many are heavy smokers
Patients complain of gagging sensation, bad taste, halitosis, and esthetics
Treatment: tongue brushing/ scraping with oral hygiene instruction
Eruption Cyst
soft tissue analog of dentigerous cyst
result of separation of dental follicle from around the crown of an erupting tooth
Usually in children under 10
tx: cysts usually rupture spontaneously
excision of roof of cyst if it does not
Racial Pigmentation
Etiology: most commonly on attached gingiva in darker complexioned patients
Tx: do nothing
Aphthous Stomatitis, AKA Recurrent Aphthous Ulcer or Canker Sore
No universal etiology - may be an allergy/immune dysfunction
Appear as white lesions
Occurs exclusively on movable mucosa
Three major forms:
Minor (85%)
Major (10%)
Herpetiform (5%)
Usually occurs in younger patients
Treatment
If minor case, no treatment or OTC medications
“Magic mouthwash” or prescribed corticosteroids
Recurrent Herpes
Clinical Description: Indurated lesions on the lip and keratinized bound mucosa of the mouth
Etiology:
Caused by HSV type I
Virus lies latent in the trigeminal nerve and flares up periodically
Prodrome occurs 6-24 hours before outbreak
Intraoral episodes always occur on keratinized, bound tissue
Treatment:
Heals naturally between 7-10 days
In severe cases acyclovir can be prescribed to shorten outbreak duration and lessen severity
Primary Herpetic Gingivostomatitis
Etiology:
Most common symptom of primary HSV I infection
Majority of cases occur before age 5
Both movable and non-movable mucosa can be affected
Can be self-inoculate
Leading infectious cause of blindness
Treatment:
Acyclovir - early treatment is more effective and shortens episode lengths
