BDS3 Paeds OM

Question 1

List examples of viral infections

Answer 1

HSV 1+2
- Primary herpetic gingivostomatitis
- Herpes labialis

EBV
- Hairy leukoplakia

Varicella Zoster
- Shingles

Coxsackie Virus
- Herpangina
- Hand foot and mouth disease

Measles/Mumps/Rubella

Question 2

Signs/symptoms of Primary Herpetic Gingivostomatitis

Answer 2

Ulcers
Severe gingivitis
Fever
Malaise
Headache
Cervical lympadenopathy

Question 3

Tx of Primary Herpetic Gingivostomatitis

Answer 3

Bed rest
Fluid - dehydration most common complication
Soft diet
OH - CHX
Painkillers
Immunocompromised: 200mg Aciclovir 5 tablets 5x daily

Question 4

List causes of oral ulceration

Answer 4

Infection
Viral
- Coxsackie
- Herpes Zoster
- EBV

Immune mediated
- Crohns
- Coeliac
- Behects

VBD
- Pemphigus
- Pemphigoid
- Erythema Multiforme

RAU

Trauma

Vit Deficiencies

Question 5

What is a fibroepithelial polyp

Answer 5

Common firm pink lump
Mainly in cheeks
Initiated by trauma

Question 6

Tx for fibroepithelial polyp

Answer 6

Surgical excision

Question 7

What is an Epulis?

Answer 7

Swelling of oral mucosa

Question 8

Features of a pregnancy epulis

Answer 8

Soft deep red/purple swelling
Perio - calculus/plaque
BOP

Question 9

What is congenital epulis?

Answer 9

Rare in nenatals
Anterior maxilla
Benign
TX: Simple excision

Question 10

When would surgery for a mucocele be considered?

Answer 10

Fixed in size and may be affecting adjacent glands

Question 11

What are the 2 types of mucocele

Answer 11

Mucous extravasation cyst
- Normal secretions rupture into adjacent tissue

Mucous retention cyst
- Secretions retained in an expanded duct

Question 12

What is a ranula?

Answer 12

Mucocele in FOM
Can arise from minor salivary glands or ducts of sublingual/submandibular gland

Question 13

What SI is needed with a ranula?

Answer 13

Ultrasound or MRI
Exclude plunging ranula into submental/submandibular space
Occasionally found to be lymphangioma - benign tumour of the lymphatics