Cases Of Oral Pathology

Question 1

CASE1

Answer 1

C.P bony painless slowly swelling in buccal vestibule related to non-vital molar
RG well-defined radiolucent area surrounded by radiopaqe line related to non-vital tooth with loose lamina dura ..
HP Granulation tissue infiltrated with cholesterol clefts
D/D Periapical granuloma , Periapical radicular cyst , Periapical abcess
D Periapical granuloma or periapical radicular cyst

Question 2

CASE 2

Answer 2

C.P a firm soft painless slowly growing swelling in parotid region bilaterally , associated with increasing dental caries activity (xerostomia)
RG ( sialography) fruit ladden or branchless tree appearance
HP degeneration acini of glandular tissue , huge lymphocytic infiltration & epimyoepithelial islands
DD Sjogron’s syndrome or Mumps
D Sjogron’s syndrome

Question 3

Case -3 , A 35 young female has a painless slowly growingbilateralpatches on herbuccal mucosa with etching sensation in her wrists . This patient had a history of dead her son …….?????
▪ Describe the lesion ????
▪ Enumerate D/D ????
▪ What is your diagnosis ???? ▪Ifthiscasehasacomplications..writethat ??

Answer 3

Answer of case-3
▪ This is clinical picture shows a soft tissue painless slowly growing white lesion in the form of reticular shape whit Wichkam’s striae can be clearly seen in buccal mucosa bilaterally , that associated with skin rash in the form of multiple linear papules with ething sensation ….
▪ Histopathologically , showing hyperplasia of epithelium , acanthosis of prickle cells , degeneration basal cells in the form of Civatt’s bodies & huge lymphocytic band in subepithelial zone can be clearly seen …
▪ That could be :
✓ Diagnosis :Lichen planus
✓ Leukodema
✓ Oral candidiasis
▪ Diagnosis :Lichen planus
▪ Erosive & atrophic are premalignant lesions …

Question 4

CASE 4

Answer 4

C.P painful rapidly oral ulcerative lesion on upper lip is characterized by a mount as a recurrent rate , small in size Round in shape , Shallow in depth and single in number , its borders are erythematous , healed by crust & painful as a sign .
DD Minor aphthus ulcer, Traumatic ulcer , Viral ulceration or systemic ulceration … if it is multiple
D Minor aphthus ulcer

Question 5

Case -5 , A 20 young male has a multiple bony slowly growingpainless lesionon his mandible associated with mobility & resorption of adjacent teeth & perforation of cortical bone ?????
▪ Describe the lesion ????
▪ Enumerate D/D ????
▪ What is your diagnosis ??????
▪ If this case has a complications….write that ?????

Answer 5

C.P : multiple bony painless slowly swelling lesion on mandible associated with mobility & resorption of adjacent teeth
RG : a multiple ill -defined radiolucent area multilocular pattern surrounded with radio- opaqe line
HP Cystic space lined by thin currigated keratinized stratified epithelial surface with basal cells, flatting junction (E + CT) & duagther cysts infiltrating connective tissue stroma ….
DD
✓ Multiple odontogenic keratocysts
✓ Cheribsum
D
Multiple odontogenic keratocyst
A highly recurrent rate & Gorlin-Goltz’s syndrome

Question 6

CASE 6

Answer 6

C.P bony painful slowly growing swelling with a headache , deafness ,loss of vision & dry socket after a history of extraction of hyper cemented molar.
Laboratory finding : elevation of alkaline phosphatase enzyme with normal level of calcium and phosphate …
RG multiple ill -defined radio-opaque areas appear as a cotton wool
HP mosaic appearance
DD Paget’s disease of bone , Chronic diffuse sclerosing osteomyelitis
D Paget’s disease of the bone
D.C
Pathological fracture lead to osteosarcoma
G.C Headache , deafness , blindness , paralysis Bleeding&cardiacshock

Question 7

1Q) clinical ministation metallic
intoxication!!

Answer 7

Excessive salivation
metallic test,
inflamed painful oral mucus swallowing
salivary gland

Question 8

2Q) xerostomia is:

Answer 8

Dryness of mouth due to decrease
salivary flow

Question 9

3Q) Clinical manifestation of
xerostomia:-

Answer 9

Oral infection,
dry mouth
In ability to eating and talking
Burning sensation
Lots of tests sensation

Question 10

5Q) Sialolithiasis 90% occur in
submandibular majors salivary gland,
why?

Answer 10

Long and torture
High viscosity, secretion
anti-cravity

Question 11

6Q) Ranula is :-

Answer 11

cyst in floor of the
mouth, submandibular, major salivary
gland

Question 12

7Q) Mucocele is :-

Answer 12

Gkandular cyst in
minor salivary glance lip