chapter 3, 4 Blake

Question 1

chronic hyperplastic pulpitis (pulp poly)

Answer 1

• usualy mand 1st molar

- pulp reacts to caries or infection by growing out towards the occlusal surface

Question 2

cyst

Answer 2

-debris or fluid filled sac surrounded by epithelium

Question 3

parulis

Answer 3

periapical abcess that breaks out to the gums

Question 4

cutaneous sinus:

Answer 4

abnormal channel or fistula permitting the escape of exudate to the outside of the body

Question 5

cellulitis:

Answer 5

diffuse inflammation of connective tissue with severe inflammation of dermal and subcutaneous layers of the skin

• “the infection breaks out into the tissues and spreads thru the facial planes”
• eyes often affected

Question 6

ludwig’s angina:

Answer 6

• the double chin

- potentially life-threatening cellulitis, or connective tissue infection, of the floor of the mouth

Question 7

cavernous sinus thrombosis:

Answer 7

a blood clot within the cavernous sinus, a cavity at the base of the brain. Infection arises from the sinuses, ears, or teeth

• symptoms include; decrease or loss of vision, DROOPING or bulging eyes, headaches, and paralysis of the cranial nerves
• antibiotics and sometimes surgical drainage

Question 8

osteomyelitis, and its subdivisions

Answer 8

infection of the bone

• osteoradionecrosis (bone death secondary to massive radiotherapy)
• osteochemonecrosis (bone death secondary to bisphosphomates

Question 9

proliferative periostitis

Answer 9

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Question 10

NUG

Answer 10

hallmark: “punched out papilli” the gingiva looks flat

Question 11

plasma cell gingibitis

Answer 11

• allergy to chewing gum, toothpaste, candy, peppers, etc

- bright red gingivitis down to mycogingival border

Question 12

Desquamative gingivitis (clinical term only, biopsy needed)

Answer 12

• the gingiva “falls off”
• lichen planus
• pemphigoid
• pemphigus
• lupus
• paraneoplastic pemphigus

Question 13

drug related gingival hyperplasia

Answer 13

• Anticonvulsants: phenytoin, carbamazepine, phenobarbital, etc
• Ca channel blockers: nifedipine, bepridil, amlodipine
• cyclosporine
• erythromycin
• oral contraceptives

Question 14

gingival fibromatosis

Answer 14

• familial
• idiopathic
• syndrom related

Question 15

papillon-lefevre syndrome

Answer 15

• palmar-plantar keratosis (covered in white itchiness)

- aggressive periodontitis in both deciduous and permanent dentitions