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Oral Pathology - My deck > Chapter 4 > Flashcards

Chapter 4 Flashcards

1
Q

What term describes gingival inflammation and erythema most commonly attributable to hypersensitivity?

A

Plasma cell gingivitis

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2
Q

What is another name for plasma cell gingivitis?

A

Allergic gingivostomatitis

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3
Q

In plasma cell gingivitis, patients usually experience a ______ _____ of sore mouth

A

Rapid onset. This is usually a very acute response

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4
Q

What is typically a common cause of plasma cell gingivitis?

A

Hypersensitivity to cinnamon (big red chewing gum, cinnamon candies)

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5
Q

What term describes an isolated patch of exteriorized sulcular epithelium?

A

Localized juvenile spongiotic gingival hyperlasia

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6
Q

What is the cause of localized juvenile spongiotic gingival hyperplasia?

A

It is idiopathic

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7
Q

What does localized juvenile spongiotic gingival hyperplasia clinically present as?

A

A small bright red velvety or papillary alteration that often bleeds easily upon manipulation

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8
Q

Where does localized juvenile spongiotic gingival hyperplasia usually occur?

A

Maxillary anterior facial gingiva

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9
Q

In what age group does localized juvenile spongiotic gingival hyperplasia usually occur?

A

Usually under 20, with the median age of 12 (Juvenile is in the name)

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10
Q

How is localized juvenile spongiotic gingival hyperplasia treated?

A

Excision or Laser

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11
Q

What term describes gingival epithelium that spontaneously sloughs off or can be removed with minor manipulation?

A

Desquamative Gingivitis

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12
Q

It is important to remember than desquamative gingivitis is a ________ diagnosis. Not a _______ diagnosis

A

Desquamative gingivitis is a clinical diagnosis, not a pathological diagnosis

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13
Q

What is need to determine the cause of desquamative gingivitis?

A

A biopsy. Always get a biopsy

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14
Q

What are the 5 common differential diagnoses of desquamative gingivits ?

A 
Lichen Planus
Mucous membrane pemphigoid
Pemphigus vulgaris
Systemic lupus erythematosis
Hypersensitivity
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15
Q

How can one tell the difference between plasma cell gingivitis and desquamative gingivitis?

A

Desquamative gingivitis is a chronic condition, that usually occurs in adults. Patients will usually have had this condition for a long time. Also, this condition is associated with recession.

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16
Q

What term describes an abnormal growth of gingival tissues secondary to use of systemic medications?

A

Drug related gingival hyperplasia

17
Q

What systemic medications commonly induce drug related gingival hyperplasia?

A

Cyclosporine
Phenytoin
Nifedipine

18
Q

What is cyclosporine used for?

A

Transplant therapy

19
Q

What is phenytoin used for?

A

Anticonvulsant

20
Q

What is Nifedipine used for?

A

Calcium channel blocker

21
Q

What term describes a slow progressive gingival enlargement caused by a collagenous overgrowth of the gingival fibrous connective tissue?

A

Gingival fibromatosis

22
Q

What are other common findings associated with gingival fibromatosis?

A

Hypertrichosis, generalized aggressive periodontitis, epilepsy, mental retardation, growth hormone deficiency

23
Q

What are some clinical problems associated with gingival fibromatosis?

A

Poor esthetics, retention of deciduous teeth, malocclusion, inadequate lip closure, difficulty eating and speaking

24
Q

What term describes inflammation of the gingival tissues and attachment apparatus of the tooth?

A

Periodontitis

25
Q

What term describes an inflammatory process that arises within the tissues, surrounding the crown of a partially erupted tooth?

A

Pericoronitis

26
Q

What term describes tissue that is partially covering the occlusal surface of a tooth?

A

Operculum

27
Q

Which teeth are most commonly affected by pericornitis?

A

Mandibular 3rd molars

28
Q

What syndrome is caused by a mutation and loss of function of the cathepsin C gene?

A

Papillon-Lefevre Syndrome

29
Q

What are the oral and dermatologic manifestations of Papillon-Lefevre syndrome?

A

Accelerated periodontitis and Palmar plantar keratosis

30
Q

What immune cell is affected in Papillon-Lefevre syndrome?

A

Neutrophils

31
Q

Which bacteria is the cause of the accelerated periodontitis in Papillon-lefevre syndrome?

A

Actinobacillus actinomycetemcomitans

32
Q

What term describes a condition characterized by a very foul odor, blunted papilla and a gray psuedomembrane?

A

Necrotizing Ulcerative Gingivitis

33
Q

Which bacteria are commonly associated with necrotizing ulcerative gingivitis?

A

F. nucleatum, P. intermedia, P. gingivalis, Treponema species

34
Q

Necrotizing Ulcerative Gingivitis usually occurs with _________ _____.

A

NUG usually occurs with physiologic stress

Oral Pathology - My deck (22 decks)

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