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Oral Pathology > Chapter 8 > Flashcards

Chapter 8 Flashcards

1
Q

What is linea alba associated with?

A

Pressure, irritation, or sucking trauma.

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2
Q

What is the scientific term for chronic cheek chewing?

A

Morsicatio buccarum, labiorum, or linguarum depending where it is.

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3
Q

What is the clinical apprearance of traumatic ulcerations?

A

Areas of erythema surrounding a central removable, yellow fibrinopurulent membrane with a rolled white border of hypekeratosis.

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4
Q

What is the unique form of traumatic ulceration that exhibits a deep pseudoinvasive inflammatory process and propagates eosinophiles to the area?

A

Traumatic ulcerative granuloma with stromal eosinophilia.

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5
Q

What is the likely Dx?

A

Traumatic ulcer

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6
Q

What is the likely Dx?

A

Traumatic ulcerative granuloma with stromal eosinophilia.

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7
Q

What are the two types of electrical burns?

A

Contact and Arc.

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8
Q

Electrical burns of the oral cavity are mostly what type of burn?

A

Arch type.

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9
Q

What is the likely Dx?

A

Electric burn.

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10
Q

How do most thermal burns of the oral cavity happen?

A

Ingestion of hot foods.

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11
Q

What is the likely Dx?

A

Thermal burn.

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12
Q

What is the likely Dx?

A

Chemical burn

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13
Q

What are the two major concerns of the oral cavity with individuals recieving antineoplastic threapy?

A

Mucositis which is a white discoloration from lack of sufficient desquamation of keratin and hemorrhage which is secondary to thrombocytopenia and oral petechiae and acchymosis secondary to minr trauma

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14
Q

What are some “other” complications for patients recieving antineoplastic therapy?

A

Xerostomia, loss of taste, osteoradionecrosis, trismus, and developmental abnormalities.

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15
Q

What is the likely Dx?

A

Bisphosphanate-related osteonecrosis of the jaw.

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16
Q

What is the mechanism of bisphosphanates that cause BRONJ?

A

Inhibit osteoclasts and possibly interfere with angiogenesis.

17
Q

What are bisphosphanates used for?

A

Slow osseous involvment of cancer, treat Paget’s disease, and reverse osteoporosis.

18
Q

Which generation of bisphosphonates are a concern and why?

A

Second generation. They are incorporated into the skeleton and have a half life of 10 yrs.

19
Q

What is the prevelance of BRONJ with patients taking IV and oral medication?

A

IV is 6-8% while oral is 1:100,000.

20
Q

What percent of BRONJ occurs after a dental procedure?

A

60%.

21
Q

What is MRONJ?

A

Occurs from current of previous treatment of anti-resorptive or anti-angionenic agents.

22
Q

What is the likely Dx? Hint, it is persitent.

A

Exfoliative cheilitis.

23
Q

What is the term for peristent scaling and flaking of the vermilion border?

A

Exfoliative cheilitis. Arises from excessive production and desquamation of superficial keratin.

24
Q

What is the likely Dx?

A

Submucosal hemorrhage, more specifically petechiea.

25
Q

What is the likely Dx?

A

Submucosal hemorrhage, more specifically purpura.

26
Q

What are some possible causes to submucosal hemorrhage?

A

Repeated coughing or vomiting, convulsions, oral sex, anticoagulant therapy, thrombocytopenia, viral infections.

27
Q

What is the likely Dx?

A

Amalgam tattoo. Note that differential of tattoo could be melanoma.

28
Q

What are the most common sites of amalgam tattoos?

A

Gingiva and alveolar mucosa, buccal mucosa.

29
Q

What is Susuk?

A

Implantation of talisman or magical charm.

30
Q

What is the likely Dx?

A

Susuk.

31
Q

What is the likely Dx? Looking at the gingiva.

A

Smokers Melanosis. Note will be limited to the anterior gingiva whereas congenital pigmentation will be throughout.

32
Q

What causes smokers melanosis?

A

The nicotine stimulates melanin production.

33
Q

What percent of smokers have smokers melanosis and where does it most commonly occur?

A

20%, in the anterior facial gingiva. Hard palate for reverse smokers.

34
Q

What is the likely Dx?

A

Antral Pseudocyst.

35
Q

What is an antral pseudocyst?

A

Found in the floor of the maxillary sinus. consists of exudate that has accumulated under the sinus mucosa and caused sessile elevation.

36
Q

What is the term when air is introduced to the subcutaneous or fascial spaces of the face and neck?

A

Cervicofacial Emphysema.

Oral Pathology (17 decks)

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