COD 1 Flashcards
• Benign, reactive bony protuberances arising
from the cortical plate
Tori and Exostoses
- More common than mandibular tori
- 25% of US population
- Females (2:1)
- Asians and Inuits (Eskimo)
- No treatment
Palatal Torus
Are palatal or mandibular tori more common?
Palatal
- Less common than palatal tori
- 10% of US population
- Most are bilateral
- Single or multiple nodules
- Slight male gender predominance
- Asians and Inuits
- No treatment
Mandibular torus
- Ectopic sebaceous glands
* Development stimulated at puberty
Fordyce Granules
What’s this?
Oral lymphoepithelial cyst
What’s this?
Foliate papillae and lingual tonsils
What’s this?
Fissured tongue
What’s this?
Fordyce Granules
What’s this?
Traumatic ulcer
What’s this?
Traumatic ulcer
What’s this?
Traumatic ulcer
What’s this?
Traumatic ulcer
What’s this?
Traumatic ulcer
What’s this?
Mucocele
What’s this?
Ranula (sublingual gland)/Mucocele
• Most common “tumor” of the oral cavity
• Inflammatory fibrous hyperplasia
• Not a true neoplasm of fibroblasts - a
reactive lesion rather than a true neoplasm
Traumatic (Irritation) Fibroma
What’s this?
Traumatic (irritation) fibroma
What’s this?
Traumatic (irritation) fibroma
What’s this?
Traumatic (irritation) fibroma
• Distinct from irritation fibroma –may not be
associated with an identifiable source of
chronic irritation and occurs at younger age
• Often exhibits a papillary surface and may be
clinically mistaken for papilloma
Giant Cell Fibroma
What’s this?
Giant Cell Fibroma
What’s this?
Giant Cell Fibroma
What’s this?
Giant Cell Fibroma
What’s this?
Giant Cell Fibroma
• Synonyms – Inflammatory fibrous hyperplasia – Denture injury tumor – Fibrous epulis – Denture epulis • Redundant fibrous tissue • Associated with denture flange
Epulis Fissuratum
What’s this?
Epulis Fissuratum
What’s this?
Epulis Fissuratum
• Denture papillomatosis
• Poor oral hygiene combined with ill-fitting
prosthesis
• Surgical excision and correct prosthesis
Inflammatory Papillary Hyperplasia
What’s this?
Inflammatory Papillary Hyperplasia
What’s this?
Inflammatory Papillary Hyperplasia
What’s this?
Inflammatory Papillary Hyperplasia
• Enlargement begins in the interdental papillae and forms pseudopockets • Non-specific clinical appearance • Multiple drugs are synergistic •
Medication Associated
Gingival Enlargement
What are the 3 drugs that cause Medication associated with gingival enlargement?
Dilantin
Procardia
Cyclosporin
- A reactive vascular lesion - essentially a capillary hemangioma
- Definite female predilection - vascular effects of hormones
- Name is a misnomer. It is unrelated to infection. It is not “pyogenic” and is not a true granuloma
- May exhibit rapid growth
- Gingiva most common site, but not limited to gingiva. It occurs throughout the body on any skin or mucosal surface
Pyogenic Granuloma
Clinical Variants of \_\_\_\_\_\_ • Pyogenic granuloma • Granuloma gravidarum – Pregnancy tumor • Epulis granulomatosum • Pulp polyp
Pyogenic Granuloma
Pregnancy Tumor
• A clinical variant of pyogenic granuloma
• May involute without treatment post
partum and undergo fibrous maturation
Granuloma Gravidarum:
What’s this?
MEDICATION ASSOCIATED
GINGIVAL ENLARGEMENT
What’s this?
PYOGENIC GRANULOMA
What’s this?
PYOGENIC GRANULOMA
What’s this?
PYOGENIC GRANULOMA
What’s this?
PYOGENIC GRANULOMA
What’s this?
PYOGENIC GRANULOMA
What’s this?
PYOGENIC GRANULOMA
What’s this?
Peripheral Ossifying Fibroma
What’s this?
Peripheral Ossifying Fibroma
What’s this?
Peripheral Ossifying Fibroma
What’s this?
Peripheral Ossifying Fibroma
What’s this?
PERIPHERAL GIANT CELL GRANULOMA
What’s this?
PERIPHERAL GIANT CELL GRANULOMA
What’s this?
PERIPHERAL GIANT CELL GRANULOMA
What’s this?
PERIPHERAL GIANT CELL GRANULOMA
- Squamous papilloma
- Verruca vulgaris
- Condyloma acuminatum
Human Papilloma Virus
- Solitary lesion in adult
- Pedunculated, exophytic papule
- Numerous surface projections
Squamous Papilloma
- Skin of hands in children
- Multiple, clustered lesions common
- White, verrucoid surface
- Autoinoculation of oral mucosa
Verruca Vulgaris
- Venereal wart - sexually-transmitted disease
- Multiple, clustered lesions common
- Sessile, pink exophytic mass, larger than squamous papilloma
- Low risk sub-types 6 and 11 frequently found (vaccine)
- High-risk sub-types 16 and 18 may also be present
Condyloma Acuminatum
What’s this?
Squamous Papilloma
What’s this?
Squamous Papilloma
What’s this?
Squamous Papilloma
What’s this?
Verruca Vulgaris
What’s this?
Verruca Vulgaris
• Initial exposure to virus in an individual
without immunity
• Generally occurs at young age after physical
contact with infected individual
• Mostly subclinical disease - 80% of US
population has antibodies to HSV
Primary Herpetic Gingivostomatitis
• Flu-like illness with fever, malaise,
arthralgia, headache
• Cervical lymphadenopathy
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
Primary Herpetic Gingivostomatitis
What’s this?
SECONDARY HERPES SIMPLEX INFECTION
What’s this?
SECONDARY HERPES SIMPLEX INFECTION
What’s this?
SECONDARY HERPES SIMPLEX INFECTION
What’s this?
SECONDARY HERPES SIMPLEX INFECTION
What’s this?
SECONDARY HERPES SIMPLEX INFECTION
What’s this?
SECONDARY HERPES SIMPLEX INFECTION