Colors!

Question 1

White lesions that DON’T rub off?

Answer 1

LT. NOLL: Linea alba, Tobacco pouch keratosis, Nicotine stomatitis, Oral hairy leukoplakia, Leukoedema, Lichen planus

Question 2

What can you prescribe for lichen planus?

Answer 2

Clobetasol 0.05% gel bid-tid, Dexamethasone elixir 0.5mg/5ml rinse for 2 min bid-tid, Fluocinonide (lidex) 0.05% gel tid-qid

Question 3

What are some white and red lesions?

Answer 3

U-PAGED: Ulcers (traumatic, aphthous, viral), Pseudomembranous candidiasis, Actinic keratosis, Geographic tongue, Erythroleukoplakia, Desquamative gingivitis

Question 4

What can be done to treat RAUs?

Answer 4

Aphthasol, Dexamethasone, Temovate, Lidex, Canker Cover, etc

Question 5

What can the dx be if topical steroids don’t work?

Answer 5

TUGSE

Question 6

What should you try next if topical steroids don’t work on the ulcer?

Answer 6

Intra-lesional injection of Kenalog 10 (10mg/ml), which is used as 10 mg per cm of lesion

Question 7

What is your differential for desquamative gingivitis?

Answer 7

lichen planus, mucous membrane pemphigoid, pemphigus vulgaris, systemic lupus erythematosis, hypersensitivity

Question 8

How do you treat desquamative gingivitis?

Answer 8

Biopsy for confirmation and prescribe topical steroids

Question 9

What pathologies can be red in color?

Answer 9

HE HEAL: Hemangioma, Erythematous Candidiasis, Hypersensitivity rxn, Erythroplakia, Angular cheilitis, Lingual Tonsil

Question 10

Erythematous candidiasis can present in what three ways? (hint: three pathologies)

Answer 10

Median rhomboid glossitis, Angular cheilitis, or Denture stomatitis

Question 11

What antifungals can you prescribe for angular cheilitis?

Answer 11

Mycolog II ointment tid (mix of nystatin 100k and triamcinolone 0.1%), Nystatin oral suspension rinse, Clotrimazole troche 10mg 5x/day

Question 12

Which of these blanches under pressure? Hematoma/hemangioma/petechiae

Answer 12

hemangioma (benign proliferation of blood vessels)

Question 13

Define erythroplakia

Answer 13

intraoral red patch that cannot be clinically diagnosed as any other condition

Question 14

Most common locations for erythroplakia?

Answer 14

FOM, tongue, soft palate

Question 15

90% of erythroplakias are histologically diagnosed as… ___________, __________, ___________.

Answer 15

severe dysplasia, carcinoma-in-situ, or squamous cell carcinoma

Question 16

Common places to find oral melanotic macules?

Answer 16

Lower lip > buccal mucosa > gingiva

Question 17

Acquired pigmentation, seen almost exclusively in African Americans, and mostly on buccal mucosa is what?

Answer 17

oral melanoacanthoma

Question 18

How to treat oral melanoacanthoma?

Answer 18

incisional biopsy to rule out melanoma, but no further tx necessary

Question 19

What are some pigmented/brown colored lesions?

Answer 19

racial pigmentation, oral melanotic macule, intramucosal nevus, oral melanoacanthoma

Question 20

What are blue lesions that can be seen in the mouth?

Answer 20

Melanoma, Hemangioma, Mucocele/Ranula, Salivary duct cyst, Mucoepidermoid carcinoma, Blue nevus, Varicosities

Question 21

What are some yellow lesions seen in the mouth?

Answer 21

fordyce granules, lipoma, parulis, granular cell tumor

Question 22

What are some therapies for xerostomia?

Answer 22

Biotene products, Mouth Kote, sipping water, suck on ice, humidifier at night, lubricate lips, and fluoride supplementation

Question 23

What are some prescriptions for xerostomia?

Answer 23

Pilocarpine 5 mg tabs (tid for three months and increase until max dose reached),