Common Lesions - part II

Question 1

clinical presentation of necrotizing ulcerative gingivitis (NUG)

Answer 1

punched out interdental papillae that do not regenerate

Question 2

necrotizing ulcerative gingivitis (NUG) is seen in who?

Answer 2

persons with poor oral hygiene and/or poor diet and stress

Question 3

inflammatory fibrous hyperplasia is most often associated with what?

Answer 3

poorly fitting dentures

Question 4

tx of inflammatory fibrous hyperplasia

Answer 4

1. conservative excision

2. construct well-fitting dentures

Question 5

varix is most often seen in who?

Answer 5

older pts

Question 6

what is a common site for varix?

Answer 6

lower lip

Question 7

T/F: if a varix is thrombosed, it will blanch with diascopy

Answer 7

false, will NOT

Question 8

ulcer

Answer 8

loss of continuity of an epithelial or epidermal covered surface

Question 9

what causes aphthous ulcer?

Answer 9

immune mediated

Question 10

where are aphthous ulcers found?

Answer 10

on freely movable oral mucosa

Question 11

laypersons term for aphthous ulcers

Answer 11

canker sore

Question 12

aphthous ulcer

Answer 12

ulcer on erythematous base

Question 13

what is squamous papilloma associated with?

Answer 13

with NON-oncogenic human papillomaviruses

Question 14

the color of a squamous papilloma lesion depends on what?

Answer 14

amount of keratin on the surface

Question 15

before dx’ing leukoplakia, what must be ruled out?

Answer 15

dysplasia

Question 16

leukoplakia

Answer 16

white patch with crisply defined margins that does not rub off and cannot be dx’ed clinically or microscopically as anything else

Question 17

what should be done to identify the exact nature of a leukoplakia lesion?

Answer 17

biopsy

Question 18

what must be done to confirm dx of periapical cyst?

Answer 18

1. biopsy

2. assess vitality of adjacent teeth

Question 19

what causes dentigerous cyst?

Answer 19

fluid entrapping between crown of impacted tooth and reduced enamel epithelium

Question 20

antral pseudocyst

Answer 20

collection of fluid BELOW maxillary sinus

Question 21

max sinus lining will be what to the fluid collection in an antral pseudocyst?

Answer 21

superior

Question 22

what may happen to pts with antral pseudocysts when flying?

Answer 22

may get referred pain to max teeth with altitudes

Question 23

what should you look for in pts with condensing osteitis?

Answer 23

look for tooth or teeth with deep caries in associated area

Question 24

exostoses

Answer 24

bony protuberances arise from cortical plate

Question 25

T/F: tori are exostoses

Answer 25

true

Question 26

where might idiopathic osteosclerosis be seen?

Answer 26

on radiograph

Question 27

idiopathic osteosclerosis

Answer 27

dense vital bone blends with surrounding trabeculae

Question 28

cause of idiopathic osteosclerosis

Answer 28

no identifiable etiology

Question 29

what is idiopathic osteosclerosis also called?

Answer 29

1. enostosis

2. dense bone island