Common Oral Diseases Flashcards
Benign, reactive bony protuberances arising from the cortical plate:
Tori & Exostoses
Where do tori & exostoses arise from?
cortical plate
Name two potential tori diagnosis:
- Torus palatinus
- Torus mandinularis
______ tori are the most common
palatal torus
Palatal tori affect ____% of the US population
25
Describe the frequency/ratio of palatal tori among sexes:
Females 2:1
What ethnic groups do palatal tori more frequently affect:
asians & inuits (eskimos)
What is the treatment for palatal torus?
none
Diagnose this image:
Palatal torus
Diagnose this image:
Palatal torus
Diagnose this image:
Palatal torus
Diagnose this radiograph:
Palatal torus
_____ are less common than palatal tori
mandibular torus
Mandibular torus affect ____% of the population
10%
Most mandibular tori present:
bilaterally
Mandibular tori have a slight _____ gender predominance
males
What ethnicities doe mandibular tori more frequently affect?
asians & inuits (eskimos)
Diagnose this image:
mandibular torus
Diagnose this image:
mandibular torus
Diagnose this image:
mandibular torus
Diagnose this image:
mandibular torus
Diagnose this radiograph:
mandibular torus
Diagnose this radiograph:
mandibular torus
Diagnose this image:
buccal exostoses
Diagnose this image:
buccal exostoses
Diagnose this image:
traumatic ulcer
Diagnose this image:
traumatic ulcer
Diagnose this image:
traumatic ulcer
This histological slide shows a loss in continuity of the epithelium, what might this represent?
traumatic ulcer
A traumatic fibroma might also be called:
an irritation fibroma
Most common “tumor” of the oral cavity:
traumatic (irritation) fibroma
Describe what a traumatic (irritation) fibroma is caused by:
Inflammatory fibrous hyperplasia
Inflammatory fibrous hyperplasia describes a:
traumatic (irritation) fibroma
Not a true neoplasm of fibroblasts:
traumatic (irritation) fibroma
A traumatic (irritation) fibroma is not a true neoplasm of fibroblasts, rather a:
reaction lesion
Diagnose this image:
traumatic (irritation) fibroma
Diagnose this image:
traumatic (irritaiton) fibroma
Diagnose this image:
traumatic (irritation) fibroma
What can be seen in the following image?
traumatic (irritation) fibroma
This histological slide represents?
traumatic (irritation) fibroma
Distinct form irritation fibroma- may not be associated with an identifiable source of chronic irritation and occurs at a younger age:
giant cell fibroma
Often exhibits a papillary surface ad may be clinically mistake for papilloma:
giant cell fibroma
Describe how a giant cell fibroma surface may present:
papillary surface
If not observed carefully, a giant cell fibroma may mistakingly be diagnosed as:
papilloma
If something appears clinically as a traumatic (irritation) fibroma, but is found in a child and has no known source of chronic irritation what might the diagnosis?
giant cell fibroma
Diagnose this image:
giant cell fibroma
Diagnose this image:
giant cell fibroma
Diagnose this image:
giant cell fibroma
Diagnose this image:
giant cell fibroma
The following histological slide represents:
giant cell fibroma
The following histological slide represents:
giant cell fibroma
The following histological slide represents:
giant cell fibroma
List the synonyms for epulis fissuratum: (4)
- inflammatory fibrous hyperplasia
- denture injury tumor
- fibrous epulis
- denture epulis
Can be described as redundant fibrous tissue:
epulis fissuratum
Epulis fissuratum can be described as:
redundant fibrous tissue
Associated with denture flange:
epulis fissuratum
Diagnose this image:
epulis fissuratum
Diagnose this image:
epulis fissuratum
The following histological slide represents:
epulis fissuratum
papillary hyperplasia is also known as:
inflammatory papillary hyperplasia
denture papillomatosis =
inflammatory papillary hyperplasia
What causes inflammatory papillary hyperplasia (denture papillomatosis)?
poor oral hygiene combine with ill-fitting prosthesis
What is the treatment for inflammatory papillary hyperplasia (denture papillomatosis)?
surgical excision & correct prosthesis
Diagnose this image:
inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose this image:
inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose this image:
inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose this image:
inflammatory papillary hyperplasia (denture papillomatosis)
In regards to medication associated gingival enlargement, the enlargement begins in the _____ & forms _____
interdental papillae; pseudopockets
Describe the clinical appearance of medication associated gingival enlargement:
non-specific clinical appearance
With medication associated gingival enlargement, multiple drugs are:
synergistic
The severity of medication associated gingival enlargement is related to:
- patient susceptibility
- local factors
Diagnose this image:
medication associated gingival enlargement
What categories of drugs are correlated with medication associated gingival enlargement? Give an example of each & the percentages that each category contributes:
- Anticonvulsants- Dilantin/Phenytoin 50%
- Calcium channel blockers- Procardia/nifedipine 25%
- Immunosuppressants- Sandimmune/Cyclosporine 25%
What anticonvulsants contribute to medication associated gingival enlargement:
Dilantin/Phenytoin
Anticonvulsants make up for ____% of medication associated gingival enlargement
50
What Calcium channel blockers contribute to medication associated gingival enlargement:
Procardia/Nifedipine
Calcium channel blockers make up for ____% of medication associated gingival enlargement
25
What immunosuppressants contribute to medication associated gingival enlargement:
Sandimmune/Cyclosporin
Immunosuppressants make up for ____% of medication associated gingival enlargement
25
The following image shows _____ caused by _____
Medication associated gingival enlargement; Dilantin
The following image shows _____ caused by _____
Medication associated gingival enlargement; Procardia
The following image shows _____ caused by _____
Medication associated gingival enlargement; Cyclosporin
The following histological slide represents:
Medication associated gingival enlargement
List the treatment options for medication associated gingival enlargement:
- control local factors (anti-plaque agents)
- drug substitution
- drug therapy
- surgical excision
What drug therapy treatements may help treat medication associated gingival enlargement?
- folic acid
- metronidazole
- azithromycin
A reactive vascular lesion- essentially a capillary hemangioma:
pyogenic granuloma
Pyogenic granulomas have a definite ____ predilection, why might this be?
female; vascular effects of hormones
Describe the name pyogenic granuloma is a misnomer:
Its unrelated to infection, it is not “pyogenic” and its not a true granuloma
A pyogenic granuloma may exhibit:
rapid growth
What is the most common site of a pyogenic granuloma?
gingiva
Although the gingiva is the most common site for a pyogenic granuloma, it is not limited to the gingiva; It may occur:
throughout the body on any skin or mucosal surface
Diagnose the following image:
Pyogenic granuloma
Diagnose the following image:
Pyogenic granuloma
Diagnose the following image:
Pyogenic granuloma
Diagnose the following image:
Pyogenic granuloma
Diagnose the following image:
Pyogenic granuloma