Common Oral Diseases Flashcards
Benign, reactive bony protuberances arising from the cortisol plate
tori & exostoses
Where do tori and exostosis arise from?
cortical plate
Name two potential tori diagnosis:
- torus palatinus
- torus mandibularis
_____ tori are the most common
palatal torus
palatal torus affect ___% of the US population
25%
Describe the frequency/ratio of palatal tori among sexes:
Females 2:1
What ethnicity does palatal tori more frequently affect?
asians and inuits (eskimo)
What is the treatment for palatal torus?
none
Diagnose the image:
palatal torus
Diagnose the image:
palatal torus
Diagnose the image:
palatal torus
_____ are less common than palatal tori
mandibular tori
Mandibular torus affect ____ % of the population
10%
Most mandibular tori present:
bilaterally
Mandibular tori have a slight ____ gender predominance
male
What ethnicity does mandibular tori more frequently affect?
asians & inuits
Diagnose the image:
mandibular tori
Diagnose the image:
mandibular tori
Diagnose the image:
mandibular tori
Diagnose the image:
mandibular
Diagnose the image:
mandibular tori
Diagnose the image:
mandibular tori
Diagnose the image:
buccal exostoses
Diagnose the image:
buccal exostoses
Diagnose the image:
traumatic ulcer
Diagnose the image:
traumatic ulcer
Diagnose the image:
traumatic ulcer
Diagnose the image:
traumatic ulcer
This histological slide shows a loss in continuity of the epithelium. What might this represent?
traumatic ulcer
A traumatic fibroma may also be called an:
irritation fibroma
Most common “tumor” of the oral cavity:
traumatic (irritation) fibroma
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 (irritaiton) fibroma
A traumatic (irritation) fibroma is not a true neoplasm of fibroblasts, rather a:
reactive lesion
Diagnose the image:
traumatic (irritation) fibroma
Diagnose this image:
traumatic (irritation) fibroma
Diagnose the image:
traumatic (irritaiton) fibroma
Diagnose the image:
traumatic (irritaiton) fibtoma
This histological slide represents:
traumatic irritation fibroma
Distinct from 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 and may be clinically mistaken for papilloma:
giant cell fibroma
Describe how a giant cell fibroma surface may present:
papillary surface
If not observed carefully, a giant cell fibroma can 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 be the diagnosis?
giant cell fibroma
Diagnose the following image:
giant cell fibroma
Diagnose the image:
giant cell fibroma
Diagnose the image:
giant cell fibroma
Diagnose the image:
giant cell fibroma
This histological slide represents:
giant cell fibroma
This histological slide represents:
giant cell fibroma
The histological slide represents:
giant cell fibroma
List the synonyms for epulis fissuratum: (4)
- inflammatory fibrous hyperplasia
- denture injury tumor
- fibrous epulis
- denture epulis
Epulis fissuratum can be described as:
redundant fibrous tissue
Redundant fibrous tissue describes:
epulis fissuratum
Epulis fissuratum is associated with:
denture flange
Associated with denture flange:
epulis fissuratum
Diagnose the image:
epulis fissuratum
Diagnose the 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 combined with ill-fitting prosthesis
What is the treatment for inflammatory papillary hyperplasia (denture papillomatosis)?
surgical excision & correct prosthesis
Diagnose the following image:
inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose the image:
inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose the following image:
Inflammatory papillary hyperplasia (denture papillomatosis)
Diagnose the image:
inflammatory papillary hyperplasia (denture papillomatosis)
In regards to medication associated gingival enlargement, the enlargement begins in the ____ and forms ____
interdental papillae; pseudopockets
Describe the clinical appearance of medications associated gingival enlargement:
non-specific
With medication associated gingival enlargement, multiple drugs are:
synergistic
The severity of medication associated gingival enlargement is related to:
patient susceptibility and local factors
Diagnose the image:
medication associated gingival enlargement
What categories of drugs are correlated with medication associated gingival enlargement. Give an example of each and the percentages:
- anticonvulsants (dilantin/phenytoin) 50%
- calcium channel blockers (Procardia/nifedipine) 25%
- immunosuppressants (Sandimmune/cyclosporin) 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 are associated with medication associated gingival enlargement?
Procardia/nifedipine
Calcium channel blockers make up for ___% of medication associated gingival enlargement
25%
What immunosuppressants are associated with 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
This 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 treatments may help treat medication associated gingival enlargement:
- folic acid
- metronaidazole
- 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 why the name pyogenic granuloma is a misnomer:
it’s unrelated to infection. It is not “pyogenic” and is not a true granuloma
A pyogenic granuloma may exhibit:
rapid growth
What is the most common site of a pyogenic granuloma?
gingiva
Although gingiva is the most common site of a pyogenic granuloma:
It is not limited to the gingiva; may occur throughout the body on any sin or mucosal surface
Diagnose this image:
pyogenic granuloma
Diagnose this image:
pyogenic granuloma
Diagnose the image:
pyogenic granuloma
Diagnose the image:
pyogenic granuloma
Diagnose the image:
pyogenic granuloma
diagnose the image:
pyogenic granuloma
The following histological slide represents:
pyogenic granuloma