Common Oral Diseases - SY Flashcards
What are the three types of tori?
Palatal tori
Mandibular tori
Buccal exostoses
Which type of tori is most common?
Palatal tori
What are characteristics of palatal tori?
Asian and Inuits
No tx
Occur on MIDLINE
What are characteristics of mandibular tori?
BILATERAL
Asains and Inuits
Slight male prodominance
What is this?
Buccal exostoses
Pt presents with traumatic ulcer next to broken tooth, trauma, etc. What next?
Must diagnose still
- Magic # is 2 weeks, if longer, need to act on it
How do you describe this? and what is it?
Mucosa colored, sessile base, nodule
i.e, Traumatic (irritation) fibroma
What is the most common “tumor” of the oral cavity?
Traumatic (irritation) fibroma
What is traumatic (irritation) fibroma caused by?
Reactive lesion to trauma
What is squamous papilloma most commonly msitaken for?
Giant cell fibroma
What is giant cell fibroma commonly mistaken for?
Squamous papilloma
DDx
Squamous papilloma OR giant cell fibroma
Caused by traumatic denture injury from an ill fitting denture flange
Epulis fissuratum
Caused by poor oral hygeine combined with ill-fitting denture
Inflammatory papillary hyperplasia
How does medication associated gingival enlargment progress?
Begins at interdental papillae and forms pseudopockets
What medications can cause medication associated gingival enlargmenet?
Dilantin (anticonvulsant)
Procardia (Ca channel blocker)
Sandimmune (immunosuppressant)
What are tx options for medication associated gingival enlargement?
- Control local factors with anti plaque agents (CHX)
- Drug substitution
- Drug therapy
- Surgical excission
What is NOT a true granuloma?
Pyogenic granuloma
What are characteristics of pyogenic granuloma?
Aka pregnancy tumor
Female - from hormones
Rapid growth
Where is most common site of pyogenic granuloma?
Gingiva
What is peripheral ossifying fibroma present with?
Mesenchymal tissue and mineralization
Where is peripheral ossifying fibroma located?
EXCLUSIVELY on gingiva
“bump on the gums”
Peripheral ossifying fibroma
What pathology may move teeth?
Peripheral ossifying fibroma
Where is peripheral giant cell granuloma found?
EXCLUSIVELY on gingiva and edentulous alveolar ridge
What are characteristics of peripheral giant cell granuloma?
may be bluish/purple
What are three types of human papilloma virus?
- Squamous papilloma
- Verruca vulgaris
- Condyloma acuminatum
What are characteristics of squamous papilloma?
Pedunculated
Most likely mistaken for giant cell fibroma
Where is verruca vulgaris located?
Hands of children
What is vaerruca vulgaris caused by?
Autoinoculation (transfer of microorganisms from one part to another) of oral mucosa
What is known as a veneral wart and an STD?
Condyloma Acuminatum
Rank the three HPV’s mentioned from low to high virulence
Squamous paplloma, verruca vulgaris, condyloma acuminatum
How do you get infected with primary herpetic gingivostomatitis?
Exposure to a virus in an individual without immunity
Young age
Physical contact w/ infected individual
What are symptoms of primary herpetic gingivastomatitis?
Flu-like symptoms (fever, malaise, arthralgia, headache)
What tissue does primary herpetic gingivastomatitis affect?
Affects bound down/not bound down, moveable/immovable
How is secondary herpes simplex infection formed?
Resurgance of virus after laying dormant
How is secondary herpes simplex infection clinically presented?
Cluster of lesions
What tissue is secondary herpes simplex infection found on?
Immovable tissue intraorally, unless extraorally on lips (herpes labialis)
What tissue is recurrent apthous stomatitis on?
Moveable tissue
What is this?
Pt is a child and presents with flu-like symptoms.
Primary herpetic gingivastomatitis
What is this?
Secondary herpes simplex infection
What is this?
Recurrent apthous stomatitis
What type of white plaque whipes off?
Pseudomembranous candidiasis
What is this? It wipes off
Pseudomembranous candidiasis
What is pseudomembranous candidiasis caused by?
Yeast/fungal infection
What is angular cheilitis caused by?
drooling in denture pts with decreased VDL, so pooling of saliva and bacteria inside saliva causing this in corners
What pathology is isolated, white plaque, that DOESN’T wipe off?
Hyperplastic candidiasis
What is a red patch on the midline of the dorsal tongue?
Central papillary atrophy median rhomboid glossitis
What is responsible for the presentation of hairy tongue?
elongated filliform papillae
- exogenous pigmentation may impart a brown or black appearance
What can hairy tongue be caused by?
Smoking or antibiotic therapy
What are fordyce granules caused by?
Ectopic sebaceous glands
What is this?
Fordyce granules
What is caused by sun damage and you can see the vermillion?
Actinic cheillitis
What is a descriptor of white plaque that can’t be characterized clinically as another disease?
Leukoplakia
What is this?
Leukoplakia
What is a descriptor of red plaque that can’t be characterized clinically as another disease?
Erythroplakia
What is this?
Physiologic pigmentation
What is caused by a focal increase in melanin but NOT melanocytes?
Oral melanotic macule
- lower lip vermillion most common
Describe the appearance of lichen planus
Bilateral, asymmetric, white lesions
LACE-LIKE APPEARANCE (WHICKHAMS STRIAE)
What is this?
Lichen planus
- can tell because white lace-like appearance caused by whickham striae
What pathology can be found in someone who has psoriasis?
Geographic tongue
What kind of lesion COULD BE associated with a systemic disease?
Aphthous like lesions
- Associated with something systemic like a syndrome
- IBS type lesion or gluten sensitivity
Hard to diagnose aphthous related to lesion because so many of them
