Common Oral Lesions Flashcards

1
Q

_____ involves the lingual frenum and causes the tongue to form a v-shape.

A

Ankyloglossia

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2
Q

Is ankyloglossia more common in males or females?

A

males

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3
Q

_____ is a bony hard mass that often occurs bilaterally on the lingual mandible. It is seen with Paget’s Disease or with the use of bisphosphonates.

A

Exostosis

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4
Q

Diffuse radiulucencies around apices of mandibular incisors with presence of apical radiopacity. PDL and lamina dura are still in tact and teeth are vital. This is most likely?

A

Cemento-osseous Dysplasia

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5
Q

What are the types of COD?

A

Periapical
Florid
Focal

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6
Q

What demographic is most commonly associated with COD?

A

african american females

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7
Q

True or False: COD occurs in tooth-bearing areas of the jaw.

A

True, but the patient can be edentulous and still have COD

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8
Q

Focal COD is most often present in the ____ _____ as a ______ radiographic lesion.

A

posterior mandible

mixed radiopaque/lucent

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9
Q

How large are Focal COD lesions?

A

less than 1.5cm

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10
Q

Which demographic is most closely associated with Focal COD?

A

white females

i cannot FOCUS and i’m a white female

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11
Q

Florid COD occurs most often in ______ females and appears as _______ lesions.

A

black

multiple/bilateral lucencies

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12
Q

True or False: Florid COD is painful.

A

False, often there is no pain unless there is a secondary infection
keep hygiene up to prevent secondary infection*

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13
Q

Why do secondary infections cause trouble for Florid COD?

A

the area is HYPOvascular

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14
Q

A radiopacity that seems to blend with the root of a mandibular molar but does not cause resorption. It’s localized and the cause is unknown. What is it?

A

Idiopathic Osteosclerosis

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15
Q

Localized radiopacity surrounding apices of mandibular molar. Large carious lesion in the mesial marginal ridge that is encroaching on the pulp. What is it?

A

Condensing Osteitis

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16
Q

What is condensing osteitis? What is the treatment?

A

local response to an inflammed pulp

RCT resolves 85% of cases

17
Q

White, Lacey lesion of buccal mucosa bilaterally that waxes and wanes. Scattered ulcers and plaques. What is it?

A

Lichen Planus

18
Q

Who is most often affected by lichen planus? What is the treatment of choice?

A
older women (autoimmune)
steroid therapy
19
Q

What is commonly associated with lichen planus and must be ruled out prior to steroid therapy?

A

candida

20
Q

True or False: Erythema Migrans is often painful.

A

False

21
Q

How often does fissured tongue occur in conjunction with erythema migrans?

A

20-30%

22
Q

Erythema Migrans will heal in _______ and then re-appears elsewhere.

A

couple weeks

23
Q

Where does erythema migrans commonly appear?

A

dorso-lateral anterior 2/3 of tongue

24
Q

What is the name for erythema migrans that comes and goes but always stays in the same spot?

A

erythema persistens

25
Q

A small, bluish papule on the lower lip, Floor of mouth, tongue or soft palate that is fluctuant and 1mm in size.

A

Mucocele

26
Q

A mucocele that appears on the _______ is considered to be _____ unless proven otherwise.

A

retromolar pad

mucoEp

27
Q

How are mucoceles treated?

A

removal of papule and offending gland

28
Q

A large, redish-blue papule on the floor of mouth. What is it?

A

ranula

29
Q

A papule that is a color consistent with surrounding tissue. It is at the line of occlusion. What is it?

A

fibroma

(fibrous CT, mesenchymal origin, increased keratin in area of irritation)

30
Q

A frenal tag is a type of _______.

A

fibroma

31
Q

A denture epulis is a type of ______.

A

fibroma

32
Q

Flat, 3 mm, darkly pigmented lesion on lower lip and labial gingiva. What is it?

A

Melanotic Macules