Common Oral Lesions Flashcards
_____ involves the lingual frenum and causes the tongue to form a v-shape.
Ankyloglossia
Is ankyloglossia more common in males or females?
males
_____ 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.
Exostosis
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?
Cemento-osseous Dysplasia
What are the types of COD?
Periapical
Florid
Focal
What demographic is most commonly associated with COD?
african american females
True or False: COD occurs in tooth-bearing areas of the jaw.
True, but the patient can be edentulous and still have COD
Focal COD is most often present in the ____ _____ as a ______ radiographic lesion.
posterior mandible
mixed radiopaque/lucent
How large are Focal COD lesions?
less than 1.5cm
Which demographic is most closely associated with Focal COD?
white females
i cannot FOCUS and i’m a white female
Florid COD occurs most often in ______ females and appears as _______ lesions.
black
multiple/bilateral lucencies
True or False: Florid COD is painful.
False, often there is no pain unless there is a secondary infection
keep hygiene up to prevent secondary infection*
Why do secondary infections cause trouble for Florid COD?
the area is HYPOvascular
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?
Idiopathic Osteosclerosis
Localized radiopacity surrounding apices of mandibular molar. Large carious lesion in the mesial marginal ridge that is encroaching on the pulp. What is it?
Condensing Osteitis
What is condensing osteitis? What is the treatment?
local response to an inflammed pulp
RCT resolves 85% of cases
White, Lacey lesion of buccal mucosa bilaterally that waxes and wanes. Scattered ulcers and plaques. What is it?
Lichen Planus
Who is most often affected by lichen planus? What is the treatment of choice?
older women (autoimmune) steroid therapy
What is commonly associated with lichen planus and must be ruled out prior to steroid therapy?
candida
True or False: Erythema Migrans is often painful.
False
How often does fissured tongue occur in conjunction with erythema migrans?
20-30%
Erythema Migrans will heal in _______ and then re-appears elsewhere.
couple weeks
Where does erythema migrans commonly appear?
dorso-lateral anterior 2/3 of tongue
What is the name for erythema migrans that comes and goes but always stays in the same spot?
erythema persistens
A small, bluish papule on the lower lip, Floor of mouth, tongue or soft palate that is fluctuant and 1mm in size.
Mucocele
A mucocele that appears on the _______ is considered to be _____ unless proven otherwise.
retromolar pad
mucoEp
How are mucoceles treated?
removal of papule and offending gland
A large, redish-blue papule on the floor of mouth. What is it?
ranula
A papule that is a color consistent with surrounding tissue. It is at the line of occlusion. What is it?
fibroma
(fibrous CT, mesenchymal origin, increased keratin in area of irritation)
A frenal tag is a type of _______.
fibroma
A denture epulis is a type of ______.
fibroma
Flat, 3 mm, darkly pigmented lesion on lower lip and labial gingiva. What is it?
Melanotic Macules
