Common Oral Pathologies

Question 1

What are the malignant lesions we have covered?

Answer 1

s

Question 2

What are the benign lesions we have covered?

Answer 2

s

Question 3

What lesions should we treat with recommend oral hygine?

Answer 3

1. Materia Alba

2. White coated tongue

Question 4

What lesions should we treat?

Answer 4

1. Pseudomembranous candidiasis

Question 5

What lesions should we refer the pt to ENT specialist, dentist, or oral surgeon?

Answer 5

s

Question 6

What is the number one reported oral mucosa lesion?

Answer 6

Leukoplakia

Question 7

What type of diagnosis if Leukoplakia?

Answer 7

Diagnosis of exclusion

Question 8

Why are white lesions white?

Answer 8

Something blocking redness of underlying vasculature

1. Thickening of epitherlium: hyperkeratosis, acanthosis, dysplasia, carcinoma
2. Decreased vascularity: anemia
3. Increased collagen content of the sub epithelial tissue: sub mucous Fibrosis

Others:
microbial colony, necrosis

Question 9

Is leukoplakia considered a “premalignant lesion”

Answer 9

Yes, 5-25% are dysplastic or worse at time of biopsy.
4% potential to transform if you do nothing.
90% of floor of mouth are malignant

Question 10

How should you approach a suspected leukoplakia?

Answer 10

Attempt to scrap it off, if it does not scrap off, observe for 10-14 d. and than biopsy it

Question 11

What white lesions can be scraped off?

Answer 11

1. Materia Alba
2. White coated tongue
3. Candidiasis
4. Burn

Question 12

What is Materia Alba and how do we treat it?

Answer 12

Clinical Dx: Plaque built up on teeth that scraps off

Tx: oral hygiene

Question 13

What is white coated tongue? How do we treat it?

Answer 13

Clinical Dx: white shit on tongue that scraps off

Tx: oral hygiene

Question 14

What is pseudomembranous candidiasis? How do we Dx and Tx it?

Answer 14

Clinical Dx: speckled white plaques in oral cavity that can be scraped off
Tx: antifungals and cleaning dentures

Question 15

How do thermal, chemical, cotton roll, and tooth paste burns look? How do we tx them?

Answer 15

Clinical Dx: white ripping skin

Tx: none

Question 16

What lesions should we not treat?

Answer 16

1. burns

2. Linea Alba

Question 17

What are other oral lesions that are white but cannot be scraped off like leukoplakia? These are the lesions you must R/O to R/I leukoplakia. (Hint: 6)

Answer 17

1. Linea Alba
2. Leukoedema
3. Nicotine Stomatitis
4. Oral Hairy Leukoplakia
5. Tabacco Pouch Keratosis
6. Lichen Planus

Question 18

What is Linea Alba? how do we Dx and Tx it?

Answer 18

Clinical Dx: white, cannot be wiped off, horizontal, elevated, linear lesion, near midline of buccal mucosa, commonly seen bilaterally

Cause: stress, sucking

Tx: none

Question 19

What Leukoedema? How do we Dx and Tx?

Answer 19

Clinical Dx: White, can’t be wiped off, common in African American population, commonly seen bilaterally, disappears when stretch

Can also appear blue or grey, particularly found on the buccal mucosa; it may also occur on the mucosa of the larynx or vagina.

Tx: none

Question 20

What Nicotine Stomatitis?

Answer 20

f