Common Oral Pathologies Flashcards
What are the malignant lesions we have covered?
s
What are the benign lesions we have covered?
s
What lesions should we treat with recommend oral hygine?
- Materia Alba
2. White coated tongue
What lesions should we treat?
- Pseudomembranous candidiasis
What lesions should we refer the pt to ENT specialist, dentist, or oral surgeon?
s
What is the number one reported oral mucosa lesion?
Leukoplakia
What type of diagnosis if Leukoplakia?
Diagnosis of exclusion
Why are white lesions white?
Something blocking redness of underlying vasculature
- Thickening of epitherlium: hyperkeratosis, acanthosis, dysplasia, carcinoma
- Decreased vascularity: anemia
- Increased collagen content of the sub epithelial tissue: sub mucous Fibrosis
Others:
microbial colony, necrosis
Is leukoplakia considered a “premalignant lesion”
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
How should you approach a suspected leukoplakia?
Attempt to scrap it off, if it does not scrap off, observe for 10-14 d. and than biopsy it
What white lesions can be scraped off?
- Materia Alba
- White coated tongue
- Candidiasis
- Burn
What is Materia Alba and how do we treat it?
Clinical Dx: Plaque built up on teeth that scraps off
Tx: oral hygiene
What is white coated tongue? How do we treat it?
Clinical Dx: white shit on tongue that scraps off
Tx: oral hygiene
What is pseudomembranous candidiasis? How do we Dx and Tx it?
Clinical Dx: speckled white plaques in oral cavity that can be scraped off
Tx: antifungals and cleaning dentures
How do thermal, chemical, cotton roll, and tooth paste burns look? How do we tx them?
Clinical Dx: white ripping skin
Tx: none
What lesions should we not treat?
- burns
2. Linea Alba
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)
- Linea Alba
- Leukoedema
- Nicotine Stomatitis
- Oral Hairy Leukoplakia
- Tabacco Pouch Keratosis
- Lichen Planus
What is Linea Alba? how do we Dx and Tx it?
Clinical Dx: white, cannot be wiped off, horizontal, elevated, linear lesion, near midline of buccal mucosa, commonly seen bilaterally
Cause: stress, sucking
Tx: none
What Leukoedema? How do we Dx and Tx?
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
What Nicotine Stomatitis?
f
