Exam 1 (lecture 1 Flashcards
wrinkled (tin roof)
corrugated
mm or cm
size
i’ll defined or spread out
diffuse
What are some examples of radiographic diagnostic process?
Periapical pathosis (PAP) (abscess, cyst, or granuloma)
internal/external resorption
normal radiographic landmarks
calculus
caries
odontoma
impacted teeth
What are examples of therapeutic dx?
Angular cheilitis
ANUG
lesion extending beyond the confines of one distinct area. many lobes “soap bubbles”
multiocular
What is discovered in a clinical diagnostic process?
appearance of lesion
can establish based upon color, shape, location and history
What is Stafne’s bone cyst?
lingual mandibular bone concavity
- developmental anomaly-bilateral
- well-circumscribed
- entrapped salivary gland tissue
What is a traumatic bone cyst?
Radiolucency scalloping around roots
lesion opened surgically-empty void of bone (fills in)
shortened or blunted irregularly shaped
resorption
resembles small, nipple-shaped projections or elevations found in clusters
papillary
What are some characteristics of angular cheilitis?
B complex deficiency
most commonly fungal and responds to anti fungal cream
Nystatin -candidiasis
Red (erythrmatous), white, pink
color
What are some characteristics of periapical cemental dysplasia (CEMENTOMA)
black women
3rd decade of life (60’s)
asymptomatic
teeth are vital and usually the anteriors are affected
paleness of skin or mucosa
Pallor
this is a variant more common in afro americans
melanin is the pigment that gives color to the skin, eyes, hair, mucosa, and gingiva.
melanin pigmentation
what are the 8 categories of a diagnostic process?
clinical radiographic historical laboratory microscopic surgical therapeutic differential
what are the types of variants of normal?
fordyce granules torus palatinus mandibular tori melanin pigmentation retrocuspid papilla lingual varcosities linea lba leukoedema
What are some examples of Historical diagnostic process?
personal history family history medical history dental history medications history of present situation
amelogensis or dentinogensis imperfecta
periapical cemental dysplasia (cementoma)
this disappears when mucosa is stretched, most commonly in afro americans, and generalized opalescence of bucccal mucosas (grayish white)
leukoedema
attached by a stem like or stalk base (mushroom)
pedunculated
this is a sessile nodule on gingival margin of the lingual aspect of the mandibular canines
retrocuspid papilla
small elevated lesions less than 1 cm in diameter containing serous fluid
vesicle
feeling of area with fingers (soft, firm, semifirm, fluid filled)
palpation
these occur more commonly in women and platal tori or maxillary tori
torus palatinus
Nutritional deficiencies are apart of what diagnosis?
therapeutic
Area distinguished by color differentiation from adjacent tissue; flat (freckles)
Macule
What is differentiation of vascular lesion?
aspiration of lesion
borders are specifically defined and can clearly see the exact margins and extent
well circumscribed
What are some examples of surgical diagnosis?
traumatic bone cyst
lingual mandibular bone concavity(stafne’s bone cyst)
differentiation of vascular lesion
means tumor of whatever the tissue is of the prefix
example: lipoma means tumor of adipose (fat)
-oma
Why is a laboratory diagnostic process significant?
blood chemistries/urinalysis
elevated serum like alkaline phosphate level (pagets disease)
lab cultures for oral infections
these are clusters of ectopic sebaceous glands foudn on the lips and buccal mucosa
fordyce granules
This is made by using information gained from a surgical procedure?
surgical diagnosis
Small circumscribed lesion usually less than 1 cm in diameter elevated above surface of normal tissue
Papule
Base of a lesion that is flat or broad instead of stem like
sessile
one compartment or unit that is well defined
uniocular
segment or love that is a part of the whole
lobule
palpable solid lesion up to 1 cm found in soft tissue. (above, level, or beneath skin)
Nodule
this occurs with bruxism or clenching, usually bilateral and is a white line on buccal mucosa along occlusal plane
linea alba
Differential diagnostic process?
Bread and butter
use above procedures to determine final diagnosis
may use all parts or specifics part
Various sized round elevations containing pus
Pustules
What is ANUG?
acute necrotizing ulcerative gingivitis
clinically distinctive (stinky)
respond to hydrogen peroxide
sometimes ABC therapy-tetracyclines
these are usually bilateral, located on the lingual aspect of the mandible, and aka torus mandibularis
mandibular tori
(RL) lesion extending between roots (traumatic home cyst)
scalloping around the root
this occurs in older individuals and are prominent veins located on the ventral/lateral surfaces of the tongue
lingual varicosities
What are some examples of clinical findings?
fordyce granules
tori (max or mand) (torus pallatinus/torus mandibularis)
melanin pigmentation
retrocuspid papillae
lingual variscosities
fissured tongue
median rhomboid gloss it is
geographic tongue
hairy tongue
What characteristics are lesions based upon?
Clinical Appearance within soft tissue (bulla, lobe, etc)
soft tissue consistency (nodule)
color of lesion (red, white, pink, etc)
size of lesion (mm/cm)
surface texture (corrugated, fissured, etc)
radio graphic appearance
All tumors are benign except:
melanoma, sacroma, carcinoma, lymphoma, and multiple myeloma which are malignant
Microscopic diagnostic process?
use of biopsy specimen
MAIN component of definitive diagnosis
histologic confirmation of clinical diagnosis
cleft or groove showing prominent depth
fissure
Circumscribed elevated lesion greater than 5 mm in diameter with serous fluid, looks like a blister
Bulla
