exam 2- lecture 3 Flashcards
this is a fungal infection also called thrush and is the most common oral fungal infection
candidiasis
distinguishing one thing from another
differentiation
severe form occuring in patients who are severly immunocompromised( HIV), chronic oral and genital mucosal candidias
chronic mucocutaneous candidiasis
small erythematous macules with white mecrotic centers
koplik spots
how long does primary herpetic gingivostomatitis last and who does it occur in?
lesions heal 1-2 weeks
children 6 months-6 years
one of a group pf viruses are called herpes viruses and others are?
varicella-zoster virus
epstein barr virus
cytomegalovirus
caused by abnormaility in the genetic make up transmitted from parent to offspring thru the egg or sperm
inherited disorders
this is acute inflmmation of bone and bone marrow, most commonly a result of the extension of PA abcess
acute osteomyelitis
cavity lined by epithelium and enclosed CT capsule
cyst
what are certain triggers of recurrent herpes simplex?
sunlight, menstruation, fatigue, fever, stress
named after the town in new york
coxackievirus
how do you treat chronic osteomyelitis?
debridement and ABC treatment, some cases require hyperbarbic 02
the formation of dentin
dentinogensis
erythema/fissuring at labial commisures as well as nutritional deficiency
angular chelitis
primitive oral cavity
stomodeum
irregular, corrugated, white lesion most common occurring on lateral border of tongue .. immunocompromised pts- HIV
hairy leukoplakia
organism dies quickly when exposed to air and changes in temperature?
Syphilis
abnormally large teeth
macrodontia
occurs as an over growth of the yeast like fungus
candida albicans
these vesicles appear on the soft palate and occur with fever, maliase, sore throat, diffuculty swallowing (dysphagia)
herpangina
what effect does congenital syphilis have on child?
facial and dental abnormalities such as hutchinsons incisors and mulberry molars
what are the types of candidiasis?
pseudomembranous candidiasis erythematous candidiasis (actue atrophic) chronic atrophic candidiasis chronic hyperplastic candidiasis angular chelitis chronic mucotutaneous candidiasis
this is the most common recurrent infection and occurs on vermillion border of the lip can also be referred to as a cold sore or fever blister
herpes labialis
these occur as lesions on the tongue, buccal mucosa, palate, gingival, and alveolar ridge.. pink in color
condyloma acuminatum
treatment by surgical excision
what are some examples of viral infections?
measles
mumps
epstein-barr
hairy leukoplakia
abnormally small teeth
microdontia
congenital absence of teeth
anodontia
what are some symptoms of primary herpetic gingivostomatitis?
fever, malaise, lymphadenopathy
this is when an oral lesion is a chancre, highly infectious and forms at site where spirochete enters the body
primary symptom of syphilis
epithelium- lined blind tracts located at the corners of the mouth
commisural lip pits
how is herpes zoster transmitted, how long does it last?
contaminated droplets, lasts for several weeks
a tooth that is fused to the bone.. usually primary teeth
ankylosed tooth
how would you treat acute osteomyelittis?
drainage and ABC therapy
this is related to chronic osteomyelitis when a lesion becomes radiopaque and diagnostic based on biopsy
chronic sclerosing osteomyelitis
this is the most common type affecting the oral mucousa and also known as denture stomatitis that is associated with denture or partial
chronic atrophic candidiasis
how do you treat congenital syphilis?
penicillin
what is syphilis caused by?
the spirochete Treponema pallidum
highly contagious disease, and has koplik spots
measles
what are the two forms of herpes simplex infection?
type I and Type 2
type 1: oral lesion
type 2: genital lesions
how is syphilis transmitted?
direct contact- sexual, also blood transfusion or transplacental inoculation
viral infections of parotid gland- paramoxyvirus
mumps
the formation of dentin
dentinogensis
teeth cannot erupt into the oral cavity
impacted teeth
condition where two teeth are joined by cementum
concresence
what branches of trigeminal nerve does herpes zoster affect?
V1, V2, V3
unilateral, painful eruption of vesicles along the distribution of sensory nerve
herpes zoster
what are some examples associated with coxackievirus?
herpangina and hand/foot/mouth disease
what are the causes of candidiasis?
ABC treatment chemotherapy corticosteriod dentures diabetes HIV xerostomia infancy
what is the treatment of pericoronitis?
debridement, irrigation, ABC use, extraction
small solid mass detected thru palpatation
nodule
how do you treat nug?
debridement and AC therapy such as tetracycline
this can be transmitted from infected mother to the fetus by crossing placental barrier
congenital syphilis
preferecne
predilection
epidemics in children less than 5 years, and occur as oral lesions with macules or papules on skin of feet, toes, hands, and fingers
hand foot mouth disease
resolves in 2 weeks, usually no treatment
marked deviated from the normal
anomaly
tooth development- 5th week of embryonic life
odontogensis
this occurs with immunodeficiences and hodgkins disease and leukemia and occurs with adults
herpes zoster
what does microscopic exam reveal of acute osteomyelitis?
nonviable bone
necrotic debris
acute inflammation
bacterial colonies in narrow spaces
abnormal bend or curve in the root of the tooth
dilaceration
this is a rare fungal disease and inhabitnat organism from soil, occurs in diabetic/debilitated pts.
mucormycosis
this in inflammation of the mucosa and around the crown of a partially erupted, impacted tooth.. most common with mandibular 3rd molar
pericoronitis
this is a benign papillary lesion that is caused by another papillomavirus and transmitted by sexual contact
condyloma acuminatum
type of candidiasis white lesion that does not wipe off
chronic hyperplastic candidiasis
What are the signs and symptoms of Syphilis?
Primary, Secondary, Teritary
when is recurrent herpes simplex most contagious?
in vesicle stage
this is painful, erythematous and swollen gingival and multiple tiny vesicles on perioral skin, vermillion border of lip and oral mucosas and forms ulcers
primary herpetic gingivostomatitis
union of two adjacent germs
fusion
these appear as painful crops of tiny vesicles or ulcers that can coalesce to form a single ulcer
recurrent herpes simplex
what is chronic osteomyelitis due to?
inadequately treated acute osteo
pagets disease
sickle cell disease
bone irradiation
this causes both chicken pox and shingles
varicella zoster virus
this occurs years after initial infection if treatment has not been given and lesions involve the cardiovascular/CNS systems
tertiary symptom of syphilis
this presents as an erythematous lesion with a white surface that is easily revived by rubbing with 2x2 and commonly treated with nystatin
candidiasis
where is condyloma acuminatium more common in?
anogenital region, transmitted to oral cavity via sex
site of union of two corresponding parts; corner lips (libial commisure)
commissure
one that is present at birth
congenital disorder
partial anodontia; loss or lack of some teeth
hypodontia
the formation of enamel
amelogensis
how do you treat herpes zoster?
symptomatically, some corticosteriois
this is painful erythematous gingivitis in which there is necrosis of the inter dental papillae and caused by fusiform bacillus and spirochete (borrelia vincentii)
acute necrotizing gingivtis
what are viral infections caused by?
papillomavirus
what does mucormycosis involve?
nasal cavity, max. sinus and hard palate
present and existing from birth
congenital
this is sore throat, fer, lymphadenopathy, enlarged spleen, maliase and fatigue.. aka palatal petechiae or kissing disease
mono
infectious mononucleosis, nasopharyngeal carcinoma, burkitts lymphoma, and hairy leukoplakia
epstein-barr
what are the prodromal symptoms of recurrent herpes simplex?
burning, itching, tingling
this is an oral lesion known as a mucous patch, multiple painless, grayish white plaques covering ulcerated mucosa and is most infectious
secondary symptom of syphilis
tooth germ tries to divide itself.. aka bifid tooth
gemination
this is a papillary oral lesion caused by papillomavirus where the lips are most common intraoral sites
verruca vulgaris
this is long standing inflammation of bone and causes painful, swollen bone and appears diffuse RL on radiograph
Chronic osteomyelitis
surgical removal of a portion of the frenum
frenectomy.. to fix ankyoglossia
formation of cementum
cementogensis
what are some symptoms of chicken pox, and who does it effect?
headache, fever, maliase.. effects children and usuaully lasts 2-3 weeks
oral lesions are chronic, non healing ulcers that can resemble squamous cell carcinoma.. treat with antifungals such as amphotericin b or ketoconalzome
deep fungal infections
what are some treatments of recurrent herpes simplex?
acyclovir, symptomatic treatment
characterized by presence of multiple whitish to pink nodules in distributed throughout the oral mucosa and most common in children.. asymptomatic and usually resolve on their own
focal epithelial hyperplasia
how do you diagnose congenital syphilis?
skin lesions by dark field examiniation to ID spirochetes
blood work is more accurate: VDRL (Veneral Disease Research Laboratory) test, FTA-ABS (fluorescent treponemal antibody absorption) test
white, papillary, exophytic lesion resembiling a papilloma, requires biopsy, and oral lesions are less common than skin
verruca vulgaris
treat with excision
this virus tends to persist in latent stage-trigeminal ganglion recurrence .. occurs in 1/3-2/3 population
recurrent herpes simplex
extensive adhesion of the tongue to the floor of the mouth.. aka tongue tied
ankyoglossia
tongue tied, high lingual frenum close to the tip of the tongue
ankyoglossia
what are some causes of deep fungal infections?
histoplasmosis, coccidioidmycosis, blastomycosis, and cryptococcosis.. all are characterized by primary involvement in the lungs
this is a firm mass that eventually becomes an ulcer found on tongue and palate.. a destructive lesion that can perforate the palatal bone
gumma
involved with tertiary syphilis
this is about 6 weeks after primary lesion appears and is diffuse eruptions of skin and mucous membranes
secondary symptom of syphilis
this causes pain to the gingiva, foul odor, and cratering of the interdental papillae
NUG
tooth within a tooth.. enamel invaginates into the dentin
dens in dente
highly contagious disease causing vesicular/pustular eruptions of the skin/mucous membrane
chicken pox
this is “bound down mucosa” on the palate and gingival, and are lesions that heal in 1-2 weeks
recurrent herpes simplex
this is soft tissue flap covering partial eruption involved with periocoronitits
operculum