Final CPC Flashcards
1
Q
A
Cleft Lip
Failure of fusion of the medial nasal process and the maxillary process
2
Q
A
Bifid Uvula
Failure of fusion of the palatal shelves
3
Q
A
Ashers Syndrome
Blepharochalasis, double lip
4
Q
A
Fordyce Granules
Ectopic sebaceous glands
5
Q
A
Erythema Migrans
Yellow serpentine boarder
6
Q
A
Leukoedema
Stretch it to see if it goes away
7
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Anklyoglossia
Tongue tied. May not treat because it can tear on its own (This is a good reason to cut it though)
8
Q
A
Lingual Thyroid
Don’t remomve because it might be the only source of T3 and T4 in the body
Foramen Cecum
9
Q
A
Condylar Hyperplasia
Deviates to the same side of pathology
10
Q
A
Fissured Tongue (Scrotal Tongue)
Commonly seen with geographic tongue
11
Q
A
Geographic Tongue
(Benign Migratory Glossitis)
Acute response
12
Q
Syndrome?
A
Paramedian Lip Pits
Vander Woude Syndrome
13
Q
A
Lingual Verocosities
Avoid severing
14
Q
A
Buccal Exostosis
15
Q
A
Basal Cell Carcinoma
Telangiectasia
16
Q
A
Calibers Artery
Avoid severing this
17
Q
A
Condensing Osteitis
Notice the tooth insult
18
Q
A
Ideopathic Osteosclerosis
Notice there is no tooth pathology
19
Q
A
Coronoid Hyperplasia
Movement on same side because the coronoid process interferes with the zygomatic bone
20
Q
A
Torus Palatinus
21
Q
A
Submandibular Tori
22
Q
A
Lymphoepithial Cyst
Location on lymphoid tissue
23
Q
A
Nasopatine Duct Cysy
24
Q
A
Pierre Robin Sequence
25
Abfraction
26
Errosion (Corrosion)
27
Attrition
28
Abrasion
29
Turner's hypoplasia
30
Dens-en-Dente
31
Taurodontism
Klienfelters Syndrome, Turners Syndrome, Amelogenesis Imperfecta
32
Dentin Dysplasia Type 1
33
Residual Cyst
Notice how there is a missing tooth
34
Ludwigs Angina
35
Cavernous Sinus Thrombosis
36
Herpes
On fixed gingiva
37
Apththous Ulcer
Moveable mucosa
38
Mucocele
39
Sialolilith
40
Necrotizing Sialometaplasia
41
Salivary Gland Neoplasm
42
Fibroma
43
Retrocuspid Papilla
No treatment
44
Epulis Fissuratum
Histologically, it is the same as inflammatory fibrous hyperplasia
45
Inflammatory Papillary Hyperplasia
46
Peripheral Ossifying Fibroma
47
Peripheral Giant Cell Granuloma
Can cross the midline
48
Pyogenic Ganuloma
Very red and bleeds a lot
49
Leukemia
50
Langerhan Cell Histiocytosis
Tooth floating in air
Most common in young children
51
Cleidocranial Dysplasia
Multiple Osteomas, supernumerary teeth
52
Syndrome?
Garnders Syndrom
53
Condensing Osteitis
54
Ideopathic Osteo Sclerosis
55
Traumatic Bone Cyst
Empty
56
Ameloblastoma Histo
Notice the reverse polarity
57
Ameloblastoma Radiology
* “Soap bubble” – when the RL loculations are larg
* “Honeycombed” – when the loculations are small
* \*\*Buccal and lingual cortical expansion is frequently present\*\*
* Resorption of roots is common
58
Sialolilith
Often get trapped in submandibular gland going around the mylohyoid
59
Odontogenic Keratocyst
* Often found near sinus
* Tend to grow in an anterior-posterior direction
* Palisading basal lamina 6 to 8 cell layers thick, making it hard to remove and contributing to the 30% recurrance rate.
* Gorlin's scyndrome is Nevoid Basal Cell Carcinomas on skin
* Bifid rib
* Calcified falx cerebre
* OKC
* PAT gen on chromasome 9
60
Fibrous Dysplasia
* Monostotic
* 80% of cases, Teenagers, Max more than Mand, "Ground glass"
* Polyostotic
* Jaffe-Lichtenstein Syndrome
* Polyostotic fibrous dysplasia
* Café au lait spots (coast of Maine)
* McCune-Albright Syndrome
* Polyostotic fibrous dysplasia
* Café au lait spots (coast of Maine)
* Multiple endocrinopathies
61
Pagets Disease
"Cotton wool"
Increased head circumference "my dentures don't fit"
62
Focal Cemento Osseous Dysplasia
Mostly in middle age women
Radioleucent rim
Smaller than 1.5 cm
63
Periapical Cemento Osseous Dysplasia
No treatment needed. No Biopsy needed.
64
Florid Cemento Osseous Dysplasia
No need to biopsy
Extraction is a bad thing because of necrosis
65
Cementoblastoma
* Can't follow PDL
* 75% before the age of 30
* Found in the mandible molar region
* Surgical extraction
66
Metastatic Carcinoma
Notice the widening of PDL "Moth eathen"
Ususally occur in the mandible
Numb-chin Syndrome
67
Osteosarcoma
"Sunburst"
Mesenchymal malignancy
bimodal age distribution
68
Eruption Cyst
Soft tissue counterpart for a dentigerist cyst
called eruption hematomas
69
Mucoepidermoid Carcinoma
Notice location
70
Cherubism
Multiple giant cell granulomas present
71
Gingival Cyst of the Adult
* The lateral periodontal cysyt is the hard tissue counterpart
* Normally between the lateral and the canine teeth
* Derived from rests of dental lamina (rests of Serres)
* Painless, dome-like swellings which are less than 5mm
72
Lateral Periodontal Cyst
Location between the canine and lateral incisor
Conservative enucleation is treatment
Hard tissue counterpart of gingival cyst of the adult
73
Bucal Biforcation Cyst
* Rests of Seres
* Apex of teeth tipped lingually
* Occurs in children, avg age of 10
* Treated by enucleation
* No need to extract the tooth
74
Dentigerous Cyst
Unilocular, radiolucent and impacted
* Cyst that originates by separation of the follicle from around the crown of an unerupted tooth
* Most common developmental cyst
* Treatment is enucleation of the cyst together with the unerupted tooth
* Large examples may be treated by marsupialization
* Usually do not, but can grow to considerable size & expand bone, cause facial asymmetry, etc.
* That’s why they must be removed (that and to rule out other cysts like OKC)
* Calcifying epithelial odontogenic tumor, Ameloblastic fibro-odontoma, Calcifying odontogenic cyst and Adenomtoidodontogenic tumor are differetials
75
Adenomatoid Odontogenic Tumor
"Snowflake calcifications"
* \*Striking tendency to occur in the anterior jaws
* \*Mx\>Md
* \*F:M 2:1
* Occurs in young patients, ages 10-20
* \*In 75% of cases, the tumor is a circumscribed, unilocular RL involving the crown of an unerupted tooth\*
* Most often a canine tooth
* Tumor has a thick, fibrous capsule that makes enucleation easy
* Dentigerous cyst, Calcifying epithelial odontogenic tumor, Calcifying odontogenic cyst and Ameloblastic fibro odontoma are differentials
76
Calcifying odontogenic cyst
* Gorlin cyst
* Ghost cells
* 65% are found in the incisor-canine areas; mx=md
* Posterior mandible
* Calcifying epithelial odontogenic tumor , Adenomatoid odontogenic tumor and Ameloblastic fibro-odontoma are differentials
77
Calcifying epithelial odontogenic tumor
AKA Pindborg Tumor
* "Driven snow"
* Amyloid-like extracellular material; positive for Congo red, which exhibits an apple-green birefringence when viewed under polarized light
* Calcifications with concentric rings form in the amyloid-like areas (Liesegang rings)
* Calcifying odontogenic tumor, Ameloblastic fibro-odontoma, Adenomatoid odontogenic tumor are differentials
78
Ameloblastic Fibro-Odontoma
* Ameloblastic fibroma --\> Ameloblastic fibro-odontoma --\> Ameloblastic odontoma
* Calcifying epithelial odontogenic tumor, Calcifying odontogenic tumor, Adenomatoid odontogenic tumor are differentials
* Typically associated with an unerupted tooth
* Treated with conservative curettage with rare recurrence
79
CREST
* Calcinosis cutis
* Multiple, movable, nontender, subcutaneous, nodular calcifications
* Raynaud phenomenon
* Poor blood flow that leads to blue, painful hands when cold
* Esophageal dysmotility
* Caused by abnormal collagen deposition in the esophageal submucosa
* sclerodactyly
* Fingers become stiff and white from excess collagen
* telangiectasia
* Most patients affected are women in their 60s
80
White Sponge Nevus
* Genodermatosis
* Autosomal dominant
* Benign condition with no treatment
81
Compound Odontoma
* Most common odontogenic tumor
* Considered to be developmental anomalies (hamartomas) rather than true neoplasms
* Divided into compound and complex types
* Compound – Composed of multiple, small, toothlike structures
* Complex- Conglomerate mass of enamel and dentin; bears no anatomic resemblance of a tooth
* Ave age – 15
* Completely asymptomatic
82
Ash Leaf Spots
Found in tuberous sclerosis
* Mental retardation
* Seizure disorders
* Potato-like growths (“tubers”)
* Facial angiofibromas: Multiple, smooth-surfaced papules occurring primarily on the nasolabial fold area
* Ungual fibromas: Seen around or under the margins of the nails
* Shagreen patches: Connective tissue hamartomas
* Rare tumor of the heart muscle, termed cardiac rhabdomyoma
* Angiomyolipomas are found on the kidney
* Oral manifestations:
* Developmental enamel pitting on the facial aspect of the anterior permanent teeth
* Multiple fibrous papules
* Patients have a reduced life span – death is usually via CNS or kidney disease
83
Desquamitive Gingivitis
Pemphigus, Pemphigoid, Systemic lupus erythematous, Lichen planus, Hypersensitivity
84
Pemphigus
Tzank cells
85
Pemphigoid
* Twice as common as pemphigus
* Most significant complication is the ocular involvement (up to 25%) symblepharons
* Scarring can turn the eyelids inward (entropion), which causes the eyelashes to rub against the cornea
* Scarring can close opening of lacrimal glands
* After all this happens, the cornea produces keratin as a protective mechanism
* Autoantibodies are directed against the basement membrane, leading to a subepithelial split (interepithelial)
* Direct immunofluorescence (DIF) shows C3 and IgG along the basement membrane
* Send to Opthamologist!!!
86
Pemphigus
* “First to show, last to go”
* Autoantibodies are directed against the desmosomes. "Intra"
* A characteristic feature is a positive _Nikolsky sign_: Bulla can be induced on normal-appearing skin if firm lateral pressure is exerted
* Cells of the epithelium “fall apart” – termed acantholysis
87
LichenPlanus
* May be due to medications, amalgam, etc. – “lichenoid mucositis”
* Skin lesions are the 4 Ps:
* Purple
* Pruritus
* Polygonal
* Papules
* Degenerating keratinocytes within the epithelium (termed Civatte bodies)
* Wickam Striae
* Lesions can be induced with the following:
* S – Stress
* T – Trauma
* A – Advil (any NSAIDs, acetaminophen is ok)
* Y – Yeast
* Desquamative gingivitus, Pemphagoid, Pemphigus, Systemic lupus erythematous are differentials
* DON'T Treat RETICULAR lichen planus
88
Systemic Lupus Erythematous
Pemphigus, Pemphigoid, Desquamitive gingivitis, Lichen planus are differentials
89
Erythema Multiform
Herpes usually proceeds the condition
90
Toxic Epidermolysis Necrosis
Erythema multiform is a precursor
91
DONE!
