Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AU 15- Periodontology Exam 2 > Gingival Diseases 2 > Flashcards

Gingival Diseases 2 Flashcards

1
Q

True or False: When gingival lesions are of systemic origin, controlling plaque has no effect because it is not the cause of inflammation.

A

False: although it is NOT the cause, plaque makes the lesions worse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Gingival lesions of systemic origin include _______ disorders such as: lichen planus, pemphigoid, pemphigus vulgaris, erythema multiforme, lupus erythematosus.

A

mucocutaneous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

_______ _______ is a mucocutaneous disorder of which oral involvement alone is common and for which there are characteristic Wickham Striae.

A

Lichen Planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Wickham Striae?

A

lesions that are red with projecting web-like white lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

True or False: Lichen planus is rare in children.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the various clinical appearances of Lichen Planus?

A
  1. Papular
  2. Reticular
  3. Plaque-like
  4. Atrophic
  5. Ulcerative
  6. Bullous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

True or False: Lichen Planus can occur on any area of the oral mucosa.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Atrophic and Ulcerative lesions are usually associated with _____.

A

Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

____ is a large blister or skin vesicle filled with fluid.

A

Bulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does “reticular” mean?

A

meshlike, in the form of a network

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sometimes if a biopsy is taken for the lichen planus, nothing will be seen. What is the test that should be done (labeling of specific proteins)?

A

immunohistochemistry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are “oral lichenoid lesions”?

A

a mucocutaneous disorder of uncertain background, that could be associated with dental restoration contact, medication reactions, or systemic disease (such as liver disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is lichen planus differentiated from oral lichenoid lesions?

A

Oral immunohistochemistry:

  • heavy accumulation of CD4 and CD8 at the basement membrane for Lichen Planus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A group of disorders in which autoantibodies toward components of the basement membrane results in detachment of epithelium from the connective tissue. This definition describes?

A

Pemphigoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

True or False: Complement-mediated cell destructive processes may be involved in the pathogenesis of pemphigoid disorders.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

For pemphigoid disorders, autoantibody reactions occur against _______ and _______ components.

A

hemidesmosome

lamina lucida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the Nicholsky sign?

A

removal of epithelium that occurs after rubbing of the gingiva and creation of a bulla; associated with pemphigoid disorders (ie. disorders in which autoantibodies result in detachment of epithelium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the three manifestations of pemphigoid disorders?

A
  1. bullous
  2. benign mucous membrane
  3. cicatricial (scar formation)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Pemphigoid disorders are associated with deposits of C3, Ig___ and other _____.

A

G

antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When pemphigoid lesions are suspected, which other body part should you inspect?

A

the eyes, scars can cause blindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is pemphigus vulgaris?

A

formation of intraepithelial bullae in the skin and mucous membranes; like a “pimple at the basal membrane”

  • strong genetic background (Jewish/mediterranean)
  • Painful desquamative lesions
  • Recurrent bullae, chronic course
  • middle age and ederly most common
    • acantholysis = clearing of CT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Clearing of connective tissue is also known as ________ and is associated with pemphigus vulgaris.

A

acantholysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is erythema multiforme?

A

vesiculobullous disease affecting both mucous membranes and skin

  • red skin lesions
  • swollen lips with crust formation
    • bullae rupture and leave ulcers
  • sometime recurrent
  • Characteristic: iris appearance + bullae
  • occurs at any age but mostly young
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Extensive Necrosis (of eyes, skin, genitals, and mouth) associated with Erythema multiforme is known as _____ syndrome.

A

Stevens-Johnson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Erythema multiforme of palatal mucosa appears to be a cytotoxic immune reaction toaward keratinocytes precipitating from a variety of factors such as _____ and _____.

A

herpes simplex

various drugs

26
Q

What is lupus erythematosus?

A

autoimmune connective tissue disorder in which autoantibodies form to various cellular constituents

  • lesions can be ulcerated and cannot be differentiated from lichen planus or leukoplakia
  • characteristic butterfly skin lesions (face/nose)
27
Q

Atrophic gingival discoid lupus erythematosus is characterized by degeneration of ____ cells and increased ____ of the basement membrane due to deposits of various ______ and _____.

A

basal

width

antibodies and fibrin

28
Q

True or False: Systemic forms of lupus erythematosus reach the heart and nervous system.

A

True! can be fatal

29
Q

What are three common drugs that cause mucocutaneous disorders?

A
  1. immunosuppressants
  2. calcium channel blockers
  3. anti-epileptic drugs
30
Q

True or False: Gingival enlargement is associated with drug-induced mucocutaneous disorders.

A

True

31
Q

True or False: Oral ulceration, erythema multiforme, epithelial atrophy, and intense erythema are all conditions that are solely associated with genetics.

A

False: all of these are drug-induced

32
Q

What are two systemic conditions that have gingival manifestations?

A
  1. Gastro-Intestinal Diseases (Crohn’s)
  2. Hematological Disorders (leukemia)
33
Q

How does Crohn’s disease effect the mucosa?

A

mucosal folding

defective neutrophil functions

34
Q

How does leukemia present in the mouth?

A

swelling, ulceration, petecchia, and erythema

  • 69% of patients have oral manifestation
  • a child with spontaneous bleeding should be a tip-off!
35
Q

True or False: Periodontal tumors and cysts may have the appearance of gingivitis or periodontitis.

A

True

36
Q

Periodontal tumors can be ____, _____, or _____.

A

Reactive Processes

Benign Neoplasms

Malignant Neoplasms

37
Q

True or False: Periodontal tumors can affect the hard or soft tissues.

A

True

38
Q

Reactive processes of periodontal ____ tissues include:

  • Fibroma/Focal Fibrous Hyperplasia
  • Calcified Fibroblast Granuloma
  • Pyogenic Granuloma
    • Peripheral Giant Cell Granuloma
A

soft

“granuloma” or “fibroma” always think REACTIVE

39
Q

A _____ is a focal fibrous hyperplasia caused by irritation. It is sessile, well-circumscribed, and smooth.

A

Fibroma

40
Q

Granulomas are ______ of periodontal soft tissues and include:

  • ________ =fibrous proliferation in which bone-like tissue forms
  • _________ = highly vascular, ulcerated, reddish-bluish
    • ______ = pedunculated, originates in PDL, focal location of multi-nucleated giant cells
A

Reactive processes

  • calcified fibroblastic
  • pyogenic
    • peripheral giant cell
41
Q

A periapical cemental dysplasia is a _____ ______ of periodontal hard tissues.

A

reactive process

42
Q

In a periapical cemental dysplasia, the periapical bone is replaced by ____ _______ tissue through a cementoblastic phase. These are usually symptomatic/asymptomatic?

A

cellular fibroblastic

NO symptoms (though tooth is usually vital)!

43
Q

____ _______ of periodontal soft tissues include:

  • hemangioma
  • nevus
  • papilloma
  • verruca vulgaris
    • peripheral odontogenic tumors
A

Benign neoplasms

44
Q

_________ will blanch when you apply pressure and appear as flat or raised soft lesions. They are asymptomic but will bleed uncontrollable if you attempt to biopsy…just keep an eye on it.

A

Hemangiomas

45
Q

_______ is a benign neoplasm that is often confused with amalgam tattoos due to pigmentation of soft tissue. Most often seen in palate though.

A

Nevus

46
Q

Which benign neoplasm of the soft tissue will appear histologically as a “flower with four petals?”

A

Papilloma

  • there are four-five different types
    • commonly associated with HPV
47
Q

Verruca Vulgaris is one type of benign soft tissue ______ that is associated with HPV type ___ and ____.

A

Papilloma

2, 4

48
Q

Which benign neoplasms of the soft tissue will often form around unerupted teeth and interfere with tooth eruption?

A

Peripheral Odontogenic tumors

49
Q

Ameloblastomas, Squamous odontogenic tumors, and benign cementoblastomas are benign neoplasms of the _____ tissues.

A

hard

50
Q

True or False: Ameloblastomas are benign neoplasms of the hard tissue that appear radiographically as though there would be deep probe depths, however PD are normal.

A

True

51
Q

Squamous odontogenic tumors are benign neoplasms of the hard tissue that are derived from ______ and are rarely seen.

A

epithelial rests of Malassez

52
Q

Benign ________ are slow-growing neoplasms around the apex of a tooth that appear as radiopacity surrounded by a radiolucent margin.

A

cementoblastomas

53
Q

Malignant neoplasms of the ____ tissues include:

  • squamous cell carcinoma
  • metastasis
  • Kaposi’s sarcoma
    • Malignant lymphoma
A

SOFT

54
Q

________ carcinoma appears as nodular lesions, often with ulceration and surrounding leukoplakia. Lymph node metastasis is common and tissue samples should be sent straight to the lab.

A

Squamous Cell

(what grandma had!…“very rapid metastasis”)

55
Q

Most metastasis to the gingiva is _____, not sarcoma.

A

carcinoma

(which means they originate in the epithelial tissue not CT, bone, or fat)

56
Q

_____ sarcoma is mostly detected in the palate and is associated with AIDS.

A

Kaposi’s

57
Q

______ neoplasms of the periodontal ____ tissues include:

  • Lymphoma (HIV-associated)
  • Osteosarcoma (widening of PDL)
    • Langerhan’s Cell Disease (loosening of teeth +pain)
A

Malignant

Hard

58
Q

What are the effects of chemotherapy and radiotherapy on oral mucosa?

A

Major mucositis

  • pain
  • unable to eat
59
Q

Cysts of the periodontium mostly occur around the ______.

A

root

60
Q

How should cysts be treated?

A

removal without poking it or allowing it to “open up” and spill its infective contents

AU 15- Periodontology Exam 2 (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions