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perio > gingival tumors and perio abscesses > Flashcards

gingival tumors and perio abscesses Flashcards

1
Q

char. of gingival abscesses

A

localized painful and rapidly expanding

usually just in marginal of papillary gingiva

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2
Q

gingival abscess caused by…

A

foreign bodies embedded in gingiva

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3
Q

perio abscess char.

A

localized along lateral root b/c drainage through pocket is impaired esp by calc.

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4
Q

causes of perio abscess

A

trauma/ root fracture, endo perforation, post SRP/surgical therapy, from a chronic lesion or can be caused by antibiotics (super-infection)

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5
Q

complications of abscess

A 
tooth loss, 
systemic infections (dissemination through tissues druring therapy or through bacteremia)
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6
Q

differential diagnosis for perio abscess

A 
periapical abscess 
vertical root fractures
endo-perio abscess
osteomyelitis
tumors
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7
Q

traits of focal fibrous hyperplasia

A

cause:irritation

sessile , sooth surface cell poor hyperplastic collagenous tissue with possible hyperkeratinization

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8
Q

differential diag. of focal fibrous hyperplasia

A

giant cell fibroma

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9
Q

reactive processes of soft tissue

A

focal fibrous hyperplasia
calcified fibroblastic granuloma
pyogenic granuloma
peripheral giant cell granuloma

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10
Q

reactive processes of hard tissue

A

periapical cemental dysplasia

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11
Q

benign neoplasms of perio soft tissues

A

hemangioma
nevus
papilloma (inc. verruca vulgaris)
peripheral odontogenic tumors

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12
Q

benign neoplasms of hard tissues

A

ameloblastoma
squamous odontogenic tumor
benign cementoblastoma

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13
Q

malignant neoplasms of soft tissues

A

squamous cell carcinoma
metastasis to gingiva
kaposi’s sarcoma
malignant lymphoma

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14
Q

malignant neoplasms of hard tissues

A

osteosarcoma

langerhans cell disease

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15
Q

traits of calcified fibroblastic granuloma

A

reddish and ulcerated w/ fibrous proliferation in which hard tissue is formed
highly cell rich

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16
Q

differential diagnosis b/ calcified fibroblstic grnuloma

A

pyogenic granuloma

17
Q

traits of pyogenic granuloma

A

on gingival margin ulcerated, reddish or blue w/ bleeding

highly vascular w/ chronic inflammatory cells

18
Q

differential diag. w/ pyogenic granuloma

A

pregnancy tumor

19
Q

traits of peripheral giant cell granuloma

A

can be anywhere on mucosa, pedunculated or sessile and red or purple
focal collection of multi-nucleated osteoclast like giant cells prob from perio ligment oricin whih richly cellualar and vascular stroma and collagenous septa

20
Q

diff diag from giant cell granuloma

A

focal fibrous hyperplasia

21
Q

char. of periaplical cemental dysplasia

A

tooth is vital

usually no sympt but periapical bone is replased by cellular fibroblastic tissue through a cementoblastic phase

22
Q

traits of hemangioma

A

freq tumors of oral mucosa
flat or raised soft lesions that may bleed and blanch w/ pressure
can be capillary or cavernous

23
Q

diff diag of hemangioma

A

mucous cysts, pyogenic granuloma

24
Q

traits of nevus

A

pigmented lesion containing melanocytes in CT instad of ep where it’s supposed to be
seen in palate
flat of slightly raised brown or black often confused w/ amalgam tattoo

25
Q

papilloma traits

A

exophytic pedunculated or sessile red or white
granular or filiform/digitated
assoc w/ HPV

26
Q

verruca vulgaris

A

found in lips and palate, papillomatous surface w/ hyperkeratinization and rete ridges assoc w/ HPV 2 and 4

27
Q

peripheral odontogenic tumor traits

A

non-ulcerated lesions in soft tissue around unerupted teeth

28
Q

ameloblastoma traits

A

well circumscribed radiolucency derived from odontogenic epithelium

29
Q

squamous odontogenic tumor traits

A

derived from PDL (rests of malassez)

found on lateral root surfaces

30
Q

bengn cementoblastoma traits

A

radiopaque around apex of tooth

31
Q

squamous cell carcinoma traits

A

found on mandible post to premolars w/ regional lymphnode metastasis

32
Q

metastasis to the gingiva are usually… (3 things)

A

from lungs, intraosseous, carcinoma (from ep.) instead of sarcoma (from CT)

33
Q

kaposi’s sarcoma and malignant lymphoma are assoc w/ what disease?

A

AIDS

34
Q

osteosarcoma occurs where and what is typically seen?

A

in jaws, widening of PDL

35
Q

sympt of langerhans cell disease

A

swelling tenderness pain and loosening of teeth

perio (4 decks)

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