hyperplastic lesion, ulceration, developmental lesion

Question 1

pathogenesis of fibroepithelial hyperplasia

Answer 1

Cellular proliferation and production of cell product (ie. Hyperplasia)
Predominantly connective tissue

Question 2

management of fibroepithelial hyperplasia

Answer 2

Excision, removal of cause if identified

Question 3

common cause of fibroepithelial hyperplasia

Answer 3

Chronic physical trauma and inflammation

Cheek, tongue biting (habitual/ accidental)

Irritation from broken down teeth and restorations

Ill-fitting dentures –“denture hyperplasia”

Question 4

what is a fibroepithelial polyp

Answer 4

a localised fibroepithelial hyperplasia

Question 5

causes of pyogenic granuloma

Answer 5

Unclear, but possibly from irritation, chemical and hormonal factors

Question 6

what is the management of pyogenic granuloma

Answer 6

Treatment
Excision
Tendency to recur
remove any irritating factor

Question 7

Differential of pyogenic granuloma

Answer 7

peripheral giant cell granuloma and ulcerated fibrous epulis with ossification they look clinically the same

Question 8

causes of Generalised gingival hyperplastic lesions

Answer 8

Local factors: plaque, calculus
Hormonal imbalance
Drugs: dilantin, cyclosporin, nifedipine
Leukaemia
Genetic factors

Question 9

types of frictional keratosis

Answer 9

linea alba and morsicato buccarum

Question 10

what are the difference between linea alba and morsicato buccarum

Answer 10

linea alba is a single line across buccal mucosa while morsicatio bucarrum is irregular white patch, can happen anywhere

Question 11

presentation of smoker’s keratosis

Answer 11

palate, can see opening of minor salivary glands
Not a concern of malignancy. But a sign of heavy smoking.

Question 12

management of smoker’s keratosis

Answer 12

Cessation of smoking
Not potentially malignant
Some consider it an risk indicator for malignancies of the upper aerodigestive tract