Intro to OM

Question 1

Oral ulcer causes?

Answer 1

drug induced
inflammatory
neoplastic
infective
traumatic
nutritional

Question 2

Fordyce Spots?

Answer 2

Sebaceous glands
Yellowish bumps
60-75% of adults
Buccal mucosa and lips

Question 3

Linea Alba?

Answer 3

Horizontal wite lesion Histologically: Parakeratosis
Prominent, or reduced granular layer
Acanthosis

Question 4

Geographic tongue?

Answer 4

Loss of filiform papillae( areas of tongue atrophy and hyperkeratinisation)
3% of population

Question 5

Geographic tongue symptoms

Answer 5

Sometimes sensitive to hot and spicy foods and toothpaste
Avoid trigger foods
Use SLS free toothpaste

Question 6

Fissured Tongue?

Answer 6

Normal anatomy
No tx
Present w/ Geographic tongue

Question 7

Black Hairy Tongue

Answer 7

Hyperplasia of filiform papillae
Asymptomatic

Question 8

Black Hairy Tongue cause?

Answer 8

Specific cause unknown: Association with Smoking, antibiotics, chlorhexidine mouthwash, poor oral hygiene

Question 9

Black Hairy Tongue Tx?

Answer 9

Reassure
Stop smoking
Stay hydrated
Lightly brush the tongue
Peach stones

Question 10

Bony Exostosis

Answer 10

benign overgrowth of calcified bone
30-40% population

Question 11

Bony Exostosis presentation?

Answer 11

Palate – Torus palatinus
Mandible – torus mandibularis (typically lingually)
Or on buccal alveolus

Question 12

Bony Exostosis Differential

Answer 12

Gardners Syndrome manifestation (rare polyposis syndrome)
form at atypical site
ask for GI issues

Question 13

Physiological pigmentation

Answer 13

non-white
increased melanin
consider addison’s, smokers melanosis, drug related