mouth + gum conditions

Question 1

Leukoplakia

Answer 1

white patches in moth

precancerous - increases risk of squamous cell carcinoma of mouth

Question 2

Leukoplakia - features

Answer 2

white patches which are asymptomatic, irregular and slightly raised

fixed in place - cannot be scraped off

Question 3

Leukoplakia - Mx

Answer 3

might beed biopsy
stop smoking
reduce alcohol
surgical excision or laser

Question 4

erythroplaka

Answer 4

similar to Leukoplakia except lesions are ref

Question 5

erythroleukoplakia

Answer 5

mix of red and white lesions

Question 6

Lichen Planus

Answer 6

autoimmune conditon causing chronic inflammatino

shiny, purple flat-topped raised areas with white lines across (wickham’s striae)

Question 7

Lichen Planus - most often seen in

Answer 7

> 45yrs

women

Question 8

Lichen Planus - patterns it can take in the mouth

Answer 8

reticular
erosive
plaques

Question 9

Lichen Planus - Mx

Answer 9

good oral hygeine
stop smoking
topical steroid

Question 10

Gingivitis

Answer 10

inflammation of gums

swollen gums
bleeding after brushing
painful gums
bad breath

Question 11

acute necrotising ulcerative gingivitis

Answer 11

rapid onset of more severe inflammation of gums

anaerobic bacteria usual cause

Question 12

Gingivitis - risk factors

Answer 12

plaque build up 
smoking 
diabetes
malnutrition 
stess

Question 13

Gingival Hyperplasia

Answer 13

abnormal growth of gums

Question 14

Gingival Hyperplasia

- causes

Answer 14

gingivitis 
pregnancy 
vitamin C def
AML 
medications - CCB, phenytoin, cylosporin

Question 15

Aphthous Ulcers

Answer 15

common small painful ulcers of mucosa in mouth

well-circumscrubed, punched-out white lesions

Question 16

Aphthous Ulcers - causes

Answer 16

idiopathic 
IBD
coeliac 
behcet's disease
vitamin deficiency 
HIV