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PSP > Mouth Pain > Flashcards

Mouth Pain Flashcards

1
Q

Gingiva

A

. Gums
. May be different color
. Has frenulum that connects gingiva and lips
. Attaches to alveolar mucosa and further the labial mucosa and lip

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2
Q

Things to inspect with teeth

A

. Color
. Missing or loose teeth
. Tenderness
. Abnormal positioning

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3
Q

Components of the tongue

A

. Papillae
. Lingual frenulum (connects tongue to floor of mouth)
. Protrusion of tongue

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4
Q

Things to inspect on oral exam

A 
. Ant. And post. Pillars 
. Uvula 
. Soft and hard palates 
. Pharynx 
. Tonsil 
. Buccal mucosa (lines cheeks) 
. Stenson’s duct (parotid duct, upper 2nd molar)
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5
Q

How to check pharynx

A

. Ask patient to say “Ah”
. Look at symmetry, tonsillar pillars, palates
. Look for swelling, abscess, exudate, masses
. Checks CN X

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6
Q

Sialithiasis

A

. Salivary gland stone

. Common for parotid gland

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7
Q

Cheilitis

A

. Nutritional deficiency
. Dentures problems
. Candidates infection
. Issue with lip

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8
Q

Herpes simplex

A

Painful vesicular lesions

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9
Q

Angioedema

A

. Swelling of lips/tongue or eyelids due to allergies to meds, chemicals, or food

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10
Q

Exudative tonsillitis

A

See exudate on tonsils

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11
Q

Pharyngitis

A

Redness of pharynx

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12
Q

Thrush

A

. Candidates infection

. Seen in immunocompromised state or long steroid use

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13
Q

Torus palatinus

A

. Midline bony growth in hard palate

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14
Q

Mucosal petechiae

A 
. Small bruises on inside of mouth 
. Accidentally biting while chewing 
. Coagulopathy or thrombocytopenia issue 
. Anticoagulant use 
. Denture problems/abnormal bite
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15
Q

Leukoplakia

A

. Thickened white patch on oral mucosa

. Causes: HPV, tobacco, cancer

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16
Q

Gingivitis

A

. Gum margins inflamed
. Interdental papillae blunted
. Common occurs because film of plaque or bacteria accumulates on teeth
. Non-destructive type of periodontal disease
. If untreated can lead to periodontitis

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17
Q

Gingival hyperplasia

A

. Enlarged and heaped gums
. Noted in Dilantin toxicity
. Pregnancy
. Leukemia

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18
Q

Hairy tongue

A

. Yellowish/blackish color on tongue

. Causes: candida, poor hygiene, antibiotic use

19
Q

Fissured tongue

A

. Food gets trapped in tongue

. Poor odor to it

20
Q

Hairy leukoplakia

A

. Whitish patches that can’t be scraped off

. HIV/AIDS cause

21
Q

Candidiasis

A

. Whitish patches on tongue that can be scraped off

. Seen in immunocompromised or chronic steroid use

22
Q

Primary teeth

A 
. Start appearing at 6 mo 
. White 
. Premolars absent 
. 2 molars each quadrant 
. 20 teeth total
23
Q

Secondary teeth

A 
. Start appearing 6 y/o 
. Slight yellow tinge 
. Premolars present 
. 3 molars each quadrant 
. 32
24
Q

Labial surface of tooth

A

. Part of teeth that meet when mouth is closed

25
Q

Medial surface of teeth

A

. Short side of tooth nearest median of jaw line

26
Q

Distal surface of tooth

A

. Short side of tooth farthest from median of jaw line

27
Q

Are fractured cusp and cracked tooth treatable or not treatable?

A

Treatable if crack does not go beneath crown

28
Q

Are are cracked tooth beneath crown and split tooth treatable or not treatable?

A

Not treatable

29
Q

Marginal gingivitis

A 
. Young and pregnancy
. Red and swollen 
. Blunted papillae 
. Bleeding gums
. Plaque formation
30
Q

Acute necrotizing ulcerative gingivitis

A 
. Young, febrile
. Lymphadenopathy
. Interdental papillae ulcers 
. Necrosis of gums 
. Pseudomembrane formation 
. Foul breath
31
Q

Pregnancy tumor/pregnancy epulis/pyogenic granuloma

A

. Red purple papules
. Painless
. Bleed
. Resolve w/ delivery

32
Q

Periodontal disease

A

. Gum disease
. Infection of tissues that hold teeth
. Caused by poor brushing and flossing that allow plaque or sticky film of bacteria to build up on teeth and harden

33
Q

Occlusion w/ teeth

A

. Contact btw teeth

. Represents relationship btw maxillary and mandibular teeth when they approach each other

34
Q

Malocclusion

A

. Misalignment or incorrect relation btw the teeth of 2 dental arches when they approach each other as the jaws close

35
Q

Classes of malocclusion

A 
. Class I 
. Class II: subdivides into division 1, 2, or subdivision 
. Class III: divides into class III, pseudo class III, or subdivision
36
Q

Attrition

A 
. Yellow brown dentin showing 
. Elderly 
. Loosening of teeth appearance 
. Gum recession 
. Repetitive use (grinding)
37
Q

Abrasion in teeth

A

. Notching occurs
. Recurrent trauma
. Sidesare normal, only middle it weird (holding nails or Bobby pins in mouth)

38
Q

Hutchinson in teeth

A

. Smaller and wide spaced
. Congenital syphilis
. Affects upper permanent incisors

39
Q

Oral cancer

A

. Growth or sore in mouth that does not go away

. Includes cancer of lips, tongue, cheeks, floor of mouth, palates, sinuses, and pharynx

40
Q

Types of intraoral malignancies

A

. Tumors originate from surface epithelium: squamous cell carcinoma (most common) or melanoma
. Tumors from glandular tissue: adenocarcinoma, adenocystic carcinoma, and mucoepidermoid carcinoma
. Tumors from mesenchymal tissues: sarcoma, lymphoma

41
Q

Oral cancer treatments

A 
. Surgery: preferred
. Radiotherapy: for patients not willing for surgery due to cosmetic or functional deficits or unfit for general anesthesia 
. Chemotherapy 
. Immune therapy 
. Photodynamic therapy
42
Q

Diagnostic testing for dental complaint

A 
. Physical exam 
. Endoscopy 
. Biopsy and cytology 
. Oral brush biopsy 
. HPV testing 
. X-rays 
. Barium swallow 
. CT or PET scan
43
Q

Treatment options for dental complaints

A

. Antibiotics: amoxicillin or clindamycin orally x10 days, antivirals and immune deficient related meds in needed
. Pain meds
. Dental blocks per tooth or regional
. Abscess incision and drainage
. Provide free/reduced price dentist info

PSP (35 decks)

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