oral d/o Flashcards
another name for gingivitis
trench mouth, vincent gingivitis
gray or yellow pseudomembrane with underlying bleeding + halitosis, fever, lymphadenopathy
gingivitis
gingivitis tx (3)
oral hygiene, oral rinses, PCN
localized pain, erythema, yellow exudate that bleeds when scraped after tonsillitis
stomatitis
possible organism responsible for stomatitis
B hemolytic strep
localized trauma, white ulcer with erythematous halo (aka shallow ulceration on erythematous base); can be viral or immunologic
aphthous ulcers
which viral is likely responsible for aphthous ulcer/stomatitis
HHV #6
how is aphthous ulcer tx?
topical steroids like kenalog, orabase or cripps
reactivation of varicella virus with age; vesicles surrounded by erythematous borders; follows trigeminal distribution
herpes zoster
3 things herpes zoster could progress to
tooth loss, osteomyelitis, mandibular necrosis
vesicular eruption adjacent to vermillion border
herpes labialis
white exudate on erythematous base; no bleeding when scraped; in immunocompromised hose or recent abx use
oral candidiasis
familial predilection; desquamation of filiform papillae; migratory loss of unknown etiology
geographic tongue
tongue inflammation associated with Vit B, folate or iron deficiencies or radiation; can be shiny or look like ground beef; burning tongue syndrome
glossitis
two organisms responsible for angular cheilitis
candida albicans
staph
painful fissures radiating from oral commissure; associated w/ drooling, nasolabial folds, denture use
angular cheilitis
reticular or erosive mucosal; flexor surface cutaneous involvement with variable pain and course
lichen planus
how is lichen planus tx?
tx oral lesions w/ topical steroids (triamcinolone acetonide)
blending of vermillion border with crust formation on elderly sun exposed male; premalignant change to well differentiated skin cancer
actinic elastosis
how is actinic elastosis tx
superficial excision/resurfacing
reactive fibrous proliferation from trauma; firm/hard well demarcated with normal overlying mucosa
oral fibroma
asymptomatic bony deposition in either mandible or palatine that can interfere w/ denture use
tori
sessile or pedunculated growth d/t HPV 16 or 18
oral papilloma
how are oral papillomas tx?
surgical excision if causing symptoms