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
dark spot with aggressive behavior and cancerous
malignant melanoma
how are malignant melanomas tx?
surgical excision
ulcerative, painful lesions typically with one sided throat pain radiating to neck with hx of smoking, drinking, bad oral hygiene or betel nut chewing
squamous cell carcinoma
tx of squamous cell carcinoma
surgical excision
fibromyalgia
muscular d/o with diffuse MSK pain
stages of disk displacement
painless click then painful click then locking and reduced opening
how is disk displacement tx
nsaid
splints
pt
how does late painful clicking with disk placement mean
disk has work away, refer!
tx of mandibular dislocation vs fracture
dislocation requires sedation/relaxation then manual reduction while fracture needs fixation and oral steroids or abx (PCN or clinda)
sx of TMJ d/o
periauricular pain
bruxism
jaw popping/clicking/grinding
how is trauma tx
viscious lidocaine
tetracycline/nystatin/hydrocortisone/diphenhydramine solution (cripps mouthwash)
