oral d/o

Question 1

another name for gingivitis

Answer 1

trench mouth, vincent gingivitis

Question 2

gray or yellow pseudomembrane with underlying bleeding + halitosis, fever, lymphadenopathy

Answer 2

gingivitis

Question 3

gingivitis tx (3)

Answer 3

oral hygiene, oral rinses, PCN

Question 4

localized pain, erythema, yellow exudate that bleeds when scraped after tonsillitis

Answer 4

stomatitis

Question 5

possible organism responsible for stomatitis

Answer 5

B hemolytic strep

Question 6

localized trauma, white ulcer with erythematous halo (aka shallow ulceration on erythematous base); can be viral or immunologic

Answer 6

aphthous ulcers

Question 7

which viral is likely responsible for aphthous ulcer/stomatitis

Answer 7

HHV #6

Question 8

how is aphthous ulcer tx?

Answer 8

topical steroids like kenalog, orabase or cripps

Question 9

reactivation of varicella virus with age; vesicles surrounded by erythematous borders; follows trigeminal distribution

Answer 9

herpes zoster

Question 10

3 things herpes zoster could progress to

Answer 10

tooth loss, osteomyelitis, mandibular necrosis

Question 11

vesicular eruption adjacent to vermillion border

Answer 11

herpes labialis

Question 12

white exudate on erythematous base; no bleeding when scraped; in immunocompromised hose or recent abx use

Answer 12

oral candidiasis

Question 13

familial predilection; desquamation of filiform papillae; migratory loss of unknown etiology

Answer 13

geographic tongue

Question 14

tongue inflammation associated with Vit B, folate or iron deficiencies or radiation; can be shiny or look like ground beef; burning tongue syndrome

Answer 14

glossitis

Question 15

two organisms responsible for angular cheilitis

Answer 15

candida albicans
staph

Question 16

painful fissures radiating from oral commissure; associated w/ drooling, nasolabial folds, denture use

Answer 16

angular cheilitis

Question 17

reticular or erosive mucosal; flexor surface cutaneous involvement with variable pain and course

Answer 17

lichen planus

Question 18

how is lichen planus tx?

Answer 18

tx oral lesions w/ topical steroids (triamcinolone acetonide)

Question 19

blending of vermillion border with crust formation on elderly sun exposed male; premalignant change to well differentiated skin cancer

Answer 19

actinic elastosis

Question 20

how is actinic elastosis tx

Answer 20

superficial excision/resurfacing

Question 21

reactive fibrous proliferation from trauma; firm/hard well demarcated with normal overlying mucosa

Answer 21

oral fibroma

Question 22

asymptomatic bony deposition in either mandible or palatine that can interfere w/ denture use

Answer 22

tori

Question 23

sessile or pedunculated growth d/t HPV 16 or 18

Answer 23

oral papilloma

Question 24

how are oral papillomas tx?

Answer 24

surgical excision if causing symptoms

Question 25

dark spot with aggressive behavior and cancerous

Answer 25

malignant melanoma

Question 26

how are malignant melanomas tx?

Answer 26

surgical excision

Question 27

ulcerative, painful lesions typically with one sided throat pain radiating to neck with hx of smoking, drinking, bad oral hygiene or betel nut chewing

Answer 27

squamous cell carcinoma

Question 28

tx of squamous cell carcinoma

Answer 28

surgical excision

Question 29

fibromyalgia

Answer 29

muscular d/o with diffuse MSK pain

Question 30

stages of disk displacement

Answer 30

painless click then painful click then locking and reduced opening

Question 31

how is disk displacement tx

Answer 31

nsaid
splints
pt

Question 32

how does late painful clicking with disk placement mean

Answer 32

disk has work away, refer!

Question 33

tx of mandibular dislocation vs fracture

Answer 33

dislocation requires sedation/relaxation then manual reduction while fracture needs fixation and oral steroids or abx (PCN or clinda)

Question 34

sx of TMJ d/o

Answer 34

periauricular pain
bruxism
jaw popping/clicking/grinding

Question 35

how is trauma tx

Answer 35

viscious lidocaine
tetracycline/nystatin/hydrocortisone/diphenhydramine solution (cripps mouthwash)