Oral Disease

Question 1

Where is cancer likely to grow in the mouth?

Answer 1

Soft sites (non-keratinizing squamous epi)  - ventral and lateral tongue
Floor of mouth

Question 2

What is the main risk of oral cancer?

Answer 2

Alcohol and tobacco

Question 3

What HPVs are associated with oral cancer?

Answer 3

HPV 16+18

age of sex and marriage

Question 4

When should apthamous ulcers/canker sores go away?

Answer 4

After a week - if still there think cancer

Question 5

Would you get pain with oral cancer?

Answer 5

Very unlikely

Question 6

What 4 questions are very important to ask a potential oral cancer patient?

Answer 6

How long?
Painful?
Smoke/drink?
Colour?
- white/red craggy and irregular = cancer

Question 7

Anterior oral lesions have a better prognosis than posterior. True/false

Answer 7

True

Question 8

Wickham’s striae is a description of what condition? How does it appear?

Answer 8

Lichen planus - bilateral web-like appearance on inside of cheek (can be pre-malignant)

Question 9

What is glossitis and what are 3 major causes of it?

Answer 9

Swollen + smooth tongue with lack of linguinal papillae
S - Sjorgen’s syndrome
A - anaemia
X - xerostomia (dry mouth)

Question 10

What is angular cheilitis and what causes it?

Answer 10

Red swollen patches on corner of mouth

Candida infection caused by iron deficient anaemia

Question 11

How may Crohns disease develop orally?

Answer 11

Linear ulceration,
mucuosal cobblestoning
inflammation of the lips (chelitis)

Question 12

White patches that can wipe off are a sign of what?

Answer 12

Oral candidiasis infection

Question 13

What type of cancer is most common in the mouth?

Answer 13

SSC

Question 14

What is sialosis?

Answer 14

Non-neoplastic bilateral swelling of the salivary glands

puffy cheeks

Question 15

Why can some oral cancers cause facial palsy/double vision?

Answer 15

Can invade facial nerves