Oral Diseases conditions and management

Question 1

Paget’s

Answer 1

Bisphosphonates

Question 2

Hypohidrotic ectodermal dysplasia

Answer 2

None

Restorations on deformed/conical teeth if appropriate

Question 3

Cleidocranial dysplasia

Answer 3

None

Question 4

Ehler’s Danlos

Answer 4

Physiotherapy

Question 5

Congenital syphilis

Answer 5

None

Question 6

Fluorosis

Answer 6

Tray based whitening

Question 7

Hypoplastic AI

Answer 7

Veneers, crowns, bridges

Question 8

Hypomatured/hypomineralised AI

Answer 8

Veneers, crowns, bridges

Question 9

Dentinogenesis imperfecta type 1 (comes with osteogenesis imperfecta)

Answer 9

Bisphosphonates

Question 10

Osteogenesis imperfecta type 2

Answer 10

Veneers, crowns, bridges

Question 11

Dentinal dysplasia type 1 (radicular)

Answer 11

Veneers, crowns, bridges

Question 12

Dentinal dysplasia type 2 (coronal)

Answer 12

Veneers, crowns, bridges

Question 13

Rickets

Answer 13

Vit D and Calcium

Question 14

Regional odontodysplasia

Answer 14

None

Question 15

Pericoronitis

Answer 15

Irrigate with CHX or saline, operculatomy, XTN (surgical or simple, coronectomy if nerve risk)

Question 16

Black hairy tongue

Answer 16

Find and eliminate causes
Reassure
Tongue scrapers
Keratinolytic drugs

Question 17

Geographic tongue

Answer 17

Vitamins, mouthrinses

Anti-anxiety, anti-inflammatory, antifungals if symptomatic

Question 18

Median rhomboid glossitis

Answer 18

Antifungals (form of candida)

Question 19

Fissured tongue

Answer 19

None (common in Downs, Melkersson Rosenthal)

Question 20

Crenated tongue

Answer 20

None - macroglossia, bruxism, chronic anxiety

Question 21

Hypertrophy of foliate papillae

Answer 21

None - local chronic irritation or infection, can have burning

Question 22

Fordyce granules

Answer 22

Heteropic sebaceous glands, really common, no treatment (can consider laser for aesthetics)

Question 23

White sponge naevus

Answer 23

Topical tetracycline, mutations of keratin 4 and 13

Question 24

Leukoedema

Answer 24

None

Question 25

Oral lichen planus

Answer 25

Monitor, can turn malignant

Question 26

Recurrent aphthous stomatitis

Answer 26

Topical/systemic corticosteroids

Question 27

Behcet’s

Answer 27

Topical treatment for oral ulcers
Topical corticosteroids for genitals
Tropicamide eye drops

Question 28

Pemphigus vulgaris

Answer 28

Corticosteroids

Question 29

Paraneoplastic pemphigus

Answer 29

Need to be assessed for malignancy/tumour if one not already known

Question 30

Mucous membrane pemphigoid

Answer 30

Corticosteroids

Question 31

Crohn’s disease

Answer 31

Most will take prednisolone/corticosteroids

Surgical procedures and other managements.

Question 32

Melkersson-Rosenthal syndrome

Answer 32

Elimination diet

Question 33

Wegener’s granulomatosis (strawberry gingiva)

Answer 33

Need chest X-ray

Question 34

Tuberculosis

Answer 34

Ziehl-Neelson POSITIVE

Rifampicin common drug

Question 35

Melanotic Macules

Answer 35

Mucosal equivalent of freckles, no tx

Question 36

Naevi

Answer 36

A mole

Excision biopsy if uncertain

Question 37

Melanoma

Answer 37

Aggressive melanocyte tumour.

Biopsy.

Question 38

Addison’s disease

Answer 38

Pigmentation of mucosa.
Low cortisol, high ACTH.
Corticosteroid tx for life.

Question 39

Drug induced pigmentation e.g. minocycline induced, antimalarials, clofazimine

Answer 39

Depends on drug, may change or stop if really needed.