Oral lesions Flashcards
What are some causes of oral lesions?
- infections
- traumatic and reactive lesions
- granulomatous disease
- immune mediated disease - lichen planus, pemphigoid, pemphigus
- dysplasia
What happens to the epithelium that produces a white patch?
- thickened epithelium
- cells produced at an increased rate
- decreased rate of loss
What does VITAMINS CDE stand for?
Vascular
Infective/inflammatory
Traumatic
Autoimmune
Metabolic
Idiopathic/iatrogenic
Neoplastic
Social
Congenital
Degenerative
Endocrine
What types of trauma can cause ulceration?
Mechanical
Rubbing
Chemical
Thermal
What can chronic trauma to the oral mucosa lead to?
Frictional keratosis
What is a haemangioma?
A vascular lesion of dilated blood vessels
What is a vascular epulis?
Plaque trap/inflammation can cause fibrous tissue overgrowth of the gingivae.
What is desquamative gingivitis?
Erosion of the gingivae at the gingival margin
Leaving an intact but inflamed epithelium
Seen in oral lichen planus, pemphigoid and pemphigus
Does not improve with OH but improves with steroids
What are the 4 types of oral thrush?
Chronic atrophic candidiasis – fitting surface of upper denture
Acute pseudomembranous candidiasis – thrush
Acute atrophic candidiasis – antibiotics
Chronic hyperplastic candidiasis – looks similar to frictional keratosis, mix of red and white patches
What are the high risk sites of oral dysplasia?
Ventral tongue
Lateral tongue
Floor of mouth
In which endocrine origin disease left untreated can develop irregular skin and mouth pigmentation?
Addison’s
What is Kaposi’s sarcoma?
Pigmented tumour common in mouth, seen with patients with HIV (cancerous)
