Oral Lesions I

Question 1

Small white lesions with a smooth surface that do not increase in size, and shed after a few weeks.

Answer 1

Cysts of the newborn.

Question 2

Three types of Cysts of the Newborn

Answer 2

1) Epstein pearls
2) Bohn nodules
3) Dental lamina cysts

Question 3

Palatal cysts of the newborn

Answer 3

Epstein pearls and Bohn nodules

Question 4

Remnants of epithelial tissue that get trapped along the midpalatine raphe.

Answer 4

Epstein pearls

Question 5

Remnants of mucous gland tissue that are on the buccal and lingual ridges, and on the palate, away from the raphe.

Answer 5

Bohn nodules

Question 6

Remnants of the dental lamina on the crest of the ridge.

Answer 6

Dental lamina cyst.

Question 7

Location of the dental lamina cyst.

Answer 7

Crest of the ridge.

Question 8

Location of Bohn nodules.

Answer 8

Buccal and Lingual ridge, and on the palate, away from the ridge.

Question 9

What percent of neonates get palatal cysts?

Answer 9

85%

Question 10

What percent of newborns get gingival cysts?

Answer 10

50%

Question 11

Found on the anterior alveolar ridge.

Answer 11

Congenital epulis of the newborn

Question 12

This stops growing after birth.

Answer 12

1) Cysts of the newborn

2) Congenital epulis of the newborn.

Question 13

Tx for congential epulis of the newborn.

Answer 13

Excision

Question 14

Will congenital epulis of the newborn continue growing after birth?

Answer 14

No

Question 15

Newborns can get this if mom has untreated vaginal candidiasis during birth.

Answer 15

Neonatal candidiasis.

Called vertical transmission.

Question 16

Candidiasis Tx

Answer 16

Nystatin
Clotrimazole
Fluconazole

Question 17

Lip incompetence, lip licking, and drooling can cause this.

Answer 17

Angular cheilitis

Question 18

A red patch that stands out bc there’s no filiform papillae.

Answer 18

Median Rhomboid Glossitis

Question 19

Is seen with high prevalence in HIV positive children

Answer 19

Median rhomboid glossitis

Question 20

What causes median rhomboid glossitis?

Answer 20

Candida

Question 21

Tx for median rhomboid glossitis.

Answer 21

Topical antifungal (Clotrimazole, Nystatin, Fluconazole).

Question 22

Loss of filiform papillae in these two oral lesions:

Answer 22

1) Median rhomboid glossitis

2) Geographic tongue

Question 23

When is geographic tongue called erythema migrans?

Answer 23

When it’s in a location other than the tongue.

Question 24

Tx for geographic tongue.

Answer 24

None

Question 25

Location of Fordyce granules

Answer 25

Buccal mucosa
RETROMOLAR PAD
Upper lip vermillion

Question 26

T/F: Fordyce granules can increase in size.

Answer 26

True- esp during puberty

Question 27

Mimics an abscess bc it can fluctuate in size and discharge contents.

Answer 27

Oral lymphoepithelial cyst.

Question 28

Located on the posterior lateral tongue, floor of the mouth, and soft palate, and has superficial fine vascular pattern.

Answer 28

Oral lymphoepithelial cyst.

Question 29

Cheek biting is what kind of injury?

Answer 29

Factitial

Question 30

All involved sites must be contact by the masticatory surfaces of the teeth in this lesion.

Answer 30

Cheek biting (frictional keratosis).

Question 31

These analgesics are given to kids who bite their cheek after getting local from the dentist.

Answer 31

SYSTEMIC analgesics.

If give topical, it’ll just exacerbate the problem.

Question 32

Symmetrical, white, thickened plaques with a wrinkled or corrugated surface that’s benign and autosomal dominant. HEREDITARY.

Buccal mucosa is the primary site of involvement.

Answer 32

WSN (White sponge nevus).

Question 33

Can look like cheek biting, but will be away from the occlusal plane and will run in the family.

Answer 33

WSN

Question 34

Looks like WSN, but affects the eyes.

Answer 34

HBID (Hereditary Benign Itraepithelial Dyskeratosis).

Question 35

Affects people of mixed white, American Indian, and black ancestry living in North Caroline

Answer 35

HBID

Question 36

Broad white plaques with erythema, and is tender

Answer 36

Cinnamon contact stomtitis

Question 37

White mucosa that disappears when streatched.

Answer 37

Leukoedema