Oral Lesions I Flashcards
Small white lesions with a smooth surface that do not increase in size, and shed after a few weeks.
Cysts of the newborn.
Three types of Cysts of the Newborn
1) Epstein pearls
2) Bohn nodules
3) Dental lamina cysts
Palatal cysts of the newborn
Epstein pearls and Bohn nodules
Remnants of epithelial tissue that get trapped along the midpalatine raphe.
Epstein pearls
Remnants of mucous gland tissue that are on the buccal and lingual ridges, and on the palate, away from the raphe.
Bohn nodules
Remnants of the dental lamina on the crest of the ridge.
Dental lamina cyst.
Location of the dental lamina cyst.
Crest of the ridge.
Location of Bohn nodules.
Buccal and Lingual ridge, and on the palate, away from the ridge.
What percent of neonates get palatal cysts?
85%
What percent of newborns get gingival cysts?
50%
Found on the anterior alveolar ridge.
Congenital epulis of the newborn
This stops growing after birth.
1) Cysts of the newborn
2) Congenital epulis of the newborn.
Tx for congential epulis of the newborn.
Excision
Will congenital epulis of the newborn continue growing after birth?
No
Newborns can get this if mom has untreated vaginal candidiasis during birth.
Neonatal candidiasis.
Called vertical transmission.
Candidiasis Tx
Nystatin
Clotrimazole
Fluconazole
Lip incompetence, lip licking, and drooling can cause this.
Angular cheilitis
A red patch that stands out bc there’s no filiform papillae.
Median Rhomboid Glossitis
Is seen with high prevalence in HIV positive children
Median rhomboid glossitis
What causes median rhomboid glossitis?
Candida
Tx for median rhomboid glossitis.
Topical antifungal (Clotrimazole, Nystatin, Fluconazole).
Loss of filiform papillae in these two oral lesions:
1) Median rhomboid glossitis
2) Geographic tongue
When is geographic tongue called erythema migrans?
When it’s in a location other than the tongue.
Tx for geographic tongue.
None
Location of Fordyce granules
Buccal mucosa
RETROMOLAR PAD
Upper lip vermillion
T/F: Fordyce granules can increase in size.
True- esp during puberty
Mimics an abscess bc it can fluctuate in size and discharge contents.
Oral lymphoepithelial cyst.
Located on the posterior lateral tongue, floor of the mouth, and soft palate, and has superficial fine vascular pattern.
Oral lymphoepithelial cyst.
Cheek biting is what kind of injury?
Factitial
All involved sites must be contact by the masticatory surfaces of the teeth in this lesion.
Cheek biting (frictional keratosis).
These analgesics are given to kids who bite their cheek after getting local from the dentist.
SYSTEMIC analgesics.
If give topical, it’ll just exacerbate the problem.
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.
WSN (White sponge nevus).
Can look like cheek biting, but will be away from the occlusal plane and will run in the family.
WSN
Looks like WSN, but affects the eyes.
HBID (Hereditary Benign Itraepithelial Dyskeratosis).
Affects people of mixed white, American Indian, and black ancestry living in North Caroline
HBID
Broad white plaques with erythema, and is tender
Cinnamon contact stomtitis
White mucosa that disappears when streatched.
Leukoedema
