Oral Lesions, TMJ and Dentition Disease Flashcards
1
Q
- also known as trench mouth
- gray/yellow psuedomembranes
- underlying bleeding
- halitosis, fever, lymphadenopathy
- treatment by oral hygeine, oral rinses, PCN
A
gingivitis
2
Q
- localized pain
- erythema, edema
- yellow exudate bleeds when scraped
- may be from B hemolytic strep
- follows tonsillitis
- tx: Ibuprofen + oral rinses
A
stomatitis
3
Q
- localized trauma
- white ulcer with erythematous halo
- viral (hepatiform, coxsackie)
- immunologic (women, stress, type A personality
- treatment topical steroids
A
apthous ulcers
4
Q
- lips/tongue/hard palate/ soft palate/ buccal mucosa
- immunocomromised hosts
- may prgress to tooth loss, osteomyelitis, mandibular necrosis
- reactivation of varicella virus
- severe pain, itchinc
- vesciles surrounded by erythematous borders
- trigeminal distribution
A
Herpes Zoster
5
Q
- Fever blister/ cold sore (10-14 days, reactivation (-5 days)
- herpes simplex virus type 1 (inoculation: mucosal surface/skin; fever, malaise)
- vesicular eruption adjacent to vermilion border
- 3% incidence, 17% prevalence
- dx: viral culture
A
herpes labialis
6
Q
- recent antibiotic use
- immunocompromised host
- candida albicans
- white exudate on erythematous base
- no bleeding when scraped
- antifungals
A
oral candidiasis (thrush)
6
Q
- familial predilection
- desquamation of the filiform papillae
- migratory loss
- unknown etiology
A
geographic tongue
7
Q
- can be caused by nutritional deficiencies (B-vitamins, folate, iron)
- inflammation of the tongue
- radiation
- buring tongue syndrome
- unknown etiology
A
glossitis
7
Q
- Sudden inflammatory reaction of epithelium
- hypersensitivity? (HSV, medications)
- supportive care
A
Erythema multiforme stevens- johnson
8
Q
- common with denture use
- candida albicans, staph
- painful fissures radiating from oral commissure
- associated with chronic drooling, nasolabial folds
- treat with antifungals
A
angular chelitis
9
Q
- elderly sun exposed males
- blending of vermilion border
- crust formation
- premalignant change to well differentiated skin cancer
- treat with superficial excision/resurfacing
A
Actinic elastosis
10
Q
- reticular (lacy reticular leukoplakia) or erosive mucosal involvement
- flexor surface cutaneous involvment
- variable pain and course, cause unknown
- treat with oral lesions with topical steroids (triamcinolone acetonide)
- increased incidence with Hepatitis C infection
A
lichen planus
11
Q
- reactive fibrous proliferation
- firm, well demarcated
- normal overlying mucosa
- previous trauma site
- mouth gard, dentures- anything that can cause irritation
A
oral fibroma
12
Q
- asymptomatic bony deposition (usually midline)
- interfere with denture use
- benign bony growth (central hard palate, mandible)
- palpate on exam
- monitor
A
Tori
13
Q
- sessile or pedunculated
- viral etiology (HPV) (16,18)
- Surgical excision
A
oral papilloma
