Oral Medicine Flashcards
OM and histology
Fordyce Spots (4)
- Yellowish bumps
- Sebaceous spots
- Buccal mucosa and lips
- No associated pathology
Linea Alba (2)
- Horizontal asymptomatic white lesion
- Along the occlusal plane
Linea Alba Histology (3)
- Hyperkeratinosis
- Prominent or reduced granular layer
- Acanthosis
Other names for geographic tongue (2)
Benign migratory glossitis
Erythema migrans
Geographic Tongue (4)
- Loss of filiform papillae
- Areas of tongue atrophy and hyperkeratinisation
- Can affect other areas of oral mucosa
- Asymptomatic but sometimes sensitive to hot and spicy foods
Fissured Tongue (4)
- Variation of normal
- Can occur later in life
- Commonly presents with geographic tongue
- Consider lightly brushing tongue
Black Hairy Tongue (3)
- Hyperplasia of filiform papillae
- Build-up of commensal bacteria, food debris
- Pigment inducing fungi and bacteria
Black Hairy Tongue Associations (4)
Smoking
Antibiotics
Chlorhexidine mouthwash
Poor OH
Black Hairy Tongue Advice (5)
- Stop smoking
- Stay hydrated
- Lightly brush tongue
- Suck peach stone
- Eat fresh pineapple
Desquamative Gingivitis (4)
- Full thickness erythema of the gingiva
- Descriptive - not diagnosis
- Bidirectional relationship with periodontal disease
- Not caused by plaque - exacerbated by it
Bony Exostosis (4)
- Tori
- Can present on palate, mandible or buccal alveolus
- More prone to ulceration as mucosa thinner
- Rarely associated with pathology if not in normal regions
Tori Questions/Suspicions (3)
Ask about GI symptoms
Increased suspicion if growing new ones or asymmetrical
Atypical site
Haemangioma (3)
Collection of blood vessels whose walls have burst
Can grow to be large
Can be removed by a specialist
Atrophic Glossitis (4)
Smooth tongue
Caused by iron or B12 deficiency
Will ulcer if not fixed
Ask GP for routine bloods
Frictional keratosis (3)
Due to trauma
Keratinisation
If you can discern where a white patch has come from (trauma) you must get a biopsy
Denture stomatitis (2)
Candida infection
Patient must remove denture at night and soak in solution
Angular cheilitis (5)
- Can be due to denture hygiene
- Or Staphylococcus
- Or skin folds - face not dried
- Uncommonly low iron levels
- Treat reasons before medicating
Which salivary replacement should never be used for patients with natural teeth
Glandosane as it is pH 5
Lichen Planus vs Lichenoid Reactions
Lichen Planus is an autoimmune condition
Lichenoid reactions mimic lichen this but are reactions to drugs
CRPS
Chronic Regional Pain
What causes neuropathic pain?
Damage to the nervous system - nerve itself
What will make neuropathic pain worse?
Surgery
Dental pain without pathology
Atypical Odontalgia
Pain which poorly fits in to standard chronic pain syndromes
Persistent Idiopathic Facial Pain