Oral Medicine

Question 1

causes of oro-facial soft tissue infections

Answer 1

viral = herpes, herpangina, hand foot and mouth, varicella
bacteria = staph, strep
fungal = candida

Question 2

primary herpetic gingivostomatitis

Answer 2

herpes simplex virus 1
cold sores, fluid vesicles which rupture to painful ulcers, gingivtis

tx = bed rest, hydration, mouthwash

triggered by sunlight/stress

Question 3

coxsackie A virus

Answer 3

2 herpes like infections

herpangina - vesciles tonsillar
hand foot mouth - ulceration, rash of hands

Question 4

oral ulceration

Answer 4

epithelium destroyed, inflammed exposed connective tissues

causes - none, infections, immune deficiency, trauma, vitamin deficiency

tx - corsdyl, genigel topical gel

Question 5

orofacial granulomatosis

Answer 5

inflammatory disorder, associated/predictor with crohns

lip swelling, gingival swelling, erythema, cobblestone appearance, ulceratipn, angular cheilitis

tx - OH support, relief, steroids

Question 6

geographic tongue

Answer 6

mucosal lesion, idiopathic

shiny red areas of tongue with loss of filiform papillae, white margins

discomfort with spicy, tomato, citrus

Question 7

types of solid swellings

Answer 7

fibroepithelial polyp = firm pink, minor trauma, exision

epulides = swelling of mucosa, benign lesions

congential epulis - rare, neonates, benign, exision

HPV = warts, cauliflower like

Question 8

types of fluid swellings

Answer 8

mucocele - cysts, rupture itself

ranula - floor of mouth, salivary gland/duct

Bohn’s nodules = gingival cysts, neonates

Epstein peals = cystic, palatal midliine, disappear

Question 9

TMJ dysfunction syndrome

Answer 9

limited jaw opening, pain, masticatory muscle spasms

dental wear, signs of clenching, linea alba