Oral Medicine Flashcards
What is the definition of oral medicine?
Specially concerned with the care of patients with chronic recurrent and medically related disorder of the oral and maxillofacial region and with their diagnosis and non-surgical management
Name 6 diseases that can be or causes oral mucosal disease?
Local: - inflamm, infective - premalignant and neoplastic Mucocutaneous disease Manifest of CT and vasculitic disease Manifest of GI Manifest of nutritional defic Manifest of endocrine
What are the risk factors for oral cancer?
Smoking
Alcohol
Name 5 causes of salivary gland disease?
Infective Obstructive Immune Neoplastic Gland enlargement/focal growth assoc with systemic problems
Name 6 examples of oro-facial pain syndromes?
TMJ Dysesthesia Neuropathic Neuralgia Trigeminal autonomic cephalalgias Vasculitic
What is the role of an oral medicine consultant?
Information gathering: - letter, history, exam Record keeping Differential diagnosis: - special invest Diagnosis and treatment plan: - risk/benefit - patient preference
What must the patient assessment contain?
Full history Intra-oral exam Extra-oral exam: - appearance, skeleton - salivary and lymph nodes - TMJ and occlusal function Cranial nerve examination
Name 4 examples of special investigations which could be useful for diagnosis?
Microbiology
Pathology
Bloods
Imaging
How should a clinician describe a lesion?
Say what you see Include history of lesion Importance of negative findings Induce normal features of mouth Patient background
Name the 9 descriptive features of a mucosal lesion/
Site Size Shape: - round, oval, irreg Margin: - flat or raised Shade: - diff colours Surface: - bleed, ulcer, tessellated, smooth Stalk: - pedunculated or sessile Surrounding mucosa: - inflamed, changed? Consistency: - soft or indurated
What are the examples of tongue chnages?
Geographic
Median rhomboid glossitis
Coating
Fissuring
What structures can mucosal swelling occur from?
Epithelium CT Vasc Nerve Gland Muscle Fat Bone Odontogenic
What are the requirements of a melanoma?
Variable pigmentation Irregular outline Raised surface Symptomatic: - itch and bleed
How to identify a mucosal pigmented lesion?
Endo or exo pigment
Natural or artificial
Focal or generalised
What is the presentation of haemangioma?
Cavernous (blue/purple)
Capillary (red)
