Oral medicine - L1/2 - clinical aspects of dry mouth and salivary gland disorders

Question 1

The challacombe scale is used to assess oral dryness. And scores are given for their respected features. What score would be given if you were to exhibit:

Answer 1

Mild dryness. – score 1-3 (routine check-up monitoring)

Moderate dryness - score 4-6 (further investigations if cause not clear)

Severe dryness – score 7-10 (cause needs to be determined exclude Sjogren’s, refer)

Question 2

Salivary glands abnormalities are rare, what is the name given to the abnormality where the salivary gland does not develop:

Answer 2

Aplasia

Question 3

Salivary glands abnormalities are rare, what is the name given to the abnormality where the ducts do not develop:

Answer 3

Atresia

Question 4

How would you treat a mucous retention cyst?

Answer 4

Excision

Question 5

name this condition

Answer 5

extravasation mucocele

Question 6

name this condition

Answer 6

ranula

Question 7

How would you treat a ranula?

Answer 7

Drainage of the cystic cavity and removal of sublingual gland

Question 8

Sialadenitis is an infection of the salivary gland, it is usually caused by a virus or bacteria, causing pain and localised swelling, which two glands are affected?

Answer 8

Parotid and submandibular

Question 9

Which palate would you observe necrotising sialometaplasia?

Answer 9

Hard palate

Question 10

Mucoepidermoid carcinoma is the most common of the 22 primary epithelial salivary gland malignant tumours in the WHO classification, how would you treat it?

Answer 10

Complete excision of the tumour.

Question 11

What is the name of this condition and how would you treat it?

Answer 11

Pleomorphic adenoma: complete excision.