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NBDE Part II > ORAL PATH REVIEW POWERPOINT 4 > Flashcards

ORAL PATH REVIEW POWERPOINT 4 Flashcards

1
Q

Cemento-osseus dysplasias are typically found in what age range and gender?

A

middle-aged females

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2
Q

What are the three types of Cemento-Osseus Dysplasias?

A
  1. Periapical COD 2. Focal COD3. Florid COD
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3
Q

Name that lesion: middle aged, AA female. Mand anterior teeth. No tx necessary, RL, RO and Mixed

A

Periapical Cemento-osseus dysplasia

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4
Q

Name that lesion: middle aged, AA female. in ONE area and NOT the anterior mandible. No tx necessary, RL, RO and Mixed

A

Focal COD

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5
Q

Name that lesion: middle aged, AA female. in MULTIPLE QUADRANTS. No tx necessary, RL, RO and Mixed

A

Florid COD

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6
Q

What is the etiology of Fibrous Dysplasia?

A

genetics

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7
Q

Do you see swelling in fibrous dysplasia? Is it unilateral or bilateral?

A

Unilateral swelling present

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8
Q

Is fibrous dysplasia painful? What age demographic does it affect? What age does it STOP growing?

A

Painless, EARLY onset that ends at age 20

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9
Q

What is the cardinal sign of Fibrous dysplasia on a radiograph? Are the borders well defined or poorly defined?

A

GROUND GLASS appearance (kids dont PLAY (DIS-PLAY) on ground glass). ill defined borders

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10
Q

What is the treatment for fibrous dysplasia?

A

wait till it stops (age 20) and cosmetically remodel the bone

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11
Q

What is the condition where there is abnormal resorption and deposition of bone, weakened or deformed bone and happens in males over 40yrs (vs fibrous dysplasia in young)

A

Paget’s Disease of Bone

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12
Q

Name that condition: enlargment of jaws/ridges, dentures wont fit, spaces between teeth, generalized hypercementosis and COTTON WOOL RO areas

A

Paget’s Disease of Bone

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13
Q

Name that lesion: COTTON WOOL radiopaque areas

A

Paget’s Disease of Bone (old men make COTTON WOOL dresses for the beauty PAGET)

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14
Q

Paget’s Disease of Bone has an INCREASED RISK of what condition?

A

OSTEOSARCOMA

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15
Q

WTF is this?? Rapid onset, increase in VANILL-YL-MAN-DELIC ACID (VMA), anterior maxilla, radiolucent and destructive

A

Melanotic NERURO-ECTODERMAL Tumor of Infancy (WTF?)

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16
Q

In a Melanotic NeuroEctodermal Tumor of Infancy (long ass name, I Know), what molecule is overproduced?

A

VANILL-YL-MAN-DELIC ACID (VMA)

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17
Q

Name that condition: defect in OSTEOCLASTS leading to INCREASED DENSITY of bone (skull and jaws) and osteomyelitis?

A

Ostropetrosis

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18
Q

Osteopetrosis can cause what in older folks and what in younger folks?

A

older: cranial nerve compression; younger: bone fractures

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19
Q

What are the two Central Neural lesions and what two types of structures can they affect?

A
  1. Neurofibroma and 2. Schwannoma…they can ENLARGE 1. canals and 2. foramina
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20
Q

What RL lesion can look like anything (multilocular, unilocular, in any location) and is extremely important to ASPIRATE before biopsy?

A

Hemangioma (aspirate any RL lesion before biopsy to rule out vascular lesions)

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21
Q

What is the most common primary bone cancer?

A

osteosarcoma

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22
Q

What is the most common cancer in bone?

A

Metastasis

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23
Q

Since you already know metastasis is the most common cancer found in bone, what are the 6 most common cancers to metastasize to the bone?

A

1.breast 2.lung 3.thryoid 4. kidney 5.prostate 6.colorectal

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24
Q

What is associated with numb chin syndrome?

A

malignant bone tumor growth

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25
What age range is most commonly affected by Osteosarc?
20's-30's
26
Name that condition: age 20's-30's, swelling of bone, loose/displaced teeth, PARESTHESIA
Osteosarc
27
What condition is associated with "SUN RAY" appearance on an x-ray?
Osteosarcoma
28
Name that lesion: poorly defined margins, sun ray appearance, irregular widening of PDL in early stages
Osteosarcoma
29
What is the oral maifestation of Cleidocranial Dysplasia?
multiple, unerupted supernumerary teeth
30
What is the oral manifestation of ECTODERMAL DYSPLASIA?
1. Hypodontia 2.Conical/Cone shaped teeth (that midwestern guy was freaking spot on!)
31
The _______ type of Ectodermal Dysplasia is a partial or complete absecnce of eccrine sweat glands and hair follicles leading to fine, sparse hair and decreased heat tolerance
A-NY-DRO-TIC type
32
WTF? Name that condition: oral mucosa neuromas (hamatomas), medullary carcinoma of the thyroid gland, and pheochromocytoma of the adrenal gland
MULTIPLE ENDOCRINE NEOPLASIA SYNDROME (hey! the name makes sense!) TYPE IIB
33
Name that condition (2 names PLEZ): Multiple neurofibromas, CAFE AU LAIT pigmentations (also seen in FIBROUS DYSPLASIA), axillary freckling and LISCH nodules in the eye
Neurofibromatosis TYPE I, von Ricklinghausen's disease of skin)
34
NAME THAT CONDITION: numerous melanotic macules intraorally and periorally. Intestinal polyps that do NOT become malignant, but at high risk for GI cancer...
PEUTZ-JEGHER Syndrome
35
Name that condition: Dental anomalies or OSTEOMAS (may block the eruption of teeth), polyps of the colon that become MALIGNANT...Epirdermoid cysts on the skin
Gardner syndrome
36
Name that condition (2 names please):: Deformed ears/hearing loss, Coloboma (fissure of lower eyelid), CONVEX facial profile (downward sloping palpebral fissures, HYPOPLASIA of the mandible and malar bones, "bird face"
Treacher Collins Syndrome (MandibuloFacial DysOstosis)
37
Name that condition (2 names please):: multiple basal cell carcinomas, multiple OKCs, calcified falx cerebri, rib anomalies, palmar plantar pits, ocular hypertelorism, enarged head, spina bifida
GORLIN syndrome (Nevoid basal cell carcinoma syndrome)
38
What condition am I??? Trauma or periapical inflammatory disease of primary tooth leads to enamel defect of developing permanent teeth
TURNER TOOTH
39
Name that condition: too much cementum, well-defined PDL space; looks like turkey drum
Hypercementosis
40
GENERALIZED HYPERCEMENTOSIS can be a sign of _______
pagets disease
41
What am I??? large mass of cementum with a radiolucent rim around it; mass appears fused to the root with root resorption
cementoblastoma
42
What situation is this?? shortened root fused with bone; PDL space lost; occlusal surface apical to other teeth
ankylosis
43
What is this describing? Cusp-like elevation of enamel | Most commonly on MANDIBULAR PREMOLARS, May lead to occlusal interference
Dens EVAGENATUS
44
What is this describing? Most commonly in permanent maxillary LATERAL INCISORS; RARE on mandibular or primary teeth Various degrees of severity
Dens INVAGINATUS
45
physiologic wear due to tooth to tooth contact
attrition
46
pathologic wear due to mechanical action of external agent, ie, habits, occupations
abrasion
47
pathologic wear due to chemicals not involving bacteria (ie, caries)...wtf? Chlorinated pools
Erosion
48
Huh, new term eh?! erosion from gastric regurgitation and GERD
Peri-Mo-lysis
49
loss of tooth structure from occlusal stresses that create repeated tooth flexure with failure of enamel/dentin
abfraction
50
The 3 sizes (types) of Amelogenesis Imperfecta are small medium and what?!
1. hypoplastic 2.hypocalcified 3.hypomature
51
"picket fence teeth" are indicative of what condition
Amelogenesis Imperfecta
52
What am I talkin' bout? Translucence of teeth: blue to brown Bulbous crowns, cervical constriction Thin, tapered roots; OBLITERATION of root canals and pulp chamber
Dentinogenetis Imperfecta
53
AI vs DI: little to no enamel
Amelogenesis Imperfecta
54
AI vs DI: picket fence appearance
AI
55
AI vs DI: cervical constriction
DI
56
AI vs DI: pulpal obliteration
DI
57
AI vs DI: "golf ball on tee" lol
DI
58
Genetic disease that leads to defective collagen
Osteogenesis imperfecta (w opalescent teeth)
59
What other condition looks like dentogenesis imperfecta clinically?
osteogenesis imperfecta
60
What condition? Bones are brittle/fragile: multiple fractures, bowing of legs, Blue sclera, hearing loss Opalescent teeth: diffuse blue-brown discoloration
Osteogenesis Imperfecta
61
Rootless teeth Pulpal obliteration Tooth mobility Rarefying osteitis without cause
Dentin Dysplasia
62
Enlarged thistle-tube-shaped pulp chambers
dentin dysplasia
63
2 names: Autoimmune disease, Hardening of the skin, Trismus/Limited jaw opening, Generalized widening of PDL space
Progressive Systemic Sclerosis (Scleroderma)
64
What is the mechanism for H&N radiation therapy causing caries? Does pulp necrosis usually occur?
radiation causes xerostomia which causes the caries..NO pulp necrosis
65
Whats your differential for DIFFUSE, Ill-defined RL areas? (5 please)
1. Osteomyelitis 2.Radiation induced osteonecrosis 3.MRONJ 4.metastatic disease 5.osteosarc
66
In CONDYLAR HYPERPLASIA, the CHIN will deviate to which side?
AWAY from affected side upon closure
67
"Tennis racket" / "honeycomb" appearance on a radiograph =
Odontogenic Myxoma

NBDE Part II (14 decks)

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