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Peds 2 (Exam 2) > Oral Pathology 1 > Flashcards

Oral Pathology 1 Flashcards

1
Q

is squamous papilloma in children benign or malignant?

A

benign

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2
Q

what types of HPV are there in squamous papilloma in kids

A

6, 11 (low virulence)

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3
Q

where are the most common sites for squamous papilloma for kids?

A

tongue, palate, lips

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4
Q

solitary, pink or white papilllary nodule, fingerlike or cauliflower surface, pedunculated

A

S/S for squamous papilloma in kids

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5
Q

what is the treatment for squamous papilloma for kids?

A

excise, not precancerous

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6
Q

what is the cause of verruca vulgaris?

A

HPV 2

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7
Q

what is the prevalence of verruca vulgaris?

A

10-15% of children

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8
Q

what is the age for verruca vulgaris?

A

12-16 yo

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9
Q

what are the sites for verruca vulgaris?

A

hands, face are common

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10
Q

nodule with fingerlike projections or rough pebbly surface, pink or white, painless, usually MULTIPLE

A

verruca vulgaris

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11
Q

what is the treatment for verruca vulgaris?

A

remission - 65% in 2 years
exceise if in the mouth
cryotherapy for skin

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12
Q

what is the px for verruca vulgaris?

A

recurs but no malignant potential

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13
Q

most common oral “tumor”

A

irritation fibroma

  • may arise from pyogenic granuloma
  • also from tongue ring
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14
Q

what causes irritation fibroma?

A

chronic trauma

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15
Q

where is irritation fibroma most commonly found?

A

buccal mucosa, lip, tongue, along the bite line

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16
Q

single pink or gray-brown nodule, smooth surface, soongy, painless

A

irritation fibroma

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17
Q

what is the tx for irritation firbroma?

A

excise, does not recur

*variant is the frenal tag

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18
Q

fibrous tumor with an unknown cause?

A

giant cell fibroma

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19
Q

what is the age range for giant cell fibroma?

A

60% in first 3 decades

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20
Q

where are the most common sites for giant cell fibroma?

A

gingiva (50%), tongue, palate

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21
Q

pale, pink nodule with stippled or papillary surface, painless

A

giant cell fibroma

*MAY CAUSE SUBTLE TOOTH DISPLACEMENT

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22
Q

what is the treatment for giant cell fibroma?

A

excise, does not recur

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23
Q

developmental entity that occurs in 25-99% of children and young adults that are bilateral and pink

A

retrocuspid papilla

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24
Q

what are the sites of retrocusid papilla

A

lingual gingiva of canines

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25
Q

what is found in the microbiology of retrocuspid papillas?

A

giant cell fibromas

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26
Q

what is the treatment for retrocuspid papillas?

A

-none, anatomic variation and most regress with age

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27
Q

common vascualr growth - exuberant response to local irritation
-red soft nodule with ulcerated surface, rapid growth

A

Pyogenic granuloma

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28
Q

does pyogenic granuloma happen more in adults/kids? Females/males?

A
  • kids

- females

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29
Q

where is the most common site for pyogenic granuloma?

A

gingiva (80%)

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30
Q

what might a pyogenic granuloma mature into?

A

irritation fibroma

*may represent hormonal (pregnancy) tumor

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31
Q

what are the other reactive gingival lesions in addition to pyogenic granuloma?

A
  • peripheral ossifying fibroma
  • peripheral giant cell granuloma
  • localized juvenile spongiotic gingival hyperplasia
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32
Q

common vascular tumor that is a red, purople macule or nodule that is rubbery and may blanch

A

hemangioma

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33
Q

when do most hemangiomas develop?

A

first 8 weeks of life

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34
Q

where do hemangiomas usually occur

A

head and neck region (60%)

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35
Q

which gender is more likely to get a hemangioma?

A

females

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36
Q

what are the most common oral sites for hemangiomas?

A

tongue, lips

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37
Q

what is the % for complications with hemangiomas?

A

20%

*bleeding, scarring, malocclusion, infection, airway obstruciton, cosmetic concerns

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38
Q

what is the tx for hemangiomas?

A

involution by yo or surgery laser, meds

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39
Q

these are present at birth and persist throughout life (grow with the child)

A

vascular malformations

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40
Q

vascualr malformation that deals with the capillaries?

A

port-wine stain

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41
Q

congenital hemartoma of lymphatics that is pebbly, pink, red, purple vesicles that have a (frog eggs) or tapioca pudding appearance

A

lymphangioma

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42
Q

what age do kids get lymphangiomas?

A
  • 50% at birth

- 90% by 2 years

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43
Q

where are lymphangiomas usually found?

A

50-75% occur in head and neck region, tongue, lips, labial mucosa

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44
Q

what is the tx for lymphangioma?

A

excise, recurs, rarely involutes 3%

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45
Q

what are the complications with lymphangiomas?

A
  • airway obstruction
  • dyphagia
  • disfigurement
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46
Q

reactive lesion of salivary glands, that is the spillage of mucin. transleucent blue filled swelling, fluctuates in size and may be tender

A

mucoceles

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47
Q

what is the cause of mucolcels?

A

trauma to ducts and glands

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48
Q

what is the age to get mucoceles?

A

children but may be present at birth

49
Q

what is the most common place to get a mucocele?

A

lower lip

50
Q

mucocele on the floor of the mouth?

A

ranula

  • involves sublingual gland
  • involves complications with the neck
51
Q

what is the tx for mucocele?

A

excisional biopsy with adjacent glands. some heal spontaneously

52
Q

what is the complication with ranulas?

A

neck (plundging ranulas)

53
Q

gingival cysts of the newborns that involve tiny 1-3mm white papules, nontender, occasionally larger and cystic in appearance

A

neonatal cysts

54
Q

how common are gingival cysts of the newborn?

A

-occur in 50% of neonates

55
Q

how common are palatal cysts of the newborn?

A

55-85% of neonates

56
Q

what are common types of palatal cysts?

A
  • epstein pearls (median palatal raphe)

- bohn’s nodule (hard palate/soft palate junction)

57
Q

what is the tx for neonatal cysts?

A

none, slough spontaneously

58
Q

benign congenital tumor that is a non-tender, firm, pink to red, polypoid mass with smooth surface

A

congenital epulis

59
Q

what gender is more likely to get congenital epulis?

A

females

60
Q

which arch is more commonly affected by congenital epulis?

A

max

61
Q

what is the tx for congenital epulis?

A

excision, may regress

62
Q

soft tissue dentigerous cyst or hemartoma that is amber, red, or blue soft tissue swelling, may be tender

A

eruption cysts and hematoma

63
Q

at what age do eruption cysts and hematomas occur?

A

first decade

64
Q

what are the most common sites for eruption cyst and hematomas?

A

any site but especially max incisors

65
Q

what is the treatment for eruption cysts and hematoma?

A

spontaneoulsy ruptures and resolves, simple excision if deplayed eruption

66
Q

most common odontogenic cyst - associated with the crown of unerupted tooth. non-tender, delayed tooth eruption

A

dentigerous cyst

67
Q

what is seen on an xray that is associated with dentigerous cysts?

A

pericoronal radioleucency

68
Q

what is the treatment for dentigerous cysts?

A

excisional biopsy

69
Q

what is the most common site for dentigerous cysts?

A

molar and canine region

70
Q

common odontogenic neoplasm, really a harmartoma or developmental anomaly. Delayed tooth eruption; +/- expansion

A

odontoma

71
Q

what is the mean age to get an odontoma?

A

14

72
Q

which arch is more affected with odontomas?

A

max

73
Q

what is seen on an x ray with an odontoma?

A

compound: tooth - like
complex: calcified mass
radioleucent rim: cystic

74
Q

what is the treatment for odontomas?

A

excision, do not recur

75
Q

what is the cause for idopathic osteosclerosis?

A

unknown

76
Q

what is the prevalence for idopathic osteosclerosis

A

5%

77
Q

when does idopathic osteosclerosis arise?

A

-1st decade or second decade with peak in the 3rd decade

78
Q

what is the most common site for idopathic osteosclerosis

A

mandible, molar-premolar region

79
Q

what may be seen on an xray with idopathic osteosclerosis

A

well defined, oval density, usually uniformly opaque, periapical region

80
Q

what is the treatment for idopathic osteosclerosis

A

periodic eval, stabilizes

81
Q

what is the differential dx for idopathic osteosclerosis

A

condensing osteitis, osteoma, focal cemnto-osseus dysplasia, central ossifying fibroma

82
Q

acute infectious disease with SUDDEN ONSET that accomplanies fever, malaise, headache, lymphadenopathy, painful, firey red, swollen gingiva, pharyngitis, vesicles and ulcers

A

herpes simplex infection

83
Q

what is the duration for herpes simplex virus?

A

10-14 days

84
Q

what is the most common site for herpes simplex virus?

A

perioral skin and intraoral mucosa

85
Q

what is the cause of herpes simplex virus

A

HSV type 1

86
Q

what is the tx for herpes simplex virus?

A

topical coating agents, acyclovir, other antivirals for some cases, control fever,l inc fluids

87
Q

recurrent viral infection that is localized, tender, red clusterd vesicles, crusted ulcers

A

secondary HSV infection

88
Q

what is the prevalence of secondary HSV infection

A

33%

89
Q

what is the cause of secondary HSV infection

A

reactivation of HSV

90
Q

what are the triggers for secondary HSV infection

A

UV light, trauma, fever, tooth eruption, dental treatment

91
Q

what is the common site for secondary HSV infection

A

lip vermillion

92
Q

what is the tx for secondary HSV infection

A

topical and systemic antivirals, sunscreen

93
Q

creamy white plaques, wipe off, red patches that burn

A

candidiasis

94
Q

what is the tx for candidiasis

A

antifungal agents

95
Q

also known as central papillary atrophy. Pink, red, or white smooth or lobulated patch of midline dorsal tongue

A

median rhomboid glossitis

96
Q

what should you look for if you see median rhomboid glossitis?

A

kissing lesions on palate and angular chelitis

97
Q

what is the cause of median rhomboid glossitis

A

candidal infection or anatomy

98
Q

what is the tx for median rhomboid glossitis

A

antifungal agents

99
Q

lesions that are common with autism and psychologic disorders that have chronic ulcers, gingival recession, bizzare shape, sharp outlines, and could be single or multiple

A

self mutilation lesions

100
Q

what is the most common age group for self mutilation lesions

A

80% younger than 12

101
Q

what is the most common gender with self mutilation lesions

A

females

102
Q

what is the most common site with self mutilation lesions

A

whatever site is easy to reach

103
Q

what is the treatment for self mutilation lesions

A

ID the cause, palliative tx, psychological assessment

104
Q

chronic factitial habit that shows shaggy, shredded, white patches with or without redness and ulcers

A

chronic mucosal chewing

105
Q

what is the most common site for chronic mucosal chewing

A

occlusal plane, buccal mucosa and tongue

106
Q

represents a traumatic granuloma that has red and white deep, irregular ulcer, may have a soft tissue enlargemnt

A

riga-fede disease

107
Q

chronic trauma of anterior ventral tongue associated with natal and neonatal teeth

A

riga-fede disease

108
Q

how long does it take riga-fede disease to heal

A

7-14 days

109
Q

what is the tx for riga-fede disease

A

ID cause, modify feeding position and device, smooth incisal surface, extract teeth, CHX rinse

110
Q

also known as geographic tongue, erythema migrans that has multiple red, annular patches with white scalloped border and LOSS OF FILLIFORM PAPILLAE

A

benign migratory glossitis

111
Q

what is the prevalence of benign migratory glossitis

A

3%

112
Q

what is the most common site of benign migratory glossitis

A

dorsum of tongue

113
Q

what is the duration of benign migratory glossitis

A

persistent (waxes and wanes)

114
Q

what is the tx of benign migratory glossitis

A

palliative tx

115
Q

solitary oval, brown/gray macule that is caused by a focal inc in melanin

A

oral melanotic lesion

116
Q

what are oral melanotic lesions called if they are on the skin?

A

ephilis (freckles)

117
Q

what is the common age of oral melanotic lesion

A

all ages

118
Q

what is the common gender of oral melanotic lesion

A

females

119
Q

what is the tx of oral melanotic lesion

A

none required, no malignant potential

Peds 2 (Exam 2) (10 decks)

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