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AU '18 - Peds III exam II > 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
  1. tongue 2. palate 3. 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

10-50% of children

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8
Q

what is the age for verruca vulgaris?

A

usually childhood (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

common oral sites for verruca vulgaris

A
  1. lip
  2. labial mucosa
  3. anterior tongue
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11
Q

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

A

verruca vulgaris

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12
Q

what is the treatment for verruca vulgaris?

A

remission - 65% in 2 years exceise if in the mouth

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13
Q

what is the px for verruca vulgaris?

A

recurs but no malignant potential

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14
Q

most common oral “tumor”

A

irritation fibroma *may arise from pyogenic granuloma *also from tongue ring

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15
Q

what causes irritation fibroma?

A

chronic trauma

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16
Q

where is irritation fibroma most commonly found?

A

buccal mucosa, lip, tongue, along the bite line

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17
Q

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

A

irritation fibroma

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18
Q

what is the tx for irritation firbroma?

A

excise, does not recur *variant is the frenal tag

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19
Q

fibrous tumor with an unknown cause?

A

giant cell fibroma

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20
Q

what is the age range for giant cell fibroma?

A

60% in first 3 decades

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21
Q

where are the most common sites for giant cell fibroma?

A

gingiva (50%), tongue, palate

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22
Q

pale, pink nodule with stippled or papillary surface, painless

A

giant cell fibroma *MAY CAUSE SUBTLE TOOTH DISPLACEMENT

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23
Q

what is the treatment for giant cell fibroma?

A

excise, does not recur

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24
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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25
what are the sites of retrocusid papilla
lingual gingiva of canines
26
what is found in the microbiology of retrocuspid papillas?
giant cell fibromas
27
what is the treatment for retrocuspid papillas?
-none, anatomic variation and most regress with age
28
common vascualr growth - exuberant response to local irritation -red soft nodule with ulcerated surface, rapid growth, bleeds, nontender
Pyogenic granuloma
29
who is affected by pyogenic granuloma? Females/males?
- kids and young adults - females
30
where is the most common site for pyogenic granuloma?
1. gingiva (80%) 2. lips 3. tongue 4. buccal mucosa
31
what might a pyogenic granuloma mature into?
irritation fibroma \*may represent hormonal (pregnancy) tumor
32
cause of fibrosing pyogenic granulomga
over-retained primary molar
33
pyogenic granuloma variants
1. pregnancy tumor 2. pulp polyp
34
what does pyogenic granuloma mimic?
soft tissue abscess (Parulis)
35
common vascular tumor that is a red, purople macule or nodule that is rubbery and may blanch
hemangioma
36
when do most hemangiomas develop?
first 8 weeks of life
37
where do hemangiomas usually occur
head and neck region (60%)
38
which gender is more likely to get a hemangioma?
females
39
what are the most common oral sites for hemangiomas?
tongue, lips
40
what is the % for complications with hemangiomas?
20% \*bleeding, scarring, malocclusion, infection, airway obstruciton, cosmetic concerns
41
what is the tx for hemangiomas?
involution by yo or surgery laser, meds
42
these are present at birth and persist throughout life (grow with the child)
vascular malformations
43
vascualr malformation that deals with the capillaries?
port-wine stain
44
congenital hemartoma of lymphatics that is pebbly, pink, red, purple vesicles that have a (frog eggs) or tapioca pudding appearance
lymphangioma
45
what age do kids get lymphangiomas?
-50% at birth -90% by 2 years
46
where are lymphangiomas usually found?
50-75% occur in head and neck region but tongue is most common oral site
47
what is the tx for lymphangioma?
excise, recurs, rarely involutes 3%
48
what are the complications with lymphangiomas?
-airway obstruction -dyphagia -disfigurement
49
reactive lesion of salivary glands, that is the spillage of mucin. transleucent blue filled swelling, fluctuates in size and may be tender
mucoceles
50
what is the cause of mucolcels?
trauma to ducts and glands
51
what is the age to get mucoceles?
children but may be present at birth
52
what is the most common place to get a mucocele?
lower lip
53
mucocele on the floor of the mouth?
ranula \*involves sublingual gland \*involves complications with the neck
54
what is the tx for mucocele?
excisional biopsy with adjacent glands. some heal spontaneously
55
what is the complication with ranulas?
neck (plundging ranulas)
56
gingival cysts of the newborns that involve tiny 1-3mm white papules, nontender, occasionally larger and cystic in appearance
neonatal cysts
57
how common are gingival cysts of the newborn?
-occur in 50% of neonates
58
how common are palatal cysts of the newborn?
55-85% of neonates
59
what are common types of palatal cysts?
- epstein pearls (median palatal raphe) - bohn's nodule (hard palate, jx of hard and palate, lingual/labial alveolar ridge)
60
what is the tx for neonatal cysts?
none, slough spontaneously
61
benign congenital tumor that is a non-tender, firm, pink to red, polypoid mass with smooth surface
congenital epulis
62
what gender is more likely to get congenital epulis?
females
63
which arch is more commonly affected by congenital epulis?
max
64
what is the tx for congenital epulis?
excision, may regress
65
soft tissue dentigerous cyst or hemartoma that is amber, red, or blue soft tissue swelling, may be tender
eruption cysts and hematoma
66
at what age do eruption cysts and hematomas occur?
first decade
67
what are the most common sites for eruption cyst and hematomas?
any site but especially max incisors and mand molar region
68
what is the treatment for eruption cysts and hematoma?
spontaneoulsy ruptures and resolves, simple excision if deplayed eruption
69
most common odontogenic cyst - associated with the crown of unerupted tooth. non-tender, delayed tooth eruption
dentigerous cyst
70
what is seen on an xray that is associated with dentigerous cysts?
pericoronal radioleucency
71
what is the treatment for dentigerous cysts?
excisional biopsy
72
what is the most common site for dentigerous cysts?
molar and canine region
73
common odontogenic neoplasm, really a harmartoma or developmental anomaly. Delayed tooth eruption; +/- expansion
odontoma
74
what is the mean age to get an odontoma?
14
75
which arch is more affected with odontomas?
max
76
what is seen on an x ray with an odontoma?
compound: tooth - like complex: calcified mass radioleucent rim: cystic
77
what is the treatment for odontomas?
excision, do not recur
78
what is the cause for idopathic osteosclerosis?
unknown
79
what is the prevalence for idopathic osteosclerosis
5%
80
when does idopathic osteosclerosis arise?
-1st decade or second decade with peak in the 3rd decade
81
what is the most common site for idopathic osteosclerosis
mandible, molar-premolar region
82
what may be seen on an xray with idopathic osteosclerosis
well defined, oval density, usually uniformly opaque, periapical region
83
what is the treatment for idopathic osteosclerosis
periodic eval, stabilizes
84
what is the differential dx for idopathic osteosclerosis
1. condensing osteitis 2. osteoma 3. focal cemnto-osseus dysplasia 4. central ossifying fibroma
85
acute infectious disease with SUDDEN ONSET that accomplanies fever, malaise, headache, lymphadenopathy, painful, firey red, swollen gingiva, pharyngitis, vesicles and ulcers
herpes simplex infection
86
what is the duration for herpes simplex virus?
10-14 days
87
what is the most common site for herpes simplex virus?
perioral skin and intraoral mucosa
88
what is the cause of herpes simplex virus
HSV type 1
89
what is the tx for herpes simplex virus?
topical coating agents, acyclovir, other antivirals for some cases, control fever,l inc fluids
90
recurrent viral infection that is localized, tender, red clusterd vesicles, crusted ulcers
secondary HSV infection
91
what is the prevalence of secondary HSV infection
33%
92
what is the cause of secondary HSV infection
reactivation of HSV
93
what are the triggers for secondary HSV infection
UV light, trauma, fever, tooth eruption, dental treatment
94
what is the common site for secondary HSV infection
lip vermillion
95
what is the tx for secondary HSV infection
topical and systemic antivirals, sunscreen

AU '18 - Peds III exam II (9 decks)

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