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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
Q

what are the sites of retrocusid papilla

A

lingual gingiva of canines

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26
Q

what is found in the microbiology of retrocuspid papillas?

A

giant cell fibromas

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27
Q

what is the treatment for retrocuspid papillas?

A

-none, anatomic variation and most regress with age

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28
Q

common vascualr growth - exuberant response to local irritation

-red soft nodule with ulcerated surface, rapid growth, bleeds, nontender

A

Pyogenic granuloma

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29
Q

who is affected by pyogenic granuloma? Females/males?

A
  • kids and young adults
  • females
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30
Q

where is the most common site for pyogenic granuloma?

A
  1. gingiva (80%)
  2. lips
  3. tongue
  4. buccal mucosa
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31
Q

what might a pyogenic granuloma mature into?

A

irritation fibroma *may represent hormonal (pregnancy) tumor

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32
Q

cause of fibrosing pyogenic granulomga

A

over-retained primary molar

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33
Q

pyogenic granuloma variants

A
  1. pregnancy tumor
  2. pulp polyp
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34
Q

what does pyogenic granuloma mimic?

A

soft tissue abscess (Parulis)

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35
Q

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

A

hemangioma

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36
Q

when do most hemangiomas develop?

A

first 8 weeks of life

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37
Q

where do hemangiomas usually occur

A

head and neck region (60%)

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38
Q

which gender is more likely to get a hemangioma?

A

females

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39
Q

what are the most common oral sites for hemangiomas?

A

tongue, lips

40
Q

what is the % for complications with hemangiomas?

A

20% *bleeding, scarring, malocclusion, infection, airway obstruciton, cosmetic concerns

41
Q

what is the tx for hemangiomas?

A

involution by yo or surgery laser, meds

42
Q

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

A

vascular malformations

43
Q

vascualr malformation that deals with the capillaries?

A

port-wine stain

44
Q

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

A

lymphangioma

45
Q

what age do kids get lymphangiomas?

A

-50% at birth -90% by 2 years

46
Q

where are lymphangiomas usually found?

A

50-75% occur in head and neck region but tongue is most common oral site

47
Q

what is the tx for lymphangioma?

A

excise, recurs, rarely involutes 3%

48
Q

what are the complications with lymphangiomas?

A

-airway obstruction -dyphagia -disfigurement

49
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

50
Q

what is the cause of mucolcels?

A

trauma to ducts and glands

51
Q

what is the age to get mucoceles?

A

children but may be present at birth

52
Q

what is the most common place to get a mucocele?

A

lower lip

53
Q

mucocele on the floor of the mouth?

A

ranula *involves sublingual gland *involves complications with the neck

54
Q

what is the tx for mucocele?

A

excisional biopsy with adjacent glands. some heal spontaneously

55
Q

what is the complication with ranulas?

A

neck (plundging ranulas)

56
Q

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

A

neonatal cysts

57
Q

how common are gingival cysts of the newborn?

A

-occur in 50% of neonates

58
Q

how common are palatal cysts of the newborn?

A

55-85% of neonates

59
Q

what are common types of palatal cysts?

A
  • epstein pearls (median palatal raphe)
  • bohn’s nodule (hard palate, jx of hard and palate, lingual/labial alveolar ridge)
60
Q

what is the tx for neonatal cysts?

A

none, slough spontaneously

61
Q

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

A

congenital epulis

62
Q

what gender is more likely to get congenital epulis?

A

females

63
Q

which arch is more commonly affected by congenital epulis?

A

max

64
Q

what is the tx for congenital epulis?

A

excision, may regress

65
Q

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

A

eruption cysts and hematoma

66
Q

at what age do eruption cysts and hematomas occur?

A

first decade

67
Q

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

A

any site but especially max incisors and mand molar region

68
Q

what is the treatment for eruption cysts and hematoma?

A

spontaneoulsy ruptures and resolves, simple excision if deplayed eruption

69
Q

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

A

dentigerous cyst

70
Q

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

A

pericoronal radioleucency

71
Q

what is the treatment for dentigerous cysts?

A

excisional biopsy

72
Q

what is the most common site for dentigerous cysts?

A

molar and canine region

73
Q

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

A

odontoma

74
Q

what is the mean age to get an odontoma?

A

14

75
Q

which arch is more affected with odontomas?

A

max

76
Q

what is seen on an x ray with an odontoma?

A

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

77
Q

what is the treatment for odontomas?

A

excision, do not recur

78
Q

what is the cause for idopathic osteosclerosis?

A

unknown

79
Q

what is the prevalence for idopathic osteosclerosis

A

5%

80
Q

when does idopathic osteosclerosis arise?

A

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

81
Q

what is the most common site for idopathic osteosclerosis

A

mandible, molar-premolar region

82
Q

what may be seen on an xray with idopathic osteosclerosis

A

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

83
Q

what is the treatment for idopathic osteosclerosis

A

periodic eval, stabilizes

84
Q

what is the differential dx for idopathic osteosclerosis

A
  1. condensing osteitis
  2. osteoma
  3. focal cemnto-osseus dysplasia
  4. central ossifying fibroma
85
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

86
Q

what is the duration for herpes simplex virus?

A

10-14 days

87
Q

what is the most common site for herpes simplex virus?

A

perioral skin and intraoral mucosa

88
Q

what is the cause of herpes simplex virus

A

HSV type 1

89
Q

what is the tx for herpes simplex virus?

A

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

90
Q

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

A

secondary HSV infection

91
Q

what is the prevalence of secondary HSV infection

A

33%

92
Q

what is the cause of secondary HSV infection

A

reactivation of HSV

93
Q

what are the triggers for secondary HSV infection

A

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

94
Q

what is the common site for secondary HSV infection

A

lip vermillion

95
Q

what is the tx for secondary HSV infection

A

topical and systemic antivirals, sunscreen

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

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