Oral Pathology Flashcards
Gingival cysts of the newborn include Epstein’s pearls, bohn’s nodules and gingival/alveolar cysts. Name other differential diagnoses for these.
Superficial abscess
Thrush
Erupting tooth
Eruption cyst
Lymphoepithelial cyst (palate)
You see a white plaques present on the palate of a newborn. Once wiped, it reveals an erythematous red base.
What is your differential diagnosis?
What is your management of this lesion?
1) Pseudomembranous candidiasis
2) Material alba
3) Breastfeeding plaque
Tx:
Flucaonazole, nystatin
Aside from history and clinical features of primary herpetic gingivostomatitis, what are other diagnostic aids that you may use to aid in definitive diagnosis?
Exfoliative cytology
Viral antigen
Why may you prescribe chlorhexidine for a young child with primary herpetic gingivostomatitis?
Much of the pain from oral ulceration is probably because of secondary bacterial infection
Chlorhexidine 0.2%
When would you employ antiviral therapy for a child who has primary gingivostomatitis?
If they are immunocompromised
Acyclovir - only beneficial in the vesicular phase
You see multiple oral ulcers in a child. What is on your differential diagnosis list?
Primary herpetic gingivostomatitis
Coxsackie virus: Herpangina (tonsillar pillars, uvula, soft palate); Hand Foot Mouth (buccal and labial mucosa)
Erythema multiformeW
What is on your differential diagnosis if you see a wipeable white lesion?
Pseudomembranous candidiasis
Material alba
Coated tongue
What is on your differential diagnosis if you see a non-wipeable white plaque-like lesion on buccal mucosa?
Bilateral/symmetrical:
Linea alba
Leukoedema
Frictional keratosis
Reticular lichen planus
White sponge nevus
Solitary or multiple:
Smokeless tobacco keratosis
Dyskeratosis congenita
You see a soft tissue swelling on the anterior maxilla of a 1 month old. What is on your differential diagnosis list?
Congenital epulis
Melanotic neuroectodermal tumor of infancy
Granular cell tumor
Malignancy
Vascular malformation
