Oral Pathology

Question 1

physiologic loss of tooth structure from tooth to tooth contact

Answer 1

attrition

Question 2

pathologic form of of attrition, habitual grinding

Answer 2

bruxism

Question 3

pathologic loss of tooth structure due to a chemical process

Answer 3

erosion

Question 4

erosion from gastric secretions

Answer 4

perimolysis

Question 5

pathologic loss of tooth structure from a mechanical process

Answer 5

abrasion

Question 6

single enlarged tooth in which the tooth count is normal

Answer 6

gemination (twinning)

Question 7

enlarged tooth when tooth count reveals missing tooth

Answer 7

fusion

Question 8

deep surface invagination of the crown or root that is lined by enamel, teeth may become necrotic/infected

Answer 8

dens invaginatus (dens in dente)

Question 9

large pulp chamber with furcation close to the apex, common in Down’s syndrome

Answer 9

Taurodontism

Question 10

tooth enamel on root surface, no attachment to this so there is a pocket

Answer 10

enamel pearl (ectopic enamel)

Question 11

no teeth

Answer 11

anadontia

Question 12

missing 6 or more teeth

Answer 12

oligodontia

Question 13

syndrome often associated with hypodontia

Answer 13

ectodermal dysplasia

Question 14

has hyperdontia, hypoplastic clavicles

Answer 14

cleidocranial dysplasia

Question 15

premalignant colon polyps, osteomas, epidermoid cysts, supernumerary teeth

Answer 15

Gardner’s syndrome

Question 16

enamel defect of permanent tooth from infection in primary tooth

Answer 16

Turner’s hypoplasia of tooth

Question 17

hereditary alteration in tooth structure, may be associated with osteogenesis imperfect (Brittle bone disease), obliterated pulp chambers and canals, translucent hue

Answer 17

dentinogenisis imperfecta (hereditary opalescent dentin)

Question 18

hereditary alteration in tooth structure, pits/grooves in teeth, discolored

Answer 18

amelogenesis imperfecta

Question 19

may occur after trauma, enlargement of chamber or canal, may look pink if in pulp chamber, tx- endo tx before perforation into periodontal membrane

Answer 19

internal resorption

Question 20

flat brown lesion, not dependent on sun exposure, lower lip or intra oral, no tx necessary

Answer 20

melanotic macule (oral focal melanosis, oral freckle)

Question 21

another name for amalgam tattoo

Answer 21

focal argyrosis

Question 22

intra oral sebaceous (oil) glands, small, bilateral, yellow nodules of buccal mucosa and vermillion after puberty

Answer 22

fordyce’s granules

Question 23

adrenal cortical insufficiency, too little steroid production, diffuse pigmentation “bronzing” of skin and mucosa

Answer 23

addison’s disease (hypoadrenocorticism)

Question 24

caused from excessive pituitary gland ACTH production, can lead to weight gain, buffalo humor, moon facies, poor healing, usually from prescribed corticosteroid therapy

Answer 24

Cushing’s syndrome

Question 25

white, hyperkeratotic, coarse, nodular, wrinkled appearance to hard palate in smokers, inflamed minor salivary glands

Answer 25

Nicotinic stomatits

Question 26

milky white lesions of buccal mucosa that disappear when stretched

Answer 26

leukoedema

Question 27

hyperkeratotic line of buccal mucosa along plane of occlusion

Answer 27

linea alba

Question 28

white plaque that wipes off

Answer 28

pseudomembranous candidiasis

Question 29

red, atrophic area, midline dorsal tongue, often seen in immunocompromised individuals

Answer 29

central papillary atrophy (median rhomboid glossitis)

Question 30

fissured areas at corners of mouth, can be seen in severe riboflavin deficiency (vit B2), fungal

Answer 30

angular chelitis

Question 31

topical tx of fungus

Answer 31

nystatin, clotrimazole

Question 32

systemic tx of fungus

Answer 32

ketoconazole, fluconazole (diflucan)

Question 33

areas of redness (atrophy of filiform papillae) surrounded by raised, white border, unknown cause, possible burning

Answer 33

geographic tongue (erythema migrans, benign migratory glossitis)

Question 34

smooth, pink, firm elevated nodules, most common "tumor" in oral cavity, receive hyperplasia of fibrous conn tissue in response to irritation or trauma

Answer 34

fibroma

Question 35

pedunculated, wart like, soft lesion, cause by HPV

Answer 35

papilloma

Question 36

what does HPV cause?

Answer 36

Verruca vulgaris (skin warts), condyloma acuminatum (genital warts), cervical cancer, papillomas

Question 37

fibroma around denture flange, esp poor fitting denture, excise tissue and remake denture

Answer 37

epilus fissuratum (inflammatory fibrous hyperplasia)

Question 38

papillary lesions under max denture, esp if never removed, tx- excise tissue and remove tissue

Answer 38

papillary hyperplasia of the palate (pseudopapillomatosis)

Question 39

composed of granulation tissue, vascular appearance, hormonal influence, exuberant tissue from local irritation/trauma

Answer 39

pyogenic granuloma

Question 40

exophytic lesion in carious teeth in children composed of granulation tissue, not painful, usually in kids before apice is all the way formed, tx- excision, endo

Answer 40

chronic hyperplastic pulpitis (pulp polyp, pulp granuloma)

Question 41

*multinucleated giant cells present, looks similar to pregnancy tumor

Answer 41

peripheral giant cell granuloma

Question 42

only on moveable mucosa, lower incidence in smokers, painful recurring, well circumscribed ulcers with erythematous halo

Answer 42

aphthous ulcer

Question 43

oral herpes

Answer 43

HSV1

Question 44

genital herpes

Answer 44

HSV2

Question 45

chicken pox and shingles

Answer 45

VZV varicella zoster virus

Question 46

kaposi's sarcoma herpes virus, often complication of aids

Answer 46

HHV8

Question 47

occurs only on bounden keratinized mucosa (hard palate and attached ginger, vesicles rarely seen, healing 7-10 days

Answer 47

recurrent intra oral HSV

Question 48

etiology- EBV, white, furrows lines on lateral surface of tongue, may be first manifestation of HIV

Answer 48

oral hairy leukoplakia

Question 49

vascular neoplasm, multiple bluish purple macules and plaques, seen in HIV, HHV8

Answer 49

kaposi's sarcoma

Question 50

caused by coxsackie virus, flu like symptoms, vesicles or ulcers of post oral cavity, nothing to do with herpes

Answer 50

herpangina

Question 51

caused by coxsackie virus, vesicles or ulcers of mouth, hands, feet, flu like symptoms

Answer 51

hand foot and mouth disease

Question 52

cancer, sun exposed skin

Answer 52

basal cell carcinoma

Question 53

most common oral cancer (95%), sun exposed skin, smoking an alcohol major risks, HPV also risk

Answer 53

squamous cell carcinoma aka epidermoid carcinoma

Question 54

pigmented tumor

Answer 54

melanoma

Question 55

cancer, wrinkled corrugated white lesion at site of placement

Answer 55

smokeless tobacco keratosis - snuff dippers lesion

Question 56

most common place for squamous cell carcinoma

Answer 56

lateral tongue, floor of mouth

Question 57

where does squamous cell carcinoma metastasize to 1st?

Answer 57

cervical lymph nodes

Question 58

autoimmune disease with dry eyes and mouth from inflammation

Answer 58

Sjogren syndrome

Question 59

this can cause loss of tongue papillae and discomfort, similar appearance in severe deficiencies of riboflavin, niacin, folic acid, cobalamin, iron

Answer 59

xerostomia

Question 60

cyst. lumen is derived from epithelium produced during tooth development, come from 1 of 2 things- rests of serres, rests of malassez

Answer 60

odontogenic cysts

Question 61

most common cyst, apex of necrotic tooth, well circumscribed unilocular radiolucency, tx- endo or extraction

Answer 61

radicular cyst (periapical cyst, apical periodontal cyst)

Question 62

cyst around crown of impacted tooth, unilocular

Answer 62

dentigerous cyst (follicular cyst)

Question 63

cyst that occurs in place of tooth

Answer 63

primordial cyst

Question 64

unilocular or mulitlocular - soap bubble, usually in post mand, high recurrence rate, unique epith lining, can be associated with basal cell carcinoma syndrome

Answer 64

odontogenic keratocyst

Question 65

usually unilocular *between roots of mand PMs, cannot probe b/c cyst in bone

Answer 65

lateral periodontal cyst

Question 66

cyst between max lat and canine

Answer 66

globulomaxillary cyst

Question 67

oval radiolucency of midline anterior maxilla, heart shaped due to ant nasal spine

Answer 67

nasopalatine duct cyst

Question 68

soft tissue cyst, often lifts ala of the nose

Answer 68

nasolabial cyst- nasolacrimal cyst

Question 69

malignancy of plasma cells, bone pain, punched out radiolucencies*, Bence jones proteins

Answer 69

multiple myeloma

Question 70

light chain immunoglobulins found in urine

Answer 70

Bence jones proteins

Question 71

derived from elements of tooth development

Answer 71

odontogenic tumor

Question 72

most common odontogenic tumor, composed of dentin, enamel, look like little teeth, tx- conservative excision

Answer 72

odontoma

Question 73

multilocular radiolucency (soap bubble, honey comb), post mand, high recurrence rate

Answer 73

ameloblastoma

Question 74

radiopaque lesion at apex of inflamed or necrotic tooth

Answer 74

Condensing osteitis (focal sclerosing osteomyeltis)

Question 75

*middle age black females, vital teeth, *no cortical bone expansion, *mixed radiolucent/radiopaque lesion, lower ant teeth

Answer 75

periapical cemental dysplasia (periapical cemento-osseous dysplasia, false cementoma)

Question 76

thickening and enlarging of the bones, cotton wool

Answer 76

page's disease (Osteitis deformans)