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Oral Pathology Test 3 > Oral Pathology Essentials > Flashcards

Oral Pathology Essentials Flashcards

1
Q

Name/Clinical description/Etiology/Treatment

A

White coated tongue

White coating that can be scraped off

Accumulation of bacteria and epithelial cells

Tx: Scrape the tongue

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2
Q

Name/Clinical description/Etiology/Treatment

A

Pseudomembranous candidiasis (thrush)

Cottage cheese like plaque

Antibiotics or steroids disrupt the oral bacteria

Tx: Antifungal (Nystatin)

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3
Q

Name/Clinical description/Etiology/Treatment

A

Morsicatio Buccarum

Thickened shredded mucosa

Caused by chronic cheek chewing

Tx: no treatment necessary

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4
Q

Name/Clinical description/Etiology/Treatment

A

Linea Alba

White line on cheek at occlusal plane level

Pressure or sucking trauma

Tx: no treatment necessary

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5
Q

Name/Clinical description/Etiology/Treatment

A

Leukoedema

bilateral gray-white lesion on Africans that doesn’t rub off and disappears when stretched

Caused by normal edematous swelling

Tx: no treatment necessary

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6
Q

Name/Clinical description/Etiology/Treatment

A

Leukoplakia

Intraoral white plaque that doesn’t rub off and cannot be identified as any other entity

Caused by Tobacco, alcohol, Sanguinaria, UV, Microorganisms

Tx: Biopsy and follow up to see if it’s cancer (usually precancer)

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7
Q

Name/Clinical description/Etiology/Treatment

A

Smokeless tobacco pouch keratosis

Fissured rippled vestibule

Tobacco in that same area all the time

Tx: Quit tobacco should disappear in 2 weeks

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8
Q

Name/Clinical description/Etiology/Treatment

A

Lichen Planus

Desquamative gingivitis with Wickhams striae lines

Erosive or Reticular types destroy the basal layer

Tx: Bilateral: no treatment

Asymmetrical: Topical corticosteroids (be careful if they’re diabetic)

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9
Q

Name/Clinical description/Etiology/Treatment

A

Erythema Migrans/Geographic tongue

Inflammatory lines on the tongue

Etiology: allergies

Tx: none

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10
Q

Name/Clinical description/Etiology/Treatment

A

Erythroleukoplakia

Red lesion that can’t be rubbed off or identified as anything else

Caused by Tobacco, Alcohol, Sanguinaria, UV, Microorganisms

Tx: Biopsy and Monitor frequently bc it’s premalignant

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11
Q

Name/Clinical description/Etiology/Treatment

A

denture stomatitis

Bright red lesion beneath denture

Caused by candidiasis from not removing denture

tx: antifungal for denture and mouth

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12
Q

Name/Clinical description/Etiology/Treatment

A

angular cheilitis

Accentuated folds at the corners of the mouth

Caused by C. Albicans or S. Aureus

Tx: Antifungal

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13
Q

Name/Clinical description/Etiology/Treatment

A

Varicosities

Superficial dilated veins detected by blanching

Tx: no treatment necessary

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14
Q

Name/Clinical description/Etiology/Treatment

A

Amalgam Tattoo

Black/Grey lesion found in mouth

Caused by Amalgam getting into the gingiva

Tx: none needed

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15
Q

Name/Clinical description/Etiology/Treatment

A

Mucocele

Clear papule on the lower lip (most common location)

Caused by spillage of mucin bc of traumatic rupture of salivary gland duct

Tx: Surgical excision

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16
Q

Name/Clinical description/Etiology/Treatment

A

Squamous Papilloma

Pedunculated cauliflower stalk, usually white, exophytic

Caused by HPV 6,11

Tx: excision

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17
Q

Name/Clinical description/Etiology/Treatment

A

Inflammatory Papillary Hyperplasia

Pebbly or papillary surface on the hard palate

Caused by ill-fitting denture/24 hours day wearing it

Tx: removing denture

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18
Q

Name/Clinical description/Etiology/Treatment

A

Fibroma

Smooth surface nodule, most common tumor of oral cavity

Caused by reactive hyperplasia of fibrous CT

Tx: Surgical excision and biopsy

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19
Q

Name/Clinical description/Etiology/Treatment

A

Parulis

Sinus tract exit on the mucosa (gum boil)

Periapical abscess that drains out path of least resistance

Tx: drainage and eliminate the infection

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20
Q

Name/Clinical description/Etiology/Treatment

A

Epulis Fissuratum (Inflammatory Fibrous Hyperplasia)

folds of hyperplastic tissue by the vestibule

Caused by trauma from ill-fitting denture

Tx: surgical excision and remake dentures

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21
Q

Differential for bump on the gums?

A

Inflammatory Fibrous Hyperplasia

Pyogenic Granuloma

Peripheral Ossifying Fibroma

Peripheral Giant Cell Granuloma

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22
Q

Name/Clinical description/Etiology/Treatment

A

Pyogenic granuloma

Red bump on the gums of pregnant women

Local irritation of capillaries

Tx: Excision unless pregnant

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23
Q

Name/Clinical description/Etiology/Treatment

A

Peripheral Ossifying Fibroma

Pink bump near incisor canine

Caused by bone in the fibrous CT near papilla

Tx: Excision

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24
Q

Name/Clinical description/Etiology/Treatment

A

Peripheral Giant Cell Granuloma

Blue or purple bump on the gums with “cupping resorption”

Caused by irritation or trauma

Tx: Excision

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25
Name/Clinical description/Etiology/Treatment
Sialolith Calcification in the submandibular area Caused by calcification in the Submandibular gland, long duct Tx: Massage, increased fluid intake, surgery
26
Name/Clinical description/Etiology/Treatment
Drug related Gingival hyperplasia Tons of hyperplasia Caused by medications like Phenytoin (Nifedipine, Cyclosporin) Tx: change meds and better oral hygiene
27
Name/Clinical description/Etiology/Treatment
Dentigerous Cyst Most common developmental cyst around unerupted 3rd molars, around the CEJ Caused by separation of the follicle from the tooth and fluid fills it. Tx: Enucleation of cyst with the unerupted tooth
28
Name/Clinical description/Etiology/Treatment
Periapical granuloma Asymptomatic, non responsive tooth with chronic inflamed granulation tissue at the apex Caused by pulpal irritants Tx: RCT or extraction
29
Name/Clinical description/Etiology/Treatment
Periapical Cyst Identical Xray as Periapical granuloma, non-vital tooth Caused by inflammation and Rests of Malassez Tx: RCT or extraction
30
Name/Clinical description/Etiology/Treatment
eruption cyst Soft tissue Blue cyst around unerupted tooth Caused by trauma and separation of follicle from tooth Tx: either it ruptures on it's own or excision
31
Name/Clinical description/Etiology/Treatment
Racial pigmentation Pigmentation on Gingiva Extra melanin in darker skinned patients Tx: no treatment
32
Name/Clinical description/Etiology/Treatment
Black hairy Tongue Black hairy keratin on the tongue No known cause but common with smokers Tx: tongue scraping
33
Name/Clinical description/Etiology/Treatment
Labial Melanotic Macule Brown macule that is the Oral counterpart to the ephelis (freckle) Caused by focal increase in melanin production Tx: No treatment unless it changes and requires biopsy
34
Name/Clinical description/Etiology/Treatment
Smokers Melanosis Pigmentation on the gingiva Caused by Melanin production stimulated by nicotine Tx: Stop smoking, biopsy if changes
35
Name/Clinical description/Etiology/Treatment
Abscess RL at apex of tooth Caused by accumulation of acute inflammatory neutrophils at apex Tx: RCT
36
Name/Clinical description/Etiology/Treatment
fordyce granules Yellow/white papular lesions on lips/buccal mucosa They are ectopic sebaceous glands in 80% of population Tx: none
37
Name/Clinical description/Etiology/Treatment
Lymphoid Hyperplasia (Lingual Tonsil) Yellow/Pink intraoral lesion that's an enlargement of lymphoid tissue. Caused by accessory lymphoid aggregates that get bigger Tx: biopsy to diagnose and no treatment required
38
Name/Clinical description/Etiology/Treatment
Lymphoepithelial cyst White/Yellow asymptomatic lesion that develops in Waldeyers ring (posterior mouth) Cause: unknown Tx: Biopsy
39
Name/Clinical description/Etiology/Treatment
Lipoma Most common mesenchymal neoplasm that is Yellow/Pink smooth nodule. Caused by Fat Neoplasm Tx: Excision
40
Name/Clinical description/Etiology/Treatment
Traumatic Ulcer Surface ulcer, red surrounding yellow membrane in ulcer Caused by trauma Tx: None
41
Name/Clinical description/Etiology/Treatment
Aphthous Stomatitis AKA Recurrent Aphthous Ulcer Minor is most common, most common in younger people. white lesions on movable mucosa Cause is unknown Tx: Magic mouthwash
42
Name/Clinical description/Etiology/Treatment
Recurrent Herpes Indurated lesions on the lip and keratinized intraoral mucosa Caused by HSV 1. Prodrome happens in the hours before. Tx: Acyclovir or wait it out
43
Name/Clinical description/Etiology/Treatment
Primary Herpetic Gingivostomatitis Entire mouth has lesions in children Caused by HSV 1 and is the leading infectious cause of blindness. Tx: Acyclovir
44
Name? What is it? Differential 4?
Desquamative Gingivitis: clinical diagnosis of gingival epithelium that sloughs off easily Lichen planus Mucous membrane Pemphigoid Pemphigus Vulgaris Hypersensitivity
45
Name/Clinical description/Etiology/Treatment
Mucous Membrane pemphigoid Blistering mucocutaneous autoimmune blood blister. Caused by antibodies against the basement membrane Tx: refer to ophthamologist (blindness is possible) Topical corticosteroids
46
Name/Clinical description/Etiology/Treatment
Pemphigus Vulgaris Mucosa that sloughs off creating lesions Caused by antibodies against desmosomes Tx: corticosteroids
47
Name/Clinical description/Etiology/Treatment
Hypersensitivity Plasma cell gingivitis (red gums) Caused by cinnamonaldehyde Tx: discontinue use of whatever is causing it
48
Name/Clinical description/Etiology/Treatment
Antral Pseudocyst Asymptomatic dome-shaped bump on floor of maxillary sinus Caused by Accumulation of Serum Exudate Tx: none
49
Name/Clinical description/Etiology/Treatment
Condensing Osteitis RO by tooth apex, no border around it Caused by inflammation Tx: none
50
Name/Clinical description/Etiology/Treatment Complex vs Compound?
Odontoma Complex: One big one Compound: lots of small ones Most common odontogenic tumor that looks like a tooth Caused by developmental anomaly Tx: excision
51
Name/Clinical description/Etiology/Treatment
Tonsillolith RO in the area of ascending ramus on Xray Caused by desquamated keratin and other stuff aggregating Tx: Bathroom surgery, excision or Tonsillectomy
52
Name/Clinical description/Etiology/Treatment Most common for what?
Nasopalatine Duct Cyst Most comon non-odontogenic cyst RL between central incisors Caused by cyst in the passageway between primary and secondary palates Tx: Biopsy is mandatory and enucleation
53
Name/Clinical description/Etiology/Treatment
Lateral Periodontal cyst Mandibular Premolars and forward odontogenic cyst along the lateral root surface. Caused by rests of the dental lamina Tx: enucleation
54
Name/Clinical description/Etiology/Treatment
Residual Cyst Cyst arising at site of previous extraction Caused by inflammation that stimulates rests of malassez Tx: Excision
55
Multilocular radiolucency differential 3 Describe first 2.
Odontogenic Keratocyst or Central Giant Cell Granuloma or Ameloblastoma OKC: Multilocular, from dental lamina, 30% recurrence, Gorlin syndrome possible. Palisading and hyperchromatic basal cell layer. CGCG: non-neoplastic, more common in the anterior jaw, crosses midline, curretage
56
Name/Clinical description/Etiology/Treatment AKA?
Stafne Defect aka lingual mandibular salivary gland depression Concavity of the cortical bone on lingual surface of the mandible. Caused by a portion of the submandibular salivary gland Tx: None
57
Name/Clinical description/Etiology/Treatment
Focal Cemento osseous dysplasia Thin rim around RL on apex of tooth. Caucasian 40 year old Females. Cause: Not known Tx: Not known
58
Name/Clinical description/Etiology/Treatment
Periapical cemento osseous dysplasia Anterior mandible RL on apex. Mostly African Females
59
Name/Clinical description/Etiology/Treatment
Florid Cemento Osseous Dysplasia Bilateral RL on roots of mandible teeth Mostly African Females
60
Name/Clinical description/Etiology/Treatment Most common for what?
Ameloblastoma ML Radiolucency in ascending ramus (desmoplastic is in anterior maxilla) with cortical expansion. Cause: not known Tx: 1.5 cm resection around borders
61
Name/Clinical description/Etiology/Treatment
idiopathic osteosclerosis area of increased RO unknown cause Tx: none
62
Name/Clinical description/Etiology/Treatment
Traumatic Bone Cyst Empty fluid filled cavity with scalloped roots. No epithelial lining. Caused by trauma, teenagers most common Tx: curretage
63
Name/Clinical description/Etiology/Treatment
exostoses (torus) Bony Protuberance from cortical plate Tx: none
64
Mixed RL/RO differential 4?
Calcifying epithelial odontogenic tumor Calcifying Odontogenic Cyst Adenomatoid Odontogenic Tumor AFO
65
Name/Clinical description/Etiology/Treatment
Calcifying epithelial odontogenic tumor Driven snow RO/RL aka Pindborg tumor with Liesegang rings Tx: resection with curretage
66
Name/Clinical description/Etiology/Treatment
Calcifying odontogenic cyst RO/RL cyst aka Gorlin Cyst Tx: Enucleation
67
Name/Clinical description/Etiology/Treatment
Adenomatoid Odontogenic Tumor Snowflake calcifications in teenagers (max more than mand female more than male)
68

Oral Pathology Test 3 (12 decks)

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