ORAL ULCER Flashcards
What is the most common site of leukoplakia?
buccal mucosa
What is leukoplakia?
Leukoplakia is a premalignant clinical white patch that can be caused by smoking, chewing tobacco, alcohol abuse
Leukoplakia is associated with?
submucosal fibrosis
plummer-vinson syndrome
hyperplastic candidiasis
Define aphthous ulcer.
Aphthous ulcer is a mucosal lesion characterized by a central necrotic area and red border
Location of aphthous ulcers
Inner lip, buccal mucosa, tongue, the floor of the mouth, and soft palate
What is a fibroma?
Pedunculated mass can occur anywhere in the oropharynx, consisting of fibrovascular core covered by epithelium
What is a pyogenic granuloma?
A pyogenic granuloma, also called a lobular capillary hemangioma, is the most common tumor of the gingiva
_________________ is a form of capillary hemangioma associated with pregnancy
Pyogenic granuloma
What is the outcome of pyogenic granuloma?
It regresses after pregnancy or undergoes fibrosis to resemble a fibroma
_______________ is an inflammatory reactive connective tissue hyperplasia of the gingiva that occurs in response to trauma or irritation
Peripheral ossifying fibroma
What is peripheral giant cell granuloma?
Peripheral giant cell granuloma is a reactive giant cell lesion of the oral cavity due to trauma or irritation
Describe the morphology of Peripheral giant cell granuloma?
It is described as a purplish-red nodule consisting of giant cells in a background of stromal cells and red blood cells
What is a ranula?
A ranula is a cyst in the floor of the mouth arising from the ducts of the submandibular or sublingual glands.
What are the types of ranula?
a simple ranula cyst is confined to the floor of the mouth, a plunging type of ranula extends into the neck
What is the management of ranula?
If the ranula is small, complete surgical excision can be done but, since the walls of the ranula are very thin, surgical excision is not possible and marsupialization is done instead.
What is marsupialization?
In this process, the roof of the ranula is removed and the remaining inner wall is stitched with oral mucosa
What are mucoceles?
Mucoceles are retention cysts of the minor salivary glands. Mucoceles are soft and cystic, fluid-filled masses of bluish color
Mucocele is most commonly found on?
lower lip
Tx of mucocele?
Surgical excision
Describe the features of herpangina.
It is a coxsackievirus infection. It begins as small vesicles on the faucial pillars, tonsils, soft palate, and uvula which later rupture to form ulcers, usually 2-4 mm in size with a yellow base and red areola around them
What is vincent angina caused by?
Vincent’s angina is caused by fusiform bacilli and spirochaetes
What is vincent angina?
characterized by membrane and ulcer formation over the tonsils.
What causes vincent infection?
is caused by fusiform bacilli and spirochaetes
What is vincent infection?
involve the gingivae and when infected, the gingivae become red and swollen and their free margins get covered with a necrotic slough
Herpes gingivostomatitis is caused by ___________
herpes simplex virus
types of herpes gingivostomatitis?
: primary and secondary
_________ form affects children and may involve any part of the oral cavity (herpes gingivostomatits)
Primary
What are the characteristics of herpes gingivostomatitis?
It is characterized by clusters of multiple vesicles which later rupture to form ulcers.
What is the cause of infectious mononucleosis and what are the features of it?
Infectious mononucleosis is caused by EBV and is characterized by fever, sore throat, exudative pharyngitis, lymphadenopathy, splenomegaly, and hepatitis
Acute necrotizing ulcerative gingivitis commonly referred to as ______________
Vincent’s infection
What is the name of the fusiform bacilli or spirochete?
Borrelia vincentii
