Reactive Lesions

Question 1

What is fissured tongue? Characteristics?

Answer 1

Multiple grooves and fissures on dorsal surface of tongue.

-Hereditary is strong contributor

Question 2

What is ankyloglossia?

Answer 2

Short ligual frenum

Question 3

What is lingual thyroid?

Answer 3

Failure of thyroid gland to descend properly.

Question 4

What is gingival fibromatosis?

Answer 4

Slowly progressive gingival enlargement caused by collagenous overgrowth of gingival tissue.

Question 5

What are the characteristics of reactive soft tissue enlargements?

Answer 5

• Result of injury
• Relatively rapid growth rate
• usually regress

Question 6

What is a parulis/sinus track?

Answer 6

• Periodontal abces

- Typically white-yellow and associated with pain

Question 7

What is irritation fibroma (Fibrous hyperplasia)? Clinical features?

Answer 7

Reactive hyperplasia of fibrous connective tissue caused by chronic irritation or trauma.
-Well-circumscribed, slowly growing, smooth, sessile, pink nodule.

Question 8

What is epulis fissuratum (Inflammatory fibrous hyperplasia)? Clinical features?

Answer 8

Tumor-like hyperplasia of fibrous connective tissue usually caused by ill fitting dentures.
-Rolls of tissue, Slow growing..

Question 9

What is inflammatory papillary hyperplasia? Clinical features?

Answer 9

Fibrous epithelial hyperplasia, usually caused by dentures on the palate
-Numerous red, edematous papillary projections.

Question 10

What are the drugs associated with drug related gigival hyperplasia?

Answer 10

• Anticonvulsants
• Calcium channel blockers
• Cyclosporine

Question 11

What are benign warty tumors of squamous epithelium? types? Clinical features?

Answer 11

Benign, virus-induced, focal hyperplasia of squamous epi

• Papilloma, Verruca vulgaris, Condyloma
• Pale, firm, rough, non-painful, persistent.

Question 12

What are papilloma characteristics?

Answer 12

-Pale, rough, multi-finger like projections with pedunculated base.

Question 13

What are the characteristics of verruca vulgaris?

Answer 13

Similar to papilloma but with sessile base.

Question 14

What are the characteristics of condyloma acuminatum? What is associated with this and high risk of cancer?

Answer 14

Multiple warty lesions.

-HPV 16,18,31

Question 15

what is seborrheic keratosis? locations?

Answer 15

Benign proliferation of epidermal basal cells that create macules and is related to chronic sun exposure.
Does not occur in the mouth.

Question 16

What is a cyst? what are the 3 layers? what do they feel like?

Answer 16

A pathological cavity lined by epithelium.

1. Connective tissue wall
2. Epithelial layer
3. Lumen.

Often compressible.

Question 17

What are epidermoid cysts? Commonly found in mouth?

Answer 17

Keratin-filled cysts.

-found in floor of the mouth.

Question 18

Where are gingival cysts?

Answer 18

Occur on attached gingiva anterior to first molars.

Question 19

What are lymphoepithelial cyts? Locations most common?

Answer 19

Lymphoepi cyst that are yellow or white in color.

-Happens only in Waldeyers Ring.

Question 20

What are thyroglossal tract cyst characteristics?

Answer 20

-midline of neck, fluctuant, movable, painless swelling.