Reactive Lesions Flashcards
1
Q
Fissured Tongue
Cause
App
Assoc
Tx
A
- Hereditary, variation of normal
- Increases with age
- Multiple grooves and fissures on dorsal
- Assoc with geographic tongue
- No treatment needed
2
Q
Aknyloglossia
Cause
Tx
A
- Short lingual frenum
- Abnormal attachment of frenum to complete fusion of ventral to floor of mouth
- Usually no therapy unless extreme
3
Q
Lingual Thyroid
Cause
App
A
- Failure of thyroid gland to descend properly
- App
- Vascular-appearing soft tissue enlargement in area of foramen cecum
4
Q
Gingival Fibromatosis
Cause
Age
Interefere with
Dist
Location
Tx
A
- Collagenous overgrowth of gingival tissue
- Slowly and progressive
- Autosomal dominant or idiopathic
- Begins before age 20
- Can interfere with lip closure, tooth eruption
- Generaized or localized
- Maxilla and palatal more frequent
- Gingivectomy and rigorous oral hygeine
5
Q
Reactive Soft tissue enlargements
Result of
A
- Reactive is result of injury
- Sometimes hx of injury
- Sometimes symptomatic or painful
- Relatively rapid growth (hrs-wks)
- May flctuate in size
- Usually regress
- May be assoc with tender lymphadenopathy & systemc manifestations
- Reactive towards
- Infections, chemical trauma, allergy, meds
6
Q
Parulis/Sinus Tract
Cause
App
Tx
A
- Aka gum boil, periodontal abcess
- Gingival abcess secondary to periapical pathosis
- Focus of pus in the gingiva
- White-yellow & assoc with pain
- Treat underlying issue (periodontal pocket or nonvital tooth) achieves resolution
7
Q
Irritation Fibroma ( Fibrous Hyperplasia)
Cause
App
Dist
Tx
A
- Reactive hyperplasia of fibrous CT
- Caused by chronic irritation or trauma
- Well cicrmscribed
- Smooth surfaced, sessile, pink nodule
- Firm
- May be ulcerated or inflamed
- Dist
- Usually on buccal mucosa or bite line
- Tx
- surgical excision
8
Q
Epulis Fissuratum
Inflammatory Fibrous Hyperplasia
Cause
App
Dist
A
- Tumor like hyperplasia of fibrous CT
- Develops in association of ill fitting denture
- App
- Rolls of tissue associated with a denture flange
- Slowly growing
- Firm or compressible
- May be ulcerated or inflamed
- Maxilla or mandible especially anterior portions
9
Q
Inflammatory Papillary Hyperplasia
Cause
App
A
- Represents both fibrous and epithelial hyperplasia
- Poorly fitting dentures or wearing them all day
- App
- Numerous red, edematous papillary projections
- Hard palate
10
Q
Drug-related Gingival Hyperplasia
Cause
A
-
Abnormal growth of tissue due to meds that affect collagen remodeling and degradation
- Anticonvulsants: Phenytoin (young)
- Ca Channel blockers: Nifedipine middle aged
- Cycloporine broad age range
- Degree of enlargement related to susceptibility and hygiene
- Rigorous hygiene can prevent/limit
11
Q
Developmental Lesions 4
A
Fissured Tongue
Ankyloglossia
Lingual Thyroid
Gingival Fibromatosis
12
Q
Soft Tissue Enlargements
Reactive Lesions 6
A
- Parulis/Sinus Track/ Periodontal Disease
- Fibrous Hyperplasia/ Irritation Fibroma
- Epulis Fissuratum
- Drug-related Gingival Hyperplasia
- Necrotizing Sialometaplasia
- Mucocele
13
Q
Soft Tissue Enlargements
Epithelial Benign Tumors 5
A
- Papilloma
- Verruca Vulgaris
- Condyloma acuminatum
- Inflammatory papillary hyperplasia
- Seborrhic Keratosis
14
Q
Benign Warty Tumors of the squamous Epithelium
Associated with virus
A
- Benign, virus induced, focal hyperplasia of squamous epithelium
- Warty lesions assoc with HPV
- Papilloma: HPV 6, 11
- Verruca vulgaris: HPV 2, 4, 6, 40
- Condyloma: HPV 2, 6, 11, 53, 54
15
Q
Clinical features of warty epithelial tumors 5
A
- Pale white-tan
- Firm
- Rough or cauliflower surface
- Fixed to surface but not deep
- Non-painful persistent
16
Q
Papilloma
Cause
App
Tx
Prog
A
- Cause HPV 6 11
- App
- Pale rough exophytic
- Always pedunculated
- Multiple finger like projections
- Tx
- Excisional biopy
- Prog good
17
Q
Verruca Vulgaris
Cause
App
common location
Tx
Prog
A
- Cause HPV 2 4 6 40
- App
- Similar to papillom but sessile base
- More common on skin
- Tx
- Oral: excisional biopsy
- Skin: Cryosurgery, chem cautery, laser ablation
- Prog good
18
Q
Condyloma Acuminatum
Cause
App
Location
Acquired
Tx
Prog
A
- Cause
- High risk 16 18 31
- App
- Multiple lesions
- Loc
- Most common anogenital
- Sexually transmitted
- Tx
- Excisional biopsy
- Prog recurrence common
19
Q
Seborrheic Keratosis
Def
Cause
App
Age
Location
A
- Benign proliferation of epidermal basal cells
- Cause
- unknown, assoc w/ chronic sun
- Somatic mutations
- App
- Macules–> fissured verrucous plaques
- Extremely common for old ppl
- Does not occur in mouth
20
Q
Soft tissue cysts
Growth
Sometimes included in
Location
Definition
consists of
what can you do to them
A
- Persistent and progressive
- Sometimes included in diff diag of soft tissue tumors
- Location can be clue to diagnosis determining what its reacting to
- A cyst is a pathological cavity lined by epithelium
- 3 layers
- Connective tissue wall
- Epithelium layer lining
- Lumen
- Often fluid filled
- Compressible
- All are excised
21
Q
Soft Tissue Cysts 4
A
- Gingival cyst of the adult
- Lymphoepithelial cyst
- Epidermoid/dermoid cyst
- Thyroglossal tract cyst
22
Q
Epidermoid Cyst
Filled
Location
App
A
- Keratin filled derived from hair follicle
- Common on skin
- Floor of mouth
- App
- Nodular, fluctuant subcutaneous mass
23
Q
Gingival cyst of adult
Location
Counterpart of
A
- Attached gingiva anterior to first molars
- Soft tissue counterpart to lateral periodontal cyst (intrabony)
24
Q
Lymphoepithelial Cyst
App
Location
A
- Yellow or white
- Almost always
- Lateral and ventral tongue
- floor of mouth
25
Thyroglossal Tract Cyst
Cause
Location
* Arises from remnants of thyroglossal tract which develops in foramen cecum area
* Most cases below **hyoid bone**, midline of neck
* Painless, fluctuant, **movable swelling**
