Reactive Lesions Flashcards
Fissured Tongue
Cause
App
Assoc
Tx
- Hereditary, variation of normal
- Increases with age
- Multiple grooves and fissures on dorsal
- Assoc with geographic tongue
- No treatment needed
Aknyloglossia
Cause
Tx
- Short lingual frenum
- Abnormal attachment of frenum to complete fusion of ventral to floor of mouth
- Usually no therapy unless extreme
Lingual Thyroid
Cause
App
- Failure of thyroid gland to descend properly
- App
- Vascular-appearing soft tissue enlargement in area of foramen cecum
Gingival Fibromatosis
Cause
Age
Interefere with
Dist
Location
Tx
- 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
Reactive Soft tissue enlargements
Result of
- 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
Parulis/Sinus Tract
Cause
App
Tx
- 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
Irritation Fibroma ( Fibrous Hyperplasia)
Cause
App
Dist
Tx
- 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
Epulis Fissuratum
Inflammatory Fibrous Hyperplasia
Cause
App
Dist
- 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
Inflammatory Papillary Hyperplasia
Cause
App
- Represents both fibrous and epithelial hyperplasia
- Poorly fitting dentures or wearing them all day
- App
- Numerous red, edematous papillary projections
- Hard palate
Drug-related Gingival Hyperplasia
Cause
-
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
Developmental Lesions 4
Fissured Tongue
Ankyloglossia
Lingual Thyroid
Gingival Fibromatosis
Soft Tissue Enlargements
Reactive Lesions 6
- Parulis/Sinus Track/ Periodontal Disease
- Fibrous Hyperplasia/ Irritation Fibroma
- Epulis Fissuratum
- Drug-related Gingival Hyperplasia
- Necrotizing Sialometaplasia
- Mucocele
Soft Tissue Enlargements
Epithelial Benign Tumors 5
- Papilloma
- Verruca Vulgaris
- Condyloma acuminatum
- Inflammatory papillary hyperplasia
- Seborrhic Keratosis
Benign Warty Tumors of the squamous Epithelium
Associated with virus
- 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
Clinical features of warty epithelial tumors 5
- Pale white-tan
- Firm
- Rough or cauliflower surface
- Fixed to surface but not deep
- Non-painful persistent