Screening - Benign Lesions

Question 1

What is this?

Answer 1

Aphthous ulceration
- one of the most common lesions (affects 20% of the population)
- small round
- tend to be painful
- usually disappear within a couple of weeks (resolve quickly)
- can be associated with hormones
- usually come in crops (1 to 5 at a time)
- recurrent

Question 2

What is this?

Answer 2

Lipoma
- made of adipose tissue (fatty lumps)
- Not very common intra-orally (making up 0.1 to 5% of intra-oral benign lesions)
- can occur anywhere in the oral cavity
- typically not painful or tender
- buccal mucosa common site
- usually mobile

Question 3

What is this?

Answer 3

Mucocoele
- most commonly affects the inside of the lower lip
- when saliva escapes into the tissue rather than out of the duct
- usually a result of trauma

Question 4

What is this?

Answer 4

Epulis (general term)
- swelling on the gum
- number of lesions that can cause this appearance
- this one is a pyogenic granuloma

Question 5

What is this?

Answer 5

leaf fibroma
- caused by chronic irritation
- commonly seen in denture wearers
- flat as it is compressed under the denture on a short stalk (pedunculated)

Question 6

What is this?

Answer 6

Denture induced hyperplasia

Question 7

What is this?

Answer 7

Papillary hyperplasia
- often caused by dentures instability
- candida is usually a superimposed infection (more a bystander than a cause)

Question 8

What is this?

Answer 8

Papilloma
- caused by low risk HPV
- finger like projections
- recommended excision

Question 9

What is this?

Answer 9

Tori mandibularis
- bony growth on the floor of mouth
- generally dont require treatment unless interfering with speech, mastication etc

Question 10

Where are tori usually found on the maxilla?

Answer 10

midline of the hard palate