Unit IV

Question 1

inflammation or infection of the salivary glands

Answer 1

Sialadenitis

Question 2

What salivary gland is most commonly infected?

Answer 2

parotid

Question 3

obstruction of a duct by a calculus like mass. ( actual blockage)

Answer 3

sialolithiasis

Question 4

where is the most common place to get stones?

Answer 4

sub mandibular

Question 5

name of thing blocking structure?

Answer 5

sialolith

Question 6

name the 3 sets of salivary glands

Answer 6

submandibular, sublingual,parotid

Question 7

how much spit do you make a day?

Answer 7

1 liter

Question 8

not enough salivation being made is called?

Answer 8

hyposalivation

Question 9

if you experience hyposalivation, you are at an increased risk for what?

Answer 9

oral candidiasis, lichen planus, apthous ulcers, & more caries

Question 10

when the body turns on itself and produces less saliva

Answer 10

autoimmune sialadentitis

Question 11

when EVERYTHING IS DRY

Answer 11

sjogrens syndrome

Question 12

epidemic parotitis is also referred to as?

Answer 12

MUMPS

Question 13

inflammation in salivary glands and gonads. Viral transmission by close contact or droplet

Answer 13

Epidemic Parotitis (MUMPS)

Question 14

pussy or cloudy infection of parotid gland, cloudy is what indicates

Answer 14

supparative parotitis

Question 15

mucous extravasation phenomenon or mucous retention cyst are two different types of what?

Answer 15

Mucoceles

Question 16

a collection of saliva in the connective tissue which becomes walled off by connective tissue. Almost always on the lower lip. The DUCT IS KINKED. INABILITY OF SALIVA TO EXIT DUCT

Answer 16

mucous extravasation phenomenon

Question 17

obstruction of salivary flow by a calculus mass. (salolith) most common in submandibular glands CAUSE BLOCKAGE

Answer 17

mucous retention cyst ( obstructive sialadenitis

Question 18

found in the floor of the mouth always, under the tongue,bluish in appearance, large rapid growth, will get worse & worse, must have surgery

Answer 18

Ranula

Question 19

how much saliva is produced at night

Answer 19

very little. about 10ML

Question 20

increased saliva flow

Answer 20

sialorrhea

Question 21

this is when a patient tells you they have hyposalivation, what is this called?

Answer 21

xerostomia

Question 22

causes of xerostomia?

Answer 22

everything

Question 23

Mixed salivary tumor is also called what?

Answer 23

Pleomorphic adenoma

Question 24

a glandular tumor, most common benign tumor of the salivary glands, should be surgically removed, not a high re-occurrence rate, painless, biopsy tells us, has different types of salivary cells most occur in the parotid gland

Answer 24

mixed salivary tumor or a pleomorphic adenoma

Question 25

benign tumor of old age, appears as a swelling of the salivary gland, no fluctuation in size from time to time. NOT a big deal

Answer 25

oncocytoma

Question 26

cancer, surgical removal affects major & minor salivary glands, when major, it effects the parotid, when minor, it effects hard palate, roof of mouth. Most common type of salivary gland cancer in children. More common in older women, survival rate is 90% when found early Painless,

Answer 26

mucoepidermoid carcinoma

Question 27

carcinoma, effects women later in life, painful, surgical removal, biopsy, usually in palate in minor salivary glands, PAINFUL, metastasizes late in course of disease,

Answer 27

adenoid cystic carcinoma

Question 28

Functions of saliva

Answer 28

buffer PH of mouth, carries stuff to teeth, moistens food, cools or warms food, helps kill bacteria, antimicrobial agents, lubricates so it doesn't stick, helps with speech, enhances flavors

Question 29

mouth droops, eye cannot close, difficulty with speech and mastication, paralysis of the muscles supplied by the 7th cranial nerve. Etiology is unknown

Answer 29

bells palsy

Question 30

pain along the course of the distribution of the 5th cranial nerve, Etiology : Virus, arteriosclerotic changes, reflex vasoconstriction. Transient unilateral pain in the face often precipitated by touching a TRIGGER zone. most often on the right side of he face in middle aged people

Answer 30

Trigeminal neuralgia

Question 31

TMJ Dysfunction disorder

Answer 31

pain in the joint area associated with dysfunction of the muscles of mastication. Limited motion, joint tenderness, noise in the joints, deviation on closing. Possible causes: tension, functional malocclusion, articular disk and join asymmetry and muscular dysfunction 60% in women over 30.

Question 32

Inflammation with pain and swelling

Answer 32

rheumatoid arthritis

Question 33

destruction of joint cartilage with subsequent calcification of the joint surface with possible ankylosis

Answer 33

osteo arthritis

Question 34

infection spread from other area, pain, limited motion, pus

Answer 34

suppurative arthritis

Question 35

usually from a blow to the symphsis area in a backward and upward direction, usually at the neck of the condyle pain, swelling, possible limitation of motion, deviation, malocclusion.

Answer 35

fracture

Question 36

external force is the cause, severe pain, limited motion, often malocclusion, no significant findings on xrays

Answer 36

sprain

Question 37

caused by some act that exceeds the nrmal range of opening, i.e laugh, yawn, dental procedure, general anesthesia, open mouth, sever pain and often panic, cannot replace jaw into proper position

Answer 37

dislocation

Question 38

hyper mobility of the joint is the primary cause, condyle is dislocated to the anterior surface of the eminence, transient and localized pain, pt can replace jaw in proper position.

Answer 38

subluxation (partial dislocation)

Question 39

trauma to the condylar growth centers resulting in cessation of condylar growth. small mandible, difficult mastication, speech defects, psychological maladjustment

Answer 39

micrognathia

Question 40

mass of inflammatory granulation tissue or epithelial papilloma, may block and decrease drainage of the sinus

Answer 40

polyps of the sinus

Question 41

retention cysts developing from mucous gland of the sinus mucosa, asymptomatic can sometimes been seen on xray as a dome shaped soft tissue opacity

Answer 41

mucocele

Question 42

abnormal passage connecting the sinus to the oral cavity. most often occrs after extraction of upper posterior teeth.

Answer 42

traumatic oroantral fistual

Question 43

root tip is pushed into the sinus, causes inflammation/infection of the sinus with pressure and pain

Answer 43

root in maxillary sinus

Question 44

direct extension of infection from nasal cavity, usually after an upper respiratory tract infection. pain over maxilla increased when head is lowered, pressure sensitive.

Answer 44

Maxillary sinusitis