week 1 oral pathology Flashcards

Question

describing a lesion

Answer 1

Size Color Shape Structure/Location Surface texture Consistency Margins/borders Symptoms

Answer 2

clinical radiographic historical laboratory microscopic surgical therapeutic differential

Answer 3

Color Shape Size Location Consistency History of lesion

Answer 4

Median rhomboid glossitis Fordyce granules Mandibular tori Melanin pigmentation Lingual varicosities Hairy tongue Torus palatinus Geographic tongue Fissured tongue

Answer 5

Radiographs provides sufficient information to establish the diagnosis Clinical & historical findings may contribute, but radiographs give final diagnosis.

Answer 6

Periapical abscess Internal resorption External resorption Heavy interproximal calculus Compound odontoma Supernumerary teeth Impacted/unerupted teeth Caries!

Answer 7

Personal history Family history Past and present medical and dental histories History of drug ingestion History of the presenting disease or lesion

Answer 8

Can provide information that contributes to a diagnosis Blood chemistries organismal cultures Urinalysis Also helpful in determining the diagnosis of oral infections

Answer 9

Biopsy specimen taken from lesion & examined Scalpel biopsy considered the gold standard Brush biopsy (oral cancer screening kits) and light-based systems

Answer 10

Diagnosis is made using the information gained during the surgical procedure -Traumatic bone cyst May appear as a radiolucency that scallops around the roots When the lesion is opened surgically, an empty void is found

Answer 11

Nutritional deficiencies are common conditions to be diagnosed by therapeutic means

Answer 12

May be associated with a deficiency of B-complex vitamins Most commonly a fungal condition and responds to topical application of an antifungal cream or ointment such as Nystatin

Answer 13

Has distinct clinical features - Punched out, blunted papillae Therapeutically treated with hydrogen peroxide rinses NUG bacteria cannot survive in the presence of oxygen

Answer 14

That point in the diagnostic process when the practitioner decides which test or procedure is required to rule out the conditions originally suspected and to establish the definitive or final diagnosis.

Answer 15

Be observant! Collect data MDHX History of lesion Clinical description and evaluation

Answer 16

When a disease, condition or lesion is identified it is important that it be described in terms that are universally understood Description should be exact 3 mm circumscribed lesion - not small, round spot/area Description should be professional i.e.: calculus vs tartar

Answer 17

Clusters of ectopic sebaceous glands Appear as yellow lobules in clusters Commonly observed on vermilion border of lips and buccal mucosa No treatment More than 80% of adults over 20 years old have

Answer 18

An exophytic growth of normal compact bone Observed clinically in midline of hard palate Inherited, gradual formation More common in women May take on various shapes and sizes, may be lobulated, and is covered by normal soft tissue Treatment None, unless they interfere with speech, swallowing, or a prosthetic appliance

Answer 19

Outgrowths of dense bone found on the lingual aspect of the mandible in the area of the premolars above the mylohyoid ridge Usually bilateral Often lobulated or nodular Can appear fused together Have no predilection for either sex No treatment unless they interfere with fabrication and placement of a prosthodontic appliance

Answer 20

The pigment that gives color to skin, eyes, hair, mucosa, and gingiva Most commonly observed in dark-skinned individuals

Answer 21

Clinical appearance Red-to-purple enlarged vessels or clusters Usually observed on the ventral and lateral surfaces of the tongue Most commonly observed in individuals older than 60 years

Answer 22

A “white line” extends anteroposteriorly on the buccal mucosa along the occlusal plane May be bilateral May be more prominent in patients who have a clenching or bruxing habit

Answer 23

A generalized opalescence on the buccal mucosa Most commonly observed in black adults If the mucosa is stretched, the opalescence becomes less prominent No treatment Up to 90% of cases are observed in black adults.

Answer 24

-Undescended, trapped remnants of thyroid tissue -Clinical appearance A mass in the midline of the dorsal surface of the tongue posterior to the circumvallate papillae in the area of the foramen cecum Usually has a sessile base and is 2 to 3 cm in width -Predilection Females Linked to hormonal changes -Treatment Evaluation of the patient to determine whether the thyroid gland is present in its normal location No treatment is required if lingual thyroid is the patient’s only functioning thyroid. -Symptoms Dysphasia (swallowing) Dysphonia (speaking) Dyspnea (breathing)

Answer 25

Flat or slightly raised oval or rectangular erythematous area in center of tongue May be associated with a chronic infection with Candida albicans No treatment necessary, but antifungal treatment may be used

Answer 26

Erythematous patches surrounded by a white or yellow border Diffuse areas devoid of filiform papillae Distinct presence of fungiform papillae Ectopic can occur on other muciosal tissues No treatment needed

Answer 27

Clinical appearance The dorsal surface of the tongue appears to have deep fissures or grooves Cause: Unknown Probably involves genetic factors Seen in about 5% of the population

Answer 28

Clinical appearance Elongated filiform papillae are white Result of either an increase in keratin production or a decrease in normal desquamation Home care Direct the patient to brush the tongue gently with a toothbrush to remove debris

Answer 29

Clinical appearance Papillae are brown-to-black because of chromogenic bacteria Contributing factors Tobacco Foods Hydrogen peroxide Alcohol Chemical rinses Home care Direct the patient to brush the tongue gently with a toothbrush to remove debris