02: Top 30 Lecture (2-10) Flashcards

1
Q

What are the two types of Tori?

A

Torus Palatinus

Torus Mandibularis

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2
Q

Which type of tori is more common?

A

Palatine

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3
Q

What is true about tori 90% of the time?

A

They are bilateral

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4
Q

What percent of the population get mandibular tori

A

7-10%: Men more likely

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5
Q

What percent of the population get palatine tori

A

20-35%: Women 2:1 over Men

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6
Q

Which racial population has a higher liklihood of developing tori? African Americans or Caucasians?

A

Neither ….50/50

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7
Q

Is there a high cancer risk with Tori?

A

There is NO cancer risk at all

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8
Q

Why is the growth of tori often insidious?

A

Because they grow over a period of decades

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9
Q

When are the only times that tori removal is indicated

A

At the request of the patient (esthitic, or pain due to ulceration)

Pre-prosthetic surgery before the fabrication of dentures

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10
Q

What is the number 3 most common oral lesion?

A

Inflammation/Irritation

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11
Q

What are some common manifestations of oral inflammation lesions

A
Traumatic ulcers
Parulis
Pericornitis
Perio abcess
ANUG
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12
Q

What form of inflammation lesion is known as a gum boil?

A

Parulis

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13
Q

The #4 most common lesion is also the most common benign neoplasm of the oral cavity…

A

Fibroma

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14
Q

List in order, the most likely places in the oral cavity for a fibroma to develop?

A

Buccal Mucosa
Labial Mucosa
Tongue
Gingiva

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15
Q

What is the treatment for a fibroma?

A

Surgical excision

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16
Q

If you took a sagittal section of a fibroma what would its shape be?

A

It would look like a tree (as a 3 year old would draw one) with a narrow trunk at the base (peduncalated) and a larger circular globed structure on top

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17
Q

What are a few names for an Irritation fibroma?

A

Traumatic fibroma
Fibrous nodule
Focal Fibrous Hyperplasia

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18
Q

What does an irritation fibroma look like?

A

Smooth Surface
0.1-2.0 mm tall
Pink, White, or Grey

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19
Q

What is the male to female ratio for irritation fibromas

A

1:2

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20
Q

What causes the leaf shaped “flat” variant of the irritation fibroma?

A

It is flat because it develops underneath a denture….tissue goes back to normal after excision

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21
Q

What are the “Fibroma Look A Likes” that are found on the gingiva? (3 P’s + FIFH)

A

Pyogenic Granuloma
Peripheral Giant Cell Granuloma
Peripheral Ossifying Granuloma
Focal Inflammatory Fibrous Hyperplasia

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22
Q

Where are the places most likely to develop a Pyogenic granuloma

A

Gingiva (75%)

Lips/Tongue/Buccal Mucosa (25%)

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23
Q

What lesion is associated with the term Pregnancy Tumor?

A

Pyogenic granuloma

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24
Q

Histologically, what type of tissue is a pyogenic granuloma made up of?

A

Granulation tissue

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25
Q

What is the treatment for a pyogenic granuloma

A

Conservative excision + Scaling and RP

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26
Q

What is the most likely demo to develop a Giant Cell Granuloma?

A

Women ages 31-41

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27
Q

How does the color of a Giant Cell Granuloma compare to a Pyogenic Granuloma?

A

Giant cell = Bluish Purple

Pyogenic = Red

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28
Q

What causes a Giant Cell Granuloma?

A

Trauma to the alveolus

29
Q

What is the histology of the Giant Cell Carcinoma

A

Multinucleated cells with a vascular background

30
Q

What is the treatment of for a Giant Cell Carcinoma

A

Excision down to bone + Scale and RP

31
Q

In some cases, this lesion can be describes as a maturing pyogenic or giant cell granuloma with dystrophic calcifications

A

Peripheral Ossifying Fibroma

32
Q

What is the most likely age of a patient with a Peripheral Ossifying Fibroma

A

10-19 (67% Girls) –> (this is a stretch) periphera-1 0-ssifying F(emale)ibroma- ie. 10 y.o. Females.

33
Q

What is the histology of a Peripheral Ossifying Fibroma?

A

Bone within fibrous CT

34
Q

What is the cellular cause of a Focal Inflammatory Fibrous Hyperplasia

A

An increase of fibrocytes and collagen production in response to irritation

35
Q

What are Fordyce’s Granules

A

Ectopic sebaceous glands

36
Q

What % of the population has Fordyce’s Granules

A

80%

37
Q

What is the visual description of Fordyce’s Granules?

A

Yellowish White Papules

38
Q

Where are the two most likely locations to develop Fordyce’s Granules?

A

Buccal Mucose > Lips

39
Q

What is the treatment for Fordyce’s Granules?

A

There is no treatment

40
Q

When do Fordyce’s Granules start?

A

In childhood and they stick around through adulthood

41
Q

How could you describe the number 6 most common lesion….Hemangioma?

A

A benign proliferation of blood vessels

42
Q

What percent of kids have a hemangioma?

A

10-12%

43
Q

How can palpating the lesion help diagnose a hemangioma?

A

It blanches

44
Q

What is the treatment for a hemangioma?

A

Laser
Embolization
Surgery

45
Q

What percent of Hemangiomas are in the head and neck region?

A

60%

46
Q

What causes the color of the hemangiomas (Red v. Blue)

A

Arterial vs Venule

47
Q

What is the male to female ration for hemangiomas?

A

3:1

48
Q

What are common variations of hemangiomas?

A

AV Shunts
Sturge Weber Angiomatosis
Intrabony

49
Q

What is the number 7 lesion?

A

Recurrent Aphthous Ulcerations

50
Q

What percent of the population is affected by Recurrent Aphthous Ulcerations?

A

20-25%

51
Q

How are the lesions grouped (apthous ulcers)?

A

1-2 lesion

0.5-1.0 cm in diameter

52
Q

What is the treatment for Recurrent Aphthous Ulcerations

A

Steroids + Antibiotics

53
Q

How would you describe the tissue of a recurrent aphthous ulceration?

A

Non-keratinized

Non-bound Mucosa

54
Q

What causes recurrent aphthous ulcerations?

A

Unknown???

55
Q

What is the key to diagnosing Recurring Aphthous Ulcerations

A

Location + Size + Number of Lesions

56
Q

What are 3 complications of RAU?

A

Major (scarring)
Herpetiform (look like herpes)
Bechet’s (in crotch, eye, and mouth).

57
Q

What are some of the theories behind the etiology of RAU?

A

Autoimmune
Stress
Hypersensitivity

58
Q

What is a good description of the Number 8 Lesion, papillomas?

A

A benign proliferation of squamos epithelium that is solitary, pedunculated, and wart like

59
Q

What is the treatment for a papilloma

A

surgical excision

60
Q

What vegetable does a papilloma resemble

A

cauliflower

61
Q

Are papillomas painful?

A

No

62
Q

How big across are papillomas?

A

0.1-1.0 cm

63
Q

What are some variations of papillomas?

A

Warts
Venereal Warts
Focal Epithelial Hyperplasia (Heck’s Disease)
Sinonasal Papillomas

64
Q

What is the number 9 Lesion

A

Epulis fissuratum

65
Q

Where is an epularis fissuratum going to be found?

A

At the flange of an ill fitting denture

66
Q

What is the demographic that typically develops epularis fissuratum?

A

Middle aged or older adults, women more often than men

67
Q

Is there a cancer risk associated with epularis fissuratum?

A

No

68
Q

These abnormally dilated and tortuous veins are the the number 10 lesion on the top 30 list

A

Varicosities

69
Q

What disease is associated with varicosities?

A

None, strictly age related