30 Most Common

Question 1

What are some white lesions that CAN be scraped off?

Answer 1

materia alba, white coated tongue, burns, pseudomembranous candidiasis, toothpaste irritation

Question 2

Pt presents with white plaque and erythematous tissue. Whats the dx and tx?

Answer 2

Dx: pseudomembranous candidiasis
Tx: Nystatin

Question 3

What presents as a non-wipeable white area on the cheeks (common in black population)

Answer 3

leukoedema

Question 4

When in doubt, ___ __ ___.

Answer 4

cut it out!

Question 5

Is leukoplakia pre-malignant or no?

Answer 5

yes, it’s considered pre-malignant

Question 6

How concerned should you be for mild dysplasia leukoplakia to progress to cancer?

Answer 6

Not too worried. <5% chance

Question 7

What are the three most concerning sites for leukoplakia?

Answer 7

FOM, tongue, lip

Question 8

What is a bony protuberance in the mouth?

Answer 8

Tori (palatinus, mandibularis, etc)

Question 9

How did Dr. Trump tell us to treat a traumatic ulcer?

Answer 9

Inject Kenalog-10 into the ulcerated tissue (steroid injection)
Biopsy if this fails

Question 10

What are four common examples of inflammation/irritation that comes into your dental office?

Answer 10

Traumatic ulcer, pericornitis, periodontal abscess, ANUG

Question 11

What is the most common benign neoplasm of the oral cavity?

Answer 11

Fibroma

Question 12

common spots for fibromas?

Answer 12

Buccal mucosa, labial mucosa, tongue, and maybe gingiva

Question 13

What are ectopic sebaceous glands?

Answer 13

Fordyce granules (80% of population)

Question 14

What is a spot of benign proliferation of blood vessels?

Answer 14

Hemangioma (it will blanch under pressure)

Question 15

How to treat hemangioma?

Answer 15

observe with no intervention, surgical removal, or sclerotherapy

Question 16

What tissue do RAUs occur on?

Answer 16

non-keratinized, non-bound mucosa

Question 17

How do you treat RAUs?

Answer 17

topical steroids (aphthasol, betamethasone, decahedron, lidex, kenalog)

Question 18

What appears as a little cauliflower in the mouth?

Answer 18

Papilloma

Question 19

Where do papillomas frequently occur?

Answer 19

tongue, soft palate

Question 20

How to treat papillomas?

Answer 20

surgical excision

Question 21

What are variations of papillomas?

Answer 21

verruca vulgaris, condyloma accuminatum, focal epithelial hyperplasia, and sinonasal papillomas

Question 22

What kind of papilloma looks broader and flatter?

Answer 22

condyloma accuminatum

Question 23

Epulis fissuratum is classified as what?

Answer 23

focal inflammatory fibrous hyperplasia (from ill-fitting denture)

Question 24

What do you do to treat epulis fissuratum?

Answer 24

surgical excision if relining or remaking the denture

Question 25

Pt has numerous grooves on the tongue. Dx and Tx?

Answer 25

Dx: fissured tongue Tx: brush the tongue and keep it clean

Question 26

Pt has red patches on tongue that are sensitive to hot/spicy foods. Dx and Tx?

Answer 26

Dx: geographic tongue Tx: nothing, educated pt

Question 27

What causes papillary hyperplasia?

Answer 27

Constant irritation to gingiva, such as wearing a denture 24/7

Question 28

How to treat papillary hyperplasia if severe?

Answer 28

surgical excision and relining of denture. If not severe then leave it but educate

Question 29

Where do herpes occur intra-orally?

Answer 29

almost ALWAYS on the keratinized, bound mucosa (palate, attached gingiva)

Question 30

How long does it take for oral herpes to heal?

Answer 30

7-10 days

Question 31

What antivirals can you prescribe for herpes?

Answer 31

Acyclovir 5% ointment (6x/day), Acyclovir 200mg (5x/day), prophylaxis with Lysine 500mg

Question 32

What is a mucocele on the FOM called?

Answer 32

A ranula

Question 33

What is most common site of mucocele?

Answer 33

lower lip (because it gets bit most commonly)

Question 34

How to treat a mucocele?

Answer 34

Surgical excision along with the associated gland

Question 35

How to treat angular cheilitis?

Answer 35

antifungals, and increase the pt's vertical dimension

Question 36

What is an accumulation of blood within the tissues, secondary to trauma?

Answer 36

hematoma (no tx)

Question 37

How to treat tobacco pouch keratosis?

Answer 37

cessation of dipping. Should resolve within 2 weeks. If it doesn't then re-evaluate the lesion (possible biopsy)

Question 38

What can tobacco pouch keratosis progress into if they don't stop?

Answer 38

verrucous carcinoma

Question 39

What does reticular lichen planus present with?

Answer 39

wickham striae

Question 40

What are skin lesions like with Lichen Planus?

Answer 40

purple, pruritic, polygonal

Question 41

How to treat lichen planus?

Answer 41

steroids (aphthasol 5%, betamethasone syrup, decahedron elixir 0.5mg/5ml, lidex 0.05%)

Question 42

If you suspect an amalgam tattoo, what can you do as a quick check?

Answer 42

radiograph - amalgam will appear as a RO object

Question 43

How to treat an amalgam tattoo?

Answer 43

no tx, but if you can't rule out melanoma then a biopsy may need to be done

Question 44

What is an oral melanotic macule?

Answer 44

an oral freckle

Question 45

common places for oral melanotic macules?

Answer 45

lower lip > buccal mucosa > gingiva

Question 46

How to treat oral melanotic macules?

Answer 46

No tx, unless melanoma cannot be ruled out - then do a bx

Question 47

Pt has a red spot on the midline of their tongue. Dx and Tx?

Answer 47

Dx: median rhomboid glossitis Tx: antifungals and tongue brushing

Question 48

How to treat hairy tongue?

Answer 48

Scrape off the hyperkeratosis

Question 49

What are causes of smooth red tongue?

Answer 49

pernicious anemia, medications, avitaminosis

Question 50

Pt has a burning and painful tongue. it's smooth upon exam. Dx and Tx?

Answer 50

Dx: smooth red tongue Tx: find underlying cause and treat that

Question 51

What is a cyst associated with inflammation of a hair follicle?

Answer 51

epidermoid cyst

Question 52

Where do epidermoid cysts usually occur in the mouth?

Answer 52

midline FOM

Question 53

How to treat epidermoid cysts?

Answer 53

surgical removal

Question 54

Where are lipomas most commonly seen?

Answer 54

buccal mucosa > tongue > FOM > lips

Question 55

How to treat a lipoma?

Answer 55

surgical excision