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Oral Medicine > 30 Most Common Oral Lesions 9-20 > Flashcards

30 Most Common Oral Lesions 9-20 Flashcards

1
Q

give both the clinical and histological diagnosis

A

clinical diagnosis: epulis fissuratum

histological diagnosis: focal inflammatory fibrous hyperplasia

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2
Q

what is the etiology of epulis fissuratum?

A

single or multiple folds of tissue in the vestibule at the location of a flange of an ill-fitting denture

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3
Q

epulis fissuratum is common in what age and gender patient?

A

middle aged or older adults, F>M

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4
Q

what is the treatment for epulis fissuratum?

A

surgical excision with relining or remaking of the denture

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5
Q
A

lingual varicosities

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6
Q
A

fissured tongue

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7
Q
A

fissured tongue

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8
Q

what is the treatment for lingual varicosities?

A

none

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9
Q

what is the treatment for fissured tongue?

A

brush the tongue

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10
Q

fissured tongue is numerous grooves or fissures on the dorsal tongue that are how deep?

A

2-6mm

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11
Q

fissured tongue affects what percent of the population?

A

2-5%, increases with age

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12
Q

what are the potential symptoms of fissured tongue?

A

mild burning or soreness sometimes, halitosis

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13
Q

what is commonly accompanied with fissured tongue?

A

geographic tongue

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14
Q
A

geographic tongue

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15
Q
A

geographic tongue

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16
Q

what are the two other names for geographic tongue?

A
  • erythema areata migrans
  • benign migratory glossitis
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17
Q

geographic tongue affects what percent of the population? gender prevalence?

A

1-3%, F:M 2:1

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18
Q

what location of the tongue is geographic tongue most common?

A

dorsal tongue; rarely ventral

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19
Q

what are the symptoms of geographic tongue

A

usually asymptomatic; rare cases of sensitivity to hot or spicy foods

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20
Q

what is the treatment for geographic tongue?

A

none

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21
Q
A

fissured tongue accompanied by geographic tongue

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22
Q
A

geographic tongue

the serpentine border of the lesions on the ventral tongue indicate that this is geographic tongue

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23
Q
A

erythema areata migrans

same thing has geographic tongue or benign migratory glossitis, but it is not located on the tongue

the serpentine border is indicative of this type of lesion

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24
Q
A

inflammatory papillary hyperplasia

aka denture papillomatosis

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25
Q

what is another name for inflammatory papillary hyperplasia?

A

denture papillomatosis

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26
Q

what is inflammatory papillary hyperplasia caused by?

A

wearing a denture for 24 hours a day

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27
Q

what percent of patients who wear their dentures 24 hours a day have inflammatory papillary hyperplasia?

A

20%

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28
Q

where does inflammatory papillary hyperplasia occur? what does it look like?

A

hard palate, pebbly surface

29
Q

what are the symptoms of inflammatory papillary hyperplasia?

A

asymptomatic

30
Q

what is the treatment for inflammatory papillary hyperplasia?

A

surgical excision (scalpel, electro-, cryo-, laser-surgery), then reline or remake the denture

31
Q
A

recurrent intraoral herpes simplex

we know this is herpes and not an ulcer because it is on keratinized, bound mucosa

32
Q
A

recurrent herpes simplex (herpes labialis)

33
Q

recurrent intraoral herpes simplex is almost always on what type of tissue?

A

keratinized, bound mucosa, like the palate and/or attached gingiva

34
Q

recurrent intraoral herpes simplex lesions because as vesicles of what size?

A

1-3mm

35
Q

recurrent intraoral herpes simplex heal in what time frame?

A

7-10 days

36
Q

the initial exposure of herpes is caused by ___ and occurs during what age range?

A
  • acute herpetic gingivostomatitis
  • 6 months to 5 years of age
37
Q

what are 4 variations of recurrent herpetic infections?

A
  • herpes labialis
  • intraoral recurrent lesions
  • herpetic whitlow
  • herpetic keratoconjunctivitis
38
Q

what are the 4 antiviral medications used for recurrent herpes infections?

A
  • acyclovir 5% ointment (zovirax), 15g tube, apply 6 times a day
  • acyclovir 200mg capsules, dispense 38 caps: 3 stat, one 5 times a day
  • famcyclovir (famvir) 125mg tablets, bid for 5 days
  • pencyclovir 1% (denavir) cream, 2g tube, apply q2h
39
Q

when is the best time to start antiviral treatment for recurrent herpes infections?

A

during the prodromal stages

40
Q

what is a prophylaxis for recurrent herpes infections?

A

lysine 500mg 1 tab QD

41
Q
A

mucocele

42
Q
A

mucocele

43
Q
A

mucocele

44
Q

what is a mucocele caused by?

A

usually due to trauma, causing rupture and spillage of saliva into the soft tissues

45
Q

what patient population are mucoceles most common?

A

young adults

46
Q

what is the most common location of a mucocele?

A

lower lip

47
Q

what is the treatment for a mucocele?

A

surgical excision along with the feeder gland

48
Q

post-trauma location or post-surgical location

A

scar tissue

49
Q

post-trauma location or post-surgical location

A

scar tissue

50
Q

scar tissue most commonly occurs in what locations?

A

any post-trauma or post-sutrical locations

51
Q

what is the treatment for scar tissue?

A

none

52
Q
A

angular cheilitis

53
Q

what are 3 things caused by angular cheilitis?

A
  • reduced vertical dimension
  • salivary pooling
  • candidiasis
54
Q

what are two treatment options for angular cheilitis?

A
  • antifungals
  • increase vertical dimension
55
Q
A

lingual tonsil

56
Q

what is the definition of a lingual tonsil?

A

lymphoid hyperplasia on the posterior lateral borders oft he tongue, bilateral

57
Q

lingual tonsils are discrete masses that are usually what size? they enlarge and turn what color with infection?

A
  • 1cm
  • red
58
Q

what is the treatment for lingual tonsils?

A

none

59
Q

___ is the accumulation of blood within the tissues secondary to trauma

A

hematoma

60
Q

what is the treatment for a hematoma?

A

none

61
Q
A

hematoma

62
Q
A

tobacco pouch

63
Q

what is the definition of a tobacco pouch?

A

soft, fissured gray-white lesion of the mucosa located in the area of chronic snuff placement

64
Q

what is the histologic appearance of a tobacco pouch based on?

A

it varies based on duration of use

65
Q

what is the treatment for a tobacco pouch?

A

cessation of dipping

66
Q
A

tobacco pouch

67
Q

if tobacco pouch use continues, results may progress from ___ to ___

A

dysplasia to verrucous carcinoma

68
Q
A

verrucous carcinoma

Oral Medicine (10 decks)

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