give both the clinical and histological diagnosis
clinical diagnosis: epulis fissuratum
histological diagnosis: focal inflammatory fibrous hyperplasia
what is the etiology of epulis fissuratum?
single or multiple folds of tissue in the vestibule at the location of a flange of an ill-fitting denture
epulis fissuratum is common in what age and gender patient?
middle aged or older adults, F>M
what is the treatment for epulis fissuratum?
surgical excision with relining or remaking of the denture
what is the treatment for lingual varicosities?
what is the treatment for fissured tongue?
brush the tongue
fissured tongue is numerous grooves or fissures on the dorsal tongue that are how deep?
fissured tongue affects what percent of the population?
2-5%, increases with age
what are the potential symptoms of fissured tongue?
mild burning or soreness sometimes, halitosis
what is commonly accompanied with fissured tongue?
what are the two other names for geographic tongue?
- erythema areata migrans
- benign migratory glossitis
geographic tongue affects what percent of the population? gender prevalence?
1-3%, F:M 2:1
what location of the tongue is geographic tongue most common?
dorsal tongue; rarely ventral
what are the symptoms of geographic tongue
usually asymptomatic; rare cases of sensitivity to hot or spicy foods
what is the treatment for geographic tongue?
fissured tongue accompanied by geographic tongue
the serpentine border of the lesions on the ventral tongue indicate that this is geographic tongue
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
inflammatory papillary hyperplasia
aka denture papillomatosis
what is another name for inflammatory papillary hyperplasia?
what is inflammatory papillary hyperplasia caused by?
wearing a denture for 24 hours a day
what percent of patients who wear their dentures 24 hours a day have inflammatory papillary hyperplasia?
where does inflammatory papillary hyperplasia occur? what does it look like?
hard palate, pebbly surface
what are the symptoms of inflammatory papillary hyperplasia?
what is the treatment for inflammatory papillary hyperplasia?
surgical excision (scalpel, electro-, cryo-, laser-surgery), then reline or remake the denture
recurrent intraoral herpes simplex
we know this is herpes and not an ulcer because it is on keratinized, bound mucosa
recurrent herpes simplex (herpes labialis)
recurrent intraoral herpes simplex is almost always on what type of tissue?
keratinized, bound mucosa, like the palate and/or attached gingiva
recurrent intraoral herpes simplex lesions because as vesicles of what size?
recurrent intraoral herpes simplex heal in what time frame?
the initial exposure of herpes is caused by ___ and occurs during what age range?
- acute herpetic gingivostomatitis
- 6 months to 5 years of age
what are 4 variations of recurrent herpetic infections?
- herpes labialis
- intraoral recurrent lesions
- herpetic whitlow
- herpetic keratoconjunctivitis
what are the 4 antiviral medications used for recurrent herpes infections?
- 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
when is the best time to start antiviral treatment for recurrent herpes infections?
during the prodromal stages
what is a prophylaxis for recurrent herpes infections?
lysine 500mg 1 tab QD
what is a mucocele caused by?
usually due to trauma, causing rupture and spillage of saliva into the soft tissues
what patient population are mucoceles most common?
what is the most common location of a mucocele?
what is the treatment for a mucocele?
surgical excision along with the feeder gland
post-trauma location or post-surgical location
post-trauma location or post-surgical location
scar tissue most commonly occurs in what locations?
any post-trauma or post-sutrical locations
what is the treatment for scar tissue?
what are 3 things caused by angular cheilitis?
- reduced vertical dimension
- salivary pooling
what are two treatment options for angular cheilitis?
- increase vertical dimension
what is the definition of a lingual tonsil?
lymphoid hyperplasia on the posterior lateral borders oft he tongue, bilateral
lingual tonsils are discrete masses that are usually what size? they enlarge and turn what color with infection?
what is the treatment for lingual tonsils?
___ is the accumulation of blood within the tissues secondary to trauma
what is the treatment for a hematoma?
what is the definition of a tobacco pouch?
soft, fissured gray-white lesion of the mucosa located in the area of chronic snuff placement
what is the histologic appearance of a tobacco pouch based on?
it varies based on duration of use
what is the treatment for a tobacco pouch?
cessation of dipping
if tobacco pouch use continues, results may progress from ___ to ___
dysplasia to verrucous carcinoma