30 Most Common Oral Lesions 9-20 Flashcards Preview

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Flashcards in 30 Most Common Oral Lesions 9-20 Deck (68):
1

give both the clinical and histological diagnosis

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clinical diagnosis: epulis fissuratum

histological diagnosis: focal inflammatory fibrous hyperplasia

2

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

3

epulis fissuratum is common in what age and gender patient?

middle aged or older adults, F>M

4

what is the treatment for epulis fissuratum?

surgical excision with relining or remaking of the denture

5

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lingual varicosities

6

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fissured tongue

7

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fissured tongue

8

what is the treatment for lingual varicosities?

none

9

what is the treatment for fissured tongue?

brush the tongue

10

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

2-6mm

11

fissured tongue affects what percent of the population?

2-5%, increases with age

12

what are the potential symptoms of fissured tongue?

mild burning or soreness sometimes, halitosis

13

what is commonly accompanied with fissured tongue?

geographic tongue

14

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geographic tongue

15

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geographic tongue

16

what are the two other names for geographic tongue?

  • erythema areata migrans
  • benign migratory glossitis

17

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

1-3%, F:M 2:1

18

what location of the tongue is geographic tongue most common?

dorsal tongue; rarely ventral

19

what are the symptoms of geographic tongue

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

20

what is the treatment for geographic tongue?

none

21

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fissured tongue accompanied by geographic tongue

22

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geographic tongue

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

23

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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

24

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inflammatory papillary hyperplasia

aka denture papillomatosis

25

what is another name for inflammatory papillary hyperplasia?

denture papillomatosis

26

what is inflammatory papillary hyperplasia caused by?

wearing a denture for 24 hours a day

27

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

20%

28

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

hard palate, pebbly surface

29

what are the symptoms of inflammatory papillary hyperplasia?

asymptomatic

30

what is the treatment for inflammatory papillary hyperplasia?

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

31

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recurrent intraoral herpes simplex

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

32

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recurrent herpes simplex (herpes labialis)

33

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

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

34

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

1-3mm

35

recurrent intraoral herpes simplex heal in what time frame?

7-10 days

36

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

  • acute herpetic gingivostomatitis
  • 6 months to 5 years of age

37

what are 4 variations of recurrent herpetic infections?

  • herpes labialis
  • intraoral recurrent lesions
  • herpetic whitlow
  • herpetic keratoconjunctivitis

38

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

39

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

during the prodromal stages

40

what is a prophylaxis for recurrent herpes infections?

lysine 500mg 1 tab QD

41

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mucocele

42

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mucocele

43

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mucocele

44

what is a mucocele caused by?

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

45

what patient population are mucoceles most common?

young adults

46

what is the most common location of a mucocele?

lower lip

47

what is the treatment for a mucocele?

surgical excision along with the feeder gland

48

post-trauma location or post-surgical location

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scar tissue

49

post-trauma location or post-surgical location

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scar tissue

50

scar tissue most commonly occurs in what locations?

any post-trauma or post-sutrical locations

51

what is the treatment for scar tissue?

none

52

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angular cheilitis

53

what are 3 things caused by angular cheilitis?

  • reduced vertical dimension
  • salivary pooling
  • candidiasis

54

what are two treatment options for angular cheilitis?

  • antifungals
  • increase vertical dimension

55

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lingual tonsil

56

what is the definition of a lingual tonsil?

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

57

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

  • 1cm
  • red

58

what is the treatment for lingual tonsils?

none

59

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

hematoma

60

what is the treatment for a hematoma?

none

61

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hematoma

62

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tobacco pouch

63

what is the definition of a tobacco pouch?

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

64

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

it varies based on duration of use

65

what is the treatment for a tobacco pouch?

cessation of dipping

66

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tobacco pouch

67

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

dysplasia to verrucous carcinoma

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68

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verrucous carcinoma