Chapter 8 lecture 2 Flashcards
What is the prevalence of osteonecrosis in patients taking IV bisphosphonates?
6-8%
Rampant dental caries occurs with meth use, what are the side affects of meth use?
- Xerostomia
- Sugar cravings
- Sugary/acidic drinks
What part of the tooth is affected first from meth use?
-Facial smooth and interproximal surfaces
What are the causes of oral petechiae/purpura?
- Repeated coughing/vomiting
- Convulsions
- Oral sex
- Anticoagulant therapy
- Thrombocytopenia
- Disseminated intravascular coagulation
- Viral infections (mono/measles)
T/F The areas of petechiae/purpura should resolve spontaneously if not associated with systemic disease
True
If petechiae in the oral cavity is not trauma associated what might a concern be?
-It might be Thrombocytopenia
How can amalgam be incorporated into the oral mucosa?
- Previous areas of mucosal abrasion can be contaminated by amalgam dust within the oral fluids
- Broken amalgam pieces can fall into extraction sites
- Contaminated dental floss can create linear areas of pigmentations
- Endodontic retrofill can be left in the soft tissue
- High speed drills can drive fine particles in tissue
What does an amalgam tattoo appear like?
-Melanoma
What are the most common sites for amalgam tattoos?
- Gingiva
- Alveolar mucosa
- Buccal mucosa
What is forked tongue?
-The anterior third of the tongue is split by pulling a fishing line through a pierced hole
What is a talisman or susuk?
-Metal pieces like needles throughout the mucosa
Where does smoker’s melanosis most commonly affect?
-Anterior facial gingiva
What does an antral pseudocysts appear as?
-Dome-shaped, slight radiopaque lesion arising from the intact floor of the maxillary sinus
What is a floating antral pseudocysts known as?
sinus mucocil
