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Flashcards in Colors of Oral Path Deck (87)
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1

What is normal dependent on?

1. Race dependent
2. Location dependent
3. Pink!

2

what is the "normal" pink caused by?

1. epithelium is semi-transparent/pale white
2. extensive capillary bed beneath show through = pink

3

What is the darker red vestibular mucosa/FOM mucosa caused by?

nearness of vascularity to the surface

4

What causes the lighter pink on hard palate and attached gingiva?

increased thickness of overlying epithelium

5

DX: an intraoral white plaque that does NOT rub off and can not be identified as any well known entity

Leukoplakia
TX: When in doubt cut it out. Remove obvious frictional causes, biopsy after two weeks

- alveolar ridge = frictional keratosis from denture

6

5 white lesions that CAN be scraped, rubbed or pulled off

1. Materia Alba
2. white coated tongue
3. burn (thermal, chemical, cotton roll)
4. pseudomembranous candidiasis
5. toothpaste or mouthwash overdose

7

White coated Tongue

Aysmptomatic
Tx: tongue scraping or brushing

8

Pseudomembranous Candidiasis

TX: antifungal prescription
Nystatin (Mycostatin)
Clotrimazole (Mycelex)
Nystatin/trianicinolone acetonide ointment (Mycolog II)

9

Bilateral on buccal mucosa at occlusal plane from friction, sucking

Linea Alba "white line"
Tx: no treatment

10

Bilaterally present in 70-90% of Blacks; diffuse grayish-white milky opalescent appearance

Leukoedema
Tx: no treatment is necessary
make sure that disappears when the cheek is stretched

11

Caused by reverse smoking. Heat causes salivary gland orifices to open = red dots

Nicotine Stomatitis

tx?

12

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

Usually young males, gingival recession and root caries

Tobacco Pouch Keratosis (smokeless tobacco pouch, snuff pouch, spit tobacco keratosis)
Tx: cessation of "dipping" and then need to check again. try and plug around to different sites. If doesn't go away then BIOPSY.

* can progress from dysplasia to verrucous carcinoma

13

most common lesion Caused by EBV in AIDS pts
In patients with HIV and AIDS
Sign of sever immune depression and advanced disease
White mucosal plaque that doesn't rub off
Lateral border of tongue

Oral Hairy Leukoplakia

tx: treat AIDS

14

Whickham Striae
2 forms erosive and reticular

Chronic muco-cutaneous disease

4 Ps: Purple, pruritic, polygonal, papules

saw tooth rete ridge, band like lymphocyte inflitration

Lichen Planus

Treatment: Steroids (Temovate, decadron, lidex .05% ointment or gel)
biopsy erosive anywhere, maybe reticular on gingiva/tongue

Nikolsky Test: air/water syringe positive = pemphigus vulgaris, mucous membrane pemphigoid

15

What are the 4 levels of Leukoplakia?

1. Normal
2. Hyperkeratosis
3. Epithelial Dysplasia
4. invasive squamous cell Carcinoma

16

localized bony protuberance arising from the cortical plate

Torus Palatinus/Mandibularis
Tx: None unless,
1. repeated trauma and ulceration usually removed at patient's request
2. preprosthetic surgery before complete or partial denture construction

17



most common: lips, tongue, buccal mucosa

1-2 lesions, .5-1 cm in diameter

Etiology: different things in different ppl --> autoimmunes, hypersensitivity, stress (THEORY)


Recurrent Apthous Ulcerations (major, minor, herpetiform)


TX: avoid food if that is causing the hypersensitivity

Temovate
Decadron
Lidex
Kenalog

18

unique form of chronic traumatic ulceration with deep pseudoinvasive inflammatory process and slow to resolve

TUGSE: traumatic ulcerative granuloma with stromal eosinophilia

TX.: incisional biopsy

19

inflammatory process that arises withing the tissues, surrounding the crown of a partially erupted tooth

Pericornitis

20

accumulation of acute inflammatory cells at the apex of a nonvital tooth

periodontal abscess

21

Most common benign neoplasm of the oral cavity on buccal mucosa > labial mucosa > tongue> gingiva

Reactive hyperplasia of fibrous connective tissue in response to local irritation or trauma

Fibroma

tx: surgical excision

22

Ectopic sebacceous glands on buccal mucosa and then lips

Fordyce Granules

No treatment

23

benign proliferation of blood vessels

10-12% children

clinically blanches under pressure

10-12% children

Syndromes: SturgeWeber Angiomatosis

Hemangioma

Tx: surgery, laser, embolization,
clinical observation, removal, sclerotherapy

24

Benign proliferation of squamous epithelium (HPV 6 & 11) on tongue > soft palate

Papilloma

Tx: surgical excision

25

variations of papilloma

Verruca vulgaris,
Condyloma Acuminatum,
Focal Epithelial Hyperplasia,
Sinonasal papilloma

26

Focal inflammatory fibrous hyperplasia at the flange of an ill fitting denture

Single or multiple folds of tissue in the vestibule

Epulis Fissuratum

TX: surgical excision with relining or remaking of the denture

27

superficial dilated veins not associated with HTN or cardiopulmonary disease

Most common sublingual

Varicosities (sulingual varix)

Tx: NONE, unless solitary varicosities on the lips or buccal mucosa because of thrombus formation or esthetics

28

numerous grooves or fissure on the dorsal tongue, 2-6 mm deep with unknown cause (possibly hereditary)

Fissured Tongue

Tx: brush the tongue

29

Inflammatory condition: asymptomatic with rare cases of sensitivity to hot or spicy foods

Geographic Tongue

Tx: None unless symptomatic and then use magic mouthwash

30

denture papillomatosis: reactive tissue growth that develops under a denture

in patients with ill fitting denture, poor denture hygiene and wearing denture 24 hrs a day

Papillary Hyperplasia

tx: surgical excision (scapel, electro-cryo-laser surgery) then reline or remake of the denture

possible antifungal tx...??