Common Lesions - part II Flashcards
clinical presentation of necrotizing ulcerative gingivitis (NUG)
punched out interdental papillae that do not regenerate
necrotizing ulcerative gingivitis (NUG) is seen in who?
persons with poor oral hygiene and/or poor diet and stress
inflammatory fibrous hyperplasia is most often associated with what?
poorly fitting dentures
tx of inflammatory fibrous hyperplasia
- conservative excision
2. construct well-fitting dentures
varix is most often seen in who?
older pts
what is a common site for varix?
lower lip
T/F: if a varix is thrombosed, it will blanch with diascopy
false, will NOT
ulcer
loss of continuity of an epithelial or epidermal covered surface
what causes aphthous ulcer?
immune mediated
where are aphthous ulcers found?
on freely movable oral mucosa
laypersons term for aphthous ulcers
canker sore
aphthous ulcer
ulcer on erythematous base
what is squamous papilloma associated with?
with NON-oncogenic human papillomaviruses
the color of a squamous papilloma lesion depends on what?
amount of keratin on the surface
before dx’ing leukoplakia, what must be ruled out?
dysplasia
leukoplakia
white patch with crisply defined margins that does not rub off and cannot be dx’ed clinically or microscopically as anything else
what should be done to identify the exact nature of a leukoplakia lesion?
biopsy
what must be done to confirm dx of periapical cyst?
- biopsy
2. assess vitality of adjacent teeth
what causes dentigerous cyst?
fluid entrapping between crown of impacted tooth and reduced enamel epithelium
antral pseudocyst
collection of fluid BELOW maxillary sinus
max sinus lining will be what to the fluid collection in an antral pseudocyst?
superior
what may happen to pts with antral pseudocysts when flying?
may get referred pain to max teeth with altitudes
what should you look for in pts with condensing osteitis?
look for tooth or teeth with deep caries in associated area
exostoses
bony protuberances arise from cortical plate
